Breast mass is a common breast disease, and its size and nature are the key factors to determine whether surgery is needed.Generally speaking, if the diameter of the tumor is less than 2 cm and it is confirmed to be benign by examination, surgery is usually not required.However, if the diameter of the tumor is more than 2 cm, or if it is found to have malignant characteristics after examination, then surgical treatment is necessary.The purpose of the operation is to remove the whole mass and perform pathological examination to determine the nature of the mass.If the result of the examination is benign, the operation can usually be completed.However, if the examination results show that it is malignant, further treatment may be required, such as chemotherapy or radiotherapy.In addition, the location and shape of the tumor will also affect the decision of surgery.If the lump is located in the center of the breast or near the nipple, or the shape is irregular, the surgery may be more complicated.In this case, the doctor may recommend breast plastic surgery to preserve the appearance and function of the breast.In general, the size, nature, location, shape and other factors of breast masses need to be comprehensively considered in the surgical decision of breast masses.Only after evaluation and diagnosis by professional doctors can we determine whether surgery is needed.
Diagnostic methods of breast masses
To determine whether a breast mass needs surgical treatment, a comprehensive diagnosis is needed first.Common diagnostic methods include:1. Physical examination: The doctor will carefully touch and examine the breast to understand the size, location and nature of the lump.2. Imaging examination: such as breast ultrasound, mammography (mammography), etc., can more clearly observe the shape and structure of the tumor.3. Fine needle biopsy: insert the fine needle into the tumor and take a small part of cells for pathological examination to determine the nature of the tumor.4. Slice biopsy: If the diagnosis cannot be determined by fine needle aspiration, it may be necessary to conduct a biopsy, that is, to remove a small piece of tumor tissue for examination.These diagnostic methods can help doctors understand the specific situation of the tumor and determine whether surgery is needed.If the diagnosis results show that the tumor is malignant, the doctor will formulate an operation plan according to the specific situation.In addition, the doctor will also evaluate other factors of the patient, such as age, family history, etc., to determine the best treatment plan.Only after a comprehensive diagnosis and assessment can the decision on whether surgery is needed be made.
Methods of breast mass surgery
If it is confirmed that surgery is needed after diagnosis, the doctor will select the appropriate surgical method according to the specific situation.Common surgical methods include:1. Local excision: also known as mass excision, only the mass itself is removed and most of the breast tissue is retained.This method is applicable to benign tumors with a diameter of less than 2 cm.2. Breast preservation: remove the mass and a certain range of surrounding breast tissue, while retaining most of the breast.This method is suitable for tumors with large diameter or special location.3. Mastectomy: Thoroughly remove the whole breast, including nipple and areola.This method is usually used in cases of malignant tumors or breast damage as a whole.During the operation, the doctor will also evaluate the condition of lymph nodes, and if necessary, lymph node resection will be performed to ensure that the tumor is completely removed.After surgery, patients need to receive recovery treatment, including wound care, pain management, functional exercise, etc.Doctors will develop personalized rehabilitation programs according to specific conditions to help patients recover as soon as possible.
Precautions after breast mass surgery
After breast mass surgery, patients need to pay attention to the following aspects:1. Wound care: The wound after surgery needs to be cleaned and changed regularly to prevent infection.At the same time, strenuous activities should be avoided so as not to affect the wound healing.2. Pain management: There may be a certain degree of pain after the operation, and the doctor will issue pain medication to help alleviate it.Patients should take medicine on time and give feedback on pain.3. Function recovery: The operation may affect the appearance and function of the breast. The patient needs to carry out recovery training, such as moving the upper limbs, massaging the breast, etc., to help restore normal activity.4. Regular examination: regular reexamination is required after the operation to monitor the change of condition and check the complications.The doctor will make an inspection plan according to the specific situation.In addition, patients also need to pay attention to mental health.Breast surgery may bring some psychological pressure to patients, and doctors can provide relevant psychological counseling and support.Only by strictly following the doctor's advice and doing a good job in postoperative care can the patient recover as soon as possible and regain confidence.
summary
To sum up, the surgical decision of breast lumps requires comprehensive consideration of many factors, including the size, nature, location and shape of the lumps.Through a comprehensive diagnosis, doctors can determine whether surgery is needed and choose an appropriate surgical method.After surgery, patients need to do well in wound care, pain management, functional recovery and other aspects of nursing, while paying attention to regular examinations and mental health.Only through all-round nursing and cooperation can patients recover as soon as possible and regain confidence.In short, the surgical decision and treatment process of breast lumps is a complex process, which requires the joint efforts of patients and doctors.Only when we fully understand the relevant knowledge can we make the right decision and move towards recovery.
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