Mastectomy

Mastectomy is the surgical removal of all breast tissue. 这种方法用于治疗乳腺癌，有时也有助于预防乳腺癌 high risk. It may be performed on one or both breasts. Other nearby tissues, such as lymph nodes, 还可以通过切除来判断癌细胞是否已经扩散.

一些乳腺癌患者可以在乳房切除术和乳房切除术之间做出选择 lumpectomy, 外科十大赌博平台排行榜只切除肿瘤和一小部分周围组织, preserving as much healthy breast tissue as possible. Lumpectomy is typically followed by radiation therapy.

You'll be advised to choose a mastectomy if:

你乳房的不同部位有好几个肿瘤
Your tumor is large
You're not a good candidate for radiation therapy

Mastectomy options

There are different types of mastectomies. You and your surgeon will discuss your options in detail.

Simple mastectomy (no reconstruction)

在简单或传统的乳房切除术中，大部分乳房皮肤被切除. This leaves permanent scars on the chest.

Following a simple mastectomy, 患者通常需要四到六周的时间胸壁愈合，不适减轻到可以戴乳房假体(一种适合胸罩罩杯的乳房形状)。. 此外，还有一款内置乳房假体的棉质背心.

大多数保险计划每年包括四个乳房切除术后的胸罩和一个假体. 由受过这方面训练的人来配是很重要的. You can schedule a fitting at the Friend to Friend Specialty Shops at our Mission Bay or Mount Zion campus. 这些商店还出售用于乳房假体的泳衣和其他服装.

Skin-sparing mastectomy

保留皮肤的乳房切除术保留了乳房皮肤，但没有保留乳头和乳晕的皮肤. 手术会在乳房中央留下疤痕. 你可以考虑晚些时候再做一个额外的手术来重建乳头. 由专业纹身师进行的3D乳头纹身是另一种选择.

Total skin-sparing mastectomy

完全保留皮肤的乳房切除术保留了乳房的皮肤, 乳头和乳晕只切除乳房下面的组织. This procedure is not an option if you:

Have breast cancer in or near the nipple
Have extensive disease
Have large, pendulous breasts
Are a smoker

Breast reconstruction

While going over mastectomy options with your surgeon, 你还会讨论乳房重建的可能性. If you choose to have it, 你可以在乳房切除术过程中或晚些时候开始这个过程. If you're interested in reconstructive surgery, you should know that the type of mastectomy you choose, among other factors, will determine your reconstruction options.

For more information, please visit our breast reconstruction page.

Preparation

Before your mastectomy, 你会和你的外科十大赌博平台排行榜讨论你的病史和手术细节. You'll also receive specific instructions on how to prepare.

你需要安排一个负责任的成年人从十大赌博平台排行榜开车送你回家. 我们不能允许患者使用出租车或其他汽车服务回家，除非有他们认识的人陪同.

Procedure

A mastectomy takes about one to three hours. 在整个手术过程中，您将处于全身麻醉(完全睡眠)状态.

外科十大赌博平台排行榜在你的乳房上做一个切口来切除组织, which will be analyzed by a pathologist. 如果你选择在切除乳房的同时进行乳房重建, 乳房再造外科十大赌博平台排行榜会在你的乳房组织被切除后进行手术.

Once the procedure is complete, 外科十大赌博平台排行榜用缝线缝合所有切口，这些缝线要么自行溶解，要么稍后由十大赌博平台排行榜取出. 然后你会被转移到恢复室，在你从麻醉中醒来时进行监控.

When you wake up, 你很可能在手术区域有管道，让伤口中的液体排出. Tubes are removed one to two weeks after surgery.

大多数患者在乳房切除术后都要在十大赌博平台排行榜过夜. 如果你同时进行乳房再造，你可能会多住一到两个晚上.

Recovery

你可能会感到胸部和腋下疼痛, tenderness at the incision site, and numbness where the scar is healing. If lymph nodes were removed, 你也可能会感到麻木或在你的腋窝和以下区域烧灼感.

Before you're discharged from the hospital, 您的医疗团队将为您在家中的康复提供详细的指导, including how to manage pain, bathe, and care for your incision, including use of surgical dressings and drainage tubes.

你将在乳房切除术后8到14天回来接受术后预约. 这次我们将讨论你手术的病理结果. 我们还会在检查过程中取出引流管.

乳房切除术后的恢复通常需要四周的时间. Most patients return to work within three to six weeks, depending on the physical demands of their job. Please discuss the timing with your medical team.

你可能会对手术后身体的变化产生一系列的生理和情绪反应. 大多数患者的乳房感觉都有明显变化. 请询问您的护理团队，在您计划进行的乳房切除术中，感觉上有哪些典型的变化.

如果您回国后有任何问题或疑虑，请致电 Breast Care Center.