How to treat breast cancer are planned?

Treatment of breast cancer tumor size, extent, based on factors such as whether the patient is suitable for surgery varies. Planned and carried out by a combination of patient-specific treatment of doctors in different specialties brings success.

Evaluation of a patient with a diagnosis of breast cancer surgery begins with whether it is appropriate . Tumor size, axillary lymph nodes involvement, and to investigate the spread of disease and illness evrelendiriliyor other organs . Surgery is the main treatment in the early stages of breast cancer , while other types of treatment in advanced disease, comes to the fore . American Hospital, Department of General Surgery , Breast Health and Diseases Unit Assoc. Dr . Ece wish was told how to plan treatment for breast cancer .

How breast cancer treatment is decided ?

In the presence of distant metastases at diagnosis in the traditional lack of initial treatment requires surgery . Also chest wall tumor in cases where the breast skin, wound , or if you have a small tumor nodules , armpit , or if the patient has grown up and attached to each other inflammatory breast cancer , first-line treatment if clinically diseased lymph nodes appear chemotherapy ( drug treatment ) is. Concept of local disease in the surgical treatment of breast cancer therapy, radiotherapy ( radiation therapy) , chemotherapy, endocrine therapy (hormone therapy) , include biological therapy , or combinations thereof . Following surgery , the patient will receive treatment following a multidisciplinary treatment ( adjuvant therapy ) is planned.

Sparing surgery in which patients are being implemented?

Breast cancer surgery consists of two parts . Applying two different surgical breast and armpit surgery, the patient is taken . One of the two basic methods for breast surgery , also called breast-conserving surgery alone, removing the cancerous region , and the other is the complete removal of the breast mastectomy so .

Breast-conserving surgery, the tumor tissue around the breast with a limited amount of solid was passed. Aim of breast-conserving surgery removing the entire tumor , leaving behind a nozzle is aesthetically acceptable . Therefore, tumor size , and breast volume ratio is an important criterion for the small and large tumors in the breast is not preferred . When two or more tumors in different quadrants breast cancer and non-formal -looking microcalcifications (calcification) in the presence of breast -conserving surgery is not appropriate . The most important requirement of breast-conserving surgery , radiotherapy to the breast after surgery ... the rest is done to prevent recurrence of breast radiation therapy of the disease . If the person will not be able radiotherapy due to health status or social status of breast -conserving surgery done.

Applying whom surgical treatment of breast cancer ?

Is limited in patients with breast disease ( stage 1, stage 2 , and in some 3a'lar ) first-line treatment is surgery. In general, the definitive treatment of breast cancer , but it is possible in this group .

How solutions are found when the whole breast ?

Mastectomy, breast-conserving surgery in patients not suitable for all of the breast tissue that is being done . If desired, after breast reconstructive surgery ( plastic surgery ) and additional treatment after surgery or during surgery rather than after the end of the breast can be done again . When the appropriate conditions of mastectomy and breast conserving surgery there is a difference in terms of life expectancy .

Lymph glands in the armpits is also important

Breast cancer surgery is a very important part of the assessment of lymph nodes in the armpit . The first part of the breast in the armpit lymph nodes, lymph fluid is going great . Detached breast tumor cells in the lymph fluid , lymph nodes can go . Underarm lymph nodes metastases in the prediction of the postoperative course of the disease and do not play a big role in determining treatment . Deciding on surgery to the armpit and breast cancer type and whether there is evidence of lymph node before surgery taken care of. Today, as a clinical sentinel lymph node biopsy in patients with axillary lymph node involvement are applied. So to armpit lymph fluid from the breast surgeon collects the first lymph node / gland is making to find . If there is cancer in the lymph nodes , studies of cancer in a very high probability that the remaining lymph nodes , and the show did not need more surgery . Takes off in the other lymph nodes in the armpit deemed cancer surgeon . However , when deciding on the type of planned breast surgery ( breast-conserving surgery / mastectomy ) , stage of the disease and the amount of cancer cells in the sentinel noddaki looking at.

Multidisciplinary approach

Breast cancer treatment is the work of a team that emphasizes Assoc. Dr . Ece hope of " multidisciplinary breast team, general surgeons, medical oncologists , radiation oncology specialists , radiologists, pathologists , psychologists , dieticians, specialist in plastic surgery , and obstetrics and gynecology specialist is necessary . Breast cancer is one of the most important features of treatment made ??patient-specific treatment . When deciding on the treatment of the patient's stage of disease and biological properties of the tumor as well as the patient's underlying comorbidities , age, menopausal status, social status, and personal preferences are also taken into account , "he says .

RADIATION WHEN ?

American Hospital , Department of Radiation Oncology, Asst. Assoc. Dr . Jasmine Bölükbaşı , breast -conserving surgery is recommended breast radiation therapy is applied by specifying the do , says: " If you have had a mastectomy breast taken at all , which is removed from the back to the same place the chances of illness assessed by examining the details of your disease , radiotherapy to the chest wall , and if necessary koltukaltınıza recommended. The size of the size of your disease , high degree of lymph node involvement, radiation therapy to reduce the risk of relapse may require a proposition . Koltukaltınızdan lymph nodes removed during surgery, the disease involvement in determining the shape of the treatment plan and the application is guiding us . "

WHEN implemented?

Chemotherapy is often applied after surgery and chemotherapy before radiotherapy and then begins three to four weeks . Chemotherapy, radiotherapy, surgery, unless it is beginning to be implemented in the next three to four weeks . If you do a partial breast irradiation applied to surgery in the next week or three weeks .

WHO APPLY ?

* In the area previously had radiotherapy ;
* Scleroderma , vasculitis , such as excessive radiation duyarlılaştıran you have a disease ;
* If you are pregnant radiation applicable to you .

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