{"id":1223,"date":"2010-06-24T14:48:57","date_gmt":"2010-06-24T17:48:57","guid":{"rendered":"http:\/\/ww16.ce.gov.br\/hgf\/2010\/06\/24\/cirurgia\/"},"modified":"2010-06-24T14:48:57","modified_gmt":"2010-06-24T17:48:57","slug":"cirurgia","status":"publish","type":"post","link":"https:\/\/www.ce.gov.br\/hgf\/2010\/06\/24\/cirurgia\/","title":{"rendered":"C\u00c2NCER DE MAMA – CIRURGIA"},"content":{"rendered":"

 <\/p>\n

\n

\u00c9 o tratamento principal e o mais comum para o c\u00e2ncer de mama.<\/p>\n

CIRURGIAS CONSERVADORAS \u00a0<\/strong>
Removem apenas uma parte do tecido mam\u00e1rio. As Setorectomias retiram todo o tumor com uma pequena quantidade de tecido glandular sadio ao seu redor e as Quadrantectomias v\u00e3o remover cerca de um quarto da mama, incluindo a les\u00e3o maligna.<\/p>\n

MASTECTOMIAS<\/strong>
Extirpam toda a gl\u00e2ndula mam\u00e1ria, podendo incluir parte da pele, a ar\u00e9ola e o mamilo. Pode haver necessidade de remover os g\u00e2nglios linf\u00e1ticos da axila (chamamos este procedimento de linfadenectomia axilar), se o cirurgi\u00e3o achar que eles possam ter sido afetados pelas c\u00e9lulas de c\u00e2ncer. Sabe-se que existe uma predile\u00e7\u00e3o natural para que isso possa ocorrer nessa doen\u00e7a.<\/p>\n

BIOPSIA DO LINFONODO (OU G\u00c2NGLIO) SENTINELA<\/strong>
Os estudos mais recentes demonstraram que geralmente apenas um dos v\u00e1rios g\u00e2nglios presentes normalmente na axila seja o primeiro a receber as c\u00e9lulas malignas vindas do tumor mam\u00e1rio atrav\u00e9s dos canais linf\u00e1ticos (da\u00ed ter sido denominado linfonodo sentinela). Atrav\u00e9s de modernas t\u00e9cnicas que utilizam materiais radioativos, este g\u00e2nglio pode ser encontrado durante o ato cir\u00fargico e examinado imediatamente pelo m\u00e9dico patologista (que emprega os m\u00e9todos de citologia por imprint e bi\u00f3psia de congela\u00e7\u00e3o).
Se este g\u00e2nglio n\u00e3o contiver c\u00e9lulas cancerosas, \u00e9 muito prov\u00e1vel que os demais g\u00e2nglios axilares estejam tamb\u00e9m normais e a sua remo\u00e7\u00e3o (linfadenectomia total) pode ser evitada. Isso traz grandes benef\u00edcios para as pacientes, que praticamente n\u00e3o ter\u00e3o v\u00e1rias complica\u00e7\u00f5es cir\u00fargicas, dentre as quais o linfedema p\u00f3s-operat\u00f3rio (incha\u00e7o no bra\u00e7o no lado operado) e limita\u00e7\u00f5es nos movimentos daquele bra\u00e7o.<\/p>\n

CIRURGIA RECONSTRUTORA DA MAMA<\/strong>
A equipe de Cirurgia Pl\u00e1stica selecionar\u00e1 os casos adequados para os procedimentos de reconstru\u00e7\u00e3o mamaria ap\u00f3s mastectomias e quadrantectomias. As reconstru\u00e7\u00f5es podem ser imediatas, se s\u00e3o feitas no mesmo ato cir\u00fargico da remo\u00e7\u00e3o da mama (oncopl\u00e1sticas), ou tardias, quando realizadas numa \u00e9poca em que j\u00e1 ocorreu a cicatriza\u00e7\u00e3o completa da mastectomia.<\/p>\n

 <\/p>\n

Saiba mais:<\/strong><\/p>\n

 <\/p>\n

Componentes do Servi\u00e7o <\/a><\/strong><\/font><\/p>\n

 <\/p>\n

Atendimento Ambulatorial e Cirurgias<\/a><\/font><\/strong><\/p>\n

\u00a0<\/font><\/strong><\/p>\n

Diagn\u00f3stico<\/a><\/font><\/strong><\/p>\n

\u00a0<\/font><\/strong><\/p>\n

Tratamento<\/a><\/font><\/strong><\/p>\n

 <\/p>\n

Detec\u00e7\u00e3o e Diagn\u00f3stico<\/a><\/font><\/strong><\/p>\n

\u00a0<\/font><\/strong><\/p>\n

Auto-exame das Mamas <\/a><\/font><\/strong><\/p>\n

\u00a0<\/font><\/strong><\/p>\n

Microcalcifica\u00e7\u00f5es Mam\u00e1rias ( Dr. Marco A. Nasser Aguiar)<\/a><\/font><\/strong> <\/p>\n

 <\/p>\n

C\u00e2ncer de Mama – Preven\u00e7\u00e3o e Detec\u00e7\u00e3o Precoce (Dr. Ricardo Montefusco)
<\/a><\/font><\/strong><\/p>\n

 <\/p>\n

Novos Desafios no Tratamento do C\u00e2ncer de Mama ( Dr. Pimentel Cavalcante)
<\/a><\/font><\/strong><\/p>\n

 <\/p>\n

Quimioterapia – Desfazendo Mitos ( Dra. C\u00e9lia Barreira)
<\/a><\/font><\/strong><\/p>\n

\u00a0<\/font><\/strong><\/p>\n

Perguntas Frequentes<\/a>
<\/a><\/font><\/strong><\/p>\n


<\/font><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

  \u00c9 o tratamento principal e o mais comum para o c\u00e2ncer de mama. CIRURGIAS CONSERVADORAS \u00a0Removem apenas uma parte do tecido mam\u00e1rio. As Setorectomias retiram todo o tumor com uma pequena quantidade de tecido glandular sadio ao seu redor e as Quadrantectomias v\u00e3o remover cerca de um quarto da mama, incluindo a les\u00e3o maligna. 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