Cirugía de mama
Breast cancer affects one in eight women throughout their lives, yet not every hospital in the nation has dedicated breast surgeons. At the Department of Surgery at Montefiore Medical Center, Chairman Robert E. Michler, MD is committed to hiring the finest subspecialty surgeons who work in a multidisciplinary fashion to personalize treatment for each individual patient.
Advanced Breast Surgery
El equipo multidisciplinario del Centro Oncológico Integral Montefiore Einstein está compuesto por: oncólogos médicos, oncólogos quirúrgicos, radioterapeutas, cirujanos plásticos y reconstructivos, trabajadores sociales, genetistas, patólogos, radiólogos, coordinadores de atención al paciente, psicólogos y un especialista en linfedema. Cuando los pacientes acuden a sus citas, se reúnen con diversos miembros de su equipo especializado.
The ultimate goal for each patient is to come up with a personalized plan that considers both the optimal cancer care and the expectations and desires of each patient.
The surgeons in the Division of Breast Surgery at Montefiore offer a variety of surgical approaches to breast cancer patients. Factors that are considered important during surgical treatment planning include tumor size, location, breast size, and patient preference. Based on these and other factors, patients will be offered one or more of the following options:
Mama
- Lumpectomy (breast-conserving surgery): removing only the cancerous tissue with a surrounding rim of normal tissue. This operation requires post-operative radiation therapy.
- Mastectomy: the removal of all breast tissue
- Skin-sparing mastectomy: the removal of all breast tissue with preservation of the skin of the breast, but not the nipple and areola.
- Nipple-sparing mastectomy: the removal of all breast tissue preserving the skin of the breast, the nipple, and areola. This operation is only offered in very selected cases.
- Modified radical mastectomy: the removal of all breast tissue and the underarm lymph nodes, which have been affected by cancer.
Underarm (Axillary) Lymph Nodes
- Sentinel lymph node biopsy: the mapping, removal, and microscopic examination of the sentinel nodes, which are the first lymph nodes to receive cancer cells from breast tumors.
- Axillary lymph node dissection: The removal of the axillary lymph nodes when cancer has spread to those lymph nodes.
Cirugía reconstructiva
- Oncoplastic surgery: The objective of oncoplastic surgery is to combine complete tumor resection with optimal cosmetic outcome in the setting of breast conserving surgery (lumpectomy). Oncoplastic surgery is considered an integral part of "personalized surgery" and underscores the need to tailor surgery to each individual patient and breast cancer.
- Post-mastectomy breast reconstruction:
- Autologous tissue reconstruction: This technique uses muscle and fat derived from the patients' body (usually from the back or the stomach) to re-create the shape of the breast.
- Tissue expander and implant reconstruction: This technique uses tissue expanders followed by saline or silicone implants to re-create the shape of the breast.
Our Commitment to Exceptional Care
El equipo del Centro Oncológico Integral Montefiore Einstein cree firmemente que la atención coordinada en un centro oncológico especializado, respaldada por una sólida base de estudios de investigación activos, es esencial para el éxito del paciente. El destacado Centro de Cáncer de Mama de Montefiore Einstein combina una atención clínica excepcional mediante un enfoque multidisciplinario con el más alto nivel de investigación.
MECCC initiates various research studies and participates in many of the national trials currently in progress. Our oncologists discuss eligibility with each of our patients to optimize their treatment at Montefiore. All of our research endeavors have the common goal of improving patients' quality of life and overall survivorship.
