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Existem vários mitos e crenças que envolvem o tratamento cirúrgico do câncer de mama. Muitas pessoas ainda acreditam que a retirada total da mama é sempre necessária. O planejamento cirúrgico baseia-se na avaliação da proporção tamanho da mama X volume tumoral.

Na cirurgia conservadora preserva-se a mama, realizando-se apenas a retirada do tumor com uma margem de segurança e posterior tratamento com radioterapia.

A mastectomia – que pode ou não incluir a preservação do mamilo – pode ocorrer, porém, em situações especiais, tais como: a presença de lesão grande em relação ao volume da mama, nódulos extensos e difusos, pacientes portadoras de mutações genéticas, em casos em que há contraindicação à radioterapia e, por fim, se houver o desejo expresso da paciente.

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A remoção cirúrgica e o exame histopatológico dos linfonodos ainda permanecem como padrão na avaliação do acometimento axilar. É considerado o principal indicador de prognóstico, e junto ao padrão genômico e molecular do tumor é determinante da terapia sistêmica adjuvante. Chamamos de LINFONODO SENTINELA o primeiro linfonodo que recebe a drenagem linfática da mama, consequentemente do tumor. A biópsia do linfonodo sentinela (BLS) é uma técnica que vem sendo estudada há mais de 15 anos, e sua detecção tem finalidade de predizer se o câncer está localizado ou já atingiu a região axilar. Dentro deste modelo, se este linfonodo não estiver comprometido por metástase, pode-se assumir que existem poucas possibilidades de se encontrarem doença em outros linfonodos axilares distais a ele, tornando o esvaziamento axilar desnecessário.

Em pacientes com axila clinicamente negativa é uma alternativa potencial para evitar a Linfadenectomia Axilar (EA) proporcionando resultados igualmente confiáveis com relação ao estadiamento, além de ser um procedimento menos invasivo e com chances de alta hospitalar antecipada, proporciona efeitos psicossociais positivos, e uma diminuição da morbidade e melhor qualidade de vida.

O comprometimento axilar é proporcional ao tamanho tumoral, e em situações de contraindicações absolutas à técnica do BLS – carcinoma inflamatório, presença de adenopatia axilar (“doença” seja clinicamente ou comprovada citologicamente), a realização da linfadenectomia é indicada. Esta dissecção dos linfonodos axilares pode resultar em morbidades do membro superior como infecção da ferida, formação de seroma, fraqueza do braço, rigidez, disfunções sensoriais, dor, restrição da mobilidade do braço e o linfedema, podendo atingir de 7% a 37% das mulheres submetidas ao procedimento cirúrgico.

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A mama é considerada símbolo de feminilidade e sexualidade, e a mastectomia (retirada da mama) para o tratamento do câncer pode ocasionar distúrbios psicológicos na paciente. A mulher acometida por essa doença se depara com a aceitação e convivência de um corpo marcado por uma nova imagem, podendo manifestar assim, uma insatisfação, compreensível. Ocorrem alterações significativas em diversas esferas de sua vida, tais como: atividades sexuais, vida social e até, em alguns casos, vida laborativa.

A Lei 12.802, sancionada em 24/04/2013, garante as mulheres que se submetem à mastectomia (retirada de uma ou das duas mamas) o direito de ter suas mamas reconstruídas no mesmo ato cirúrgico. A exceção são aquelas cujo quadro clínico não oferece condições para isso, ou seja, caso o estado da paciente ofereça riscos à sua saúde, a reconstrução poderá ser feita meses depois.

Segundo dados da Sociedade Brasileira de Mastologia, apenas 20% das mulheres têm sua mama reconstruída quando tratadas no sistema público de saúde.

A reconstrução mamária devolve à mulher a forma e o volume da mama, melhorando a autoestima e a qualidade de vida. Em certos casos, parece até melhorar a evolução, provavelmente pela melhor imunidade anticancerosa, favorecida pelo equilíbrio emocional.

Existem diversas técnicas de reconstrução, a escolha pelo mastologista é sempre individualizada. São levados em conta aspectos como: estadiamento no momento do diagnóstico, tamanho das mamas, quantidade de pele retirada, quantidade de tecido adiposo abdominal, presença de cicatrizes prévias, condições clínicas de cada paciente, possíveis tratamentos complementares da doença (quimioterapia ou radioterapia), e a preferência da paciente. Basicamente podem ser usados implantes de silicone, próteses expansoras temporárias ou definitivas, retalhos com músculo e pele de outra região, como do abdome (músculo reto abdominal) ou do dorso (músculo grande dorsal). Nem sempre é possível obter um resultado definitivo com uma única intervenção cirúrgica. Com as técnicas de lipofilling (lipoenxertia)- envolve coleta e transferência de pequenas quantidades de gordura de áreas, como abdome, face interna das coxas, culotes, flancos, após o devido preparo – é possível reparar pequenas deformidades após tratamentos cirúrgicos, correção de defeitos congênitos e prevenção de assimetrias. A Aréola e papila não são refeitas no mesmo ato da reconstrução mamária, preferencialmente, são reconstruídas posteriormente com tatuagens, enxertos de pele da raiz da coxa ou vulva, ou transferência de parte do mamilo contralateral.

A existência de fatores de risco (obesidade e tabagismo), e demais comorbidades podem comprometer o resultado cosmético satisfatório. A radioterapia em mama reconstruída com silicone aumenta um pouco a frequência de complicações, como endurecimentos (contraturas de cápsula), retrações e assimetrias.

Conforme estudos recentes, a cirurgia oncoplástica consagrou-se como técnica cirúrgica oncologicamente segura, com melhora tanto no resultado estético como no controle local da doença.

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