Radical Standard
Modern radical mastectomy preserves the pectoralis major and minor muscles—shoulder function and contour are preserved better than with older techniques; lymph node dissection of levels I–III provides complete staging and regional control. Prevention of lymphostasis begins in the operating room (care for blood vessels) and continues with exercise therapy and rules for the hand. The hospitalization is short, the stitches are cosmetic. Based on histology, the consultation prescribes adjuvant therapy; If the patient wishes, reconstruction is discussed - from an expander to lipofilling.
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.
