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Zhang Chao Jie
Breast Surgery
About me
Chief physician, professor, master's supervisor. Editorial board member of Medical and Philosophical Journals, Editor-in-Chief of roundtable conference columns. One of the first backbone medical talents in the "225 Project" of Hunan Health and Family Planning Commission. Member of the Breast Disease Professional Committee of the China Medical Education Association. Member of the Youth Committee of the Thyroid Surgery Physicians Committee of the Surgery Branch of the Chinese Medical Association. Deputy director and member of multiple professional committees of the Hunan Anti-Cancer Association. Executive member of the Perioperative Medical Management Committee of the Hunan Health Management Society. Member of the Obstetrics and Gynecology and Breast Tumor Prevention and Treatment Professional Committee of the Hunan Maternal and Child Health Care and Eugenics Association. Engaged in general surgery clinical work for 20 years, with rich experience in diagnosis and treatment of general surgical diseases. Particularly skilled in the diagnosis and treatment of benign and malignant diseases such as breast and thyroid diseases. For the past 15 years, dedicated to research on early diagnosis of breast cancer and thyroid cancer and comprehensive treatment with a focus on surgery, accumulating extensive clinical experience in surgical treatment of diseases such as granulomatous mastitis, plasma cell mastitis, congenital inverted nipple, and male breast development. Pioneered the use of nanocarbon in preoperative sentinel lymph node biopsy in thyroid surgery, non-lactational mastitis surgical treatments, and non-surgical treatment of congenital inverted nipple using wire suture traction (this technique maximizes breastfeeding function). Also, pioneering minimally invasive treatments for male breast development among other advanced techniques in the field, extensively praised by patients both within and outside the province for their efficacy. Throughout medical practice, adheres to the basic principle of "evidence-based medicine guiding clinical work, but emphasizing individualized diagnosis and treatment principles" as a core belief. Published over 50 academic papers and contributed to 2 professional books. Several papers have won second and third prizes at national conferences and provincial medical associations. Awarded the Renji Science and Technology Progress Award second prize once. Principal investigator and participant in 15 research projects at various levels, including one Renji key project. Received the Third-Class Merit twice, as well as titles such as one of the Top Ten Health and Hygiene Workers, Top Ten Models of Medical Ethics, Model Worker, Dedicated Professional, Outstanding Communist Party Member, and Outstanding Teacher at Hunan People's Hospital.
Proficient in diseases
Specializes in the diagnosis and treatment of benign and malignant diseases such as breast and thyroid.
Voices
What department should I go to for acute mastitis?
What department to see for acute mastitis is a very common question. Acute mastitis often refers to the inflammation of the mammary glands during breastfeeding or pregnancy. Of course, this also includes breast injuries from physical trauma or parasites. Early-stage acute mastitis can manifest changes such as mild local pain and swelling, and possibly fever without other significant symptoms. Therefore, the early stage of acute mastitis can be quite confusing. In fact, one should visit the Breast Surgery department, Thyroid Breast Surgery, or Breast Thyroid Surgery department in major hospitals. If these specialties are not available, it is advisable to consult a doctor who has received advanced training in relevant fields at higher-level hospitals, typically a general surgery or gynecology specialist.
How long does breast cancer surgery take?
The duration of breast cancer surgery varies depending on multiple factors, such as the type of surgery chosen, the surgeon, and the medical institution performing the surgery. Simply put, if a breast-conserving surgery is performed, the operation might only take about half an hour; whereas a typical modified radical mastectomy, which involves removing the entire breast, might take about an hour and a half. If the surgeon is a specialist in a top-tier hospital and performs breast cancer surgeries weekly or even daily, their surgery time is definitely the shortest. Therefore, depending on these factors, the duration can be as short as several tens of minutes to as long as several hours, in the case of reconstructive surgeries where the breast is removed and then reconstructed, which can take six to eight hours. Thus, it cannot be generalized; the duration can be as quick as twenty to thirty minutes or as lengthy as several hours.
How long does breast cancer metastasis take?
How long does it take for breast cancer to metastasize? There is no absolute scientific data on this issue. Based on data from theoretical animal experiments, metastasis can occur within a few hours, tens of hours, several days, or even years. It should be understood in this way. I believe your question primarily concerns how long after breast cancer surgery metastasis might typically occur. Generally speaking, after comprehensive treatments such as surgery, chemotherapy, and endocrine therapy, the earliest metastases appear within a year. The peak incidence for most people is between two to three years after treatment, making this period critical for frequent check-ups. During the first two years, stringent, thorough examinations every three months are essential. After two years, check-ups every six months continue from the third to the fifth year. After five years, annual physical examinations are recommended. A second peak period for recurrence occurs around eight to nine years post-surgery, which is why the frequency of examinations increases again during this time.
Can breast cancer be contagious?
Breast cancer is not contagious. Infectious diseases have their natural characteristics. For instance, respiratory infectious diseases and even hepatitis can be transmitted through certain pathways. Cancer, including breast cancer, is not communicable. To date, medical research has found no evidence suggesting that cancer can be spread from person to person. Only about 5% of cancers have a genetic component. Consider this: if cancer were contagious, wouldn't medical professionals, aside from the patients' families, be the most affected group? However, how many health care providers have contracted cancer from their patients? Thus, it can be stated that breast cancer is not contagious.
Breast cancer symptoms
The symptoms of breast cancer depend on the severity of the cancer and whether there are any signs of metastasis or recurrence. It is important to emphasize that over 90% of breast cancer cases do not involve pain as a symptom. This means that the earliest symptoms of breast cancer are usually determined by whether the cancer is in its early or late stages. Early-stage breast cancer may have no symptoms at all, or there may be signs such as a lump or hard nodule in the breast, discharge from the nipple, especially coffee-colored or bloody discharge. Late-stage symptoms can include changes in the skin of the breast resembling the texture of an orange peel, palpable large lymph nodes in the armpit that are hard but neither painful nor itchy. If the cancer has metastasized to the lungs, chest cavity, pleura, liver, bones, or head, symptoms might include chest pain, coughing, difficulty breathing, abdominal distention, bone pain or fractures, as well as headaches, eye pressure, and dizziness, among others. Therefore, the symptoms of breast disease depend on whether the cancer is in its early stages; if it is in a late stage and has metastasized to other parts, corresponding symptoms will be present. It is also important to remember that early-stage breast cancer may not show any symptoms at all.
Breast cancer IIA is stage 2.
Breast cancer stage IIa is considered early stage. Breast cancer is classified into stages 0, I, IIa, IIb, III, and IV. Stage III is further divided into IIIa, IIIb, and IIIc. Strictly speaking, breast cancers at stage IIa and earlier are considered early-stage breast cancer, while stage III is considered locally advanced breast cancer, including IIIa, IIIb, and IIIc, and stage IV is considered advanced breast cancer. However, since most operable breast cancers, which include up to stage IIIa (stages 0, I, II, and including IIIa), generally have favorable treatment outcomes, many research institutions and medical organizations in Western countries define all stages up to IIIa as early-stage breast cancer. Therefore, breast cancer stage IIa is classified as early-stage cancer.
Breast Cancer Metastasizes to Which Locations
Breast cancer metastasis generally follows the following sites due to its anatomical structure and specific characteristics. The most common sites are the axilla, the contralateral breast, the contralateral axilla, and the areas above and below the clavicle, which is also known as the pipa bone, referring to the areas above and below the pipa bone. As for distant organs, based on the frequency or likelihood of occurrence, the most common are the lungs, bones, liver, and the brain, specifically within the head. These are referred to as the lungs, bones, liver, and head, which are the places most prone to distant organ metastasis.
Does acute mastitis require weaning?
In most cases of acute mastitis, it is not necessary to wean. However, weaning is mandatory when acute mastitis is accompanied by high fever, abscess, or nipple ulceration. Other than these conditions, it is often sufficient to temporarily stop breastfeeding from the inflamed breast for a few days. After treatment, breastfeeding can usually continue. During this temporary cessation, the milk from the affected breast should be expressed and discarded. Breastfeeding can continue with the other breast. Therefore, weaning is not easily recommended for acute mastitis.
Breast cancer surgery accompaniment for a few days
The duration of postoperative care for breast cancer surgery depends on the extent of the surgery. This includes modified radical mastectomy, classic radical mastectomy, and surgeries that preserve both the breast and the axilla. For surgeries that preserve the breast and axilla, patients typically recover quickly, and generally, providing care for three to five days is more than sufficient. However, to ensure patients feel comforted and cared for, it's common to provide care starting the day before surgery until the patient is discharged. Postoperative care tends to be longer for modified radical mastectomies that include axillary clearance, as care is needed until the patient can fully manage the arm on the operated side on their own. Therefore, the care duration varies depending on the individual and their recovery. Thus, the shortest duration of care is usually for surgeries that preserve both the breast and axilla, typically sufficient within three to five days.
Acute mastitis occurs how long after childbirth?
Acute mastitis can occur a few weeks after childbirth, usually within the first two to three weeks, although it can also appear later during the breastfeeding period. The key issue is to maintain the flow of breast milk and the patency of the milk ducts during breastfeeding. It is recommended to wash both nipples before breastfeeding, let the baby completely empty one breast first, then move on to the second breast. If the baby is full and doesn't finish the milk from the other breast, it's best to empty that breast either by using a breast pump or having the father extract the milk. For the next feeding, start with the other breast, which was the second breast previously used, and alternate accordingly. Additionally, nipple care is important; after the baby has finished feeding, express a little milk and apply it on the nipple surface. Before the next feeding, wash the nipple with clean water more diligently. This can help reduce the occurrence of acute mastitis.