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Sunday, April 26, 2015

Breast Cancer Surgery

Breast cancer surgery is the mainstay of breast cancer when the tumor is localized. Patients are roughly divided into high risk and low risk cases, and each risk category follows different rules for therapy. Treatment possibilities include radiation therapy, chemotherapy, hormone therapy, and immune therapy. Management of breast cancer is undertaken by a multidisciplinary team based on national and international guidelines.
Depending on the staging and type of the tumor, your surgeon may recommend a lumpectomy. Lumpectomy techniques are increasingly utilized for breast-conservation cancer surgery. Studies indicate that for patients with a single tumor smaller than 4 cm, lumpectomy may be as effective as a mastectomy. If the entire breast needs to be removed, that’s called a mastectomy.
For the following reasons, a mastectomy may be the preferred treatment in certain instances:
Two or more tumors exist in different areas of the breast.
The breast has previously received radiotherapy.
The tumor is large relative to the size of the breast.
The patient has had a connective tissue disease which can complicate radiotherapy.
The patient lives in an area where radiotherapy is inaccessible.
The patient is apprehensive about the risk of local recurrence after lumpectomy.
Standard practice requires the surgeon to establish that the tissue removed in the operation has margins clear of cancer, indicating that the cancer has been completely excised. If the removed tissue does not have clear margins, further operations to remove more tissue may be necessary.

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