Chithandizo chamankhwala cha Neoadjuvant systemic — chomwe nthawi zambiri chimakhala ndi chemotherapy, chithandizo cholunjika, kapena chithandizo cha mahomoni chomwe chimaperekedwa opaleshoni isanachitike — nthawi zambiri chimagwiritsidwa ntchito kuchepetsa zotupa za khansa ya m'mawere. Kwa akazi ambiri, chithandizochi chimasintha zomwe zikanafunika opaleshoni ya mastectomy kukhala mwayi wosunga mabere.
Ku Apollo Athenaa, opaleshoni yosamalira mawere pambuyo pa chithandizo cha neoadjuvant imachitika mwaluso kwambiri. Njira yathu sikuti imangofuna kuchotsa matenda onse otsala, komanso kusunga mawonekedwe ndi mawonekedwe a mawere kulikonse komwe kungatheke. Dongosolo lililonse limatsogozedwa ndi kujambula zithunzi zisanachitike chithandizo (kuphatikiza bere la MRI lokhala ndi kusiyana ndi kuyika chithunzi mu chotupa), biology ya chotupa, ndi kuwunika mosamala momwe wodwalayo angayankhire.