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Frequent questions | |
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Beginning | |
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SURGERY FOR THE BREAST CANCER | |
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 INTRODUCTION SUBCUTANEOUS SIMPLE MODIFIED RADICAL MASTECTOMY LUMPECTOMÍA RECONSTRUCTION SPECIALIST TO SEE TO CONSULT |
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Detected on time, the cancer can be treated only with radiations sometimes, although in almost all the cases a malignant tumor must be extirpated surgically. During the operation, the surgeon also extirpates the lymphatic nodules of the armpit because the only way of knowing if the cancer has begun spreading (metástasis) is to examine these nodules for the microscope. If malignant cells appear, an additional treatment will be needed, well with medicines or with radiations. If few cancerous nodules appear it is a better sign that if great turn out to be. In the breast cancer operations, the surgeons extirpate a quantity of very variable textile and there is many controversy on what procedure it is necessary to continue to obtain better long-term results. All the cases are different. His doctor must consider the size of the tumor, his location, type of cancer, compare the size and to see if it has grown and. This way he will be able to evaluate the surgical possibilities.
Until 10 years ago this was the only option. Now it is used rarely, except when the tumor has invaded the underlying muscles to the breast. A radical mastectomy extirpates the layer of pectoral muscles and lymphatic nodules along the breast, and leaves the patient with less woven covering the breast, what does that the possibility of one prosthesis is minor since there are many other possibilities of an inflammation and great less mobility. The surgeon extirpates the entire breast as well as the lymphatic nodules of the armpit. As the muscles of the breast are preserved there are less problems in the healing, the esthetic result is better and it is easier to do a reconstruction protésica. The healings proportion with this procedure is similar to that of the radical mastectomy. The surgeon extirpates only the breast and takes a sample of the lymphatic nodule of the armpit. The textile of the breast is extirpated but the skin and the superficial textile is left in his place. In this one case is possible to insert under the skin an artificial breast done with synthetic material (silicone). Some nodule of the armpit is extirpated also. The surgeon extirpates only the mass or, if not, it does an incision in wedge to extirpate also the textile of around.
In any case the nodules are extracted from the armpit. The lumpectomías generally are realized if the tumor is small and, normally, later the area is removed to kill any cancerous cell that could stay in the area. The treatment in longer term is always necessary if lymphatic nodules appear in the armpit that are cancerous. When the nodules it are not, the radiation, the therapy with hormones or the chemotherapy are even sometimes used like precaution. Recent studies indicate that if the cancer is detected on time, and to the lumpectomía it continues a radiation, the possibilities of surviving are very good as well as with the modified radical mastectomy. (The mastectomy is called also sometimes tylectomía, wide split, segmental resection or partial mastectomy).
Nowadays the women who have been mastectomizadas, can have the reconstructed breast. The plastic surgeon can reconstruct a breast from muscle and the skin of the greasy textile of the abdomen or of any another part of the body like the back. This textile is transported and covers the breast mastectomizado. In the transposition of textiles of the back one applies also silicone prosthesis to herself. It is not necessary in the replacement with of abdominal textiles. In other occasions by means of expansores of dilata the skin and then a soft silicone cone is implanted straight well under the skin or under the pectoral muscle. Reconstruction method from skin and muscle of the abdomen
Reconstruction method from skin and muscle of the back
Earlier and After the mammary reconstruction.
Application of one silicone prosthesis
The alternative to the reconstruction is a mobile prosthesis.
The mammary reconstruction is neither better nor worse for a possible reappearance of the cancer. It is important that you and his surgeon discuss the different possible options for the eradication of the cancer as well as for the reconstruction of the breast. It is suitable that a relative or friend takes part in this discussion to help him to take the best decision. It is important that you and his surgeon discuss the different possible options for the eradication of the cancer as well as for the reconstruction of the breast. It is suitable that a relative or friend takes part in this discussion to help him to take the best decision. There are many groups of help for women mastectomizadas. He can ask his doctor to obtain more information. There are even volunteers in the hospitals to offer practical advices or moral support to the patients.
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