Breast cancer breast-conserving surgery process

The process of breast-conserving surgery for breast cancer mainly includes: 1. Removal of all defined malignant lumps on the breast; 2. Removal of tissue about 1mm-1cm from the edge of the breast lump, and taking specimens from nine directions at the edge of the tumor bed for pathological biopsy. If no cancer cells are found, the breast-conserving surgery is considered successful; 3. For some patients with larger breast lumps, the shape of the breast will be distorted after the removal of the lump, and the breast needs to be transferred and repaired and the shape of the breast needs to be adjusted. The risks of breast-conserving surgery mainly include anesthesia risks and residual risks of the breast tumor itself.

Indications and contraindications of breast-conserving surgery for breast cancer

Indications for breast-conserving surgery include: 1. Tumor <3cm; 2. Tumor location: more than 2cm from the center of the nipple; 3. Patients older than 35 years old and willing to conserve their breasts. In addition, there are no absolute contraindications to breast-conserving surgery. For example, if the tumor is larger than 3cm but the patient has a strong desire to conserve the breast, adjuvant chemotherapy can be used to shrink the tumor before undergoing breast-conserving surgery. For young female patients under 35 years old who have a strong desire to conserve their breasts, the feasibility of breast-conserving surgery can also be considered based on actual conditions.

What preparations should be made before breast-conserving surgery for breast cancer

Preoperative preparation for breast-conserving surgery for breast cancer includes the following aspects: 1. Fully understand the size and location of the tumor before surgery, and consider the feasibility of breast-conserving surgery; 2. Fully communicate with the patient and make appropriate adjustments based on the patient's cosmetic or treatment effect requirements; 3. Fully consider the choice of incision location, such as the more hidden part of the tumor, the areola and the axilla; 4. The postoperative shaping of the incision needs to be considered. For example, after the tumor is removed, the shape of the breast may change, so full consideration must be given to meet the different needs of patients.