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Julide Sagiroglu MD Facs Assosciate Professor of Surgery

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08 December 2021 Wednesday / Published in Breast Cancer

Treatment of Breast Cancer and Recurrent Breast Cancer

Breast Cancer Treatment

Breast cancer treatment methods and procedures vary in a wide range and are personalized depending on the stage of disease, biological subtypes of the tumor and overall health status of the patient. Breast cancer treatment is managed by a multidisciplinary team consisting of a specialized breast surgeon, medical oncologist, radiation oncologist, breast radiologist and breast pathologist.

Although the priority in the treatment is to treat the cancer while preserving healthy breast tissue, sometimes complete removal of the breast may be mandatory. Radiotherapy and chemotherapy, hormonal therapy, targeted therapy and even biological treatment (immunotherapy) can be necessary following the surgery.

Local treatment is treatment of the area where cancer is present.

Surgical treatment and radiotherapy are means of local treatment. These methods are administered only to cancerous zone and its surrounding in the breast without affecting entire body. Local treatment can also be administered when cancer is found in areas outside breast (lung, liver, bones, etc.).

Systemic treatment affects the entire body. Those are namely chemotherapy, hormonal treatment, and biological treatment. Systemic treatments can be used to downsize tumors in the breast before local treatment administration in some patients. It is also used to treat relapses or widespread cancer in some patients.

Surgical treatment

Surgery is the primary treatment method for breast cancer. Several surgical procedures can be used for breast. Breast surgeon must comprehensively explain advantages, risks, suitability of those surgical procedures to the patient.

Breast conserving surgery is the removal of cancerous tissue together with a certain amount of peripheral healthy breast tissue, and conserving the remaining healthy breast tissue.

Partial mastectomy, segmental mastectomy, lumpectomy are sub-topics of breast conserving surgery, classified by amount and size of the removed breast tissue. Patient’s breast is maintained in all these methods, and radiotherapy is administered to remaining breast tissue to prevent relapses.

Modified radical mastectomy is removal of the entire breast along with lymphatic nodes in the armpit. It is the modified and restricted version of former radical mastectomy in which muscular tissues under the breast are also removed. Radical mastectomy is not administered unless the cancerous lump is extending to muscular layer under the breast tissues.

Axillary dissection is the procedure of removing armpit lymph nodes when cancerous cells have affected the lymphatic system in the armpit. Until recently, it was a mandatory component of breast cancer surgeries.

Axillary sentinel lymph node biopsy is a procedure in which a blue dye material or a radioactive material is administered around the cancerous tumor lump in the breast or under the areola to identify which armpit lymph node (s) uptake these materials, and removal of the involved lymph node only. Thus, most patients do not experience the negative side effects (numbness, swelling in the arm) resulting from removal of the entire armpit tissues. Today, armpit lymph node removal is not required for most patients thanks to axillary sentinel lymph node biopsy.

Objective of all these surgical procedures should be treating the cancer, and then maintain the breast to the possible extent, or otherwise offer breast reconstruction (breast implant, autologuous flaps) as an option to the patient.

Radiotherapy

Radiation treatment is one of the local treatment methods just like surgery, which can be used complementary to surgery as well as alone. Common procedure is external radiation where the desired area is externally irradiated. Radiation disrupts the cancerous cells present in the area of application, and the procedure is performed by a radiation oncologist.

Chemotherapy

It is a chemical treatment used for elimination of cancerous cells. As for breast cancer, usually a combination of a few different chemicals are used. Some of them are administered by injection, while others are taken orally, and the chemicals are delivered to entire body through blood system. It can be administered at hospital, clinic or at home on daily basis or once in every few weeks. The procedure is administered by a medical oncologist.

Hormonal treatment

These are the drugs used against the hormones causing cancer cell growth. They are effective on tumors with receptors susceptible to hormones. It is a systemic treatment similar to chemotherapy.

Targeted treatment

In few subtypes of breast cancer, specific receptors (target proteins) (Her 2) which contribute to uncontrolled growth of the tumor, are expressed.  The drugs used in targeted treatment bind to these receptors, thus inhibiting the cell growth and causing their destruction.

Immunotherapy

These are the drugs that strengthens the patient’s own immune system against cancer cells. Immunotherapy is administered only in selected patients.

Recurrent Breast Cancer

Breast cancers reoccurring after treatment is referred as ‘relapsed cancer’, and develops from the initial tumor cells. Objective of the treatment is to completely eliminate the disease but aggressive tumors may not be completely eliminated even by adjuvant treatment. Cancer may relapse in the initial location or may appear in remote organs. However, advances in adjuvant treatment and radiotherapy (RT) procedures have significantly decreased the risk of relapse for breast cancer.

Relapsed breast cancer may occur after mastectomy or breast conserving surgery, or may occur locally or regionally months, years after the initial treatment.

Recurrent breast cancer treatment is defined in detail per surgical guidelines, and managed by a multidisciplinary team depending on the area and time of recurrence.


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Tagged under: aksiller diseksiyon, axillary dissection, bölgesel nüks, breast cancer treatment, hormonal treatment, immunotherapy, local recurrence, lokal nüks, lumpectomy, nüks meme kanseri, partial mastectomy, radiotherapy, radyoterapi, recurrent breast cancer, regional recurrence, segmental mastectomy, sentinel lymph node biopsy, surgical treatment, targeted treatment

What you can read next

meme kanserinin belirti ve bulguları, breast cancer signs and symptoms
Breast Cancer Signs and Symptoms
meme kanserinin nedenleri
Causes Of Breast Cancer And Risk Factors
Onkoplastik Meme Cerrahisi
Oncoplastic Breast Surgery

Breast Cancer

  • Causes Of Breast Cancer And Risk Factors
  • Breast Cancer Signs and Symptoms
  • Treatment of Breast Cancer and Recurrent Breast Cancer
  • Oncoplastic Breast Surgery
  • Early Diagnosis in Breast Cancer

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Happy UAE National Day…#uaenationalday #uae🇦🇪 #ladysurgeon🙏 #dubai #abudhabi #sharjah #fujeirah #ummalquwain #rasalkhaimah #ajman #friendship
Watching behind the wing… To nowhere… #travell Watching behind the wing… To nowhere…
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Our amazing teamwork has been published recently. Our amazing teamwork has been published recently. Together we prosper…
#rarecases #surgicalemergencies #bowelobstruction #pregnancy #obstetricemergencies #radiology #mri #teamwork #cooperation #collaboration #communication #promptsalvage #finalcountdown⌛️ #expertise #experience #ladysurgeon #kadıncerrah #uae🇦🇪 #qatar #türkiyem🇹🇷 #babyandmother
Regular exercise is an excellent way to prevent br Regular exercise is an excellent way to prevent breast cancer as it maintains balanced harmony of all essential hormones in our body. Light workout for 45 min. 3 days a week, jogging, swimming, dancing or any indoor or outdoor workout activity as you like will dramatically change your life and chances of getting breast cancer.  #breastcancerawareness #pinkoctober🎀 #workout #cancerprevention #lifesylechange #foreveryoung #action #actnowforfuture #wellness #breastsurgeon #oncoplasticbreastsurgery #kadıncerrah #sporşart💪 #regularexerciseisgoodforhealth #activewoman #dailyexercisedose #eathealthy #günlükegzersiz #memekanserindenkorunmayolları #onkoplastikmemecerrahı #uae🇦🇪 #dubai #türkiyem🇹🇷 #qatar🇶🇦 #doha #pembeekim🎀🎀🎀 #iracmultispecialtyclinicdubai #fmcdubai #pearldohaqatar
You are what you eat… Ne yersen osundur… Did y You are what you eat… Ne yersen osundur…
Did you know that your dietary preferences severely influence your risk of getting any kind of cancer including breast cancer? A well balanced nutrition containing low fat, high fiber, balanced protein and carbohydrates derived from all natural food sources rich with all types of essential vitamins with a good exercise plan will definitely change your life as well as lower your risk of getting breast cancer. Consult your breast specialist now.
#breastcancerawarenessmonth #pinkoctober🎀 #uae🇦🇪 #balaceddiet #naturalfood #dubai #oncoplasticbreastsurgery #doha #qatar🇶🇦 #turkiye🇹🇷 #dietaryresolutions #foreveryoung #iracmultispecialtyclinicdubai #fmcclinic #breastsurgeon #pinkisthesignaturecolor💕🌸 #highfiberdiet #lowfatdiet #balanceddiet #exerciseforcancer #freshvegetables #naturalfoodsources #sağlıklıyiyeceklerkanserdenkorur #erkentanıhayatkurtarır🎀 #egitimşart #continuededucationisamust #youarewhatyoueat💪 #memecerrahı #memekanserindenkorunma #neyersenosun☺️🌾🌿☀️
This month of October is full of worldwide opportu This month of October is full of worldwide opportunities and campaigns to visit your breast surgeon. Early diagnosis saves lives.
#breastcancerawareness #pinkoctober🎀 #ladysurgeon🙏 #breastsurgeon #breastcancerawarenessmonth #oncoplasticbreastsurgery #earlydiagnosissaveslives #octobercampaigns #kadincerrah #memekanserifarkındalıkayı #pembeekim🎀🎀🎀 #pinkribbon #erkenteşhishayatkurtarır #dontbelate🕑 #geçkalmayın #foreveryoung #pembebalonlar #pinkbaloons #uae🇦🇪 #dubai #qatar🇶🇦 #doha #turkiye🇹🇷 #ıstanbul #bodrum
Welcome to the month of October which is also know Welcome to the month of October which is also known as ‘pink october’ in the medical arena. This month is specifically important as it offers many training and check up campaigns for breast cancer awareness provided by several clinics and breast specialists including myself. Early diagnosis saves lives.
#ladysurgeon🙏 #pinkoctober🎀 #pinkmonth🎀 #breastcancer #breastcancerawareness #getyourbreastschecked #oncoplasticbreastsurgery #fmc #irac #breastsurgeon #earlydiagnosissaveslives #earlydetectionsaveslives🎀 #erkentanıhayatkurtarır🎀 #egitimşart #herşeyinbaşıeğitim #memekanserifarkındalığı #memecerrahisi #memecerrahı #kadıncerrah #foreveryoung  #ekim #ekimmemekanserifarkındalıkayı #turkiye🇹🇷 #uae🇦🇪 #qatar🇶🇦 #dubai #doha
In the treatment of breast cancer, extent of surgi In the treatment of breast cancer, extent of surgical resection of breast depends on multiple factors such as size, location, margins, spread of the tumor as well as bilaterality (both breasts) and gene positivity. Various different approaches from total breast resection (mastectomy) to resection of only tumor and aesthetic reconstruction may be suitable depending on individual features. Consultation with your breast surgeon will provide the best answers.
#breastcancer #resection #mastectomy #oncoplasticbreastsurgery #breastsurgeon #breastcancerawareness #individualsolutions #surgery #ladysurgeon🙏 #kadıncerrahlar #memecerrahı #memekansericerrahisi #memecerrahisi #onkoplastikmemekansercerrahisi #mastektomi #lompektomi #irac #fmc #cmc #dubai #uae🇦🇪 #doha #qatar🇶🇦 #türki̇ye #herşeymümkün #allpossiblesolutions
Robotic surgery is a feasible technique in the man Robotic surgery is a feasible technique in the management of breast cancer however, it requires a considerable upper level technical training for the surgeon which will take years. Considering the huge expenses and its indications in a very narrow case spectrum, I am still very confident and happy with today’s conventional surgical procedures. Nevertheless, in the very near future robotic breast surgery will be more popular as more delicate devices take their places on the stage.
#uae🇦🇪 #ladysurgeon🙏 #irac #fmc #qatar #breastcancerawareness #breastsurgeon #doha #roboticsurgery #surgicalrobots #roboticbreastsurgery #eğitimşart #cme #continuingmedicaleducation #futureisnow #futuristik #kadıncerrah  #oncoplasticbreastsurgery #cancersurvivor #dubai #minimalinvazifcerrahi #minimallyinvasivesurgery #foreveryoungandwise #smart #eğitimkanatlandırır #kızlarokusun #scarlesssurgery #türkiye
Men can also get breast cancer although the rate i Men can also get breast cancer although the rate is lower than women. So an abnormal lump or an enlargement in breast should immediately urge for breast surgeon consultation. It is often deadlier than women’s cases.
#mensoncology #breastcancerinmen #deadlier #serious #urgent #breastsurgeon #ladysurgeon🙏 #dontunderestimate #breastlumpinmen #erkektememekanseri #erkekmemehastalıkları #breastcancerawareness #allgendersmatter #oncology #kadincerrah #onkoplastikmemecerrahisi #uae🇦🇪 #qatar #türkiyem🇹🇷 #boys#imaschi #kanser #cerrahitedaviler #irac #fmc #ladysurgeonincharge #irac iracmultispecialtyclinic #dubai #fmc #ritu
Men can suffer enlargement of breasts (gynecomasti Men can suffer enlargement of breasts (gynecomastia) due to variety of causes. Mostly there is hormonal imbalance behind this condition and it can be treated. Surgical approach is the fastest and most efficient method for the correction of gynecomastia. 
#boys #gynecomastiasurgery #breastsurgery #enlargementofbreastsinmen #hormones #mensdiseases #ladysurgeon🙏 #cosmeticoutcome #gynecomastia #men #handsome #masculine #atlethic #surgery #jinekomasti #jinekomastiameliyatı #erkektememeküçültme #memecerrahı #memecerrahisi #atletikgörünüm #erkek #uae🇦🇪 #dubai #türkiye #qatar #doha #iracmultispecialtyclinicdubai #dohapearlqatar
If you are suffering an abdominal hernia with a sa If you are suffering an abdominal hernia with a sagging belly after multiple deliveries, solution is simultaneous surgery for hernia repair with an abdominoplasty. Results are beyond your imagination. Seek for a consultation from your surgeon today🌺#sagging #saggingbellytoflatbelly #hernia #herniarepair #abdominoplastywithherniarepair #flatabdomengoals #ladysurgeon🙏 #dohaqatar #dubai #uae🇦🇪 #turkiye #wellbeing #solutions #surgicalcorrection #beautifulandhealthy #multipledeliveries #beautifulmoms💖 #surgicaltricks #tummytuckwithherniarepair #pearlinternationaldoha #iracmultispecialtyclinicdubai #fmcdubai #fıtıkveabdominoplasti #breastsurgeon #gcc #generalsurgeon #femalesurgeon #kadıncerraheniyisidir
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Fields of Interest

  • Breast Diseases and Surgery
    • Benign diseases of breast
    • Breast Cancer
  • Laparoscopic Surgery
    • Laparoscopic Appendectomy
    • Laparoscopic Gallbladder Surgery
    • Laparoscopic Hernia Surgery
  • Proctologic Diseases and Surgery
    • Anal Abscess
    • Anal Fissure
    • Anal Fistula
    • Anorectal Pain
    • Hemorrhoid
  • Surgical Diseases of Thyroid and Parathyroid
    • Parathyroid Surgery
    • Thyroid Surgery
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Julide Sagiroglu MD. FACS., Associate Professor of Surgery © 2022 All rights reserved.

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