ORBS A New Era in Breast Cancer Surgery

breast cancer is the most common cancer among Indian women and an estimated 400,000 women die annually from this disease in the world. Although the mortality rate dropped over the past two decades, the incidence continues to rise with an average life-time risk of approx.10 posto.Incidencija inDelhi recorded 24.8 new cases of breast cancer per 100,000 women per year, which rose to 32.2 in 2005. the incidence begins to rise in the early thirties of age and reaches a peak in the age group 50-65 stanovništva.Rizik of breast cancer approximately doubles if a woman has a first degree relative (mother, sister, or daughter) who was diagnosed with breast cancer.

most significant for breast cancer are gender (as women) and age (aging). Approximately 90% of breast cancers are due to genetic abnormalities that occur as a result of the aging process and life in general.

About 20-30% of women diagnosed with breast cancer have a family history of breast cancer.

About 5-10% of breast cancers are caused by gene mutations inherited from the mother or father. Mutations in the are the most common. Women with these mutations have up to 80 percent risk of breast cancer during their lifetime and they are often diagnosed at a younger age (50 years ago). Early detection of breast cancer has an instrumental role in order to achieve a cure for this cancer.

Era Surgical treatment is started with surgery supraradical down radical operations that traditional Halsted mastectomy then came the era of the modified approach. This aggressive surgical operation did not show any improvement in overall survival (OS). Patients benefit not only the psychological trauma, but in the long term have a lot of other complications such as lymph edema of the hands, etc. to overcome these shortcomings aggressive approach, we set conservative surgery. After favorable results were reported as a result of years of major trials that demonstrated comparable survival that is independent of surgical recurrence, and mastectomy versus BCT. This review was requested to provide an aesthetic approach to conservative surgery for breast cancer. This resulted in a new era in the surgical treatment of breast cancer and the mode is called balls.

balls means oncoplastic and reconstructive breast surgery. Oncoplastic Oncosurgical surgery combines principles with plastic surgical techniques.

oncoplastic concept is the wave of the future for the surgical treatment of breast cancer. This is a fast emerging and innovative technology that not only changed the surgical management of breast cancer, but to alleviate psychological trauma of losing her breasts or live with a disfigured breast. Gone are the days when surgeons were simply left to fill the cavity of hematoma formation or allow seroma.Oncoplastic surgery becomes a necessary skill for all the dedicated breast surgeon, or a General surgeon and plastic surgeon in combination.

Today, breast conservation therapy has become standard of care for many women diagnosed with breast cancer. Until now, the practice of breast conservation surgery where standard BCT is the primary treatment is partial mastectomy (lumpectomy or Quadrantectomy) with adjuvant chemotherapy and radiation. However, the incidence of poor cosmetic results with a relatively high standard BCT. Now oncoplastic techniques has not only saved his chest, but maintains that the breast aesthetic, symmetrical and well oblikovano.Lošeg planning in breast conservation surgery (BCT) has resulted in some times of unacceptable deformity.

This technique eliminates poor cosmetic result after wide excision of the tumor. Oncoplastic resection is the therapeutic process, not a breast biopsy. It is performed on patients with proven diagnosis of breast cancer. Our main goal is to go to the operating room one time and make the final process that does not require re-operation. Whenever possible, initial breast biopsy, should be using a minimally invasive percutaneous techniques or vacuum assisted syringe and needle or core biopsy biopsija.Rez core is very small and can be closed with Steri Strip.