7 doctors weighed in:

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

7 doctors weighed in
Dr. Barry Rosen
Surgery
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Barry Rosen
Dr. Barry Rosen
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Dr. Marc Polecritti
Surgery - Plastics
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Marc Polecritti
Dr. Marc Polecritti
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Dr. Sewa Legha
Internal Medicine - Oncology
2 doctors agree

In brief: Both are equally goo

Lumpectomy is a breast saving procedure(as compared to mastectoy).
But lumpectomy has to be combined with radiotherapy which is typically delived over a period of 6-7 weeks. So it is more inconveneint but you have your natural breast saved. The results in terms of cure/survival after treatment with either option are equally good.

In brief: Both are equally goo

Lumpectomy is a breast saving procedure(as compared to mastectoy).
But lumpectomy has to be combined with radiotherapy which is typically delived over a period of 6-7 weeks. So it is more inconveneint but you have your natural breast saved. The results in terms of cure/survival after treatment with either option are equally good.
Dr. Sewa Legha
Dr. Sewa Legha
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Dr. Minas Chrysopoulo
Surgery - Plastics

In brief: Very personal choice

Mastectomy has a lower risk of cancer recurrence than lumpectomy.
Radiation is typically recommended following lumpectomy to decrease the recurrence risk. Radiation can alter the appearance of the "conserved" breast further so that significant breast asymmetry can be an issue. Mastectomy and immediate breast reconstruction can provide excellent cosmetic results but involves more surgery.

In brief: Very personal choice

Mastectomy has a lower risk of cancer recurrence than lumpectomy.
Radiation is typically recommended following lumpectomy to decrease the recurrence risk. Radiation can alter the appearance of the "conserved" breast further so that significant breast asymmetry can be an issue. Mastectomy and immediate breast reconstruction can provide excellent cosmetic results but involves more surgery.
Dr. Minas Chrysopoulo
Dr. Minas Chrysopoulo
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2 comments
Dr. Keith Monson
While this is true, the increased risk of breast cancer recurrence after lumpectomy and radiation is very small and is usually amenable to mastectomy when it does recur.
Dr. Minas Chrysopoulo
Yes, usually, but this still subjects the patient to potential side effects of radiation. Lumpectomy also means continued yearly mammograms.
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