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Doctor insights on: Patients Cancers Mastectomy Lumpectomy

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When would patients with invasive cancers be advised to have a mastectomy rather than a lumpectomy?

When would patients with invasive cancers be advised to have a mastectomy rather than a lumpectomy?

Multicentric CA, etc: Breast cancers sometimes arise from multiple different areas in the same breast, called multicentric growth. In these cases, mastectomy is necessary. A second reason is if a woman has the brca mutation, in which case her risk of a second breast cancer down the road is so high that she may opt for bilateral mastectomy. ...Read more

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Dr. Barry Rosen
4,214 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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How can a patient still have cancer after lumpectomy? Cant find good surgeon (even if rich celebrities)? Not fair to need mastectomy vs radiation, etc

How can a patient still have cancer after lumpectomy? Cant find good surgeon (even if rich celebrities)? Not fair to need mastectomy vs radiation, etc

Breast neighborhood: It's not the surgeon, it's the bad breast neighborhood that allows cancer to return. Cancer cells can sneak away from the tumor before surgery, which is why radiation therapy is necessary after any lumpectomy. Even with radiation, there is a higher chance of cancer returning after a lumpectomy compared to mastectomy. You're right, it's not fair. We need better treatments for breast cancer. ...Read more

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For a 5mm intraductal breast cancer with 1mm of invasion, taken at lumpectomy and then a mastectomy performed, how many lymphs should be removed?

For a 5mm intraductal breast cancer with 1mm of invasion, taken at lumpectomy and then a mastectomy performed, how many lymphs should be removed?

It depends: The current standard is to perform a sentinel lymph node biopsy; if (+), additional nodes are removed (unless radiation therapy planned, which would not be the case with this minimal tumor). The median number of sentinel nodes people have are 2-3, however some have 1, others can have many more--this does not reflect the tumor but rather the way the breast drains towards the armpit. ...Read more

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My mums had 2 separate breast cancers 1 a lumpectomy the other was a full mastectomy my cousin also died of breast cancer shud I get checked out?

My mums had 2 separate breast cancers 1 a lumpectomy the other was a full mastectomy my cousin also died of breast cancer shud I get checked out?

Yes: Guidelines for screening mammograms in standard risk women (without a strong family history of breast cancer) recommend that mammograms begin between age 40 and 50 depending on the woman's preference. Screening starts earlier in higher risk situation such as with a family history. In this situation, I would not recommend waiting until age 50. Family Medicine, Women's Health, or OB/GYN can help ...Read more

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Had lumpectomy last year on left breast idc stage1 grade 2/ radiation now have small invasive cancer finding on right breast.Is it time for masectomy?

Possibly: Did you have brca testing? If not, you should. If brca testing shows a deleterious mutation, i would definitely recommend bilateral mastectomy. If brca is normal, mastectomy is a good option, but could still consider lumpectomy and radiation. ...Read more

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Is mastectomy really necessary for a cancer patient?

Is mastectomy really necessary for a cancer patient?

Depends: As much as possible, most surgeons do not recommend complete mastectomy surgery for breast cancer unless there is no other surgical option. Lumpectomy or partial mastectomy can be done for some patients. Reasons for mastectomy may be large cancers, ulcerating cancer, inflammatory cancer, multiple sites of cancers, extensive dcis , cancer already metastatic. Ask your oncologist for opinion too. ...Read more

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How often to breast cancer patients have a lumpectomy & gone on to live a life, cancer free?

How often to breast cancer patients have a  lumpectomy & gone on to live a life, cancer free?

Much more often....: ...Than not. Thankfully, our tools for treating breast cancer have improved quite a bit over the past 20 years. Survival is not related to method of surgical rx (lumpectomy vs. Mastectomy); rather, it is dependent on the stage, type, and molecular features of the cancer. When caught very early, the chance for cure is better-than 90%. The best way to do that is yearly mammograms beginning at 40. ...Read more

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Is mastectomy really necessary for a stage 2 breast cancer patient?

Is mastectomy really necessary for a stage 2 breast cancer patient?

Depends: The choice between mastectomy (either one or both breasts) and lumpectomy depends on many factors including genetic issues, size of the cancer and of the breast, location, and many others. It is a choice to be made by both the surgeon and the patient after a thorough discussion. ...Read more

Dr. Regina Hampton
182 doctors shared insights

Lumpectomy (Definition)

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


Dr. Barry Rosen
970 doctors shared insights

Mastectomy (Definition)

A mastectomy is complete removal of all visible breast tissue. Different variations exist, some of which spare some or all of ...Read more