Almost every hospital’s breast surgery department can see this kind of propaganda or introduction: we have introduced an advanced minimally invasive breast lump surgery system from the United States, namely McMurdo, for lumps smaller than 3 cm, no more traditional surgical incisions, only a small hole, no scar after surgery, not only to achieve the purpose of removing the tumor, but also will not affect the aesthetics, so you continue your beauty and confidence. It sounds really good, in fact, our department also has such an introduction, or I wrote it, but often what you see is one of its aspects, from a dialectical point of view, there are two sides of things, here I want to show you the other side of it. First of all, let’s talk about the principle of this thing, the Chinese name: Mammotome, in fact, is the phonetic translation of the original name The MammotomeSystem, developed by the United States Johnson & Johnson, now seems to have been transferred to another company, of course, this is not what we care about, because the price is still so expensive, health insurance still can not be reimbursed. The system was originally designed for breast lump biopsy, that is, if we find a breast lump, but we can’t tell what it is, benign? Malignant? Then we need to take a piece of tumor tissue for pathological examination, and based on the result, we can decide the next step of treatment, which is biopsy. There are many ways to take out this piece of tissue, such as fine needle puncture, coarse needle puncture, etc. However, the amount of tissue in these puncture specimens is not enough, which affects the judgment of the examination, so we hope to find a thicker puncture needle to do it, which is the later McMurdo. Why is the McMerton minimally invasive procedure so popular in China Well, knowing its origins, let’s talk about why it is so sought after in China. As a biopsy system, it was found in the process of use that because the puncture needle was thick enough, about 3 mm in diameter, for an already small mass, a few more punctures could completely remove the mass tissue, equivalent to tumor removal, with only a small hole of about 3 mm. So, when it came to China, its role changed and its initial function of biopsy was no longer emphasized, instead it was advertised as a miracle tool for minimally invasive breast tumor surgery. As a result, this business has been rapidly developed in hospitals of all sizes across the country. First of all, we have to affirm that this instrument is a technology that plays a very good role in biopsy of suspicious tumors and removal of small benign tumors without affecting their aesthetics. However, we must also see that overuse, over-range, and over-indication use abound. Fibroids, fatty tumors, even mastopexy nodules, cysts, etc., young people, middle-aged people, regardless of whether they are breastfeeding, etc., all on the McMurdo, is this appropriate? The incision is minimally invasive, but in fact it is not a small damage to the breast Breast fibroids mostly occur in young women, and may start to appear after puberty, many patients may be students, unmarried and childless. Therefore, while considering the removal of these breast lumps, it is important to protect not only the aesthetics, but also their future breastfeeding function. In the case of McMurdo surgery, regardless of the size of the lump, while removing the lesion, the glandular tissue in the range of 3 cm must be damaged, and if the lump is close to the nipple, there is a high risk of damaging the milk ducts, resulting in the loss of breastfeeding function. In fact, the physical examination can be found in young women breast nodules, breast fibroids are very common, some very small, the majority are benign, or just breast hyperplasia, experienced doctors can take a look at the basic judgment, do not have to be found as soon as the surgery to remove the. The nodules and cysts do not require surgery. Yes, you may be told that if you don’t remove it, it may grow, it may become cancerous, in fact, there is no need to be nervous, there are no absolutes in medicine, these are possibilities, as a doctor, it is obligatory to tell you, but these possibilities are very, very small, definitely less than the chance of you walking and falling. This time you just need to discern a little, the regular doctor will only tell the condition scientifically, and informal hospital doctors may really be this intimidation, repeated persuasion, so that you feel that you must do, or it seems that you step out of his hospital on the end of the world. There is no way around it, there will always be some rabble-rousers that you need to shine your eyes on. How to choose? So what should I do? Does a lump in my breast mean that I don’t need surgery? Of course not. First of all, we must make it clear that it is impossible to “cure the lump” by taking medication, do not believe in the so-called “miracle drugs”, surgery is the only solution. The next is the question of when surgery is needed and when to operate. Personal advice: First, those who have already given birth and are not breastfeeding, especially women over 40 years old, regardless of the size of the mass, surgery as soon as possible, both traditional open surgery and minimally invasive McMurdo can be chosen. For those who are not breastfeeding, the protection of the breastfeeding function must be considered, so there are several cases: 1.If the mass is far from the nipple, consider that the damage to the milk duct is not great, you can operate before pregnancy, after all, a very small part of the tumor may be affected by hormones during pregnancy and grow; 2.If it is close to the nipple, the mass is small, usually within 2 cm, can be temporarily observed, until after breastfeeding to deal with; 3.Near the nipple, the mass is large, and the lump is not large, and the lump is not large. The lump is larger and more superficial, can be operated before pregnancy, and at this time it is best to choose traditional open surgery, less damage to the glandular ducts, through the areola incision, intracutaneous suture, as long as not scar body, basically will not affect the appearance. What is said here is only the principle, the specific size, distance, depth, there are individual differences, need to doctor comprehensive judgment. Third, special cases, such as lumps have been so large to affect the appearance, such as psychological quality is not strong, as long as the examination said there is a problem, always feel that it is a matter, and affect the daily life, after persuasion no improvement, then other factors do not need to consider, early to do it.