Qianjiang Evening News·Hours News Correspondent Li Wenfang Ye Xiaojun Reporter Wu Chaoxiang
"Does my breasts have to be removed?" "She is not married yet, and she can't get a breast..." Questions like this are emerging in breast surgery.
In recent years, the incidence of breast cancer has been rising at an acceleration of 3 to 4% per year, and has now become the most common malignant tumor in Chinese women, accounting for 24% of all malignant tumors. Moreover, unlike the incidence patterns in other countries, the peak of Chinese women is usually before menopause and , and there is also a trend of becoming younger and younger.
This means that most breast cancer patients are in close contact with the disease at their most prestigious age. Fortunately, with the advancement of modern medicine, total breast resection is not the only way to breast cancer.
Between life and health and body integrity
Must make a choice
Breast cancer not only means a threat to life, but will also be accompanied by serious self-cognition blows and psychological indelible pain caused by physical incompleteness.
With the improvement of medical treatment levels, breast cancer has a better prognosis and a lower mortality rate. Most patients can return to normal life through standardized and comprehensive treatment. But physical shortcomings are often difficult to relieve.
Doctors are kind-hearted. On the road to exploring the treatment of breast cancer, doctors have worked tirelessly to propose a treatment plan such as breast conservation surgery that is respectful to the female body, which has raised the treatment of breast cancer from "treat tumor" to "treat human".
Wang Linbo, chief physician of the Department of Breast Surgery at Run Run Run Shaw Hospital of Zhejiang University, has innovatively established an accurate breast conservation surgery under laparoscopic assisted guidewire positioning, which can accurately solve the worries of female breast cancer patients.
Chief physician Wang Linbo introduced that the core content of breast conservation surgery is to retain the breasts on the affected side while removing the tumor, thereby maintaining a relatively complete body appearance of a woman. The bottom line problem is safety.
Therefore, the doctor will conduct a detailed evaluation of the lesions, including size, location, the proportion of size in the breast, the relationship with the nipple areola, etc. After a comprehensive summary and analysis of all factors, patients who meet the requirements can choose breast-conserving surgery.
On the other hand, a large amount of long-term follow-up data proves that a standardized and successful breast-conserving surgery plus subsequent standardized radiotherapy and other comprehensive treatments is safe.
chose breast-conserving surgery
Why is it not satisfied with the "effect" after the surgery?
However, meeting the conditions for breast conservation surgery does not mean that you can have both fish and bear's paw. Because not all breast-conserving surgeries can get an ideal breast appearance after the operation.
Usually, in order to accurately enlarge the lesion to achieve no cancer cell residue on the edge, most breast-conserving surgeries choose to make an incision on the surface of the tumor. At this time, if the tumor is located in the peripheral area of the breast, the postoperative scar is still more conspicuous.
In addition, after the tumor is removed, the breast will have a certain degree of defect. The cavity here may collapse after the operation, or the skin on the surface adheres to the pectoralis major muscle at the bottom of the cavity, forming a depression that cannot rebound, resulting in the embarrassing result of "although the breast is preserved, it is not good-looking."
In order to maximize the beauty after breast conservation surgery, Wang Linbo's team of chief physicians has continuously explored and improved it to create a new breast conservation surgery model, namely, precise breast conservation under laparoscopic guidance wire positioning.
Accurate resection
Invisible scarless
28-year-old Xiao Li underwent Shao Medical Insurance breast surgery and follow-up radiotherapy. She said that she could not even tell that she had had breast cancer resection surgery. Apart from the thin pinholes left by the metal guidewire on the breast skin, which are difficult to distinguish with the naked eye, and an incision hidden under the armpits that can be covered by hair or underwear, there are no other signs of surgery. How did
do this?
First, the Shaw breast surgery mode only takes one incision in the axillary.Since breast-conserving surgery itself involves the treatment of axillary lymph nodes, incisions in the axillary are inevitable. This is precisely because the Shaw breast insurance procedure uses this to apply laparoscopic technology to establish the cavity between the breast and the pectoralis major, and the breast and the skin. (Figure 1)
The biggest highlight of the Shao Medical Care breast surgery mode is the precise positioning and resection of the metal guidewire. Use the metal guidewire to place marks into the breast in segments to accurately locate the periphery of the tumor and firmly fix it with the skin position, just like the eight major diamonds surrounding the tumor without leaking water (Figures 2-3), thus avoiding the defect that tumor positioning is prone to deviating in other laparoscopic modes. After the laminoscope fully frees the cavity in the front and back of the tumor area, the metal guidewire that "guards" the tumor is closed-loop, and it immediately turns into an extremely sharp blade, and the tumor is quickly completely and accurately removed (Figure 4).
In order to better establish the cavity and expose the space required during the operation, Chief Physician Wang Linbo carefully designed and developed a special supporting hook and dilator, and plans to apply for an invention patent.
Finally, there is a trick of " South-to-North Water Diversion ". After the tumor is removed, the volume shift method is used. In the state of sufficient laparoscopy, part of the normal breast breast tissue around the cavity area is easily metastasized and filled in the cavity of the tumor area nearby, so that the concave area is more "slimming" and the convex area does not collapse.
Chief physician Wang Linbo said that safe and high-quality surgery is only a part of the tumor treatment process, but after taking this step in fighting the tumor, patients can continue to move forward with confidence. "As a doctor, it is nothing more than hope that even if you suffer from breast cancer, you can return after thousands of sails, and it is still the first thing you think."
It is reported that Run Run Shaw Hospital has established a Breast Disease Diagnosis and Treatment Center and a Breast Cancer Multidisciplinary Diagnosis and Treatment Team (MDT), which was the first to carry out breast cancer breast conservation surgery in Zhejiang Province. In recent years, the department has launched the breast tumor day surgery mode, which has enabled benign breast tumors and some patients with early breast cancer to be discharged within 24 hours of surgery, which greatly facilitates patients and reduces hospitalization costs.
In addition, Professor Zhang Songying from the Breast Surgery and Reproductive Center of Run Run Shaw Hospital cooperated to provide one-stop fertility retention or ovarian protection medical care for young breast cancer patients to improve the quality of life of patients.
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