Top
20
Doctor insights on: Reasonable Mastectomy Breast Cancer

Share
1

1
Is dcis breast cancer genetic?

Is dcis breast cancer genetic?

It can be: Dcis, the earliest form of breast cancer, can be associated with brca mutations. 13% of women under 50 diagnosed with dcis had a brca mutation in retrospective (looking backwards) studies. Women with a family history of breast or ovarian cancer or dcis before age 50 should have genetic counseling. For more info: http://clincancerres.Aacrjournals.Org/content/13/14/4306.Full. ...Read more

See 3 more doctor answers
Dr. Barry Rosen
4,308 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


2

2
Price for breast lumpectomy vs a mastectomy?

Price for breast lumpectomy vs a 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 more

See 1 more doctor answer
3

3
Cryoablation for breast fibroadenoma?

Cryoablation for breast fibroadenoma?

Do-able: Fibroadenomas are the most common benign breast tumor (removal optional). Standard rx is a surgical lumpectomy under twilight anesthesia. Cryoablation uses a needle probe placed via ultrasound under local anesthesia to freeze the tumor, after which it dies. This option has been around for over a decade. While i prefer the surgical route due to pain, my colleagues who do this often swear by it. ...Read more

4

4
Is nipple sparing mastectomy safe for brca 2?

Is nipple sparing mastectomy safe for brca 2?

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 more

See 2 more doctor answers
5

5
My mom had lobular breast cancer at 52. Brca negative. Is lobular breast cancer more genetic based than ductal?

My mom had lobular breast cancer at 52. Brca negative. Is lobular breast cancer more genetic based than ductal?

No its medullary: a quote from Lancethttp://www.ncbi.nlm.nih.gov/pubmed/9167459: "The occurrence of invasive lobular carcinoma and invasive ductal carcinoma was not significantly different between carriers of BRCA1 or BRCA2 mutations and controls. Medullary or atypical medullary carcinoma was, however, found more often in BRCA1 (13%, p ...Read more

6

6
Silicone breast implants can couse breast cancer?

Silicone breast implants can couse breast cancer?

No but.....: There is no direct link but there are concerns with the potential for implants to interfere with the detection of cancer. Particularly using mammograms. Special views (eklund) must be obtained. Alhtough there may be a delay in diagnosis, there has not been shown to be any effect on survival. With mri, surveillance is improved and may supplant mammography. As stated, alcl may be increased but rare. ...Read more

See 8 more doctor answers
7

7
Could breast implants give you breast cancer?

Could breast implants give you breast cancer?

Short answer: no: With the exception of a very rare situation, (called ALCL) breast implants do not seem to increase the risk of breast cancers. There are multiple studies which actually show women with implants having a lower-than-expected risk of breast cancer. ...Read more

See 4 more doctor answers
9

9
Is breast density a risk factor for breast cancer? Mammogram noted "extremely dense breasts".

Is breast density a risk factor for breast cancer? Mammogram noted "extremely dense breasts".

Yes, breast density: is a risk factor for breast cancer. The relative risk for extremely dense breasts is about 4x the relative risk of patients with almost entirely fatty breasts, and about 1.6x the RR for "average" density breasts. Find out all you need to know at http://www.breastdensity.info/ ...Read more

10

10
Breast cancer prevention?

Breast cancer prevention?

5 steps: 1. Maintain a healthy weight. Obesity increases your risk of breast cancer 2. Have babies and breast feed. These decrease your risk 3. Limit hormone therapy after menopause. 4. Decrease alcohol intake 5. Exercise - women who have regular physical exercise have a decreased risk of breast cancer. ...Read more

See 2 more doctor answers
11

11
What would doctors recommend, breast reconstruction with mastectomy or lumpectomy?

What would doctors recommend, breast reconstruction with mastectomy or lumpectomy?

Depends: Too many individual factors to give a blanket answer. Most time, radiation is added to lumpectomy patients and this can negatively affect subsequent reconstruction if needed. Both treatments are considered equal in terms or survival with a slight increase in local recurrence with lumpectomy. ...Read more

See 3 more doctor answers
12

12
DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?

DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?

It depends: It may depend on your age. Radiotherapy to your involved breast may be required as it is the standard of care. Ask your doctor and let us know what advice you receive. Tamoxifen is another medication recommended after completion of Radiotherapy. ...Read more

13

13
What is breast cancer sentinel node micro metastases?

What is breast cancer sentinel node micro metastases?

Spread of cells: Micrometastasis means that a few tumor cells have left the breast tumor and traveled to the lymph nodes under the arm. In most cases, this is treated as a negative lymph node. I encourage you to review your pathology report with your surgeon and oncologists (ideally they are communicating with each other through a meeting called a tumor board). ...Read more

See 3 more doctor answers
14

14
Detecting breast cancer appropriate to have thermography for women vs mammogram?

Detecting breast cancer appropriate to have thermography for women vs mammogram?

The use of: mammography as a screening test has been validated by many years of outcomes data. Thermography, not so much. ...Read more

See 1 more doctor answer
15

15
Would male breast cancer reoccur in thyroid after 8 years of mastectomy, radiotherapy and chemotherapy?

Would male breast cancer reoccur in thyroid after 8 years of mastectomy, radiotherapy and chemotherapy?

Very unlikely: Very few cancers metastasize to the thyroid. I'll bet you it's a new tumor. The pathologist can tell for sure. ...Read more

See 1 more doctor answer
16

16
Chemotherapy hormone receptor positive node breast cancer?

Chemotherapy hormone receptor positive node breast cancer?

D/W oncologist: Treatment will depend not only the stage but also the biology of the cancer- whether it is estrogen positive, her2neu positive, whether it is lymph node positive or not. Also depends on your preference and overall health condition. Different test like oncotype dx, mammaprint can give you more info-re- recurrence risk of cancer and will be helpful in choosing the right therapy for you.D/w your md. ...Read more

See 2 more doctor answers
17

17
What are the current breast reconstruction techniques after breast cancer surgery?

What are the current breast reconstruction techniques after breast cancer surgery?

Flap or implant: Basically - you can use your own tissue or reconstruct with a breast implant. There are several options when your own tissue is used including tram (uses the rectus muscle in the abdomen with attached skin and fat), latissimus (the muscle going from shoulder to back - usually for relatively small defects), diep (uses skin and fat on abdomen, but preserves the muscle). ...Read more

See 9 more doctor answers
18

18
Is axiliary breast tissue a symptom for breast cancer?

Is axiliary breast tissue a  symptom for breast cancer?

Not usually: Some women have breast tissue under their arms that enlarges when they become pregnant, or occasionally during the menstrual cycle. Cancer is unusual, but not unheard of. If a lump persists, have it checked. ...Read more

See 1 more doctor answer
19

19
What distinguishes inflammatory breast cancer from invasive breast cancer?

What distinguishes inflammatory breast cancer from invasive breast cancer?

Inflammatory breast: Cancer is a subtype of invasive breast cancer that involves the skin. It causes the skin to appear inflamed. ...Read more

See 1 more doctor answer
20

20
Do the breast enhancement pills "breast actives" cause breast cancer or uterus cancer?

Do the breast enhancement pills "breast actives" cause breast cancer or uterus cancer?

Unknown: Breast enhancement pills are not regulated and therefore may have various unknown substances in them. Some of those substances, especially if they include estrogen, may increase risk of cancers. ...Read more

See 2 more doctor answers
Dr. Barry Rosen
1,362 doctors shared insights

Breast Cancer (Definition)

Occurs when glandular cells lining the milk ducts and lobules of the human breast begin to grow in an unregulated manner. Often curable if found early and treated effectively with surgery, hormonal therapy, chemotherapy and targeted therapy, or a combination thereof. Early detection before the malignancy becomes large enough to be felt depends on mammography/sonography and MRI imaging of the breast ...Read more


Dr. Mark Hoepfner
1,049 doctors shared insights

Breast Carcinoma (Definition)

Most breast cancers are carcinomas. This is a type of breast cancer. These cancers start in the cells that line organs and tissues. In fact, breast cancers are often a type of carcinoma called adenocarcinoma, which starts in cells that make glands (glandular tissue). Breast adenocarcinomas start in the ducts (the milk ducts) or ...Read more