Surgery of the Breast

SURGERY OF THE BREAST

CİHAN URAS M.D.

PROFESSOR OF SURGERY

ANATOMY

BREAST BİOPSY

• Fine needle aspiration biopsy (FNA)• Core needle biopsy• Vacuum-assisted biopsy

(Mammotome)• Large core biopsy

• Open Breast Biopsy (excisional or incisional)

• Needle Localization Breast Biopsy

Open Breast Biopsy

Needle Localization Breast Biopsy

TREATMENT OF THE BREAST CANCER

• SURGERY

• ADJUVANT THERAPY-HORMONE THERAPY

• RADİOTHERAPY

• BREAST RECONSTRUCTİON

SURGİCAL TREATMENT OF BREAST CANCER

• RADİCAL MASTECTOMY (HALSTED)

• MODİFY RADİCAL MASTECTOMY (PATTEY, MADDEN)

• SİMPLE MASTECTOMY

• SKİN SPARİNG MASTECTOMY

• BREAST-CONSERVİNG THERAPY (LUMPECTOMY, QUADRANECTOMY, WİDE LOCAL EXCİSİON) +/- AXİLLARY DİSSECTİON

• SENTİNEL NODE BİOPSY

RADİCAL MASTECTOMY(HALSTED)

MODİFİED RADİCAL MASTECTOMY

AXİLLARY DİSSECTİON

AXİLLARY VEİN

Long thor.n.

SİMPLE MASTECTOMY

SKİN SPARİNG MASTECTOMY

LUMPECTOMY

SENTİNEL NODE BİOPSY

Tissue Expander for Breast Reconstruction

Latissimus Dorsi Flap Breast Reconstruction

TRAM Flap Breast Reconstruction

Complications in Breast Surgery

• General wound complications related to breast and axillary surgery– Wound infections– Seroma– Hematoma– Chronic pain– Venous thromboembolism

• Complications specific to mastectomy procedures – Incisional dog-ears

• Complications specific to lumpectomy procedures– Breast fibrosis, breast lymphedema, and

chronic/recurrent breast cellulitis

• Complications specific to diagnostic open biopsy procedures– Sampling error

• Complications related to axillary staging procedures– Lymphedema, nerve injury, axillary web,

lymphangitis, angiosarcoma,

Winged Scapula

Injury: Long Thoracic Nerve to Serratus Muscle.

Breast cellulitis

Lymphangitis

Lymphedema

Surgery of the Breast

Documents

Transcript of Surgery of the Breast

The Utility of LigaSureTM in Breast Surgery

Powerpoint : breast surgery

1.1 Breast Surgery

Oncoplastic breast surgery: comprehensive revieweuropeanreview.org/.../2572-2585-Oncoplastic-breast... · disease-free survival rates of breast-conserv-ing surgery were demonstrated

11. Principles of Breast Surgery ESMO preceptorship...PRINCIPLES OF BREAST SURGERY / ONCOPLASTIC SURGERY ESMO Preceptorship on Breast Cancer 26-27 Nov 2018 Ching Wan Chan, MBChB, FRCSEd,

Abdominoplasty with Combined Surgery...Breast surgery is often performed at the time of abdominoplasty; combining breast surgery and abdominal surgery must take opposing forces of

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Breast Cancer Surgery Options and Oncoplastic Surgery

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CONSENT FOR BREAST AUGMENTATION SURGERY · Patients undergoing breast augmentation surgery must consider the following: Breast augmentation may not be a one-time surgery. Breast implants

CONSERVATIVE BREAST SURGERY

Breast Reductions & Breast Lifts at Changes Plastic Surgery

Benefits and Facts of Breast Augmentation Surgery

Importance of margins in breast conserving surgery

Breast Cancer Surgery

Breast Surgery: the English experience · 2017. 5. 22. · breast disease spurned the breast surgical specialist; breast surgery is now a recognised subspecialty of general surgery

Anesthesiology Breast Surgery

Oncoplastic Surgery for Breast Cancer...Oncoplastic Surgery for Breast Cancer The New State of the Art in Breast Surgery (Part 1 of 2) By Cary S. Kaufman, mD, faCS Ask almost any breast

BREAST...of 2015 (Table 2). Primary Breast Reduction Patients underwent their primary breast reduction surgery between 1968 and 2013. Pri-mary breast reduction surgery was performed

Reconstructive Breast Surgery and Management of …medicalpolicy.bluekc.com/MedPolicyLibrary/Surgery...Reconstructive Breast Surgery and Management of Breast Implants Policy Number: