Surgical excision is generally considered the first line of treatment for carcinoma of which organ?

Surgical excision is typically regarded as the primary treatment approach for various forms of carcinoma, particularly for the breast. This is due to the nature of breast cancer, where early-stage tumors can often be effectively managed through surgery, aiming to remove the cancerous tissue while preserving as much of the surrounding healthy tissue as possible. This approach not only helps in achieving local control of the disease but can also play a crucial role in the overall treatment strategy by enabling histopathological evaluation, which informs further treatment decisions.

In the context of breast cancer, surgical options may include lumpectomy, mastectomy, or sentinel lymph node biopsy, depending on the stage and specific characteristics of the cancer. Early detection through screening has made breast surgical interventions increasingly successful, often leading to good clinical outcomes.

While surgical excision is also a significant treatment modality for other organs, such as the larynx, lung, and rectum, the management of those cancers may involve a combination of options including radiation therapy, chemotherapy, and targeted therapies, depending on the stage and type of the cancer. For these other sites, surgery may not always be the first choice, especially if the tumors are more advanced or if there are multiple unfavorable factors.