Breast cancer surgery mainly includes breast conserving surgery (axillary or axillary clearing), modified breast cancer surgery, breast cancer surgery, simple mastectomy + sentinel lymph node biopsy, breast cancer resection combined with breast reconstruction and other aspects.
Breast-conserving surgery is generally applied to patients in the period, stage and part of the period. Some of these patients may need to undergo preoperative neoadjuvant surgery** before surgery if they undergo breast-conserving surgery. The patient has the desire to conserve breast, the breast has an appropriate volume, the ratio of tumor to breast volume is appropriate, and the breast shape can be maintained after surgery. Axillary management: Sentinel lymph node biopsy and axillary dissection as appropriate, depending on the case. This procedure can achieve good cosmetic results, but adjuvant radiotherapy must be given postoperatively.
Modified breast cancer surgery is to surgically remove all glands and nipple areolas, preserve the pectoralis major and minor muscles, and mostly use transverse incisions, so as to facilitate breast reconstruction surgery when needed. It is a more commonly used surgical method and is suitable for clinical and stage breast cancer.
Breast cancer** surgery requires surgical removal of the breast and pectoralis gross muscle, and axillary lymph node dissection, which is mainly used for breast cancer with locally advanced pectoral muscle involvement.
Simple mastectomy + sentinel lymph node biopsy is the removal of the breast and nipple areola. It is mostly suitable for patients with intraductal cancer, microcarcinoma, eczema-like carcinoma limited to the nipple, as well as the elderly and frail who are intolerant of larger surgery. If the axillary sentinel lymph node biopsy is positive and axillary dissection is performed, the scope of surgery is basically equivalent to that of modified breast cancer. For cases with small mammary glands, small lesions and far away from the nipple areola, subcutaneous gland resection with nipple areola preservation can also be performed, and the postoperative appearance and functional effect are also ideal.
**Wan Fan Incentive Plan Breast cancer resection combined with breast reconstruction surgery is generally for patients with intraductal cancer, stage, stage, the lesion is not large and far away from the nipple areola, if there is intraductal cancer with nipple discharge, the nipple can be removed to preserve the areola, subcutaneous gland resection, and then first-stage prosthetic reconstruction, or first-stage dilator + second-stage prosthetic reconstruction surgery. The choice of surgical method requires a comprehensive analysis, considering the clinical stage of the specific case, the subjective requirements of the patient, and the physical condition, etc., to comprehensively determine the surgical plan.