Breast cancer surgical methods

Written by Zhang Chao Jie
Breast Surgery
Updated on January 08, 2025
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There are many surgical methods for breast cancer, but specifically, they are related to the stage of the disease. Generally speaking, the surgical methods for breast cancer include the following types: The first type is the modified radical mastectomy, which is the most traditional and has the broadest scope of excision. This often involves the complete removal of the breast, and the axilla may be cleared, or a sentinel lymph node biopsy may be performed instead, which is a possibility. The second type of breast cancer surgery is the best, used for early-stage breast cancer, which can preserve the breast, known as breast-conserving surgery. The third method of surgery involves removing all the glandular tissue inside the breast while preserving the skin, nipple, and areola complex, and then reconstructing the breast by placing an implant.

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Written by Fan Hong Qiao
Breast Health Department
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Breast Cancer Self-Examination Method

Breast self-examination helps to detect changes in the breasts in a timely manner, and to discover breast diseases promptly. For instance, breast lumps are often found by patients themselves during self-examination. However, finding a breast lump does not necessarily mean it is breast cancer, as many conditions can present as breast lumps, such as the most common one, fibrocystic breast changes. Besides breast self-examination, early detection of breast cancer also relies on regular physical check-ups. It is recommended that women of childbearing age should develop the habit of regular breast self-examinations and routine physical check-ups, and consult a doctor promptly if abnormalities are found.

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Written by Zhang Chao Jie
Breast Surgery
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Symptoms of breast cancer recurrence

The symptoms of recurrent breast cancer are related to the location and form of recurrence. For example, if breast cancer recurs at the chest wound site, the symptoms typically manifest as local lumps or localized ulcers, erosion, and bleeding. If the recurrence is in the lungs, liver, or brain, it usually appears in the form of tumors. Early lung tumors do not show symptoms, but if it invades the pleura and causes pleural effusion, it can lead to shortness of breath or chest pain. If a tumor grows too large on the liver, it can cause abdominal pain or symptoms like loss of appetite, unwillingness to eat, and other complications associated with liver diseases. If it metastasizes to the head, symptoms such as dizziness, headaches, and a feeling of pressure in the eyes may occur. If it spreads to the bones, it can cause pain in the affected bone or fractures.

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Written by Peng Li Bo
Oncology
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Male breast cancer generally occurs at what age?

The general age of onset for male breast cancer is between 65 and 67 years old, which is about five to ten years later than the onset age for female breast cancer. Male breast cancer is a relatively rare malignancy, accounting for only 0.6% to 1% of all breast cancer cases, meaning that out of 100 breast cancer patients, approximately one is male. The development of male breast cancer is caused by multiple factors, which may include genetic factors, environmental influences, and also related to levels of hormone secretion from the endocrine system.

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Written by Lin Yang
Breast Surgery
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What should I do if I have advanced breast cancer with breast necrosis?

Firstly, radiotherapy can be used, localized radiation therapy, which will achieve certain local control effects. It can also provide surgical opportunities for some breast cancer patients who are otherwise inoperable. Additionally, it can relieve pain, reduce compression symptoms, and stop bleeding in ulcerated cancer lesions, thereby improving the patient's quality of life. If chemotherapy is possible, it should be pursued as it can reduce distant and extensive metastases. Then, if surgery is feasible, the ulcerated or already healed surgical incisions can be excised and sutured to improve the patient's quality of life.

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Written by Zhang Chao Jie
Breast Surgery
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Does breast cancer require chemotherapy?

Not all breast cancer requires chemotherapy, which is just one method in the comprehensive treatment of breast cancer. Comprehensive treatment for breast cancer includes surgery, chemotherapy, radiotherapy, endocrine therapy, biological targeted therapy, and also traditional Chinese medicine treatment. Chemotherapy, in particular, can be described as a double-edged sword that kills both cancerous and normal cells. If the breast cancer is in an early stage, especially if the genetic typing is favorable, there might be an opportunity to forego chemotherapy. However, unfortunately, as of now, a significant portion of breast cancer cases still require chemotherapy. Therefore, it is necessary to communicate with professional doctors and analyze each specific case individually; one cannot generalize the treatment.