When all the gland is removed
Skin-sparing and nipple-sparing options (if oncologically acceptable) create an “envelope” for reconstruction with an implant - the breast is restored in the same operation or in stages. Simple mastectomy (without lymph node dissection) is used prophylactically and for non-invasive forms; for invasive cancer it is supplemented by lymph node dissection (radical mastectomy page nearby). Drainage for 3–5 days, exercise therapy for the shoulder, psychological support and reconstruction plan are discussed before the operation - the patient knows the whole path in advance.
Indications
- fibroadenoma growing or 2+ cm, phyllodes tumors - sectoral resection;
- breast cancer - organ-preserving radical resection or mastectomy according to indications;
- BRCA carriage - preventive surgery with reconstruction;
- gland abscess - opening and sanitation;
- defects after oncological operations - reconstruction with implants/lipofilling.
Organ preservation and reconstruction
Modern mammology strives to preserve the breast whenever it is oncologically safe: radical resection with urgent histology of the margins + subsequent radiation therapy is not inferior in survival to mastectomy in the early stages. When mastectomy is necessary, reconstruction (simultaneous or delayed - expander/implant, lipofilling for final correction) restores quality of life. Axillary lymph node dissection is performed as indicated; The IHC profile of the tumor (ER/PR/HER2/Ki-67) determines systemic treatment. All operations are performed with an aesthetic suture.
