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Breast cancer: Surgical treatments

Since the diagnosis of breast cancer, surgical treatment is the standard treatment. Modified radical mastectomy, total mastectomy, and breast conservation surgery are available. Modified radical mastectomy is a modified version of the standard radical mastectomy which is widely used for the removal of pectoralis muscle, pectoralis muscle and surrounding tissues with breast tissue. It is classified into patey, scalon, and auchincloss depending on whether pectoralis muscle and pectoral muscle are preserved. Currently, the auchincloss method, which preserves both large and small pelvic muscles, is the most used. In the case of total mastectomy, it does not remove other tissues such as lymph nodes, but it removes only the breast tissue. Therefore, it is called 'total mastectomy with sentinel node biopsy' and 'total mastectomy with axillary node dissection' according to the removal of surrounding lymph node tissue. Finally, breast conservation surgery is performed by removin...

Breast mass: Causes & Work-ups

There are many symptoms in the breast, and it is important to distinguish between the typical symptoms and the diseases that can occur. If mass is present, it should be confirmed whether it is malignant. If there is firm, less circumscribed, and fixed characteristic in promotion, possibility of malignancy is great. When pain occurs, it is not related to cancer, and may be caused by premenstrual symptoms, fibrocystic changes, excessive caffeine intake, and the like. In the case of cyst formation, there are cases such as galactocele, which can be distinguished and treated by fine needle aspiration. Skin dimpling is the result of the shortening of the cooper's ligament, which is a sensitive, specific sign indicating underlying cancer. Erythema is a characteristic of inflammatory breast cancer and may be accompanied by peau d'orange findings. Carcinoma cell embolism is a phenomenon that the lymphatic duct of the dermis is clogged and edema of the skin occurs. In the case of nipple ...