The annual Mother’s Day is here again, and all the medical staff of the Breast Surgery Department of Nanhai Maternal and Child Health Hospital would like to greet all the mothers in the world and wish them a happy holiday. Breast is the source of women’s confidence and beauty, but it is also an eventful place that threatens women’s health. At present, breast cancer has surpassed cervical cancer to take the first place in the incidence rate of women’s cancer. Every year, about 470,000 women suffer from breast cancer in China, and more than 40,000 people die from breast cancer. Guangzhou Women’s and Children’s Hospital has been conducting breast cancer screening every year for the past ten years, with about 30,000 people screened each year, and the results show that in the past 10 years, the detection rate of breast cancer is above 1 in 1,000. “Early detection, early diagnosis and early treatment” is the key to prevent and treat breast cancer. The Smax study concluded that detecting breast cancer 21 months earlier can reduce the mortality rate by 33%. The British Association for Thoracic Surgery and the National Breast Screening Group have reported that patients with early diagnosis of breast cancer have a life expectancy comparable to that of healthy individuals. More than 80 percent of patients with early-stage breast cancer, such as ductal carcinoma in situ, detected through screening have a survival of more than 15 years. In contrast, the cure rate of progressive breast cancer is only about 40-50%. Therefore, early diagnosis is the key to the outcome of breast cancer. According to the International Union Against Cancer, “Uterine cancer and breast cancer are two cancers for which definitive results can be obtained through screening.” The earlier the detection, the greater the chance of patients receiving breast-conserving treatment, the less chance of breast cancer recurrence and metastasis, and the lower the adverse impact on women’s physical and mental health. How to reduce and prevent breast cancer is a world-class challenge. As of now, the cause of breast cancer is still unclear, only the following aspects such as family history of breast cancer, first menstruation less than 12 years old, age of menopause more than 55 years old, late marriage and late childbirth, first delivery more than 30 years old especially more than 35 years old, and not breastfeeding are recognized as high risk factors for breast cancer. However, without high risk factors, you may also have other factors that lead to breast cancer, such as poor living habits, high-fat diet, smoking and alcohol habits, years of history of breast enlargement, poor working and living environment, and intake of exogenous hormones, etc. You should also guard against breast cancer. For the examination of breast diseases, clinical physical examination by experienced specialists, high-frequency ultrasound and mammography are necessary to make up for the shortage of respective examinations. The age of breast cancer in China is about 10 years younger than that in Europe and the United States, so the “golden combination” of ultrasound and mammography is the main method for breast cancer screening in China. In 2011, the Nanhai Maternal and Child Health Hospital screened more than 6,800 rural women for cervical cancer and breast cancer, and detected many breast cancer patients of various stages. In the past two years, our breast surgery department has treated a number of breast cancer patients under 30 years old (including two 25 years old), reminding us to be alert to the occurrence of breast cancer in young people (under 35 years old). Breast cancer screening results in many places in China show that the high incidence of breast cancer in China is in the age group of 40-60 years old. Breast cancer experts recommend women over 40 years old to have a mammogram and 2-4 ultrasound examinations of the breast once a year. We advocate women to have regular breast self-examinations, pay attention to the presence of lumps, abnormal pain, nipple overflow, whether there is redness, swelling, desquamation and indentation, etc. After discovering the problem, do not dwell on whether the lump is active or not, whether it is adhered to the skin, etc., but go to the nearest hospital for further examination by breast surgeons in time, so as to minimize the mistakes in diagnosis and treatment. Once a solid breast tumor is found, it should not be palliative, but should be removed in time for clear diagnosis. There are a large number of clinical cases where the lump was found one year or even many years ago, but for various reasons (such as fear of surgery, following the advice of relatives and friends, etc.) the lump was not operated, feeling that the lump was not painful and did not attract attention, and the surgery was only performed when the tumor was significantly enlarged, but by then it had developed into progressive breast cancer. It is important to know that simple imaging examination cannot replace surgical biopsy, and pathological diagnosis after tumor biopsy is the gold standard for all tumor diagnosis. Therefore, we remind you that if you find breast lumps, nipple bleeding and overflowing, you should go to the hospital for examination as soon as possible to get a clear diagnosis. When there is blood and fluid overflow from the nipple, breast ductoscopy is the most intuitive examination method, which can directly glimpse the lesions in the milk ducts, assist in diagnosis and guide surgical treatment. We have also had some cases in our clinic where the ductoscopy has clearly identified only inflammatory lesions in the milk ducts, thus avoiding unnecessary surgery. The development of the discipline of breast surgery is remarkable, and minimally invasive treatment and individualized treatment of the breast are two of the main directions. Nanhai Maternal and Child Health Hospital keeps up with the development of the discipline, and in recent years has continuously invested in the introduction of internationally advanced diagnostic equipment: imported high-precision, high-resolution GE digital mammography machine; portable color high-frequency ultrasound; vacuum-assisted breast biopsy system (Encor breast biopsy system); fiberoptic endoscopy; BARD biopsy puncture needle. The company is equipped with advanced professional equipment such as 3D molybdenum target puncture and positioning system. Among them, the EnCor vacuum-assisted breast biopsy system is used for biopsy of non-palpable breast lesions and minimally invasive resection of solid tumors under 3cm, and has achieved very satisfactory results. In the past, breast lesions were usually removed only when the doctor clearly touched the tumor, but now we can accurately remove suspicious lesions that are not clinically palpable with the EnCor vacuum-assisted breast biopsy system under ultrasound guidance, gaining time for early diagnosis and treatment. The biopsy wound is very small, only about 5 mm, and very concealed, making postoperative scars difficult to detect. Moreover, the EnCor system takes a large amount of specimens and the pathological diagnosis reaches the standard of histological pathological examination, which can meet the needs of tumor pathological typing, immunohistochemistry and other examinations, and the results are more accurate. In the clinical work of our breast surgery department, the equipment has also been applied to minimally invasive treatment of puerperal breast abscesses and post-mammary polyacrylamide gel breast augmentation complications that mothers are prone to, all of which have achieved satisfactory results. Previously, breast abscesses had large incision scars, severe pain during dressing changes, and difficult wound healing. Our department uses vacuum-assisted breast biopsy system for minimally invasive drainage treatment, with small surgical scars, continuous drainage without pain, faster wound healing and good postoperative cosmetic results. There are many beauty-loving ladies in our city, and polyacrylamide hydrogel (PAHG) was once widely used for injectable breast augmentation, but in April 2006, the State Food and Drug Administration stopped producing and using the product on the grounds that PAHG (for injection) could not guarantee safety in use. Various long-term complications have emerged one after another in recent years: such as displacement of PAHG and mismatch of breast shape; hardening and rubbery change of breast; hard nodules of breast; breast infection; local pain, etc. In the treatment of post-polyacrylamide gel breast augmentation complications, breast surgeons, with the assistance of related departments, also used the vacuum-assisted breast biopsy system for minimally invasive drainage treatment, achieving satisfactory results of complete gel removal and small and hidden postoperative scars. In one case, a patient with a breast abscess combined with polyacrylamide gel augmentation, the mixture of pus and polyacrylamide gel was removed unilaterally up to 2100 ml using the above mentioned method, and according to the professional literature, only about 300 ml of gel minimally invasive surgery has been reported in China, and such a large amount of mixed abscess minimally invasive surgery has not been reported. We offer a new effective minimally invasive treatment method for many women in need, exchanging tiny, hidden scars for a healthy breast. In terms of individualized treatment, based on the pathological typing of breast cancer patients, our department performs molecular typing of breast cancer for different patients and provides respective appropriate surgical options and chemotherapy, radiotherapy, immunotherapy, endocrine and targeted therapy. Finally, we wish you all health and happiness and a beautiful life. Enjoy the beautiful spring.