Surgery may be used in combination with radiotherapy or drug therapy (chemotherapy, hormone therapy and targeted therapy). The surgery department at the Eugène Marquis Centre has 12 surgeons and 13 anaesthetists, all of whom trained at establishments that are members of the Rennes Regional Cancerology Institute [Institut Régional de Cancérologie de Rennes].
The aim of breast-conserving surgery is to remove the tumour without removing unaffected mammary glands. It is also called a tumourectomy or a partial mastectomy. The tumour, including a large surrounding margin of tissue, is removed. This safety margin is included to make sure that all of the tumour has been removed. The nipple and the areola are retained in most cases. The anatomopathologist analyses the tumour and the surrounding tissue during surgery.
Oncoplasty is surgery to reconstruct the breast after a tumourectomy. The aim is to make the breast look and feel more natural. During oncoplastic surgery, the breast is reshaped to fill in the gap left by a tumourectomy.
Level 1 oncoplastic surgery involves the simple reshaping of the breast, including the repositioning of the nipple and areola if required.
Level 2 oncoplastic surgery uses plastic surgery techniques.
A total mastectomy involves the removal of the entire mammary gland, including the areola and the nipple. It is particularly recommended where:
After a total mastectomy, you may be offered an external breast prosthesis that can be slipped easily into and out of your bra. It is a foam prosthesis that can be worn during healing.
The day after surgery, a prosthetist from a specialist company will visit you in your room to offer you a temporary prosthesis that you can wear for the first month. The prosthesis is chosen to match your body.
During your post-surgery consultation, you will be given a more realistic external breast prosthesis, which is worn in a special bra. A few months later, you may be offered a self-sticking prosthesis, which attaches directly to your skin.
Social security or your insurer may cover the cost of the prosthesis.
Depending on your situation, a breast reconstruction may be performed immediately or at a later date. You can discuss this with your surgeon.
Lymph node exeresis is surgery to remove the axillary lymph node(s) closest to the tumour to check whether it/they contain cancerous cells. Thanks to this technique, the axillary lymph nodes are removed only where it is confirmed that they contain cancer cells.
The aim of the surgery is to confirm whether the tumour has spread outside the breast and whether chemotherapy or lymph node radiotherapy is required.
During surgery for breast cancer, it is sometimes necessary to remove a group of lymph nodes from the armpit. This is known as axillary lymph node dissection.
Axillary lymph node dissection is used for invasive cancers:
Breast reconstruction is a key part of breast cancer treatment, in particular following non-breast-conserving surgery. Breast reconstruction may be performed at the same time as the surgery to remove the tumour; this is known as an immediate reconstruction. More often, the breast reconstruction is performed as a separate operation, once treatment has finished; this is known as delayed breast reconstruction or secondary reconstruction.
Breast surgeons are trained in breast reconstruction techniques and can offer complete care suited to each patient’s needs: immediate or secondary breast reconstruction, breast reconstruction using a prosthesis or autologous free flaps, additional reconstruction using lipomodelling and contralateral breast symmetrisation.
Whatever method is used, breast reconstruction usually requires two to three operations, with three to six months between each one.
Each case is different and requires the right type of reconstruction (immediate or delayed, using implants or free flaps, etc.). During the consultation and after you have been examined, your surgeon will explain the most suitable technique(s) for you. You are always given time to think about the options.
Only the patient is able to decide whether or not to undergo breast reconstruction.
Surgery for skin tumours covers various approaches, including exeresis, skin graft, covering with free flaps, sentinel lymph node biopsy and axillary lymph node dissection.
Dr BAUDRY Jean-Frédéric Doctor AnesthetistMore
Dr CALIPEL Séverine Doctor AnesthetistMore
Dr CHEVALIER Stéphanie Anesthetist doctorMore
Dr DENOUAL Vincent Doctor AnesthetistMore
Dr DERIVAUX Benoît Anesthetist doctorMore
Dr DESSAINT Adèle Senological surgeon and breast reconstructionMore
Dr DIDAILLER Jean-Louis Doctor AnesthetistMore
Dr DUQUESNE Maud Senological surgeon and breast reconstructionMore
Dr FOUCHER Fabrice Senological surgeonMore
Dr GUILLERMET Sophie Senological surgeon and breast reconstructionMore
Dr JOSTE Marine Senological surgeonMore
Dr LADURÉ Marie-Lorraine Doctor AnesthetistMore
Pr LAVOUÉ Vincent Senological surgeonMore
Dr LE BERRE Pierre-Yves Doctor AnesthetistMore
Dr LECUYER Sébastien Doctor AnesthetistMore
Pr LÉVÊQUE Jean Senological surgeonMore
Dr MEAL Cécile Plastic surgeonMore
Dr MENEZ Tiphaine Cutaneous plastic surgeonMore
Dr MOUNIER Loïc Doctor AnesthetistMore
Dr PIECHNO Sonia Doctor AnesthetistMore
Dr PONG Sarah Doctor AnesthetistMore
Dr PORTE Frédéric Doctor AnesthetistMore
Dr ROBERT Anne-Laure Senological surgeonMore
Dr ROZE Olivier Doctor AnesthetistMore
Dr SARDAIN Hugo Senological surgeonMore
Dr WACHOWIAK Mathieu Doctor AnesthetistMore
Dr ZAKA-CARCAILLET Parwana Senological surgeonMore