Indications for breast-conserving surgery

  Currently, breast cancer surgery is becoming smaller and smaller than before, and the previous extended radical and radical surgery has basically been abandoned and replaced by modified radical and breast-conserving surgery, especially breast-conserving surgery, which shows a windy progress, but everything needs to be treated rationally. The following is a description of the indications and contraindications for breast-conserving surgery.  The indications for breast-conserving surgery for breast cancer patients are: 1. If the tumor is less than 3 cm, if the ratio of tumor to breast size is small, breast-conserving surgery is still feasible even though the tumor is larger than 3 cm. 2.  2. Breast-conserving surgery can be chosen for those whose tumor edge is greater than 2cm from the edge of areola and can maintain a good shape of the breast after surgery; breast-conserving surgery can also be considered for those whose preoperative examination reveals that the lesion is of multicentric type or mammogram shows multiple tiny calcifications.  Breast-conserving surgery has no special requirements on pathological types. Invasive lobular carcinoma, invasive ductal carcinoma and intraductal carcinoma in situ can all be selected for breast-conserving surgery.  4. It should be noted that if axillary lymph node metastasis is found, breast-conserving surgery cannot be actively performed even if other conditions are available.  Contraindications to breast-conserving surgery There are 8 main contraindications to breast-conserving surgery: 1) lesions larger than 4 cm with unclear borders; 2) lymph nodes in the axilla are obviously enlarged or clinically considered to have lymph node metastasis; 3) multiple lesions; 4) those who cannot guarantee effective and adequate radiotherapy, those with previous history of radiotherapy in the breast area, those with collagen vascular disease; 5) small breasts but large tumors Those who are unwilling to receive breast-conserving surgery; 7.Breast-conserving surgery is not suitable for early and middle pregnancy because it is an absolute contraindication to radiotherapy, but breast-conserving surgery can be performed for late pregnancy and radiotherapy can be performed after delivery; 8.Cancerous tumor located in nipple and areola.