{"id":36481,"date":"2026-03-11T09:27:28","date_gmt":"2026-03-11T09:27:28","guid":{"rendered":"https:\/\/be-accepted.com\/cancerul-de-san-si-chirurgia-sanului\/"},"modified":"2026-05-22T08:04:21","modified_gmt":"2026-05-22T08:04:21","slug":"cancerul-de-san-si-chirurgia-sanului","status":"publish","type":"post","link":"https:\/\/be-accepted.com\/ro\/cancerul-de-san-si-chirurgia-sanului\/","title":{"rendered":"Cancerul de s\u00e2n \u0219i chirurgia s\u00e2nului"},"content":{"rendered":"\t\t
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O discu\u021bie cu<\/span><\/p>

Profesor universitar Dr. Florian Fitzal <\/strong><\/span><\/p>

Medic Senior de Chirurgie a S\u00e2nului \u0219i Chirurgie General\u0103 Sec\u021bia 21C<\/span><\/p>

la Spitalul General din Viena<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Cum se pot preg\u0103ti mai bine pacientele pentru opera\u021bie?<\/span><\/p>

\u00a0<\/p>

Cel mai bine este s\u0103 \u00eentreba\u021bi chirurgul dac\u0103 exist\u0103 m\u0103suri speciale pe care le pute\u021bi lua, deoarece fiecare chirurg aplic\u0103 un tratament u\u0219or diferit.\u00a0<\/span><\/p>

Eu, de exemplu, furnizez informa\u021biile necesare \u00een timpul consulta\u021biei pre-tratament.<\/span><\/p>

\u00a0<\/p>

Ce recomand eu:<\/span><\/p>

– \u00eembr\u0103c\u0103minte u\u0219oar\u0103, simplu de sp\u0103lat \u0219i papuci confortabili sau \u00eenc\u0103l\u021b\u0103minte sport.\u00a0<\/span><\/p>

– aduce\u021bi-v\u0103 propria pern\u0103 pe care s\u0103 o str\u00e2nge\u021bi \u00een bra\u021be noaptea. Aceasta confer\u0103 un sentiment de securitate \u0219i sus\u021binere \u0219i este un sprijin psihologic pentru unele femei.<\/span><\/p>

\u00a0<\/p>

– fuma\u021bi c\u00e2t se poate de pu\u021bin, preferabil ar fi s\u0103 nu fuma\u021bi chiar \u00eenainte \u0219i timp de 7 zile dup\u0103 opera\u021bie. Acest lucru \u00eembun\u0103t\u0103\u021be\u0219te vindecarea r\u0103nilor \u00een cazul fum\u0103torilor.\u00a0<\/span><\/p>

– reduce\u021bi nervozitatea \u0219i stresul, \u00een special \u00eenainte de opera\u021bie, medit\u00e2nd \u0219i\/sau f\u0103c\u00e2nd exerci\u021bii de respira\u021bie.<\/span><\/p>

– pacientele trebuie s\u0103 \u00ee\u0219i ia concediu medical una sau dou\u0103 zile \u00eenainte de opera\u021bie, pentru a petrece timp cu familia sau pur \u0219i simplu pentru a avea timp doar pentru ele; \u00een special cele al c\u0103ror loc de munc\u0103 este foarte solicitant ar trebui s\u0103 se asigure c\u0103 acord\u0103 propriei persoane \u0219i propriului organism cel pu\u021bin 2 zile \u00eenainte \u0219i \u00een special dup\u0103 opera\u021bie.<\/span><\/p>

De asemenea, este necesar un sutien de sus\u021binere adecvat (Orthoproban, Orthoben, Lipoelastic) \u00een sala de opera\u021bii.<\/span><\/p>

\u00cen mod ideal, pacientele nu ar trebui s\u0103 \u00ee\u0219i fac\u0103 niciun plan special timp de o s\u0103pt\u0103m\u00e2n\u0103 dup\u0103 opera\u021bie.\u00a0<\/span><\/p>

\u00a0<\/p>

De asemenea, c\u0103l\u0103toriile ar trebui planificate pentru perioada ulterioar\u0103 vindec\u0103rii r\u0103nii, la aproximativ 10 zile dup\u0103 opera\u021bie. Dup\u0103 aceea, c\u00e2nd rana s-a vindecat f\u0103r\u0103 complica\u021bii, toate activit\u0103\u021bile sunt posibile din nou.<\/span><\/p>

\u00a0<\/p>

Recomand\u0103ri dup\u0103 opera\u021bie<\/span><\/p>

  • \u00cen general, nu ave\u021bi nevoie de terapie suplimentar\u0103 pentru durere. Dac\u0103 \u00eenc\u0103 mai sim\u021bi\u021bi durere, pute\u021bi lua un analgezic pe care \u00eel cunoa\u0219te\u021bi sau Parkemed 500 mg (de p\u00e2n\u0103 la 3 ori pe zi).<\/span><\/li>
  • Plasturii impermeabili speciali nu trebuie schimba\u021bi, astfel c\u0103 pute\u021bi s\u0103 face\u021bi du\u0219 \u00een fiecare zi.<\/span><\/li>
  • \u00cen cazul \u00een care ave\u021bi o pung\u0103 de drenaj, nu o schimba\u021bi. Goli\u021bi-o o dat\u0103 la 24 de ore \u0219i nota\u021bi cantitatea de lichid.\u00a0<\/span><\/li><\/ul>

    \u00a0<\/p>

    Mi\u0219carea \u0219i ridicarea greut\u0103\u021bilor<\/span><\/p>

    • Dup\u0103 o interven\u021bie chirurgical\u0103 de conservare a s\u00e2nului sau dup\u0103 o mastectomie simpl\u0103:<\/span><\/li><\/ul>

      o<\/span> \u00cencep\u00e2nd cu cea de-a 10-a zi dup\u0103 opera\u021bie, pute\u021bi relua toate activit\u0103\u021bile obi\u0219nuite.<\/span><\/p>

      o<\/span> P\u00e2n\u0103 atunci nu ridica\u021bi greut\u0103\u021bi mai mari de 5 kg.<\/span><\/p>

      o<\/span> Purta\u021bi sutienul de sus\u021binere fix pe parcursul zilei p\u00e2n\u0103 la primul control al leziunilor. Ulterior, purta\u021bi-l doar dac\u0103 este necesar.<\/span><\/p>

      • Dup\u0103 mastectomie cu reconstruc\u021bie imediat\u0103:<\/span><\/li><\/ul>

        o<\/span> Timp de 8 s\u0103pt\u0103m\u00e2ni: nu ridica\u021bi greut\u0103\u021bi mai mari de 5 kg \u0219i nu face\u021bi sport.<\/span><\/p>

        o<\/span> Sunt permise exerci\u021biile pentru picioare (nu \u00eens\u0103 tenis \u0219i echita\u021bie).\u00a0<\/span><\/p>

        o<\/span> Purta\u021bi sutienul de sus\u021binere fix timp de 8 s\u0103pt\u0103m\u00e2ni \u00een permanen\u021b\u0103, at\u00e2t ziua c\u00e2t \u0219i noaptea.<\/span><\/p>

        • Important: \u00eencepe\u021bi s\u0103 v\u0103 mi\u0219ca\u021bi bra\u021bele complet \u00eenc\u0103 din prima zi dup\u0103 opera\u021bie. Aceasta ajut\u0103 la vindecare.\u00a0<\/span><\/li><\/ul>

          Examinare de urm\u0103rire<\/span><\/p>

          • Prima examinare va avea loc \u00eentre ziua 7 \u0219i ziua 14 dup\u0103 opera\u021bie \u2013 conform program\u0103rii.\u00a0<\/span><\/li><\/ul>





            <\/p>

            Informa\u021bii importante: Chiar dac\u0103 ganglionul limfatic santinel\u0103 sau mai mul\u021bi ganglioni limfatici axilari au fost extirpa\u021bi, este \u00een continuare posibil s\u0103 se m\u0103soare tensiunea arterial\u0103 sau s\u0103 se recolteze s\u00e2nge din respectivul bra\u021b. Pacientele trebuie s\u0103 \u0219tie doar c\u0103 procesul de recuperare \u00een cazul unei infec\u021bii va dura mai mult.\u00a0<\/span><\/p>

            Cu toate acestea, deoarece infec\u021biile dup\u0103 recoltarea de probe de s\u00e2nge sunt practic inexistente, nu v\u0103d o problem\u0103 \u00een acest caz.<\/span><\/p>

            \u00a0<\/p>

            De ce pacientelor cu cancer mamar li se extirp\u0103 uneori \u00eentregul s\u00e2n (= mastectomie), iar alteori li se efectueaz\u0103 o interven\u021bie chirurgical\u0103 de conservare a s\u00e2nului?<\/span><\/p>

            \u00a0<\/p>

            Acest lucru depinde doar de raportul s\u00e2n\/tumor\u0103.<\/span><\/p>

            Dac\u0103 tumora reprezint\u0103 mai pu\u021bin de un sfert din volumul s\u00e2nului, conservarea s\u00e2nului este clar posibil\u0103; dac\u0103 volumul total al rezec\u021biei dep\u0103\u0219e\u0219te un sfert din s\u00e2n, decizia depinde de dimensiunea s\u00e2nului. \u00cen cazul s\u00e2nilor mari, poate fi utilizat\u0103 o metod\u0103 oncoplastic\u0103, \u00een care tehnicile de reducere pot acoperi defectul \u0219i poate fi p\u0103strat\u0103 forma s\u00e2nului.\u00a0<\/span><\/p>

            Dac\u0103 por\u021biunea total\u0103 care trebuie extirpat\u0103 reprezint\u0103 mai mult de jum\u0103tate din glanda mamar\u0103, se opteaz\u0103 cel mai probabil pentru mastectomia complet\u0103.\u00a0<\/span><\/p>

            \u00a0<\/p>

            Cine decide?<\/span><\/p>

            \u00a0<\/p>

            Chirurgul \u0219i pacienta \u00eempreun\u0103.<\/span><\/p>

            \u00a0<\/p>

            De nenum\u0103rate ori auzim c\u0103 pacientelor li se extirp\u0103 s\u00e2nii \u00een \u00eentregime ca m\u0103sur\u0103 preventiv\u0103. C\u00e2nd are sens acest lucru?<\/span><\/p>

            Aceasta este o decizie individual\u0103 care merit\u0103 luat\u0103 \u00een considerare \u00een cazul unei muta\u021bii genetice.<\/span><\/p>

            \u00a0<\/p>

            \u00cen cazul mastectomiei \u0219i reconstruc\u021biei imediate, unde este efectuat\u0103 incizia \u0219i c\u00e2t de mari sunt cicatricile?\u00a0<\/span><\/p>

            \u00a0<\/p>

            Am dou\u0103 op\u021biuni de incizie: doar sub s\u00e2n (a\u0219a-numita incizie submamar\u0103) sau sub form\u0103 de T inversat.<\/span><\/p>

            \u00a0<\/p>

            Mameloanele sunt \u00eentotdeauna afectate?<\/span><\/p>

            Nu, nu sunt aproape niciodat\u0103 afectate.<\/span><\/p>

            \u00a0<\/p>

            Capacitatea de a percepe senza\u021biile la nivelul s\u00e2nului\/mamelonului dup\u0103 interven\u021bia chirurgical\u0103 de conservare a s\u00e2nului va fi la fel ca \u00eenainte?<\/span><\/p>

            \u00a0<\/p>

            De obicei sensibilitatea mamelonului nu este afectat\u0103, dar acest lucru depinde de proximitatea tumorii de mamelon.<\/span><\/p>

            \u00a0<\/p>

            Mai pot al\u0103pta dup\u0103 interven\u021bia chirurgical\u0103 de conservare a s\u00e2nului?<\/span><\/p>

            \u00a0<\/p>

            Dup\u0103 opera\u021bia pentru cancer mamar \u0219i extirparea par\u021bial\u0103 a unui s\u00e2n, este necesar\u0103 radioterapie. Prin urmare, ar trebui s\u0103 nu al\u0103pta\u021bi de la s\u00e2nul afectat.<\/span><\/p>

            \u00a0<\/p>

            Cum \u00eemi \u00eengrijesc cel mai bine s\u00e2nii dup\u0103 opera\u021bie?<\/span><\/p>

            \u00a0<\/p>

            Dup\u0103 ce rana s-a vindecat, este optim un unguent cicatrizant, iar ulterior terapiile fizice pot ajuta la relaxarea cicatricilor. De asemenea, ambele pot \u00eencepe \u00een acela\u0219i timp, imediat ce rana este complet vindecat\u0103 (la 10 zile dup\u0103 interven\u021bia chirurgical\u0103).<\/span><\/p>



            <\/p>

            ECHIPA MEDICAL\u0102<\/span><\/p>

            \u00a0<\/p>

            \u00cen cazul cancerului, medicii dintr-o varietate de discipline lucreaz\u0103 \u00eempreun\u0103. De la radiologi, (radio)oncologi, chirurgi, \u00een func\u021bie de tipul de cancer, diferi\u021bi speciali\u0219ti, cum ar fi ginecologi, interni\u0219ti \u0219i p\u00e2n\u0103 la patologi (pentru examinarea \u021besutului). \u00cempreun\u0103, ace\u0219tia discut\u0103 \u00een mod regulat cazul pacientei lor \u00een cadrul a\u0219a-numitelor comisii oncologice (\u00eent\u00e2lniri la care sunt prezen\u021bi to\u021bi medicii implica\u021bi) \u0219i decid cu privire la recomand\u0103rile de tratament.<\/span><\/p>

            \u00a0<\/p>

            Cine are a\u0219a-numita sarcin\u0103 de coordonare, de conducere a echipei medicale?\u00a0<\/span><\/p>

            \u00a0<\/p>

            Ginecologul, oncologul sau chirurgul pot prelua conducerea.<\/span><\/p>

            Medicul respectiv colecteaz\u0103 toate rezultatele pacientei \u0219i discut\u0103 cazul acesteia \u00een cadrul comisiei oncologice. Recomandarea pentru urm\u0103toarea metod\u0103 de tratament este decis\u0103 \u0219i comunicat\u0103 \u00eempreun\u0103 de c\u0103tre \u00eentreaga echip\u0103. Totu\u0219i, aceast\u0103 recomandare de tratament nu este decizia final\u0103. Mai degrab\u0103, decizia este luat\u0103 de medic \u0219i pacient\u0103 \u00eempreun\u0103 \u0219i de aceea este deosebit de important ca pacienta s\u0103 aib\u0103 \u00eencredere \u00een medicul coordonator (managerul de caz) \u0219i s\u0103 comunice cu acesta de la egal la egal.\u00a0<\/span><\/p>

            \u00a0<\/p>

            Care sunt op\u021biunile c\u00e2nd o pacient\u0103 \u0219i medicul coordonator nu fac echip\u0103 bun\u0103?<\/span><\/p>

            \u00a0<\/p>

            \u00cen principiu, nu exist\u0103 nicio obliga\u021bie de a r\u0103m\u00e2ne la un anumit centru specializat \u00een cancerul mamar. Dar nu trebuie s\u0103 schimba\u021bi imediat centrul, exist\u0103 mai mul\u021bi medici care pot prelua sarcina de coordonare. Ca pacient\u0103, pute\u021bi pur \u0219i simplu s\u0103 discuta\u021bi cu ace\u0219tia, s\u0103 vede\u021bi cine mai face parte din echip\u0103 \u0219i apoi s\u0103 trece\u021bi la unul dintre ceilal\u021bi medici. Este o rela\u021bie pe termen lung \u0219i trebuie s\u0103 v\u0103 sim\u021bi\u021bi confortabil unul cu cel\u0103lalt, pentru a colabora cu succes ca o echip\u0103, de la egal la egal.<\/span><\/p>

            \u00a0<\/p>

            TRATAMENTELE<\/span><\/p>

            \u00a0<\/p>

            Dintr-o perspectiv\u0103 mai general\u0103, c\u00e2t de individualizate sunt tratamentele \u00een prezent?\u00a0<\/span><\/p>

            \u00a0<\/p>

            Tratamentele sunt individualizate \u00een func\u021bie de tumor\u0103. \u00cen ceea ce prive\u0219te reac\u021biile adverse, pacienta este examinat\u0103 pentru a vedea c\u00e2t \u0219i ce poate tolera.<\/span><\/p>

            \u00a0<\/p>

            Ce sunt markerii tumorali \u0219i c\u00e2t de importan\u021bi sunt ace\u0219tia?<\/span><\/p>

            \u00a0<\/p>

            Dac\u0103 \u00een corp se dezvolt\u0103 o tumor\u0103 malign\u0103, se formeaz\u0103 anumite substan\u021be biologice care sunt denumite markeri tumorali. La pacientele cu cancer, ace\u0219tia se g\u0103sesc \u00een s\u00e2nge, \u00een celule \u0219i \u00een \u021besutul tumoral. Ace\u0219tia sunt \u00een principal utiliza\u021bi pentru a monitoriza progresia cancerului metastatic, dar sunt foarte dificil de interpretat. Nu sunt utili ca instrument de detec\u021bie timpurie sau \u00een cazul cancerului mamar f\u0103r\u0103 metastaze.<\/span><\/p>

            \u00a0<\/p>

            Pacientele pot participa la studii cu acordul \u0219i aprobarea medicilor lor. Cum afl\u0103 pacientele despre studiile curente?\u00a0<\/span><\/p>

            \u00a0<\/p>

            Pute\u021bi ob\u021bine o prezentare general\u0103 a diferitelor studii \u0219i ale spitalelor la care se desf\u0103\u0219oar\u0103 acces\u00e2nd clinicaltrials.org. Centrele de oncologie mamar\u0103 prezint\u0103 informa\u021bii pe site-ul propriu cu privire la studiile \u00een curs de desf\u0103\u0219urare, care ar trebui s\u0103 fie actualizate \u00een permanen\u021b\u0103. Dar cel mai bine este s\u0103 \u00eel \u00eentreba\u021bi pe medicul dumneavoastr\u0103 coordonator. Costurile de tratament sunt de obicei acoperite de studiul \u00een sine, iar cheltuielile de deplasare pot fi solicitate \u00een avans de la casa de asigur\u0103ri de s\u0103n\u0103tate respectiv\u0103.\u00a0<\/span><\/p>

            \u00a0<\/p>

            Dac\u0103 un medicament este aprobat doar \u00een SUA, exist\u0103 vreun mod de a-l ob\u021bine? Dac\u0103 da, cum?<\/span><\/p>

            \u00a0<\/p>

            Un studiu terapeutic individual poate fi lansat de coordonator, iar acest lucru este valabil \u0219i \u00een cazul medicamentelor care nu au fost \u00eenc\u0103 aprobate. \u00cen cazul cancerului, acestea sunt de obicei aprobate. Totu\u0219i, \u00een general dureaz\u0103 de obicei mai pu\u021bin de 6 luni \u00eentre aprobarea \u00een Statele Unite ale Americii \u0219i \u00een Europa.<\/span><\/p>

            \u00a0<\/p>

            CONDI\u021aIILE GENERALE DE VIA\u021a\u0102<\/span><\/p>

            \u00a0<\/p>

            Da\u021bi fiind anii dumneavoastr\u0103 de experien\u021b\u0103, pute\u021bi vedea paralele \u00een cursul tratamentului \u00een raport cu condi\u021biile de via\u021b\u0103 ale femeilor?\u00a0<\/span><\/p>

            \u00a0<\/p>

            Se \u0219tie \u00een prezent c\u0103 stresul negativ prelungit poate sl\u0103bi sistemul imunitar, dar \u0219i mecanismele de ap\u0103rare ale \u00eentregului corp. \u00cen timpul terapiei, trebuie \u00eencercat\u0103 minimizarea sau eliminarea complet\u0103 a stresului negativ, pentru a ca toat\u0103 energia s\u0103 fie concentrat\u0103 pe tratament. Dup\u0103 aceea, este important s\u0103 se revin\u0103 c\u00e2t mai repede posibil la via\u021ba cotidian\u0103 uzual\u0103. Totu\u0219i, dac\u0103 via\u021ba de zi cu zi con\u021bine prea mult stres negativ, ar trebui s\u0103 se analizeze ce lucruri noi ar putea fi integrate. Reducerea stresului poate fi \u00eenv\u0103\u021bat\u0103, de exemplu cu ajutorul MBSR sau Qi Gong.<\/span><\/p>

            \u00a0<\/p>

            Vede\u021bi o conexiune \u00eentre stres \u0219i boal\u0103 sau exist\u0103 studii care dovedesc c\u0103 relaxarea profund\u0103 contribuie semnificativ la succesul tratamentului pentru cancer?<\/span><\/p>

            \u00a0<\/p>

            Studiile privind relaxarea profund\u0103 nu au reu\u0219it deocamdat\u0103 s\u0103 demonstreze un efect credibil asupra supravie\u021buirii f\u0103r\u0103 semne de cancer mamar, dar a fost dovedit\u0103 ameliorarea anxiet\u0103\u021bii. Pacientele relaxate pot asimila \u0219i face fa\u021b\u0103 mai bine terapiilor \u0219i \u00eengrijirilor post-tratament.<\/span><\/p>

            \u00a0<\/p>

            C\u00e2t de important\u0103 este mentalitatea pozitiv\u0103 a unei paciente?<\/span><\/p>

            \u00a0<\/p>

            Este foarte important\u0103.<\/span><\/p>

            \u00a0<\/p>

            Crede\u021bi c\u0103 le ajut\u0103 pe paciente s\u0103 aud\u0103 c\u0103 nu sunt singurele aflate \u00een situa\u021bii dificile \u2013 cum ar fi tabuurile despre care nu se scrie \u00een niciun studiu \u0219i despre care nu se vorbe\u0219te aproape niciodat\u0103?<\/span><\/p>

            \u00a0<\/p>

            Este important s\u0103 aud\u0103 despre tot ce se \u00eent\u00e2mpl\u0103 \u00een via\u021b\u0103 atunci c\u00e2nd sufer\u0103 de cancer. Din p\u0103cate, exist\u0103 \u0219i o mul\u021bime de zvonuri de care ar trebui s\u0103 uita\u021bi, \u00een acest sens v\u0103 poate ajuta expertul \u00een cancer mamar. De asemenea, citirea bro\u0219urilor corecte ajut\u0103 femeile s\u0103 gestioneze mai bine problema. Ceea ce nu avem noi, medicii, este o prezentare general\u0103 a terapiei complete, care integreaz\u0103 tot, inclusiv serviciile sociale, aceast\u0103 prezentare general\u0103 ar trebui furnizat\u0103 pacientelor de c\u0103tre asisten\u021bii medicali specializa\u021bi \u00een cancerul mamar, \u00eens\u0103 din p\u0103cate num\u0103rul acestora este mult prea mic.<\/span><\/p>

            \u00a0<\/p>

            Conform studiilor, exist\u0103 o leg\u0103tur\u0103 \u00eentre consumul de alcool \u0219i cancer. De ce este a\u0219a?<\/span><\/p>

            \u00a0<\/p>

            Motivul exact nu a fost investigat \u00een detaliu \u00een aceste studii, nici nu este posibil acest lucru. Dar realitatea este c\u0103 obiceiurile extreme au \u0219i un efect nociv asupra corpului nostru. Obiceiurile extreme duc, din p\u0103cate, la eliberarea de dopamin\u0103, d\u00e2nd astfel un sentiment de fericire, pe care \u00eel dorim iar \u0219i iar. Este un cerc vicios care trebuie \u00eentrerupt \u00eenv\u0103\u021b\u00e2nd s\u0103 declan\u0219\u0103m eliberarea de dopamin\u0103 prin obiceiuri bune, cum ar fi medita\u021bia, tehnicile de mindfulness \u0219i exerci\u021biile fizice.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

            \n\t\t\t\t\t\t
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            \n\t\t\t
            \n\t\t\t\t\t\t
            \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
            \n\t\t\t\t\t\t\t\t\t

            Sec\u021biunea invers\u0103 T<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

            \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

            Interviu cu Univ. Prof. Dr. Florian Fitzal, medic principal de chirurgie a s\u00e2nului \u0219i chirurgie general\u0103 la sec\u021bia 21C la Spitalul General din Viena <\/p>\n

            Cum se pot preg\u0103ti pacien\u021bii pentru opera\u021bie \u00een cel mai bun mod posibil?<\/p>\n

            Este cel mai bine s\u0103 \u00eentrebi chirurgul dac\u0103 exist\u0103 m\u0103suri speciale care pot fi luate, deoarece fiecare chirurg trateaz\u0103 pu\u021bin diferit.<\/p>\n","protected":false},"author":14,"featured_media":36483,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[417],"tags":[],"class_list":["post-36481","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-be-medicina-conventionala"],"acf":[],"yoast_head":"\nCancerul de s\u00e2n \u0219i chirurgia s\u00e2nului - Be accepted<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/be-accepted.com\/ro\/cancerul-de-san-si-chirurgia-sanului\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cancerul de s\u00e2n \u0219i chirurgia s\u00e2nului - Be accepted\" \/>\n<meta property=\"og:description\" content=\"Interviu cu Univ. Prof. Dr. Florian Fitzal, medic principal de chirurgie a s\u00e2nului \u0219i chirurgie general\u0103 la sec\u021bia 21C la Spitalul General din Viena Cum se pot preg\u0103ti pacien\u021bii pentru opera\u021bie \u00een cel mai bun mod posibil? Este cel mai bine s\u0103 \u00eentrebi chirurgul dac\u0103 exist\u0103 m\u0103suri speciale care pot fi luate, deoarece fiecare chirurg trateaz\u0103 pu\u021bin diferit.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/be-accepted.com\/ro\/cancerul-de-san-si-chirurgia-sanului\/\" \/>\n<meta property=\"og:site_name\" content=\"Be accepted\" \/>\n<meta property=\"article:published_time\" content=\"2026-03-11T09:27:28+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-22T08:04:21+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/be-accepted.com\/wp-content\/uploads\/2022\/06\/AdobeStock_142738775-scaled-e1663706970799.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"625\" \/>\n\t<meta property=\"og:image:height\" content=\"417\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Be Accepted\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"Be Accepted\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"12 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/cancerul-de-san-si-chirurgia-sanului\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/cancerul-de-san-si-chirurgia-sanului\\\/\"},\"author\":{\"name\":\"Be Accepted\",\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/#\\\/schema\\\/person\\\/a6dd078bb217049280c5041217d793d3\"},\"headline\":\"Cancerul de s\u00e2n \u0219i chirurgia s\u00e2nului\",\"datePublished\":\"2026-03-11T09:27:28+00:00\",\"dateModified\":\"2026-05-22T08:04:21+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/cancerul-de-san-si-chirurgia-sanului\\\/\"},\"wordCount\":2126,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/cancerul-de-san-si-chirurgia-sanului\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/be-accepted.com\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/AdobeStock_142738775-scaled-e1663706970799.jpg\",\"articleSection\":[\"BE \u2013 Medicina conven\u021bional\u0103\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/be-accepted.com\\\/ro\\\/cancerul-de-san-si-chirurgia-sanului\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/cancerul-de-san-si-chirurgia-sanului\\\/\",\"url\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/cancerul-de-san-si-chirurgia-sanului\\\/\",\"name\":\"Cancerul de s\u00e2n \u0219i chirurgia s\u00e2nului - 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