TY - JOUR AR - JSO-2021-3-103 TI - Surgical Management of Locally Advanced Breast Cancer: Recommendations of the Brazilian Society of Surgical Oncology AU - Rene Aloisio, da Costa Vieira AU - Wesley, Pereira Andrade AU - Sabas, Carlos Vieira AU - Mauricio, Romano AU - Gustavo, Iglesias JO - Journal of Surgical Oncology PY - 2021 DA - Wed 22, Dec 2021 SN - 2674-3000 DO - http://dx.doi.org/10.31487/j.JSO.2021.03.03 UR - https://www.sciencerepository.org/surgical-management-of-locally_JSO-2021-3-103 KW - Breast neoplasm, surgical flaps, myocutaneous flaps, peroperative complication, locally advanced tumors AB - The Brazilian Society of Oncological Surgery organized a group of oncological surgeons to discuss surgical aspects associated with locally advanced breast carcinoma. This article reviews the indications, the different surgeries (especially those associated with thoracoabdominal or myocutaneous flaps), and associated complications. It discusses special conditions such as invasion of the chest wall and interscapular thoracic disarticulation. It makes recommendations based on the literature regarding clinical findings, tumor conditions, response to neoadjuvant therapy, choice of flaps in surgery, and tumor biology.