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Saturday, June 4, 2011

Surgical breast cancer cure

Surgery is the only possible way to cure breast cancer, so surgery for early breast cancer is the preferred treatment. Surgical methods of breast cancer after a long evolution, in the past that the surgery has done the greater the removal of the more complete the better. But in recent years this view has changed, and advocates to ensure complete removal of as much as possible on the basis of reduced surgical trauma.

The commonly used method for breast cancer surgery are the following: they are radical mastectomy, modified radical mastectomy, breast-conserving surgery.

(A) of the radical mastectomy

Is breast lesions, axillary lymph nodes and some muscle chest wall resection, the trauma of such a large operation, postoperative right upper limb function would be affected. So when cancer cells invade the chest wall muscles to carry out such operations.

(B) of the modified radical mastectomy

Such surgery is the breast and some axillary lymph nodes removed, without removal of the chest wall muscles. Because the muscles of the chest wall was intact, the chest wall and arm muscles body are affected, can quickly recover. This is the most commonly used for standard breast cancer surgery. Limited to the situation of our country, now is the modified radical mastectomy is still the main method of surgical treatment of breast cancer, according to incomplete statistics, about 95% of all surgical procedures.

Modified radical mastectomy, intraoperative 5-FU wash wet heat treatment of breast cancer, surgical procedures simple, less invasive, preserve upper extremity function, radical effect, the patient easy to accept, promote the use of significant value, especially in poor areas and medical promote the application of more backward areas.

(C) breast-conserving surgery

Also known as "breast-conserving surgery", the so-called breast conservation is to retain the basic shape of the breast, only the removal of some lesions. These include: quadrant resection, segment resection, local excision, combined with axillary lymph node dissection; postoperative radiotherapy, chemotherapy and endocrine therapy combined therapy. Studies show that breast-conserving surgery plus radiation therapy with radical mastectomy over the same period in patients with similar effect.

Study found that over the same period of breast-conserving surgery and mastectomy survival and recurrence rates after surgery there was no significant difference. Typically, the line of breast-conserving surgery patients need radiation therapy every day for 5 to 6 weeks.

But not every patient is suitable for breast-conserving surgery, only lesions in the early, smaller tumor size to use of such surgery. The doctor will consider different factors, for patients to choose the appropriate surgical approach.

Because breast-conserving surgery in patients considered not only the survival rate and relapse rate, but also take into account the upper limb function after surgery, and physical beauty. Therefore, it is conserving surgery in early breast cancer has become the first choice for Europe and the United States surgical procedures, but because of early diagnosis of breast cancer and postoperative radiotherapy and so there is still a wide gap between Europe and the United States, only a few of the surgical conditions in Hospital, but will become the future direction of our development.

(D) of axillary lymph node dissection

Doctors removed the breast in the same time, removal of part of axillary lymph nodes. These lymph nodes embedded in the fat tissue is difficult to see with the naked eye, so surgeons will be part of the fat tissue removed along with the lymph node down, the doctor will remove Pathology of lymph nodes and fat tissue down under a microscope for pathological examination, in order to understand its presence within the cancer cells. This method can help doctors determine whether cancer metastasis to the lymph nodes, and the need for chemotherapy and endocrine therapy.

After axillary lymph node dissection, patients will appear side axillary exudate, the exudate to axillary swelling, which is known as "lymph node swelling." "Lymph node swelling," sometimes affect the function of the patients affected limb. So after physical exercise should be actively pursued to promote blood circulation and lymphatic flow upper limb to reduce swelling, early return to normal function.

(E) breast reconstruction

Considerations from the physical improvements, some women will require breast reconstruction surgery (cosmetic surgery), usually during surgery at the same time, or a few months later another breast reconstruction surgery.


 


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