Why immediate surgical repair in breast cancer

Written by: Dr. Josep Mª Serra Payró
Edited by: Noelia Pino García


Reconstructing the breast cancer treatment

It is essential in plastic surgery to make clear that repairing the breasts or reconstruction of these in the surgery of cancer treatment is a goal that at this point can not be called into question by surpassed criteria for years, and can respond to certain not always clear interests.

First, it should be clear that the treatment of cancer arises in the context of a person suffering from a curable disease, and not a malignant tumor that must be removed under the threat of a bleak future.

Secondly we must focus global treatment for healing and restore health as a whole.

Very concerned to observe patients in daily practice misinformed by easy access to much misinformation and erroneous messages. Even also by health professionals, they should think more carefully if they are not sufficiently prepared.


Reasons for repair of the breast

All this reflection comes to put on the table the suitability of repairing the breast immediately, in the very act of complete removal of the tumor which may be of the entire gland or just a portion.

The current surgical treatment of breast cancer is local and systemic, and the repair or reconstruction of the affected organ is part of the overall treatment of the sick patient. Treatment should be designed to target the sick to regain their health and not to treat a type of cancer.

There are also technical reasons for preferring immediate breast reconstruction, and that the more anatomical structures of the breast can be preserved, the better the final aesthetic result. This principle is not shared in the past ideas local cancer treatment that amputating the organ entirely with the idea of ​​completely eradicating evil regardless that it is a disease that affects the entire body and differently from each person.


Patient 's right to be informed

It is sad to continue even acted in this way, arguing that repair interferes with the right breast tumor treatment. This is totally false, are some kind of reconstructions that can interfere.

Patients who are affected by the disease are entitled to accurate and current information. If the treatment approach is multidisciplinary and does not observe the repair of the breast it is advisable to ask for a second opinion from an expert in breast cancer.


Advances in cancer treatment

It is important to convey that all people are different and cancers vary from patient. For this reason the current genetic discoveries pursue individuals find profiles of tumors to treat them more effectively and as currently there are already many of these profiles and treatment has changed a lot:

Currently , the tumor can be cured without drying much tissue, the RDT can be avoided sometimes, hormonal treatments are more effective, chemotherapy is becoming more effective and tolerable, the breast conservation is now 80% of cases with the introduction of oncoplastic surgery and total reconstructions have much better results by the evolution of techniques and preservation of anatomical structures that were not respected. Today we know that cancer can be cured, and once cured the patient may forget and go back to your life.

In conclusion, breast reconstruction should be done immediately, agreed with the patient under the supervision of other doctors involved in the treatment and the best suitable technique for each patient, currently is best placed in the hands of Breast Cancer unit of which they exist in many hospitals.


Edited by: Noelia Pino

*Translated with Google translator. We apologize for any imperfection
Dr. Josep Mª Serra Payró

By Dr. Josep Mª Serra Payró
Plastic surgery

Renowned specialist in Plastic, Reconstructive and Aesthetic Surgery Dr. Serra Payró is craniofacial surgeon and skull base Adema breast cancer and reconstructive surgeon. He is Clinical Chief of Plastic Surgery at the University Hospital of Bellvitge. Serves as attending physician in Clini'Cat Centre Mèdic, APTIMA Centre Clinic and Diagonal Clinic. The doctor is full member of the Spanish Society of Plastic Reconstructive and Aesthetic Surgery and a member of the Multidisciplinary Unit Treatment of Breast Cancer Catalan Institute of Oncology (ICO).

*Translated with Google translator. We apologize for any imperfection

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