With the development of diagnostic techniques, early breast cancer increased by, and is getting younger, modern aesthetics of breast-conserving therapy of growing demand. Both doctor and patient choose breast-conserving surgery, in developed countries already account for about half of all breast cancer surgery, combined with systems integration after treatment, breast-conserving surgery received increasing attention. I
Breast-conserving cancer risk group intraoperative rapid frozen section confirmed the surgical margin was negative, with its cancer center, 1 / 4 breast tissue, together with the edge of 2 cm of skin. Thoracolumbar fascia be removed, while the ipsilateral axillary dissection lymph nodes. If the cancer is located in the Central District, the nipple can not save, then a modified radical surgery. At the same time fast-frozen section of axillary lymph nodes to check whether the transfer, if there is transfer, the possibility of a comprehensive assessment of breast-conserving, not stubbornly insist on breast-conserving. Cancer can be located outside all the mouth, if located inside or central, then the other armpit incision. Sew breast tissue as far as possible the appearance of breast, especially the nipple upright and symmetrical.
With in-depth study of molecular biology, breast cancer is considered a systemic disease, local performance, there is no fixed model of metastasis, regional lymph nodes, while having an important anti-tumor immune function, but it is not an effective barrier filtration cancer cells, blood line of the proliferation of equally important position. Thus the endless expansion of the scope of operations will not be able to improve the prognosis, but an increase of postoperative complications, to have serious implications for women’s psycho-physiological. The popularization of diagnostic techniques (including molybdenum target X line and B-), and women to medical attention, so that the rate of early diagnosis of breast cancer greatly improved, as patients become increasingly younger, increasingly strong desire to protect milk. Postoperative chemotherapy with radiotherapy and endocrine treatment of the improvement of the clinical breast-conserving surgery has laid a solid foundation, so that breast-conserving surgery in clinical practice to achieve great success. People from a purely biomedical model to the new biological – psychological – the changing pattern of social medicine to require the improvement of postoperative quality of life. Europe and the United States in many countries breast center prospective study confirms that breast-conserving surgery â… ~ â…¡ breast cancer and improved the long-term efficacy of radical surgery for the same, but fewer postoperative complications.
Through years concluded that breast-conserving surgery for <5 cm isolation of tumor is not invaded, and pectoralis major fascia, axillary lymph node enlargement is not clear, and there is no distant metastasis. Excision of not only to achieve effective control of local tumor, and the retained breast shape with the value of beauty and function. Intraoperative conventional axillary lymph node dissection and frozen sections not only provide a basis for post-operative stages, but also a direct impact on whether to continue breast-conserving surgery is very important. Although studies have shown that the transfer of cancer cells is a disorder of the jumping metastasis, but many centers confirmed that, for the clinical stage â… ~ â…¡ breast cancer patients still have a certain shift in terms of the rate, it is necessary to do routine cleaning before the group. The central and subscapular lymph nodes. For the sharp lymph nodes was controversial, we advocate do not have to actively deal with intraoperative lymph node if there are multiple transfers in the frozen section, then diverted to modified radical mastectomy, to give up breast-conserving and can not be simply conserving incurred the risk of residual cancer. Adjuvant treatment is generally 3 weeks after starting from the first system, radiation therapy until after the body to restore standard chemotherapy, and endocrine therapy. Because the development of breast-conserving surgery is an effective follow-up treatment, based on, there is no complete system of follow-up treatment, pure BCT did not meet the purpose of cure. Need to solemnly declare that, although breast-conserving surgery less traumatic. Quick recovery. Complication less conducive to improving the quality of life of patients, but it must be strictly controlled indications, could not insist on a complete follow-up treatment for patients not to solely breast-conserving incurred the risk of residual cancer, and even to the doctors themselves to unnecessary medical disputes left hidden.
In summary, we believe that the strict control on the basis of indications, combined with systematic and comprehensive follow-up treatment, breast-conserving surgery is conducive to improving quality of life and social interaction in patients with confidence, worthy to be popularized.
