How long does breast cancer surgery take?

Written by Lin Yang
Breast Surgery
Updated on September 23, 2024
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Generally speaking, for breast cancer surgery, local anesthesia is first used to biopsy the pathology. After removing the pathology, it is quickly determined whether it is malignant or benign. Then, the procedure is switched to general anesthesia to perform either modified radical mastectomy or radical mastectomy, or a sentinel lymph node biopsy. The approximate time is about two hours, plus postoperative care, it usually ends in about two and a half hours, and then the patient is sent back to the ward to rest, generally not exceeding three hours.

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Breast cancer chemotherapy regimen

Breast cancer chemotherapy regimen. Thus, chemotherapy occupies a very important position in the treatment of breast cancer. The commonly used chemotherapy drugs in breast cancer treatment include alkylating agents, such as cyclophosphamide; antimetabolites like fluorouracil, methotrexate, gemcitabine, and capecitabine; anthracyclines, such as doxorubicin and others. In recent years, taxanes, particularly docetaxel, have been used more frequently. Other drugs include mitomycin and cisplatin, among others. However, the specific chemotherapy regimen for breast cancer should be assessed by a professional oncologist. The regimen should consider the pathological stage, pathological type, whether surgery was performed, whether the surgery completely removed the tumor, lymph node metastasis, and other factors to devise a suitable chemotherapy plan. Therefore, it is possible that each individual might have a regimen that is specifically suited to their situation, and not all regimens are suitable for everyone.

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Does breast cancer cause hair loss in the early stages?

Breast cancer generally does not directly cause hair loss. In some cases, if it is breast cancer, it may cause anxiety, poor rest, and sleep quality, which might lead to relatively noticeable hair loss. However, hair loss associated with breast cancer mainly occurs during chemotherapy, as it is a common side effect of the treatment. Therefore, apart from chemotherapy, the relationship between breast cancer itself and hair loss is not particularly significant. While some people may experience noticeable hair loss, most do not have obvious hair loss.

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Symptoms of breast cancer metastasis

Symptoms of breast cancer metastasis first involve the lymph nodes, with multiple enlarged lymph nodes that can be felt beneath and above the collarbone. These can be diagnosed as metastases from breast cancer using color Doppler ultrasound and cytopathology puncture. The second symptom is bone metastasis. If there is pain in the pelvic or rib area, and an increase in alkaline phosphatase in the blood biochemistry, high suspicion of bone metastasis should be considered. It is necessary to conduct a PADCT or bone scan for further confirmation. If symptoms like coughing, expectorating phlegm, and blood-tinged sputum appear, lung metastasis should be considered, requiring further diagnosis with a CT scan.

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How long does breast cancer surgery take?

There are many types of surgery for breast cancer clinically, and the most commonly used currently are the modified radical mastectomy and breast-conserving surgery for breast cancer. The timing of the breast cancer surgery, the specific surgical method, anesthesia method, the proficiency of the surgeon, and whether rapid pathology is needed during surgery are all factors that affect the duration; therefore, the surgery time is not fixed. In most cases, the modified radical mastectomy for breast cancer takes about two hours. If rapid pathology is needed during the surgery, the time may also be extended accordingly, so it needs to be determined based on the specific situation.

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Postoperative drainage care for breast cancer surgery

After breast cancer surgery, drainage tubes are generally required. Negative pressure drainage ensures that there is no accumulation of fluid after the surgery, and it also allows for observation of any postoperative bleeding. In most cases, if the drainage is substantial, the tube can be removed four to seven days after surgery, but it can generally be removed around three days post-operation. The drainage tube should always be kept clear. If the drainage is obstructed, a small amount of saline water can be used for flushing, or the drainage tube can be moved to achieve adequate drainage. The drainage fluid should be emptied daily, and care must be taken to maintain the sterility of the negative pressure drainage device.