{"id":1203,"date":"2023-08-26T06:35:59","date_gmt":"2023-08-26T06:35:59","guid":{"rendered":"https:\/\/staging.breastaware.gr\/?page_id=1203"},"modified":"2025-08-10T10:28:26","modified_gmt":"2025-08-10T10:28:26","slug":"%ce%bc%ce%b1%cf%83%cf%84%ce%b5%ce%ba%cf%84%ce%bf%ce%bc%ce%ae","status":"publish","type":"page","link":"https:\/\/staging.breastaware.gr\/en\/%ce%b5%cf%80%ce%b5%ce%bc%ce%b2%ce%ac%cf%83%ce%b5%ce%b9%cf%82-%ce%bc%ce%b1%cf%83%cf%84%ce%bf%cf%8d\/%ce%bc%ce%b1%cf%83%cf%84%ce%b5%ce%ba%cf%84%ce%bf%ce%bc%ce%ae\/","title":{"rendered":"Mastectomy"},"content":{"rendered":"
\n
\n\t

\"\"<\/p>\n

Mastectomy: What It Is, When It Is Indicated, and Modern Options<\/strong><\/p>\n

The mastectomy<\/strong> is a surgical procedure to remove the entire breast and is a therapeutic or prophylactic option for treating breast cancer.<\/strong> Although in most cases of early cancer it is applied lumpectomy<\/strong> (breast conservation), there are specific indications where mastectomy is the most appropriate solution.<\/p>\n

 <\/p>\n

What Does the Procedure Involve?<\/strong><\/p>\n

During mastectomy, it is performed sentinel lymph node biopsy<\/strong>, that is, the first lymph node in the armpit that receives lymph from the tumor area. If detected cancer cells,<\/strong> follows armpit lymph node cleaning.<\/strong> The presence or absence of metastases in the lymph nodes helps in cancer staging<\/strong> and affects the subsequent therapeutic approach (chemotherapy, radiotherapy, hormone therapy).<\/p>\n

\"\"<\/p>\n

When Is Mastectomy Necessary?<\/strong><\/p>\n

Mastectomy is performed when Breast conservation is not possible or appropriate<\/strong>, as in the following cases:<\/p>\n

    \n
  • Multiple cancer foci in different quadrants of the breast<\/li>\n<\/ul>\n
      \n
    • Large tumor relative to breast size<\/li>\n<\/ul>\n
        \n
      • Extensive or inflammatory breast cancer<\/li>\n<\/ul>\n
          \n
        • Inability to achieve clean surgical margins<\/strong> after lumpectomy<\/li>\n<\/ul>\n
            \n
          • Pregnancy, where radiotherapy (required after lumpectomy) is contraindicated<\/li>\n<\/ul>\n
              \n
            • Previous radiotherapy to the same area<\/li>\n<\/ul>\n
                \n
              • Prophylactic mastectomy<\/strong> in women with BRCA1 or BRCA2 gene mutations<\/li>\n<\/ul>\n
                  \n
                • Concurrent autoimmune diseases, like scleroderma or systemic lupus erythematosus, which impair tolerance to radiotherapy<\/li>\n<\/ul>\n

                   <\/p>\n

                  Types of Mastectomy<\/strong><\/p>\n

                  Modern surgical techniques allow for the preservation of the skin and\/or the nipple, with the aim of immediate or gradual breast reconstruction<\/strong> and a natural aesthetic result. There are four main types:<\/p>\n

                    \n
                  1. Simple Mastectomy<\/strong>
                    \nRemoval of the entire breast tissue along with overlying skin and nipple.<\/li>\n
                  2. Modified Radical Mastectomy
                    \n<\/strong>Removal of the breast and axillary lymph node dissection<\/li>\n
                  3. Skin-Sparing Mastectomy
                    \n<\/strong>The gland and nipple-areola are removed, but a large part of the skin is preserved. This facilitates reconstruction with silicone insert<\/strong> or autologous tissue<\/strong> (tissue from the woman's own body).<\/li>\n
                  4. Nipple-Sparing Mastectomy
                    \n<\/strong>The most modern type. Only the gland is removed, while both the skin and the nipple-areola are preserved. It is combined with immediate recovery<\/strong> with insert and preferred:<\/li>\n<\/ol>\n
                      \n
                    • In carriers of BRCA1\/2 mutations<\/strong> for prophylactic reasons<\/li>\n<\/ul>\n
                        \n
                      • For cancers located away from the nipple<\/li>\n<\/ul>\n
                          \n
                        • In women with small to medium sized breasts<\/strong>, where optimal aesthetic results are achieved<\/li>\n<\/ul>\n

                          \"\"<\/p>\n

                          Mastectomy Today: More Than Just Surgery<\/strong><\/p>\n

                          Mastectomy is no longer just a radical operation; it is part of a holistic approach<\/strong> for the treatment or prevention of breast cancer, incorporating the surgical technology,<\/strong> her aesthetic restoration<\/strong> and the personalized<\/strong>\u00a0care.<\/strong><\/p>\n

                           <\/p>\n

                          Sources:<\/strong><\/p>\n

                            \n
                          1. National Comprehensive Cancer Network (NCCN).<\/li>\n
                          2. European Society for Medical Oncology (ESMO). ESMO Clinical Practice Guidelines: Early and Locally Advanced Breast Cancer, 2023.<\/i> Annals of Oncology, 34(10), 2023<\/li>\n
                          3. Society of Surgical Oncology (SSO). SSO-ASTRO-ASCO Consensus Guideline on Margins for Breast-Conserving Surgery with Whole-Breast Irradiation in Stage I-II Invasive Breast Cancer (2023 Update).<\/i> Journal of Clinical Oncology, 41(6), 2023..<\/li>\n
                          4. American Society of Breast Surgeons (ASBrS). Position Statement on Prophylactic Mastectomy (2023).<\/i><\/li>\n
                          5. De La Cruz L, et al. Breast Reconstruction After Mastectomy: A Review of Techniques and Outcomes.<\/i> Plastic and Reconstructive Surgery<\/i>, 151(3):531e\u2013544e, 2023.<\/li>\n<\/ol>\n<\/div>\n<\/div><\/div><\/div>
                            <\/div>
                            <\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

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