Doctor insights on:
What Is The Difference Between A Lumpectomy And A Mastectomy
Partial vs total: A lumpectomy is the removal of the breast tumor (the "lump") and some of the normal tissue that surrounds it. Lumpectomy is a form of "breast-conserving" surgery. A mastectomy is the removal of the entire breast tissue. The main types of mastectomy are: "simple" or "total" mastectomy, modified radical mastectomy, and radical 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
What are the pros and cons of a lumpectomy and a mastectomy? Does a mastectomy hurt a lot more than a lumpectomy?
What are advantages and disadvantages of a lumpectomy and a mastectomy. please share any personal experience. does a mastectomy hurt a lot more than a lumpectomy?
More side effects: A mastectomy is designed to remove the entire breast because of a large tumor that tends to extend into the surrounding breast tissue. The incision at best is transverse and about 10 cm. A lumpectomy is a wide biopsy leaving most of the breast tissue and used when the entire small lesion can be encompassed by the lumpectomy. The side effects here are minimal compared to mastectomy. ...Read more
Agree with others: I agree with my colleagues. I want to add that if you choose a lumpectomy, you must get radiation in order for the lumpectomy option to (almost) equal a mastectomy alone. Be sure you discuss your options with your oncology team (surgeon, medical & radiation). If you have addition concerns, a 2nd opinion may give another perspective. ...Read moreSee 2 more doctor answers
Lumpectomy is prefer: The long term survival is same with either procedure. That is why most women now choose lumpectomy when give such a chioice because they prefer to save their breast instead of losing it with amastectomy. The lumpectomy chocie does require 6-7 weeks of radiotherapy to the affected breast. So it is somewhat more inconvenient option. Given these dfifferences, you can chose the option that suits you. ...Read more
I had 1mm bc grade 3 and had a lumpectomy which took it all, then a mastectomy, tamoxifen for 2.5yrs, then ooph and armidex what are chances of recurre?
Not zero: Sadly, the recurrence rate of breast cancer is impossible to get down to zero. Ask your oncologist to develop an estimate for you. The key to treating recurrences is catching them early, so stick to your follow up plan very strictly! but that said, it does no good to worry. Count your blessings every day, use the phrase "i love you" a lot, and read "love medicine and miracles" by dr. Siegel. ...Read moreSee 1 more doctor answer
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
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
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 moreSee 2 more doctor answers
Can mammaprint be used on a core biopsy to help decide on mastectomy vs. Pre-operative chemo/lumpectomy?
Excellent question!!: I only know of 2 small studies (netherlands and us) in which mammaprint was evaluated in a pre-op setting. A "high risk" category was predictive of a pathologic complete response (desirable). I believe there is at least one ongoing trial (mint i) and maybe more studying that question. For now, microarray tests are used in the post-op setting for er+, node negative patients in routine practice. ...Read more
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