Do you know that breast cancer has become the most common cancer in women. In 2021, our country added 336,000 new breast cancer patients.
Once breast cancer is diagnosed, the most effective treatment method is surgery. Many patients themselves or their families do not agree on whether to have a complete resection or breast conservation.
full cut
"One of the way, forget it, if you don't cut it clean, you won't have too many dreams!"
"It's hard to explain the cancer. If you relapse, don't get a second blow, but it's safe to cut it!"
breast conservation
"It's better to keep breast conservation surgery, I can't accept it!"
" So many patients have done breast conservation, people have The best, the wound is small, so recover faster! "
entangled
" To be more stable in the body, but there must be a lot of scars on the body, but there are still scars near the armpits of breast conservation surgery. Oh, it's so entangled!"
Professor Chen Jie, Director of the Breast Disease Center of West China Hospital, Sichuan University wants to tell everyone that the surgical treatment method of "full cutting" is outdated. At present, the most advanced breast cancer treatment method in the world is breast conservation surgery. If there is no very necessary reason, doctors generally do not recommend that patients have a complete resection.
below, let’s introduce breast cancer breast conservation surgery in detail.
-
In the past, complete breast
is the main way to treat breast cancer
The treatment of breast cancer is mainly surgery, and then combined with radiotherapy, chemotherapy, endocrine therapy and targeted treatment. The specific treatment plan depends on the stage and type of breast cancer.
In the past, breast cancer was generally treated with radical surgery, expanded radical surgery, and improved radical surgery, that is, breast removal is performed by using a knife to treat breast cancer.
Although breast removal is the main way to treat breast cancer for a period of time and has good results, it will also bring some other problems, especially for women's psychology and life.
First, female patients will lose the most important aesthetic organs, resulting in a significant decline in quality of life.
Second, some studies have shown that the risk of depression in this part of women with breast removal will be significantly higher within one year.
2
Now, breast conservation
is the most advanced breast cancer treatment method At present, The world's most advanced breast cancer treatment method is breast conservation. can meet the requirements of to cure breast cancer and preserve breast function and aesthetics at the same time, and has quickly become the main method of treating early breast cancer .
Question: "But I always think that breast-conserving surgery may not be clean. Is it easier to recur than full-incision?"
Answer: At present, a large number of studies at home and abroad have confirmed that compared with total mastectomy, there is no difference in overall survival and distant metastasis survival rates of breast cancer patients after breast-conserving surgery, and even in long-term survival is better than patients with total mastectomy.
For example, some studies have found that the 5-year survival rate after breast-conservation surgery is 92.9% and the 7-year survival rate is 87.7%, both higher than the 89.7% and 79.2% after total mastectomy.
Moreover, in terms of breast aesthetics, many studies in European and American countries have confirmed that the appearance of the breasts of patients after breast conservation surgery is much more beautiful than reconstructed breasts and fully cut breasts.
So at present, breast conservation surgery has become the most important way of early breast cancer surgery in developed countries, and breast conservation rate is also regarded as one of the important signs of the level of breast cancer treatment.
is in our West China Hospital . More and more early breast cancer patients have changed their ideas and have chosen breast-conserving surgery.
3
Traditional breast-conserving surgery also has shortcomings
Although breast-conserving surgery has so many advantages, it also has certain shortcomings -
Breast-conserving surgery is not suitable for every breast cancer patient. If you want to undergo breast-conserving surgery, patients need to meet certain conditions, such as single breast cancer and small lumps, etc. The specific needs to be evaluated and determined by the doctor.
Traditional breast-conserving surgery generally requires two holes, one on the breast and one under the armpit. There will be two scars after the operation. Especially in summer, some patients are more worried that their scars will be exposed and dare not wear sleeveless.
Here I will explain why traditional breast conservation surgery requires two holes:
First, the opening of the breast is to remove the tumor on the breast. Everyone knows this.
Second, breast cancer cells are most commonly metastasized to lymph nodes . The opening of the axilla is to facilitate the removal and removal of cancer cells in the axilla lymph nodes. Before
, cleaning the lymph nodes of the axillary would affect the movement of the affected hand, resulting in swelling of the hand and inconvenient movement. However, the most advanced sentinel lymph node biopsy currently requires only a few lymph nodes to be removed.
4
Breast cancer "traceless" Breast Conservation
In order to help women after breast cancer recover better from physical to mental health, under the guidance of Professor Lu Qing, Professor Chen Jie's team of the West China Hospital's Breast Surgery Department pioneered the latest international technology - transarealola single-pore non-liquid lamboscopic breast conservation (referred to as "laparoscopic breast conservation").
laminoscopic breast conservation surgery only requires a small hole in the breast areola, and no auxiliary hole is required to perform a complete breast conservation surgery, including removal of breast lumps and cleaning of axillary lymph nodes. It not only safely removes the tumor, but also reduces the axillary incision↓
The key is that after the areola incision heals, scar is really small, and it is not close to it. If you look at it with a magnifying glass, it is difficult to find it. It can greatly improve the aesthetics and privacy of the patient's breasts. has truly achieved the "traceless" breast cancer surgery.
The Center for Breast Diseases conducted a questionnaire on patients who had laparoscopic breast conservation and invited professional physicians to score breast appearance.
finally found that compared with traditional breast-conserving surgery, laparoscopic breast-conserving surgery can increase the postoperative self-expression satisfaction evaluation of by about 15%, breast shape score by about 7%, and upper limb function score by about 25%.
Breast Disease Center
West China Hospital Breast Disease Center is committed to the development of breast cancer specialized diseases, optimize the full medical treatment process for breast cancer patients, shorten the waiting time for examinations, surgery, chemotherapy, radiotherapy, and MDT, and comprehensively improve the medical experience of breast cancer patients.
, as one of the largest breast disease diagnosis and treatment centers in the country, has opened a green channel for patients with first-diagnosed breast cancer, and has cooperated with multidisciplinary experts to quickly formulate high-quality diagnosis and treatment plans for patients.
Expert introduction
doctor |
professional title |
outpatient time | |||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Monday morning and Wednesday morning | ||||
0 Chen Jie |
professor |
Thursday full day | |||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Thursday all day |
Wang Xiaodong | Professor | Professor | Monday morning and Wednesday morning | ||||||||||||||||
Yang Jinqiao | Professor | Professor | 0 Monday morning, Tuesday morning, Thursday morning | ||||||||||||||||
0 Li Hongjiang |
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ml0 Professor |
Tuesday morning and Thursday afternoon | |||||||||||||||||
|
|
| |||||||||||||||||
|
| html ml0 Associate Professor | 0 Thursday morning | ||||||||||||||||
Yan Xi | Associate Professor | Monday morning and Tuesday afternoon | |||||||||||||||||
ml3 | Associate Professor | Wednesday all day | |||||||||||||||||
Chen Yujuan | Associate Professor | Friday morning | |||||||||||||||||
Chen Yu Juan | Associate Professor | 0 Friday morning | |||||||||||||||||
0 Zhong Xiaorong |
|
Tuesday morning |
This article
