Doctor insights on:
Patients Cancers Mastectomy 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 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
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 moreSee 2 more doctor answers
If two masses are found in one breast, one measuring 1.4 by 1.7 and the other is .5 is mastectomy recommended versus lumpectomy. Patient is 32 years old?
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
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 moreSee 1 more doctor answer
I have breast cancer, can I do a sentinal lymph node biopsy before i decide on which procedure to do (lumpectomy or mastectomy)?
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?
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
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 moreSee 1 more doctor answer
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
- Talk to a doctor live online for free
- Oxygen saturation level is low in a lung cancer patient
- How can a terminally ill cancer patient survive without eating for how long?
- Low potassium levels in cancer patients
- Ask a doctor a question free online
- Nursing diagnosis for breast cancer patient
- Lung cancer patient with blood in urine
- Nursing diagnosis for cancer patient
- Do cancer patients keep burping when they are about to die?
- Talk to a oncologist online for free