Which breast cancer patients suitable for breast reconstruction

In recent years, the rising incidence of breast cancer, but the 10-year survival rate in patients with early breast cancer has reached 80%, the disease has become one of the solid tumor efficacy of the best. For this reason, patients also getting higher and higher expectations. Patients often required to eradicate the tumor, we must also keep the breast as much as possible. From the perspective of humanistic care, doctors should focus on “radical, both beautiful and functional,” as far as possible to meet the psychological needs of patients.

Breast-conserving surgery now accounts for 15% of all breast cancer surgery, and the efficacy of the ideal. Medical statistics show that, compared with non-breast-conserving surgery, breast-conserving surgery in patients with 10-year recurrence rate, mortality rate had no statistical difference. However, not all breast cancer patients are suitable for breast-conserving surgery. Those who received breast-conserving surgery must be early stage of disease, preferably within 3 cm mass in the axillary lymph nodes and no metastasis. Addition, we must take into account other combination of factors.

If the patient can not be implemented breast-conserving surgery, breast reconstruction is the patient’s second choice. Breast reconstruction is most important is the lack of restoration of breast shape. If you choose breast reconstruction with the rectus abdominis, you can also play an abdominal “slimming” effect. As for the whole milk and recycling can be achieved, in addition to the skills of doctors, but also the individual patient’s physical condition, and a great relationship. In general, the size is moderate, OK transverse incision breast cancer patients after modified radical mastectomy, easy to get a better recycling results.

In the end which patients suitable for breast reconstruction, but also the line of what kind of plan surgical reconstruction. Phase Ⅰ reconstruction surgery refers to the radical mastectomy and reconstruction surgery in one step; Ⅱ stage reconstruction technique is a radical operation to resume after the implementation of selective reconstruction surgery. If the line of stage Ⅰ recycling, generally require a smaller risk of relapse in patients with 0 – Ⅱ a period, if the line Ⅱ stage reconstruction of the patient for at least 2 years, preferably more than 5 years without recurrence.

Phase Ⅰ reconstruction surgery benefits: medical oncology and plastic surgery according to the requirements of comprehensive consideration, so plastic worked relatively well, and can save medical costs. Phase Ⅱ reconstruction surgery advantages: patients with fear of cancer recurrence significantly reduced, psychologically more acceptable to breast reconstruction, especially after a long absence of breast pain after a high postoperative satisfaction. Phase Ⅰ chemotherapy of breast cancer reconstruction in general has no effect, but it may impact on the radiation and therefore in need of postoperative radiotherapy should Shenxing Phase Ⅰ recycling. Phase Ⅱ reconstruction surgery is the treatment of breast cancer patients after the completion of all and thus will not impact on it.

Breast reconstruction mainly in the following three ways: First, TRAM flap reconstruction, generally following abdominal TRAM flap reconstruction is most commonly used. Breast reconstruction after the bulky appearance good shape, without prosthesis, and also has the abdomen “slim” double effect. Second, the transfer of latissimus dorsi muscle flap reconstruction. Easy to survival after breast reconstruction surgery is relatively safe and reliable. Third, the gluteus maximus muscle flap graft reconstruction. The best form of post-breast reconstruction, but this law is to rely on microsurgical techniques, so a higher risk of surgical failure.

Clinical, those more lean body, organization insufficient patients, the use of autologous muscle flap breast reconstruction are often not achieve the desired results, then need to implant prosthesis. Silica gel with the physical properties due to stable and good histocompatibility, and feel real advantages, and thus become the most commonly used prosthesis material.