Surgery Of The Breast

SURGERY OF THE BREAST CİHAN URAS M.D. PROFESSOR OF SURGERY

ANATOMY

ANATOMY

ANATOMY

ANATOMY

ANATOMY

ANATOMY

ANATOMY

ANATOMY

ANATOMY

BREAST BİOPSY

• Fine needle aspiration biopsy (FNA) • Core needle biopsy • Vacuum-assisted biopsy (Mammotome) • Large core biopsy • Open Breast Biopsy (excisional or incisional) • Needle Localization Breast Biopsy

Open Breast Biopsy

Open Breast Biopsy

Open Breast Biopsy

Open Breast Biopsy

Needle Localization Breast Biopsy

Needle Localization Breast Biopsy

Needle Localization Breast Biopsy

TREATMENT OF THE BREAST CANCER • SURGERY • ADJUVANT THERAPY-HORMONE THERAPY • RADİOTHERAPY • BREAST RECONSTRUCTİON

SURGİCAL TREATMENT OF BREAST CANCER • RADİCAL MASTECTOMY (HALSTED) • MODİFY RADİCAL MASTECTOMY (PATTEY, MADDEN) • SİMPLE MASTECTOMY • SKİN SPARİNG MASTECTOMY • BREAST-CONSERVİNG THERAPY (LUMPECTOMY, QUADRANECTOMY, WİDE LOCAL EXCİSİON) +/- AXİLLARY DİSSECTİON • SENTİNEL NODE BİOPSY

RADİCAL MASTECTOMY (HALSTED)

MODİFİED RADİCAL MASTECTOMY

MODİFİED RADİCAL MASTECTOMY

MODİFİED RADİCAL MASTECTOMY

MODİFİED RADİCAL MASTECTOMY

MODİFİED RADİCAL MASTECTOMY

AXİLLARY DİSSECTİON

AXİLLARY DİSSECTİON

AXİLLARY VEİN

Long thor.n.

SİMPLE MASTECTOMY

SKİN SPARİNG MASTECTOMY

LUMPECTOMY

SENTİNEL NODE BİOPSY

SENTİNEL NODE BİOPSY

SENTİNEL NODE BİOPSY

SENTİNEL NODE BİOPSY

Tissue Expander for Breast Reconstruction

Latissimus Dorsi Flap Breast Reconstruction

TRAM Flap Breast Reconstruction

TRAM Flap Breast Reconstruction

Complications in Breast Surgery • General wound complications related to breast and axillary surgery – – – – –

Wound infections Seroma Hematoma Chronic pain Venous thromboembolism

• Complications specific to mastectomy procedures – Incisional dog-ears

• Complications specific to lumpectomy procedures – Breast fibrosis, breast lymphedema, and chronic/recurrent breast cellulitis

• Complications specific to diagnostic open biopsy procedures – Sampling error

• Complications related to axillary staging procedures – Lymphedema, nerve injury, axillary web, lymphangitis, angiosarcoma,

Winged Scapula Injury: Long Thoracic Nerve to Serratus Muscle.

Breast cellulitis

Lymphangitis

Lymphedema