Doctor insights on:
Tylectomy Breast Carcinoma
Recently diagnosed with ductal carcinoma (stage 1) breast cancer. Is it normal if the doctor wants me to have a lumpectomy?
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
Anesthsia: In my practice, I use a heavy sedation (also known as mac) with local or general anesthesia. It depends on how extensive the mass and if i need to do a procedure on the lymph nodes. With proper pre operative physical exam, the risk for anesthesia can be assessed and the appropriate method can be selected. It is important to be comfortable so the surgeon can complete the procedure safely. ...Read moreSee 2 more doctor answers
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
After lumpectomy what are the best measures to practice to prevent one from having a lump or breast cancer.
Adjuvant treatment: For most breast cancers, after a lumpectomy adjuvant breast radiation is required to maximize local control and cure. If the tumor was more than 1cm depending on some other features, chemotherapy could be reccomended( often determined by molecular testing with oncotype dx). If the cells were hormone receptor positive then a hormone blocking pill can further decrease recurrence rates).Ask team. ...Read moreSee 1 more doctor answer
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
Been diagnosed with breast cancer, for which lumpectomy & radiation suggested. I have pmle. Will this be a problem when it comes to radiation?
The breast is both a male and female organ. However its main function is in the delivery of milk to the newborn. Breast cancer occurs 95% of the time in women and 5% of the time in men. It is treated the same regardless of which sex it appears in. It comes in two forms invasive and non-invasive; distinction is important as ...Read more
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