Save breasts safely
The key of the method is urgent intraoperative examination of the edges: oncological purity is confirmed before completion of the operation, which reduces re-interventions to a minimum. The tissue defect is replaced with oncoplastic techniques - the breast retains its shape. Lymph node dissection provides stage and control of the region; Exercise therapy for the arm begins immediately. The combination of “resection + radiation therapy” in early stages is equivalent to mastectomy in terms of survival - this is the world standard, available in the clinics below. IHC guides systemic therapy.
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.
