The importance of breast health
Breast health is an important part of a woman's overall health, affecting not only her physiological function, but also her psychological state and quality of life. According to statistics from the Hong Kong Health Bureau, breast cancer is one of the most common cancers among women in Hong Kong, with more than 4,000 new cases every year, and its incidence is increasing year by year. This highlights the urgency of early detection and treatment. Breast surgeons play an important role as frontline experts in protecting breast health. For example, regular examinations can detect mastitis, benign tumors, and even malignant lesions at an early stage, which can significantly improve the cure rate and quality of life.
How to choose the right breast surgeon for you?
Choosing a reliable breast surgeon is a combination of several factors. First of all, it is recommended to choose a doctor with relevant professional qualifications (such as a fellowship at Hong Kong College of Surgery) and clinical experience, as well as professional qualifications and experience of a physician. You can then contact them about word-of-mouth and reviews, either through relatives or friends, or through recommendations from online platforms (such as eHealth). The equipment in the hospital or clinic is important, such as whether it is equipped with a high-resolution scanner or a digital mammography. Finally, the doctor's communication style and affinity have a direct impact on the medical experience, especially in the face of a serious illness like breast cancer, so patient explanation and emotional support are essential.
Professional qualifications and experience of the doctor
Breast surgeons in Hong Kong are typically required to complete at least 6 years of surgical training and pass rigorous examinations. Doctors who specialize in breast cancer may be more internationally accredited (e.g., Fellow of the American College of Surgeons). The following table lists the key points when assessing the qualifications of doctors.
| item | explanation |
|---|---|
| Specialty Certifications | Fellow of Hong Kong College of Surgeons (FCSHK) or equivalent |
| Clinical experience | We recommend that you choose a doctor who has been practicing for more than 10 years and handles more than 50 breast cancer surgeries per year |
| academic background | Participation in international research and publication of papers are desirable |
Common Diagnosis and Treatment Items for Breast Surgery
Breast surgery services range from routine check-ups to complex surgeries. Common items include:
- Breast lump examination: Palpation and imaging to distinguish between cysts, fibroadenomas, or malignancies (examples).
- Breast Cancer Screening: The Hong Kong Breast Cancer Foundation recommends that women over the age of 40 have mammograms every two years, and ultrasound can be used for high-risk groups.
- Surgical treatment: Depending on the stage of the tumor, breast-conserving surgery (local resection) or total mastectomy.
- Breast reconstruction: Immediate or delayed postoperative reconstruction with implants or autologous tissue (e.g., rectus abdominis flap).
- Treatment of mastitis: It is more common in lactating women and requires antibiotics and drainage.
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Compared to radiography, young women do not use radiation and are more suitable for dense breast tissue. It clearly shows the difference between a cyst and a solid tumor and can be aspirated or biopsy with a thin needle guided by ultrasound. Private hospitals in Hong Kong cost around HK$1,500 to HK$3,000 for testing, while public hospitals require referrals.
Recommended Physician Considerations for Breast Surgery
In addition to the basic qualifications, the specialty of the doctor must meet the needs of the individual. For instance:
- If you need breast reconstruction, you should choose a doctor with a background in plastic surgery.
- For advanced breast cancer, teams with expertise in targeted therapies and immunotherapies have an advantage.
- Find out about your doctor's past success stories, especially those that are similar to your own.
Professor Tart Sith Tat Lung, a professor of surgery at the University of Hong Kong, has published a study showing that the five-year survival rate of breast-conserving surgery by experienced doctors reaches more than 90%, emphasizing the importance of choosing a specialist.
How to prepare for a consultation for breast surgery?
With proper preparation, you can improve the efficiency of your bookings. Suggestion:
- Summarize your personal medical history (menstrual cycle, breastfeeding, etc.) and family history of cancer.
- Bring past test reports (ultrasound, MRI, etc.) to avoid repeating the test.
- "What is the risk of a malignant lump?" Make a list of questions in advance. "What options do I have if I need surgery?"
According to the Hong Kong Cancer Registry, about 70% of breast lumps are benign, but expert evaluation is absolutely necessary. Depending on the results of the ultrasound, your doctor may recommend a follow-up (every 3-6 months) or a longer section.
Choose a doctor you trust to protect your breast health
Breast care is a long-term process that requires a strong relationship with your doctor, from regular checkups to follow-up treatments. The Hong Kong Breast Cancer Foundation (HKFF) provides second opinion consultation services to assist patients in reviewing their diagnosis and treatment options. Remember that a good breast surgeon will not only provide technical treatment, but also accompany you on this health journey.