RT Book, Section A1 Tower, Amelia A1 Robin, Julieta A1 Duggal, Shivani A1 Julian, Thomas B. A2 Morita, Shane Y. A2 Balch, Charles M. A2 Klimberg, V. Suzanne A2 Pawlik, Timothy M. A2 Posner, Mitchell C. A2 Tanabe, Kenneth K. SR Print(0) ID 1145759781 T1 Landmark Clinical Trials that Impacted Surgical Management of Invasive and Noninvasive Breast Cancer T2 Textbook of Complex General Surgical Oncology YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071793315 LK hemonc.mhmedical.com/content.aspx?aid=1145759781 RD 2024/04/19 AB Over the last four decades, there has been a paradigm shift in the management of breast cancer as a result of several landmark clinical trials conducted in the United States and Europe that are responsible for the new standards of breast cancer care worldwide. Advances from these clinical trials transformed the treatment of breast cancer by advocating less radical surgery and introducing the use of innovative techniques in conjunction with other modalities including systemic chemotherapy, endocrine therapy, and radiotherapy (RT). This subsequently led to a multidisciplinary approach to breast cancer and is further leading to individualized treatment for each patient. This chapter provides a review of the significant landmark clinical trials that revolutionized the management and that currently guide the surgical practice of noninvasive and invasive breast cancer.