A female 20 years old
It's like a flower that blooms brightly
Love, the future...
The possibilities are endless
And 20-year-old Tong Tong (pseudonym)
Lost left breast because of breast cancer
But the sun is always after the wind and rain
2 years later
The experts who once snatched her back from breast cancer used technology
Returned her a beautiful left breast
A young girl who has regained her life and embraces the good life again
Take a shower and feel the lump
The local hospital said it didn't matter?
Two years ago, Tong Tong was 20 years old, a college student in a college in another province, and accidentally felt a small walnut-sized lump on her left breast when she was taking a bath, so she went to the local hospital for a B ultrasound examination, when the diagnosis was considered fibroadenoma, Tong Tong did not take it seriously.
But after a while, she felt that the lump seemed to be larger than before, she called her mother to tell her about this, Tong Tong's mother immediately took Tong Tong to find the specialist clinic of Wei Haiyan, deputy director of the Department of Breast Surgery of the First Affiliated Hospital of Zhejiang University School of Medicine, Wei Haiyan, deputy director of Wei Haiyan felt that the shape of the lump was not like a typical fibroadenoma, and suggested that Tong Tong first make an appointment to review the breast ultrasound in the First Hospital of Zhejiang University, and again B ultrasound examination showed that there were multiple lesions in the left breast, and there were 4C class nodules in the four quadrants of the breast , the left axillary lymph node morphology is not optimal.
Director Wei immediately suggested that there was no hurry to operate, and a thick needle puncture biopsy of the left breast mass and the lymph node of the left armpit as soon as possible, after Tong Tong accepted the recommendation and biopsy, the pathology report showed that "(left breast) invasive carcinoma, (left armpit lymph node) saw cancer metastasis." The results of the puncture once again confirmed Director Wei Haiyan's conjecture that the lymph nodes were indeed violated by breast cancer.
The good news is that Tongtong's breast cancer is not advanced. But the bad news is that the left breast can't be saved, and radiation therapy is still needed after the operation.
She beat breast cancer
But lost her left breast forever
Too late to cry about the injustice of fate to her, Tong Tong began to treat breast cancer. Deputy Director Wei Haiyan considered that Tong Tong was still in the flower season age, and the road ahead was still very long. When helping her formulate the treatment plan, on the basis of fertility function protection, the preoperative chemotherapy for tumor hypothesis was carried out, and after the successful end of chemotherapy, the assessment of breast MRI was carried out, and the obvious multi-lesion and axillary lymph nodes in the early stage of the disease had disappeared! When performing surgical treatment, considering that the chemotherapy and radiotherapy required after surgery may have a negative impact on the reconstructed breast, Deputy Director Wei Haiyan specially helped her to do a safe "single cut under the skin" operation to retain the nipple and areola, and implanted a temporary bladder dilator under the left breast skin to maintain the basic shape of the left breast and help Tong Tong pave the way for "butterfly transformation" in the future.
Tong Tong, who lost his left breast, began the road to radiation therapy. Fortunately, she defeated breast cancer and spent the most dangerous 2 years, "Tongtong's breast cancer generally does not recur in 2 years, and the chance of recurrence will be significantly reduced." Deputy Director Wei Haiyan thought that Tong Tong had overcome the disease and it was time for her to return a trick of youth.
Latissimus dorsi orally "turned" into beautiful breasts
The flower girl smiled
"The latissimus dorsi muscle in our body is a good soft tissue, and its feel is close to the real breast feel, so we plan to 'return' a more real breast." Deputy Director Wei Haiyan's latissimus dorsi refers to the use of latissimus dorsal muscle with peduncle flap transplantation to the breast for reconstruction.
This method of reconstructing the patient's own tissue, professionally called "autologous tissue reconstruction", has the best long-term effect. The latissimus dorsi muscle has the highest use rate because it has little effect on the human body and is close to the breast.
However, latissimus dorsal reconstruction alone is only suitable for women with small breasts. For women with large breasts and cannot bear the risk of surgical reconstruction of abdominal tissue, the reconstruction of the latissimus dorsi muscle combined with artificial breast (prosthesis) may be considered. We can understand that the soft latissimus dorsal muscle is transferred from the back to the chest wall, and as a "filler" of the breast, it replaces the water bladder that was previously inserted to maintain skin tension (the basic shape of the breast), and reproduces the normal soft feel and natural curve of the female breast.
"There's no need to worry about what effect our latissimus dorsal muscles behind us will do." Deputy Director Wei Haiyan said that after the latissimus dorsi is moved to the chest wall, it will not affect the function and shape of the human body, but in the past, most of the traditional methods were to open the latissimus dorsal muscle, which would leave a traumatic scar of 15-25cm.
(Traditional Technique)
"A 20-year-old girl, there is still a long way to go, we must give her a youth that tries not to leave regrets." To this end, Deputy Director Wei Haiyan chose a laparoscope to free the latissimus dorsi muscle and then transfer it from the back to the chest, providing a healthy soft tissue layer for the reconstruction of the breast. This wound hides the armpit, no more than 5 cm, which is much more beautiful than the traditional surgical method.
Because Tong Tong's own breasts are relatively plump, in order to maintain the same size as the right breast, it must be filled with a prosthesis, but due to the blessing of the latissimus dorsi muscle, there is no need for a more expensive natural prosthesis, only an ordinary and cheaper round prosthesis. "We covered the free latissimus dorsi muscle on a small, ordinary circular prosthesis, which ensured that the left and right breasts were evenly sized and had the feel of real breasts." After preoperative evaluation, Deputy Director Wei Haiyan used a single-hole laparoscopic combined prosthesis for breast reconstruction, which not only retained the vascular supply of nutrients of the original flap, solved the problem of excessive skin tension of the incision, but most importantly, the gorgeous "turned" latissimus dorsi muscle had a fixed effect on the prosthesis, (if it is operated at the same time as breast cancer, it can also more effectively replace the role of expensive biofilms), which can significantly reduce the risk of large changes in breast shape, prosthesis displacement or scar contractures on the affected side after Tong Tong surgery. This surgical method not only does not increase the risk of bleeding, but also the operation time will not be prolonged because of single-hole laparoscopy, the breast surgery department of our hospital, as the larger center in China, currently only needs 3-4 hours, there is room for shortening, as a mature surgical technique, far shorter than the 6-7 hours reported in some literature.
(Two weeks after surgery, the scar on the breast is the scar from the operation two years ago and then plastic repaired, so it is a "fresh" scar)
After the operation, Tong Tong smiled satisfactorily in the mirror.
According to the latest epidemiological data released by the World Health Organization's International Agency for Research on Cancer (IARC) in 2020, it shows that the number of breast cancer patients exceeds lung cancer for the first time to become the most common cancer in the world. "A lot of women lose their breasts to save their lives, and we're trying to save their lives and beauty." Deputy Director Wei Haiyan said that the latissimus dorsiomastia breast reconstruction has provided a gospel for many women after breast cancer surgery and also given them self-confidence as women.