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Perioperative Considerations in Breast Cancer Surgery
Journal article   Open access   Peer reviewed

Perioperative Considerations in Breast Cancer Surgery

Ingrid M. Lizarraga, Christina J. Camick and Marios Konstantinos Tasoulis
Current breast cancer reports, Vol.18(1), 17
12/2026
DOI: 10.1007/s12609-026-00639-z
url
https://doi.org/10.1007/s12609-026-00639-zView
Published (Version of record) Open Access

Abstract

Purpose of Review There are many considerations in perioperative evaluation and management of the breast cancer patient. A literature review was performed to identify evidence for best perioperative practices of venous thromboembolism (VTE) prophylaxis, antibiotic prophylaxis, and axillary mapping. Recent Findings VTE risk after surgery for breast cancer is lower than for other oncologic procedures, but for patients identified as high risk, pharmacologic VTE prophylaxis may be used without increased risk of hematoma. There is conflicting data on whether preoperative antibiotic is required for all breast cancer surgery. Various tracers may be used in axillary and reverse axillary mapping to improve axillary node identification or decrease arm morbidity. Dual tracer technique may not be necessary for every patient undergoing axillary staging. Summary Perioperative management recommendations for VTE, antibiotic prophylaxis and sentinel node localization should be based on individual patient characteristics and risks as well as procedure type.
Internal Medicine Oncology Surgical Oncology Medicine Medicine & Public Health Review

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