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Surgical Treatment of Breast Cancer. The Result Can Be Both Efficient and Beautiful

October 24, 2016 - NEWS

According to the head of LISOD's Modern Mammology Centre Andrii Zhygulin, the problem is that among patients and even among oncologists a stereotype still exists that a mastectomy is a more secure method of treatment.

Leading specialist of The Hospital of Israeli Oncology LISOD, Andrii Zhygulin, cited data from the American Cancer Register on the survival of patients, depending on the type of surgery performed. For ten years, oncologists have analyzed results of treatment of 139 000 Americans. Conserving surgery gave statistically better survival rates than a mastectomy and a mastectomy with radiation.

"If we are talking about stages 1 and 2, organ-preserving surgery, followed by radiotherapy, gives the same result as the complete removal of the breast. That means, they are the same in number of recurrences. By this, it is not only an oncological issue, but a technical one – to what extent and under what circumstances better to perform breast-conserving surgery or mastectomy. This is a question of the prevalence of tumours ", says Andriy Zhygulin.

Each of the surgeries has its own long-term consequences. Mastectomy eventually leads to many abuses in the work of the organism as a whole. According to Andrii Zhygulin, radical removal is useful when there is metastasis and there is laboratory confirmation of it. Otherwise, a mastectomy may be unjustified.

Classical surgery for breast cancer requires removal of zones of regional metastasis, i.e. lymph nodes. In 30% of cases, this leads to chronic lymphostasis. But if the lymph nodes are healthy, there is no need to remove them. There is the concept of "signal lymph node" to check them. By the condition of a single lymph node we define the condition of all others and make a decision - whether or not to remove them. This system is implemented throughout the civilized world. Unfortunately, in Ukraine it is still an occasion for discussion", explains Andrii Zhygulin.

 


"It is very important", Andriy Zhygulin considers, "that the woman understands that the result of any surgery, and they can offer a minimum of 4, can be beautiful. Even if there are indications for mastectomy, reconstructive surgery can restore the old forms, and even improve them.

 

 

"The surgeon is obliged to offer the patient a beautiful result after the surgery, oncoplastic or reconstructive. It must be performed in a nice way, because then it is very difficult to redo it, and the result will always be a lot worse. There are different end results depending on the volumes of removal and the size of the breast itself. There should be an individual approach", Andrii Zhygulin points out.

Most importantly, the patient should understand that effective treatment and aesthetic results are equally important. Therefore, it is necessary to determine the tactics of treatment with the oncologist before the surgery itself.

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