- Еуромедик, Булевар уметности 29, Београд
Mastectomy
Прим др Милош Почековац
What is a mastectomy?
A mastectomy is the complete removal of breast tissue.
What types of mastectomy are there?
- Simple mastectomy
- Radical mastectomy
- Modified radical mastectomy
- Skin sparing mastectomy
- Nipple sparing mastectomy
What is a simple mastectomy?
A simple mastectomy is the complete removal of breast tissue while preserving the pectoral muscles and armpit lymph nodes.
How is it performed?
A simple mastectomy is performed in case of multiple cancers in situ or in persons who are at risk of developing breast cancer the so-called prophylactic mastectomy for the purpose of preventing.
What is a radical mastectomy?
Radical mastectomy was previously used for breast cancer when the entire breast, all the lymph nodes in the armpit, the so-called three floors of lymph nodes in the armpit, as well as the pectoral muscles were removed.
How is it performed?
Today, this type of surgery is rarely performed, except in the case when the tumor affects the pectoral muscles under the breast.
What is a modified radical mastectomy?
A modified radical mastectomy removes the entire breast, the “first” and “second” floor of lymph nodes in the armpit, while preserving the pectoral muscles.”
How is it performed?
In an advanced stage of breast cancer.
If the ratio of the size of the tumor to the size of the breast is disproportionate.
Numerous malignant tumors in the breast.
Previous chest/breast radiation or other contraindications for radiotherapy.
The patient’s desire for a mastectomy.
What is skin sparing mastectomy?
With this operation, the entire breast tissue is removed together with the nipple and areola, but the skin is preserved.
When is it performed?
A skin-sparing mastectomy can be performed as a “simple” or “total” mastectomy or as a modified radical mastectomy to allow immediate skin reconstruction.
In most women, this operation can be performed, but it is not performed unless breast reconstruction is performed immediately.
Skin-sparing mastectomy should not be performed in inflammatory breast cancer.
What is a nipple sparing mastectomy?
During this operation, the entire breast tissue is removed while preserving the skin and nipple.
When is nipple sparing mastectomy performed?
Over the years, the indications for this type of mastectomy have expanded so that today the only contraindication is inflammatory breast cancer.