Breast cancer surgery options: breast milk or all?

Breast cancer is one of the most common malignant tumours in women. In the face of surgical treatment, many patients struggle with the options of breast protection and full surgery. Understanding the characteristics of both helps patients to make appropriate decisions in their own circumstances.

Breastpaste, by definition, is to remove tumours while retaining the breast. The advantage of this procedure is that it minimizes the damage to the image of the female body and helps to maintain a good mental and quality of life after the surgery. In terms of the effects of treatment, several studies have shown that there is no significant difference in survival rates between the combination of breast care and general surgery for early breast cancer. For example, some clinical data show that after breast milk and treatment, early breast cancer patients have a survival rate of over 90 per cent over five years, which is comparable to the total surgery.

However, breastfeeding is not applicable to all patients. It requires a smaller tumour, usually less than 3 cm in diameter, and the tumor is in a suitable position for the breast, which ensures a better breast shape after the tumour has been removed. In addition, patients need after the operation to undergo treatment to reduce the risk of local relapse, which requires that the patient ‘ s physical condition is resistant to treatment.

The whole operation is to remove the whole breast. The advantage of this procedure is that it can eliminate oncological tissues more thoroughly, especially for patients with larger tumours, multiple stoves or small breasts, who are not able to breast-feed. Full surgery may also be a more appropriate option for patients with high risk factors for breast cancer, such as a genetic mutation of BRCA1/2. However, the effects of the whole-surgery on the patient ‘ s physical image are significant and may lead to post-surgery psychological problems, such as low self-esteem, depression, etc., and may also affect the function of upper limbs.

In choosing how to operate, patients need to combine multiple factors. The first is the case of tumours, including their size, location, number and transfer. If the tumor is small and limited, breast-pulsive surgery should be taken into account; if the tumor is large or there are signs of transfer, the whole operation may be more secure. The second is the patient ‘ s own will and psychological capacity. If the patient is very sensitive to the tumour, breast-puffing may be more appropriate for his needs, but also prepared for post-operative treatment and regular review; if the patient is more concerned about the recurrence of tumours, care for the ecstasy is relatively low. Finally, the patient ‘ s physical condition must also be taken into account in order to be able to withstand follow-up treatment, such as release.

Post-operative combinations and periodic reviews are essential, both for breast-pumping and general surgery. Patients with breast protection are strictly treated in accordance with medical instructions, and breast ultrasound, molybdenum, etc. are regularly reviewed to monitor the recurrence of tumours. Although full-surgery patients are at risk of re-emergence despite the removal of their breasts, there is also a need for regular review of breasts, CTs, tumor markers, etc., with attention to upper limb exercise and psychological adjustment.

The choice of the method of surgery for breast cancer is a complex process, in which the patient must communicate fully with the mammologist, who will develop a personalized procedure that is best suited to the patient, taking into account his or her particular circumstances. Patients should also be actively involved in decision-making when they are aware of the characteristics of the various forms of surgery in order to deal with the disease and treatment with a good mind and to achieve the best treatment and quality of life.