Recent studies show that the breast conservation surgery is the main model for treating stage ?and ? of breast cancer. China is now 40% of patients willing to accept breast-conserving surgery, and there is a certain gap between the developed countries. For patients with early breast, conserving surgery is a safe and effective therapy, but many women do not want to accept patients with breast-conserving surgery, the fear still remain in the breast cancer cells so that endanger life. Even if the line is not suitable for breast-conserving surgery in patients with breast removal of the need not always mean that breast and say “Good-bye.” With the progress of new medical research, As the years pass by, there are improvements in medical technologies, which prolonged the lives of the aging population who had breast cancer. Not all patients are suitable for breast conserving surgery in the following.
The patients who Lesions greater than 4cm and ill defined margin are not suitable for breast conserving surgery; Axillary lymph node enlargement, The patients with lymph node metastasis, Patients with multiple lesions are not suitable for breast-conserving surgery. The people with collagen vascular disease is also not suitable for breast surgery. Smaller breasts, but larger tumors, patients who can not keep breast appearance after surgery. Because the early and mid-pregnancy patients not receiving chemotherapy and radiotherapy they are not suitable for breast conserving surgery. But late pregnancy patients can practice breast-conserving surgery, Radiotherapy after delivery.
Breast-conserving surgery were divided into three categories. The tumor and some surrounding breast tissue was removed. Wedge resection: Methods A cuniform compound tissue was removed from nipple to shrink it. Wedge resection is performed as far as possible, the resection of all breast can be considered if wedge resection can be performed. Quadrantal resection: The surgery is used more European countries. Critical condition and the tumour that the low evil person that spend enlarges all right are excised, also can go resection of pure mammary gland, quadrantal resection, half breast resection.
