Organization of diagnostics and breast cancer treatment according to european standards in ukraine. Experience of private breast center
Breast cancer is the most common cancer among women both in Ukraine and in the world. The modern methods of breast cancer diagnostic and treatment has led to an increase in the number of patients and enhance of the requirements for their quality of life.It stimulated the development of multidisciplinary approach with individualized minimally traumatic and the most aesthetic surgical methods for the treatment of breast cancer, which was formalized in the concept of Breast Unit according to EUSOMA criteria (European Society of Mastology). We present the clinical and organizational principles of the formation and work of the Breast Unit (BU) of LISOD Hospital of Israeli Oncology. We prefere oncoplastic breast conserving surgery. In case of mastectomy necessity - one-stagereconstructions with implants or autologous tissues. Selection of the surgery option depends on the size, location of the tumor and status of the breast parenchyma, ptosis grade, the initial asymmetry and desires of the patient herself. We presented the principles of surgical margins control, localization of unpalpable tumors, the principles of axillary staging, rehabilitation of patients, the principles of selection and basic options of skin sparing mastectomies and immediate reconstructions.