Doctor insights on:
What Kind Of A Doctor Performs Mastectomy
General Surgeons: Mastectomies are performed by general surgeons such as myself. This is most commonly done to treat breast cancer but it is an option to prevent breast cancer in high-risk women. Many women opt for simultaneous reconstruction; this is performed by a plastic surgeon. ...Read more
Breasts removed: This is the technical way to describe the surgical removal of both breasts, most often performed because of cancer. Sometimes a woman will decide to have a bilateral ("two sides") mastectomy (surgical removal of a breast) if she is at high risk for developing breast cancer. ...Read more
Not recognized Rx:
As with many holistic/naturopathic they are not well studied and often fall short of their zealot supporters claims.
A more clinical tried and true if Omental tansplant from the abdomin to the axillae ...Read more
Talked to the doctor nurse on phone yesterday and she says that I would probaly be safe and do a partial mastectomy since there unsure what it is woul?
What prompted that?: If you have had an abnormal mammogram, a biopsy of some form is likely the next step. If you had a biopsy, the details of the pathology should be discussed with a general surgeon to determine your options for what, if anything, still needs to be done. Mastectomy of any nature (partial modified etc.) is usually for cancer. ...Read more
I made ultra sound and the doctor recommended biopsy I am 60, would it be better to have a mastectomy?
Breast Biopsy: Medical treatments always progress from least invasive to most invasive. A breast biopsy should be done before a mastectomy. The results of the breast biopsy will then guide any further surgical treatment required. ...Read more
How does the doctor use the lattisimus dorsi for reconstruction of breast after a bi-lateral mastectomy?
Breast surgery: Three basic forms of breast reconstruction exist. You can use your own tissue, implants or a combination of the previous two techniques. Your own tissue can be used in the form of the diep flap, pap flap, sgap flap or fat grafting. Implants can be done in one stage or two stage. Two stage reconstructions are started by placing expanders at the time of mastectomy. ...Read more
Yes: Prophylactic mastectomy is performed under certain situations. Once mastectomy is performed, there are various options for breast reconstuction. The most common method is tissue-expansion/implant reconstruction. Autologous breast reconstruction, which uses your own tissue, with or without implants, is another option. Not everyone is a good candidate for each option. Discuss with your surgeon. ...Read more
Patient-Preference: Most breast cancers can be surgically treated with equal success by mastectomy or lumpectomy (+radiation). Therefore, given the option, most women choose the much less invasive rx of a lumpectomy. Many other issues may factor into this decision--age, family hx, mammogram findings, pathology, etc--therefore, a critical part of one's preoperative evaluation is to fine-tune this recommendation. ...Read more
Any advice? What size breast implant do doctors put in when reconstructing the breast after a mastectomy?
I have paronychia that is now a felon. On keflex x2 days not responding (neither is my doctor) it is on mastectomy side and I also take hydroxyurea.
Time: As long as you do not have redness extending beyond the digit I would give the antibiotics another day or two. Paronychias can lead to abscess development that require drainage. If you have redness extending beyond the digit then you should go to the er if your doctor is not responding. ...Read more
General check ups: An oncologist is a cancer specialist who will examine the pateints and look for any local signs of recurrence in the breast (in case the breast was not removed with mastectomy) and also examine the chest area and the opposite breast. There are also blood tests, chest x-ray and ct scans to look for internal spread of cancer in the abdomen. ...Read more
Yes we can: The best treatment for any early cancer is surgery, i. E. Cut it out! When the cancer is in the breast, patients have a choice to remove just the cancer (called lumpectomy) and save the breast with the help of radiotherapy to the remaining breast. Or opt for removal of the entire breast, which is called mastectomy. ...Read more
Any doctor experienced in removing silicone breast injections in dallas, texas? I am seeking a bilateral mastectomy with cohesive gel implants.
Options: I refer patients to dr. Scott kasden in southlake for this kind of plastic surgery treatment. He is excellent. ...Read more
Do I have to wait until my radiation treatments are over before I can get breast reconstruction? I wanted to get immediate breast reconstruction after my mastectomy, but my doctor says I need radiation and recommended I wait. Why? .
Breast Cancer: I perform immediate breast reconstruction on patients every week who will get radiation treatments. I prefer to perform the diep flap for patients who I know will get radiated because I can take care of your own tissue much easier than an implant after radiation. The only time I don't perform or delay the reconstruction is when the tumor is close to the chest wall and maybe difficult to check. ...Read more
Breast Ca 2011 had lumpectomy+Chemo+Radio. Mar-2017, Angiosarcoma appeared & treated by Mastectomy. Sep-2017, 2nd occurrence of Angiosarcoma treated with split graft. Now, 3rd occurrence (No metastasis).Doctor suggested rip resection+Full graft. Agree?
Need more than surge:
Angiosarcoma is a dangerous cancer, so it needs to be controlled fast before it starts to spread at distant sites.
You should not rely on surgery alone as you have already witnessed its failure more than once.
Consult a medical oncologist or a sarcoma specialist who can first treat your Angio with chemotherapy, then do surgery (good excision...it does not have to be radical. Local Radiotherapy may ...Read more
To all doc. If your patient had brst. Cancer twice. Mastectomy of both, was a past smoker, and now has pain r.Side, short. Of breath, fatigue. Xray? Ct? Orother
Severe depression and anxiety. Previously prescribed Prozac and Xanax to cope. No insurance and can't go to my personal doctor. Also was diagnosed with breast cancer, sarcoidosis, and adrenal gland disorder... Had a complete mastectomy about 5 years ago.
Free / sliding fee: I don't know what area you are from. But many communities have clinics which are free or sliding fee scale. You can google this for your area. ...Read more
What is the recovery period after having a tissue expansion treatment done? After my mastectomy, my doctor suggested that I have a tissue expansion procedure done to help reconstruct my breasts. I have just spent a lot of time recovering from cancer, and
First and foremost, I wish you health, courage, and strength in your recovery from breast cancer.
Tissue expansion is a very common approach to breast reconstruction after mastectomy. Very nice results can be achieved by expanding your own tissue to accommodate permanent breast implants. This approach gives you a lot of control over final size selection, and avoids the risks associated with operations that remove tissue from other parts of your body to replace breast tissue.
If I understand your question correctly, you have already had a mastectomy, and are now considering having tissue expanders placed after having healed from the first operation. The operation to secondarily place the expanders involves using the same incision made for the mastectomy, creating a space under your chest muscle (pectoralis major, or "pec"), and sometimes using donor material to create a nicely shaped lower breast contour. There is some tightness and discomfort associated with placing the expanders, and I typically recommend to my patients that they take about a week off of work. Most women who work a desk job can return to their normal job functions in a week and not require narcotic pain meds during the day, but women who work more strenuous physical jobs may need to be off work or on light duty (lifting less than 15 lbs) for about 4 weeks.
Depending on your plastic surgeon's preferences, you will likely begin the expansion process about 3 weeks after the surgery to have the expanders placed. This involves coming in to your plastic surgeon's office every 1-3 weeks to have the expanders filled with a moderate volume of saline each time until you reach your desired size. The expansion itself involves minimal discomfort, as a small needle is used to access and fill the expanders. You can return to work on the same day or the day following your expansions.
Surgery to place your permanent implants can proceed about 8 weeks after your size goal is reached, and the permanent implants will feel softer and have a much more natural appearance than the filled expanders.
All the best to you in your recovery,
dr. Skourtis. ...Read more
Can you tell me what kind of proof do surgeons ask for before performing preventative simple mastectomy?
No Proof needed: A surgeon will perform a complete history, family history, and exam to determine you risk for breast cancer. If you are at high risk for developing breast cancer, the surgeon will discuss with you the risks of surgery. More testing may be needed base on your history. It will then be your decision to undergo the surgery or not. ...Read more
I am having a partial masectomy I have a small Tumor. My doctor said they will take out Tumor and lymph nodes. Will there be two incisions or one?
2 incisions: Small radial incision used to remove the breast primary and then bx or excision site reconstructed by placing fine hook in medial incision near nipple, elelvating nipple so site looks like inversted ice cream cone and base and then other tissues approximated. A second small incision made in axilla after injecting dye at tumor site to define sentinel nodes and Axillary dissection if nodes pos. ...Read more
There are many different types of mastectomies. A nipple sparing mastectomy allows the nipple and skin to be left in place and then the plastic surgeon can do reconstruction. The results are great with less scarring than traditional mastectomy.
Make sure you are offered reconstruction and speak with a plastic surgeon. ...Read more
Can be outpatient: Mastectomy means removal of the breast tissue. The extent depends on the indication, generally cancer or risk of cancer. The approach also depends on involvement of the overlying skin, associated lymph nodes and decision whether to perform reconstruction immediately or delay it. You should speak with your surgeon about options. ...Read more
Appropriate reason: Removing a breast is not an insignificant thing and should only be done for an appropriate indication (i.e. Appropriate high risk). Beyond this, basic screening should have been done in a recent interval - no one likes surprises. The patient should be a reasonable surgical candidate. ...Read more
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