Treatment of breast cancer
All clinical researches, surgeries and other therapies are conducted based on the most recent developments in the medical science and following the standards implemented by the world leading cancer management centers. Multidisciplinary approach is the key distinguishing feature of our Clinic. The treatment is conducted by a team of medical oncologists, radiation oncologists, surgical oncologists, chemotherapists, cancer gynecologist, pathologists and reconstructive surgeons.
Breast cancer treatment depends on tumor size, cell components and tumor process prevalence. The goal of treatment is always the same: complete removal of the cancer cells with the least possible damage to the rest of the body. In some cases, chemotherapy precedes the surgery. It reduces tumor and provides for efficient organ-preserving surgery. Rarely breast can be removed and breast reconstruction can be carried out using autologous tissue or implants. The key aspect is that any type of treatment, such as radiotherapy, chemotherapy, hormonal therapy, and surgeries, will be carried out by the regular multidisciplinary councils of specialists where an individual treatment plan is developed for each patient.
Breast Cancer Treatment in INNOVACIA Cancer Center includes:
Reconstruction Surgery, including those using autologous tissues and/or implants;
Originally, the breast cancer treatment was based solely on surgery. Later, this policy has gradually changed. Even mastectomy in itself has undergone changes.
The key principle of breast surgery treatment in INNOVACIA Cancer Center is organ-preserving.
Planning surgery, as part of treatment, relies on many factors, such as stage of tumor, its characteristics, systemic conditions, concomitant diseases, etc.
There are two types of breast cancer treatment: organ-preserving surgery and mastectomy (surgical removal of breast).
Organ-preserving surgery is usually associated with lumpectomy that removes a discrete breast lump. Lumpectomy is normally followed by radiation therapy of the remaining breast tissues;
Mastectomy is surgical removal of entire breast.
With invasive cancer both of these surgeries are combined with mandatory axillary lymph nodes removal. It is termed lymphadenectomy. Also each of the above referred methods can be combined with a systemic therapy, such as hormonal or chemotherapy.
The need for systemic therapy doesn’t depend on type of surgery. Therefore, it needs to be noted that your condition may require chemotherapy even after mastectomy. At the early stages of cancer we offer the removal of signal lymph nodes instead of conventional axillary lymphadenectomy.
Decades ago women agreed to surgeries without any confidence in saving a breast.
Ever since then the approach has drastically changed. Today the treatment plans are developed with a much greater involvement of patients. A thorough research is performed to reveal the nature of a tumor prior to surgery. A multidisciplinary council makes a decision on the most appropriate surgical procedure. Consultations with plastic surgeon are essential for best response to woman’s preferences.
The full range of modern breast surgery is performed in INNOVACIA Clinic Breast Care Centre.
Lumpectomy is a surgical procedure that involves removing a suspected malignant tumor and a small portion of the surrounding healthy tissue from a breast;
Quadrantectomy is a surgical procedure in which entire segment, a "quadrant" or approximately one-fourth, of the breast is removed along with tissues surrounding a tumor;
Mastectomy is surgical removal of one or both breasts and regional lymph nodes. It is used when breast lymphatic drainage lymph nodes are involved in tumor process;
Partial mastectomy is surgical removal of part (segment) of breast. It is performed in cases of large-size milk cyst, fibroadenoma, chronic suppurative processes;
Lymphadenectomy consists of the surgical removal of one or more groups of affected lymph nodes. During lumpectomy or mastectomy a group of lymph nodes affected with metastasis are removed in axillary region. These nodes become a subject of histological study which helps physician to evaluate the spread of tumor. Presence of cancer cells confirms high risk for these cells to be found in other organs and tissues, i.e. the risk of metastasis.
Chemotherapy is among the systemic methods of breast cancer management. Chemotherapy means prescription of cytostatic drug to prevent tumor growth and destroy tumor cells. Chemotherapy may be prescribed before and after the surgery. Before the surgery, the cytostatic drug facilitates tumor reduction which helps preserving the sound tissues of breast during surgery. Postoperative chemotherapy facilitates stopping of metastases spread and prevents recurrence of disease.
INNOVACIA Cancer Center offers the outpatient or inpatient settings for chemotherapy. The choice depends on a recommended treatment plan and patient’s wishes. Individual chemotherapy programs are developed according to international treatment standards. Dosage, sequence and quality of drugs strictly comply with all international protocols. Only genuine medications manufactured by the leading Western pharmaceutical companies are used in the treatment protocols. Chemotherapy department of INNOVACIA Clinic uses the advanced equipment for accurate control of speed and duration of drug administration.
Breast radiation therapy is mainly the suppression of tumor or possible metastases by means of linear accelerator. Radiation therapy creates better conditions for surgery and increases its safety and radicalism by killing tumor cells and/or reducing their viability.
As a rule, in recent years, radiation therapy is carried out in the postoperative period in patients with breast cancer who have a risk of local recurrence of the disease. Also, physicians recommend radiation therapy to a significant portion of patients after organ-preserving surgeries (sectoral or segmental resection with axillary lymph node dissection). It decreases the risk of breast cancer local recurrence of the remaining part of the breast by 50-60%. Radiation therapy carried out using computed tomography and modern linear accelerators is usually not followed by complications and/or side effects that require suspension or termination of treatment.
INNOVACIA Cancer Center uses the state-of-the-art Varian (Clinac 2100˚C) Linear Accelerator manufactured in the USA in 2009. Varian Linear Accelerator enables to irradiate tumors located anywhere on the skin surface and/or under it at any depth. Radiation therapy may be conducted in an outpatient or inpatient setting.