Doctor insights on:
Lumpectomy Vs Mastectomy
Don't Let Price...: ...Influence your decision. Treatment may require surgery+/-radiationrx+/-chemorx, therefore looking at the cost of these operations alone are misleading. For example, radiationrx is mandatory after lumpectomy, so any price comparison would have to include this. Most importantly, if uninsured, there are many people & hospitals in the healthcare community that will assist cancer patients. ...Read moreSee 1 more doctor answer
A lumpectomy means removal of a breast lump. It frequently is used in relation to removal of breast cancer. However it can be generalized to removal of other lumps or imaging abnormalities also. Other terminology such as excision, wide excision or a partial mastectomy usually may mean the same thing. If it is done for breast cancer frequently it needs to be ...Read more
Multiple steps: There are several reconstructive options which can be performed at the same time as mastectomy or any time later. Not everyone is a candidate for immediate reconstruction. Options range from breast implants to "flap" surgery which use the patient's own tissue to recreate a "natural", warm, soft breast. The nipple and areola can also be reconstructed. Typically more than one surgery is required. ...Read moreSee 3 more doctor answers
Patient-Preference: Most breast cancers can be surgically treated with equal success by mastectomy or lumpectomy (+radiation). Therefore, given the option, most women choose the much less invasive rx of a lumpectomy. Many other issues may factor into this decision--age, family hx, mammogram findings, pathology, etc--therefore, a critical part of one's preoperative evaluation is to fine-tune this recommendation. ...Read moreSee 3 more doctor answers
Yes: Many studies have been published demonstrating this option to be safe, both for treatment of breast cancer and prevention in women with brca mutations. No surgery will take the risk of subsequent breast cancer down to zero--there is always some breast tissue left behind, albeit microscopic. Therefore, it stands to reason that the more left behind, the higher the risk; yet, it remains quite low. ...Read moreSee 2 more doctor answers
68y,left breast IDC in 2011,received Chemo+Radio+lumpectomy.Now,Angiosarchoma in same breast,had mastectomy.All margins are clear.Need Chemo or Radio?
Cancer treatment: Only you and your Drs can make the best decision as to what is the best treatment for you. Discuss with your team and ask for second opinion as well. ...Read more
Depends: For smaller volume increases, fat transfer works as well as implants. However for larger volumes, it may take several stages and is more difficult to get the same result as an implant. It also depends on the amount of breast tissue you start with, because fat transfer needs some tissue to survive. Generally speaking, it is more economical to get implants. ...Read moreSee 1 more doctor answer
Benefits > risks: Every surgery has risks and benefits, so it comes down to what we call the risk/benefit ratio. Silicone breast implants have been studied more than any other medical device and the fda has confirmed that they are safe and effective. Thre are a lot of things to consider however so you should discuss your concerns with your plastic surgeon in detail. ...Read moreSee 13 more doctor answers
No.: No you do not need surgery if a complete pathological response has occurred. ...Read more
Both are safe: Both operations are extremely safe, but breast reduction takes longer in the operating room and involves more incisions and scars. Augmentation involves use of implants, which are also safe but have their own particular issues. Obviously, one woman cannot need both operations, so individual medical details are much more relevant, and both operations (in different patients) are quite low-risk! ...Read moreSee 7 more doctor answers
Success rate for mastectomy retaining flap and nipple no sentinel node invasion stage 1b measures 8mm, margins good except anterior 1.5mm? Must chemo?
Tumor genetics: You could request a recurrence score which is a genomic evaluation of tumor cell gene s. 2 common tests in U.S. Are oncotype DX and mammaprint. ...Read more
Is chemo required for an invasive carsinoma in situ stage 1b grade 2, 0.8 CM in size mastec done, fibroadipose and breast tissue, sentinel lymph clear?
Patient s/p mastectomy with sentinel node biopsy and tram flap.Now with recurrent cancer. Would anyone do repeat sentinel node biopsy?
Up to the patient: This is a complex question, but in almost all cases the choice is up to the patient. Reconstruction can be done at the time of mastectomy or later on; both have advantages and disadvantages. I would recommend consultation with one or more plastic surgeons experienced in breast reconstruction to explore the options in your particular case. ...Read moreSee 4 more doctor answers
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