Breast Conserving Surgery Application in the Treatment of Breast Cancer

Breast cancer is a disease that can be treated if diagnosed early. Today, it is not preferred to completely remove the breast unless it is very necessary.  Therefore, breast loss can be prevented by breast-conserving surgical treatment when diagnosed at an early stage. During this time, he coordinated with a medical oncologist and a radiation oncologist. The role of the study in the definitive success in the treatment of the disease; is indisputable.

In the planning of breast conserving surgical treatment, the correct preoperative microscopic diagnosis is extremely important. Therefore, the biopsy procedure to be performed and the selection of the biopsy method almost play a key role. Inappropriately chosen biopsy technique can lead to inadequacies and even mistakes in diagnosis, unnecessary biopsy repetitions. can cause.  Not only that, it can also negatively affect the cosmetic results of the applied breast-conserving surgical treatment technique.   

On the other hand, patients who will undergo breast-conserving surgery should be chosen carefully. Usually T1-T2 (stage at which full size is 2-5 cm), age of the patient, whether the entire tumor is multifocal or not, the whole breast tissue payload and its location in the entire breast tissue affects the decision of breast-conserving surgery in the first place. In addition, the microscopic properties of the whole product and its molecular characteristics should be thoroughly evaluated before surgery.  In addition, the patient's access to radiotherapy opportunities after breast-conserving surgery should also be kept in mind.

There are many breast-conserving surgery options, for example

1. Reduction mastopexy
2. Dermoglandular flap walking (Grisotti-tennis racket etc.)
3. “Batwing” mastopexy
4. “Parallelogram” mastopexy

Regardless of which breast-conserving surgery method is chosen, it should be ensured that safe surgical margins are provided for the patient, that is, the entire tumor is removed from the patient in a way that does not recur. . Since all locations and features are different for each patient, a different type of breast-conserving surgical treatment method is chosen by the surgeon. While applying these methods, the surgeon must also take into account the cosmetic results. Therefore, breast-conserving surgical treatment method should be perceived under the title of oncoplastic surgery applications.