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E-mail: egils@onkologspurmalis.lv
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Experience

Breast cancer (mammary gland cancer) is the most common type of malignant tumor among women. In Latvia, on average, about 1,000 women are diagnosed with it each year.

Unfortunately, throughout the world, including our country, breast cancer is more and more frequently found among younger women.

A multifaceted approach is used to treat breast cancer - surgical, radiological, and drug therapy.

Surgery still remains the basic therapeutic approach. There are two types of surgeries available:

- mastectomy or removal of the mammary gland. There is a possibility of immediately using the Expander (stretching device) with its subsequent replacement by an implant after a radical mastectomy;

- breast preserving surgery.

The decision as to which type of surgery would work better for a particular patient, depends on the stage of the disease, the patient's wish and the experience of the surgeon.

Surgeon Egils Purmalis, as one of the first surgeons in Latvia to introduce breast-preserving operations, is widely using (without violating the generally accepted principles of surgical oncology) surgical treatment of breast cancer, trying to preserve the mammary gland tissues as often as possible.

The loss of a breast is a serious psycho-emotional trauma, which is perceived as a loss of femininity and sexuality. For this reason, many women want to preserve the breast to the extent possible.

There are several types of operations that can save the breast, while drastically minimizing or eliminating the cancerous process at the same time.

Dr. Purmalis performs -

- segmental resection of the breast (tumor operated within healthy tissue). The defect in the breast is usually concealed by the use of onco-plastic technology - in this case, breast tissue is used. The main advantages of this method are that the patient’s own breast tissue is used without the implantation of foreign objects;

- segmental resection together with a procedure of examining the sentinel node (if indicated);

- another option is to utilize  implants to eliminate cosmetic defects in the breast.

Dr.Purmalis, based on his extensive clinical professional experience, individually defines the extent of required surgery, always listening to the wishes of his patients.

It is difficult or even impossible for a patient to defeat the disease alone. The basis of any successful treatment is mutual understanding between doctor and patient, their cooperation and trust, as well as full information provided to the patient about the disease and on course of its treatment. It is important to listen attentively to what the doctor is saying - he is the first one to tell what to expect and what should be done.
Do not hesitate to ask him questions of interest and ask again if something seems to be missing or omitted.