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Breast reconstruction for breast cancer

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Although breast cancer is the most common cancer in women is not cancer is diagnosed in more than three quarters of all palpable lumps or breast tumors, but found a benign overgrowth. For many, groped by the women themselves breast lumps no tumor is present, but only a cyst or an atypical growth. Benign, real tumors often go from connective tissue (fibroadenoma) and sometimes by fat cells from (lipomas).

Malignant tumors of the breast (breast cancer) usually go from the glandular portion of the breast. As a rule of the milk ducts and rarely from the lobules.

Diagnosis of Breast Cancer

  • Scanning of the chest
  • mammography
  • Ultrasonic
  • MRI
  • Sampling without surgery
  • Feinnadelpunktionen
  • High speed stamping
  • Stereotaktische Stanzbiopsie

A combination of the method enables a reliable diagnosis without surgical tissue removal.

Chemotherapy in breast cancer

Breast cancer patients can benefit at different stages of the disease from breast cancer by chemotherapy:

  • Chemotherapy can complement surgery and radiation. Chemotherapy can reduce the risk of relapse and the risk of metastasis: It is aimed at tumor cells that remain invisible in the tissue. They are known in this case as adjuvant chemotherapy. Adjuvant chemotherapy for women comes into question, in which adjuvant anti-hormone therapy would not work, because her tumor grows hormone-independent.
  • Adjuvant chemotherapy is recommended but also women with hormone-sensitive tumors, if a high risk of relapse is feared from the outset.
  • Chemotherapy before surgery may also reduce the risk of relapse and metastasis. Prior to surgery, chemotherapy is also intended to shrink the tumor. Women can then breast-conserving surgery in spite of large tumors. This form of treatment is called neoadjuvant.
  • In an inflammatory breast cancer
  • If the breast cancer has spread and other organs are affected by breast cancer metastasis. The therapy is intended to reduce tumor growth and relieve disease-related symptoms.

Side effects of chemotherapy in breast cancer

  • hair loss
  • Mucosal inflammation in the mouth, intestines, genitals
  • Increased infection-prone
  • anorexia
  • Vomit

Breast cancer prevention and treatment

remove ovaries

Women at high risk for breast cancer is recommended to be removed in addition to the Brustgewebsentfernung the ovaries. This intervention is always done under general anesthesia. The operation can be gently performed endoscopically through a few small incisions.

After the procedure, the production of hormones the ovaries missing. Thus, the brain is affected and even the metabolism.

  • estrogen
  • Luteal hormone (progesterone)
  • testosterone

Several years before menopause, the levels of progesterone begins to decrease. By entering the menopause, the estrogen production can greatly reduce. It is almost exclusively produced testosterone.

Effects of ovariectomy

Progesterone deficiency can lead to depressive moods. Too little progesterone but can also lead to water retention, to veins pain and bloating of the intestines.

Estrogens ensure the beauty of skin and hair. They dilate blood vessels and regulate blood pressure. Estrogens regulate cholesterol levels and reduce heart attack or stroke risk. They also continue to provide the humidification of the mucous membranes.

Testosterone is responsible for a strong bone mass, muscle tissue, the tension and thickness of the skin. It helps build muscle, reduce body fat production, improves the ability to think, provides the necessary drive and is effective against depression and heart disease. Finally, testosterone is crucial for the Libidio.

Mastectomy and breast implants

During a mastectomy, the body of the mammary gland is removed in both breasts to reduce the risk of cancer dramatically. After consultation with the surgeon the nipple or the skin of the areola can be maintained. This, however the breast risk is increased because more parts of the breast tissue can survive the process of the skin.

The breast reconstruction can be done with body fat or silicone implants. Currently the way with silicone implant is faster and the result at the end also visually appealing. In addition, it bulges enough body's own fat, which must be first available to the own fat extraction.

Restoration of the breast with the implant, autologous fat or saline

When a desired saline as a filler, this engagement is (4-6 cm) carried out with only a small section because the introduced silicone pad is filled only after the insertion with this solution.

Own fat as a filling material is controversial, justified by the possible degradation of the natural fat within the first year, which further operational subsequent corrections are necessary. Meanwhile, there are improved methods for autologous fat harvesting and processing, so that the percentage of fat cells that do not grow but die and be transported away from the body, is always less.

the current generation silicone implants provide good protection before sailing. The shape is balanced and look more realistic than saline solutions. Silicone implants are very stable and suitable for reconstruction in breast cancer.

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Operation success

Approx. 60-80% of all breast cancer patients, the tumor can be operated out. Breast must yet be amputated, the plastic surgeon with a construction plastic "reconstruction Mammaplasty" can restore these days by the enormous progress of science the breast.
 
It operated at least 60% of these operations Brusterhaltend. Before however, the operation is performed, the question an own blood collection is to rethink avoiding the risks of a foreign blood transfusion as a result.
 
Methods of breast reconstruction

  • Breast reconstruction using your own tissue (usually from the abdominal region)
  • Plastic implant
  • Tissue Expander technology, where an empty plastic bag under the chest muscle is created and filled with saline over a period of about 2 months at regular intervals, until it reaches the maximum result. After about 6 months, the implant against a silicone pad can be replaced then.

Price - cost in euro: 

0 -5500

conclusion: 

Operationsart

general anesthesia

Operationsdauer

3 - 6 hours at the removal of a natural tissue
1 - 2 hours at the onset of an implant

Inpatient stay

1 - 2 weeks

ability to work

After about 3-8 weeks (depending on the type of surgery)

risks

  • Since the implant is overgrown by a connective tissue, this tissue can contract may. This hardening, which can be painful forms. This can only be solved by the doctor by a new operation
  • When occurring inflammation may have to the implant temporarily be removed in order to calm the fabric again
  • If the incision made around the nipple, the ducts can be hurt, which may affect the ability to breastfeed
  • Bleeding and bruising
  • After a fall or accident, the doctor should be urgently sought to be examined whether the implant was damaged
  • Change the sensitivity of the nipples and breasts
  • Tight feeling in the chest may prevail for some time, even after flying or diving (here 1-2 days)
  • X-ray examinations every doctor should be made aware that a breast implant was used, as it often appears opaque on radiographs

durability

When using an implant, depending on the implant about 8 - 15 years

health insurance

Breast cancer operations are usually covered by health insurance

Advisor: 

If there were in the immediate relationship two or more cases of breast cancer, to go in advance of the 40th year of life to the gynecologist and be tested for the genetic defect. Is this determined, it is advisable that you let yourself in for regular checks at short intervals or operate. The high risk of cancer due to heredity can only solve operational and that needs every woman to decide for themselves.

The moderate risk of almost 10% during the life of a woman developing breast cancer is still to have no reason to operate. From the age of 40 years should be examined regularly.

Before the operation:

Brustgewebsentfernung and breast implant

  • 10 days in advance any blood-thinning agent
  • 10 days ago no cigarette and alcohol consumption

After the operation:

Brustgewebsentfernung and breast implant

  • Mind. Two weeks dressing for shape retention
  • 2 months wear a sports bra
  • 1 month no sunbathing
  • 2 to 3 months no heavy lifting and carrying
  • 6-8 weeks sleeping on your back

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Kommentare

Saturday, May 24, 2014 - 23:54
LuisaBerlin

Hi Fiona,
also bei mir Schwangerschaftsöl schon während der Schwangerschaft geholfen, dass die Haut elatischer war würde ich mal behaupten. Der Sport nach der Schwangerschaft hilft die unnötigen Pfunde (bei mir 14 Kilo) wieder zu verlieren ohne dass die Haut noch unnötig länger strapaziert wird. Ich denke das Beste ist die Vorsorge, danach helfen Cremes nur noch begrenzt und auch nur dann wenn man früh nach der Geburt anfängt.
Alles Gute Luisa

Comment count: 4
Monday, June 5, 2017 - 14:14
Elthinia-18

Hi,

in Deinem Alter würde ich mir aus gesundhheitlichen Bedenken nicht unbedingt gleich Implantate einsetzen lassen. Da würde ich definitv noch mind. 10 Jahre warten und dann kannst Du Dir immer noch Implantate einsetzen lassen.
Brustkrebs entsteht normalerweise nicht mit unter 30 Jahren. Wenn Du das Risiko reduzieren willst, dann frag in Deiner Familie welche Lebensumstände die Erkrankten hatten und meide all das, was potentiell ein Krebsrisiko sein kann, wie z.B. die Pille. Auch sonstige Gemeinsamkeiten der Erkankten, wie eine extreme, Lebensweise oder die Ernährung bzw. Produkte von einem bestimmte Hersteller können über Jahre zur Ursache werden. Wenn Du Dein Leben dazu anpasst und regelmässig zur Vorsorgeuntersuchung gehst, sollte das eigentlich reichen.

Grüße Elthinia

Comment count: 11
Tuesday, February 25, 2014 - 00:02
manu

Hi Verena,
Deine Brüste und die Implantate müssen erst noch richtig zusammenwachsen, aber die Brüste werden auf jeden Fall eher kleiner als größer, da die Schwellungen ja abklingen. Nach 9 Wochen ist zwar schon einiges an Zeit vergangen, aber dein Arzt wird Dir sicher sagen, dass Du noch abwarten musst. Ich war am Anfang auch ganz ungeduldig, bin aber jetzt nach 2 Jahren echt zufrieden mit meiner Größe.

LG manu

Comment count: 1
Sunday, March 4, 2018 - 14:45
Ashley-41

Hi zusammen,

Normalerweise, wenn die Brustwarze bzw. der Brustwarzenhofs überdurchschnittlich gross ist und gar nicht zur übrigen Brust passt, dann klappt das sauber nur mit einem einfacheren Eingriff durch einen Facharzt der Plastischen Chirurgie. Die OP kann im Dämmerschlaf oder lokaler Betäubung durchgeführt werden und danach kriegt man Schmerzmittel, so dass es die erste zeit erträglich ist.
Der Arzt schneidet dabei den Teil aus dem Brustwarzenhof raus, der zu viel ist und strafft dabei meist auch gleich die Brust noch ein bisschen mit. Da in dem Bereich viele Nerven liegen, kann es manchmal vorkommen, dass der operierte Bereich dann weniger sensibel ist. Das Risiko muss dann jeder für sich selbst entscheiden.
Ich hoffe das hilft einigen weiter ...
GLG Ashley

Comment count: 5
Monday, February 13, 2017 - 22:58
AureliaSchwarz39

Ich habe mir Silikon-Implantate mit angerauter Silikon-Oberfläche geholt. Die texturierte Silikonhülle spürt man eigentlich nicht und das Silikon fühlt sich schon sehr echt an. Mein Arzt meinte, dass eine nicht glatte Oberfläche des Implantats zu weniger Komplikationen führt. Nur aus dem Grund habe ich mich dafür entschieden, ansonsten hat mir die glatte Version des anatomischen Implantats genauso gut gefallen.

Die OP ist jetzt über 4 Jahre her. Ich hatte keine Probleme und die Implantate fühlen sich immer noch sehr echt an :) Ich denke, so lange Du Dir nicht zu grosse Implantate oder Implantate von unbekannten Herstellern einsetzten lässt, hast Du bestimmt keine Probleme.
GLG Aurelia

Comment count: 10