Breast plastic surgery

Prophylactic mastectomy

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+48 22 654 90 60

+48 22 654 12 98

Preparing for appointment to check eligibility for prophylactic mastectomy with reconstruction

Prophylactic mastectomy is intended for patients with high and very high risk of breast cancer who meet at least one of the following criteria:

- BRCA1 or BRCA2 mutation confirmed by a genetic test

- positive family history:

(a) two cases of breast cancer in first-degree relatives who are 50 years of age or less, or three cases in relatives of any age

(b) bilateral breast cancer in first-degree relatives (simultaneous or non-simultaneous, synchronous / metachronous)

(c) breast and ovarian cancer in first-degree relatives

(d) positive coarse-needle biopsy for proliferative breast disease with atypia

Records recommended for the qualifying appointment

  1. Current breast NMR and other imaging test results (ultrasound, mammography)
  2. Psychological consultation on informed consent for mastectomy to reduce the risk of breast cancer
  3. Results of genetic testing

 

Useful information

Procedure duration ca. 120-180 minutes
Required lab tests blood group, complete blood count, ESR, clotting screen (APTT and INR), creatinine, glucose level, electrolytes (Na, K), urine test, hepatitis B vaccine, ECG, breast ultrasound, BRCA1
Type of anaesthesia general
Length of stay 24 hours
Convalescence ca. 14 days
Suture removal on day 8 to 10
Dressing change on day 3 to 10
Contraindications bleeding diathesis, coagulation disorders, unregulated high blood pressure, unregulated diabetes, purulent infection of the skin and mucous membranes, pregnancy

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