Breast Surgery and Senology, have drastically change over the last 20 years. This is mainly due to the fast that there is a huge progress in the department of Medical Imaging (digital mammograms, advanced breast ultrasounds, breast MRI), that allows us to detect the tumors non-invasively, improving by a lot, the patient’s prognosis.
The surgical breast biopsy and the fine-needleaspirationbiopsy (FNA) are no longer used; nowadays, the most common technique is that of the core biopsy. It can be done at the Clinic, fast and easy depending on the ultrasound guidelines. There is a drastic indication drop for mastectomies, after years of clinical research.
Mastectomy has not been proven to be a “life-boat”. Over the last years, oncoplastic surgery has prevailed, giving us the opportunity to save the patient’s breasts, more and more each day. Oncoplastic surgery combines an accurate oncologic surgery with plastic surgery techniques, that will give the ultimate aesthetic result, both immediate and in the future, even when the tumor is placed in hard-to-take out position. The level of difficulty in the placement of the tumor is no longer an indication for mastectomy. If the surgeon in not up-to-date with oncoplastic techniques, he/she is forced to perform a mastectomy and/or a gruesome aesthetic result. That immediately affects negatively the life of the patient and forces her to undergo more aesthetic surgeries.
The identification and biopsy of the Sentinel Lymph Node has become a standard method of treatment and has limited the patients that go under the routine lymphadenectomy, down to 65%. By using the Sentinel Lymph Node technique, the surgeon will only take sample from the first lymph node to which cancer cells are most likely to spread from a primary tumor. A positive SLNB result indicates that cancer is present in the sentinel lymph node and may be present in other nearby lymph nodes and, possibly, other organs. A negative SLNB result suggests that cancer has not developed the ability to spread to nearby lymph nodes or other organs.
In “Plasis”Breast Clinic, we follow the latest European guidelines for diagnosing and curing breast cancer. We are “on top” of every international research protocol and we only cooperate with prominent radiologists, radiotherapists, pathologists, oncologists and plastic surgeons. We are also, in touch with a psychologist specialized in such matters, if it is deemed necessary.
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