TREATMENT IS POSSIBLE WITHOUT SUFFERING COSMETIC LOSS WITH "NIPPLE AND SKIN-PROTECTING MASTECTOMY"
Breast cancer is seen in one in every 8 women at some point in their lives. Its frequency increases with age. Early diagnosis is very important in breast cancer. Because if the disease is caught early, the chance of cure is high. For women over the age of 40, breast USG and mammography must be performed every year after a general surgeon examination. In this way, the disease can be caught at an early stage. After the diagnosis is made through imaging methods, the diagnosis is confirmed by taking a tissue sample and it is time to plan the surgery. At this stage, different surgery options may come to the fore depending on personal experience.
Current treatment protocol in the treatment of breast cancer, which is a nightmare for women; “skin and nipple-sparing surgery”. In this surgery method, the patient's nipple and breast skin are preserved, the inside of the breast is completely emptied, and the breast is filled with a silicone implant or the patient's own muscle tissue (taken from the back or abdomen) in the same session. The patient does not experience any cosmetic loss after the surgery. In addition, with this surgery, the spread in the armpit lymph nodes can be detected from a small incision in the form of a "pinpoint shot" with the lymph mapping performed before the surgery and the gamma counter used during the surgery, thus preventing the removal of unnecessary armpit lymph nodes. Compared to traditional methods, these methods, which enable the patient to overcome breast cancer treatment more easily, derive their strength from teamwork that knows each other and works in coordination like the gears of a wheel. The general surgeon, aesthetic and plastic surgeon, nuclear medicine specialist and pathologist "combine their skills" in the same surgery, and in this way, the patient returns to her pre-disease state in cosmetic terms.
She is experienced in skin and nipple-conserving surgery. It is very important to have a team. Because in this method, it is necessary not to leave any breast tissue behind while performing these procedures without disrupting the nutrition of the nipple and the remaining skin.
These surgical techniques are applied in a small number of centers in Turkey.
Breast Conserving Surgery (BCS), in which extensive tumorous tissue is removed.
Assist. Prof. Dr. has been performing breast cancer surgeries with the Nipple and Skin Sparing Mastectomy method on suitable patients with the same team for more than 10 years. Kalaycı says that many breast cancer patients can undergo surgery with this method.
MOST PATIENTS DIAGNOSED WITH BREAST CANCER CAN HAVE SURGERY WITH THIS NEW METHOD
Taking into account some criteria, This method can be preferred in most stages. If the tumor is close to the nipple, it may not be possible to protect the nipple. However, breast skin can still be preserved in these patients.
ALL PROCEDURES ARE FINISHED IN ONE SESSION.
THERE IS NO ROOM FOR ERROR WITH 'SCINTIGRAPHIC MAPPING'
During breast cancer surgeries, the armpit lymph nodes must also be examined simultaneously.
The lymph node from which the breast lymph flow first drains is called the sentinel lymph node (SLN). This lymph node is removed and examined by the pathologist during the surgery, and if there is no spread, other lymph nodes are not touched. If there is spread in the lymph node, most of the armpit lymph nodes have to be removed. Therefore, accurate detection of this lymph node during surgery is vital. We use lymphoscintigraphy and gamma counter, which are available in limited centers, to detect SLN. In this method, a lymph flow map (lymphoscintigraphy) of the breast with the tumor is created before the surgery. Later, the nuclear medicine specialist also participates in the surgery. SLN is detected with almost 100% accuracy by pinpointing with a gamma counter through a small incision made in the armpit. With this method, the risk of leaving tumor tissue in the patient, and therefore the possibility of recurrence, is reduced.
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