The surgery is focused on removing mammary gland tissues for treating or preventing cancer.
|Surgery duration||2.5 hrs|
|Residency||from 3 days|
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Indications for mastectomy
Malignant tumor in breast tissues;
Fibrocystic mastopathy a hormonal disbalance that leads to cystic tissue proliferation;
Multiple nodules in the breast;
Breast sarcoma, a disease in which malignant tumors begin to form from the connective tissues;
Advanced stage of mastitis, an inflammation of the breast tissue;
Polyacrylamide syndrome, migration of gel injected into the breast;
For the prevention of breast cancer.
Radical mastectomy is a surgery focused on removing one or both breasts to treat breast cancer.
Depending on the stage of the cancer, mastectomy can be performed by several methods:
- Subcutaneous mastectomy: removal of the breast with lymph nodes, preserving the skin and the nipple with areola.
- Skin-protective mastectomy: removal of the mammary gland with lymph nodes, nipple and areola, preserving the skin.
- Radical mastectomy by Madden’s technique: removal of the entire breast with lymph nodes, without affecting the pectoralis major and minor muscles.
- Radical mastectomy by Peity’s technique: removal of the entire breast together with the pectoralis minor muscle and lymph nodes.
- Radical mastectomy by Halstead’s technique: removal of the entire breast together with the pectoralis major and pectoralis minor muscles and lymph nodes.
Preventive mastectomy is a surgery focused on removing one or both breasts to reduce the risk of developing breast cancer.
Preventive mastectomy is recommended for women with a genetic predisposition to cancer, that is with a BRCA mutation, or women who already have breast cancer.
According to the National Cancer Institute, preventive mastectomy in women with BRCA-1 and BRCA-2 mutations can reduce the risk of developing breast cancer by 95%. In women with a strong family history of breast cancer, preventive mastectomy can reduce the risk of developing breast cancer by 90%.
Phases of preventive mastectomy with concomitant reconstruction
Preventive mastectomy is performed in one surgical procedure, in two phases.
A breast oncologist is responsible for the first phase: his task is to remove breast tissue.
For the prevention of breast cancer, subcutaneous mastectomy is most often used. Unlike in radical mastectomy, only breast tissue is removed in this case, without affecting the lymph nodes. Breast skin, nipple and areola remain intact.
A surgeon specializing in plastic reconstruction is responsible for the second phase: his task is to restore the volume of the breast.
The volume can be restored in two ways:
- By installing implants;
- By using the flaps made of patient’s own tissues. In this case, the breast volume is restored using the flaps taken from the back, abdomen or buttocks. The surgeon specializing in plastic reconstruction takes the flap and transfers it to the place of the removed mammary gland.
Read more about the breast reconstruction with patient’s own tissues in the article.
Mastectomy price list
Bilateral hypodermic mastectomy with one-stage plasticity
Mammary glands removal from two parties, restoration o of a breast shape with anatomic implants.
|327 000 rub|