2 commonly used methods in surgery to treat breast cancer

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor II Do Tuong Huan - Oncologist - Oncology Center - Vinmec Central Park International General Hospital.
Breast cancer is the most common cancer with a high mortality rate in women and mastectomy is the treatment of choice for breast cancer. There are two commonly used surgical methods: mastectomy and breast-conserving surgery.

1. Breast cancer surgical methods

Usually, breast cancer patients have to go through many stages of the disease with many different treatments. In particular, surgical methods will be indicated for early treatment. There are 2 surgical options for equivalent treatment: breast-conserving surgery and total mastectomy. The choice of treatment method is completely dependent on the specific disease situation and the wishes of each patient.
1.1. Breast-conserving surgery One of the treatments for breast cancer is breast-conserving surgery - removing the entire malignant tumor in the breast and surrounding healthy tissue while keeping its shape and size. roughly equivalent breasts. After removing the malignant tumor, the patient will be prescribed radiation therapy to destroy all remaining cancer cells.
Conservative surgery is indicated for patients with breast cancer detected at an early stage when the tumor is small. This treatment procedure helps patients to be more optimistic and confident because it does not have to completely remove the breast like a total mastectomy. In addition, breast-conserving surgery has a shorter surgical time and narrower surgical scope than total mastectomy. At the same time, this method reduces the risk of side effects in the postoperative period and shortens the recovery time for the patient.

Có thể lựa chọn phẫu thuật bảo tồn tuyến vú hay cắt toàn bộ tuyến vú phù hợp
Có thể lựa chọn phẫu thuật bảo tồn tuyến vú hay cắt toàn bộ tuyến vú phù hợp
1.2. Total mastectomy This method is also called radical mastectomy. This is a mastectomy and lymph node dissection. Mastectomy is the only option for cases with large breast tumors or many separate tumors scattered throughout the breast. With this method, the patient will lose the breast. This has a negative psychological impact on the patient. However, the positive thing is that breast augmentation surgery is evolving so patients can choose this option to feel more confident. If the patient chooses to reconstruct the breast after mastectomy, the patient will have to undergo a major surgery that is lengthy, exhausting, and has a longer recovery time.

Trắc nghiệm: Những lầm tưởng và sự thật về ung thư vú

Ung thư vú có tỷ lệ tử vong cao nhất ở nữ giới khiến họ rất lo sợ bản thân mắc phải căn bệnh này. Tuy nhiên, không ít chị em có những hiểu biết thái quá về ung thư vú. Thử sức cùng bài trắc nghiệm sau sẽ giúp bạn loại bỏ được những nghi ngờ không đúng về căn bệnh này.

Bài dịch từ: webmd.com

2. Factors affecting the choice of surgery for breast cancer

Although equally effective, not all cases can be treated with complete mastectomy or breast-conserving surgery. There are several factors that need to be considered when deciding which surgical approach to choose. These are:
History and physical examination: A factor that helps doctors determine the general health status and other medical conditions of the patient. Mammograms (which help determine the size, extent, and other characteristics of a tumor) and tumor microscopy help doctors make decisions about breast cancer treatment with a mastectomy complete or breast-conserving surgery as appropriate.

Trao đổi với bác sĩ phương pháp điều trị ung thư vú phù hợp
Trao đổi với bác sĩ phương pháp điều trị ung thư vú phù hợp
Patient needs and aspirations: Patients should discuss with their treating physician if they wish to preserve the breast. It is important to consider whether treatment with these two methods of surgery affects the patient's effectiveness, self-esteem, sexual performance, and quality of life. When weighing the benefits and risks of mastectomy and breast-conserving surgery, the following points should be considered: survival time after breast cancer, risks and consequences of local recurrence, management of psychological effects on treatment, affect aesthetics and sexual performance.

3. In which cases should complete mastectomy be prioritized?

Have 2 or more separate tumors in different places on the breast; Diffuse tumor, invasion into mammary gland tissue; Have had radiation therapy to breast or thoracic tissue before and therefore should not continue radiation therapy; Pregnancy and that is why radiation therapy should not be given to avoid adverse effects on the fetus; Remaining cancer cells after breast-conserving surgery despite large amounts of tissue removal; Have scleroderma and systemic lupus erythematosus; There are several adjacent tumors and calcium deposits in the same area as the breast tumor; Tumor size over 5cm; When breast cancer is detected early, the patient will be prescribed surgical treatment. The doctor will consider many factors to make the right surgical choice for each patient. The key to effective treatment of the disease, improving the chances of cure and reducing the risk of complications is screening and early detection of breast cancer.

Sàng lọc ung thư vú định kỳ giảm thiểu nguy cơ mắc ung thư vú
Sàng lọc ung thư vú định kỳ giảm thiểu nguy cơ mắc ung thư vú
Early breast cancer screening and screening help women be more proactive in taking care of their health and protecting themselves. The benefits of breast cancer screening are early detection of cancer, increased chances of breast preservation, and preservation of a woman's beauty. Not only that, early detection of the disease will help treat the disease at an early stage, achieving high efficiency, fewer complications, preventing cancer progression, metastasis or recurrence, saving a lot of costs and improving quality. patient's life.
Vinmec International General Hospital is currently providing breast cancer screening packages suitable for all subjects, especially those with high risk of disease such as over 25 years old, having relatives with cancer breast, ... Vinmec owns a team of qualified, experienced, well-trained doctors and nurses in the country and internationally, ready to examine and advise customers. Besides, the hospital's modern equipment system also contributes to accurate diagnosis results. From there, the patient will be consulted with the appropriate regimen if unfortunately suffering from the disease.
Specialist Doctor II Do Tuong Huan has 20 years of experience in the examination, diagnosis and surgical treatment and chemotherapy of cancer pathologies. Dr. Huan used to work for a long time at Ho Chi Minh City Oncology Hospital from 1999 to 2017 and now works at Vinmec Central Park International General Hospital from March 2017.

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