Cosmetic removal
The incision is planned along aesthetic lines (edge of the areola, submammary fold) - the scar is hardly noticeable; the formation is removed entirely with the capsule, the bed is sutured with restoration of the contour, the skin is sutured with an intradermal suture. In case of doubt, urgent histology changes the volume immediately, final histology changes after 7–10 days (a phylloid tumor requires wider margins - this is checked). The breast retains its shape and function, and future feeding is not affected. Ultrasound monitoring after 3–6 months.
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.
