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board review and surgical planning","Preoperative assessment and anesthesia evaluation","Review of current medications and supplements with the surgical team","Fasting before general anesthesia per hospital instructions","Preoperative localization of the tumor if non-palpable","Stop smoking where possible","Arrange help at home; discuss reconstruction options"],"recovery_timeline":[{"phase":"Day 0-3","description":"Recovery from anesthesia, wound and drain care, early gentle arm movement.","restrictions":["No driving while on opioid analgesics","Avoid lifting heavy objects"]},{"phase":"Weeks 1-2","description":"Wound healing, drain removal if present, pathology review, return to light daily activity.","restrictions":["No heavy lifting","Keep wound dry and clean as instructed"]},{"phase":"Weeks 3-6","description":"Progressive restoration of shoulder range of motion and return to work; adjuvant therapy may begin.","restrictions":["Avoid strenuous upper-body exercise until 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Long-term cancer control depends on stage, pathology, adjuvant therapy and ongoing surveillance.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Repeat surgery, mainly re-excision for positive margins after lumpectomy; mastectomy rates much lower"},"scars":"Linear breast scar (lumpectomy) or horizontal chest wall scar (mastectomy), plus a small axillary scar if lymph nodes are treated. Fades over 6-12 months; hypertrophic scarring possible.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One operation typically; a second operation may be needed for re-excision of margins or completion axillary surgery."},"stages":[{"code":"primary_surgery","label":"Lumpectomy with sentinel node biopsy","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial operation."}}],"qualifier":"Scope is surgery without reconstruction; adjuvant radiotherapy, chemotherapy and endocrine therapy are separate treatments."},"success":{"metric":"Local recurrence-free rate after surgery","value":95,"unit":"percent","horizon":"5 years","population":"Adults with operable early-stage breast cancer, with appropriate adjuvant therapy","evidence_status":"limited"},"techniques":[{"name":"Lumpectomy (breast-conserving surgery)","suits_whom":"Smaller, localized tumors with favorable tumor-to-breast ratio and ability to receive radiotherapy","recovery":"Faster; often same-day discharge, about 1-3 weeks to return to usual activity"},{"name":"Mastectomy (simple or skin-sparing)","suits_whom":"Large or multicentric tumors, patient preference, or when radiotherapy is not possible or breast conservation is not feasible","recovery":"Longer; about 2-6 weeks, often with drains for 1-2 weeks"},{"name":"Sentinel lymph node biopsy","suits_whom":"Nodal staging in invasive cancer with clinically negative axilla","recovery":"Minimal arm impact; axillary dissection slows arm recovery and raises lymphedema risk"}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for unilateral lumpectomy with sentinel node biopsy, without reconstruction."},"initial_assessment_documents":["Breast biopsy pathology report","Receptor status report","Mammogram and ultrasound reports","Breast MRI report (if available)","Staging CT or PET-CT report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"One trip usually; 7-14 days' stay for drain removal and pathology review. Second trip only for re-excision or axillary surgery."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=operacii-pri-rake-molochnoj-zhelezu/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":3,"alias":"breast-cancer","name":"Cáncer de mama"}],"rendersOffersList":false}