Is Really A Lumpectomy A Much Better Cancer Of The Breast Treatment Than The Usual Mastectomy

 

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Lumpectomy and mastectomy procedures are both effective treatments for breast cancer. Research shows there is no difference in survival rate from either procedure, though lumpectomy has a slightly. Mastectomy removes the entire the breast, while lumpectomy involves removing only the tumor with some surrounding tissue. Some studies have suggested that women with early stage breast cancer have a better five-year survival rate after lumpectomy.

There is a somewhat higher risk of developing a local recurrence of the cancer after lumpectomy than after mastectomy. However, local recurrence can be treated successfully with mastectomy. The breast cannot safely tolerate additional radiation if there is a recurrence in the same breast after lumpectomy.

This is true for either a recurrence of the same cancer, or. Even with other kinds of, other types of breast cancer we know from long‑term randomized controlled trials that lumpectomy and radiation is as good if not slightly better than mastectomy in terms of survival and in terms of prevention because you can radiate a much bigger area than you can cut out. Should you ever find yourself wondering about whether mastectomy or lumpectomy is the better treatment option for breast cancer, you might want to check out a recent study by the Duke Cancer Institute which found that the less invasive lumpectomy (plus radiation) is better than mastectomy for early stage breast cancer. Advantages of lumpectomy. Removal of just the area of cancer: aims to keep most of the breast tissue; is less of a change to your body than mastectomy; has a recovery time of a few weeks.

SAN ANTONIO — Breast-conserving therapy (BCT), which consists of lumpectomy with radiotherapy, might be a better option than mastectomy, according to long-term data from a large retrospective study. The observational study, involving more than 37,000 women in the Netherlands, provides 10-year data. If you can’t get to a radiation treatment center, or if you can’t have radiation therapy, mastectomy is usually a better option than lumpectomy.

Figure 5.3: Total mastectomy versus lumpectomy plus radiation therapy. Total mastectomy. Lumpectomy plus radiation therapy. Treatment for early breast cancer. Lumpectomy plus radiation therapy isn’t the best choice for all women with early-stage breast cancer.

Reasons to opt for mastectomy include: A breast tumor that is between 4 and 5 centimeters in diameter. This is close to the upper size for an early-stage cancer. Your doctor may recommend a hormone treatment if you’ve had a lumpectomy or single mastectomy for estrogen receptor-positive or progesterone receptor-positive breast cancer.

List of related literature:

A lumpectomy allows a woman to retain normal breast tissue but is contraindicated if there is cancer in more than one quadrant (multicentric), the woman has received breast radiation therapy, the resection margins are persistently positive after reasonable attempts at excision, or for IBC.

“The Brigham Intensive Review of Internal Medicine E-Book” by Ajay K. Singh, Joseph Loscalzo
from The Brigham Intensive Review of Internal Medicine E-Book
by Ajay K. Singh, Joseph Loscalzo
Elsevier Health Sciences, 2017

In the past, most breast cancers were treated aggressively, but today, studies have shown that some patients will benefit as much from a lesser procedure, depending on the type and extent of the malignancy.

“Pocket Guide to the Operating Room” by Maxine A Goldman
from Pocket Guide to the Operating Room
by Maxine A Goldman
F.A. Davis Company, 2019

Cancer specialists have become aware that mastectomies are not always necessary and that a partial mastectomy (also known as a lumpectomy) may be as effective as more extensive operations, especially when combined with radiation or chemotherapy.

“Human Reproductive Biology” by Richard E. Jones, Kristin H Lopez
from Human Reproductive Biology
by Richard E. Jones, Kristin H Lopez
Elsevier Science, 2013

For some women, one or the other surgical treatment might be preferred depending on the specific type of tumor, the number of tumors within the same breast, and the presence of any surrounding change in the breast that might make a lumpectomy a less appropriate option than mastectomy.

“Vocal Health and Pedagogy: Science, Assessment, and Treatment, Third Edition” by Plural Publishing, Incorporated
from Vocal Health and Pedagogy: Science, Assessment, and Treatment, Third Edition
by Plural Publishing, Incorporated
Plural Publishing, Incorporated, 2017

Numerous studies have shown that, for appropriate candidates and when followed by radiation, lumpectomy has the same overall survival rates as mastectomy, although breastconserving therapy is associated with a slightly higher risk of local recurrence.8,9

“ACSM's Guide to Exercise and Cancer Survivorship” by American College of Sports Medicine, Melinda L. Irwin
from ACSM’s Guide to Exercise and Cancer Survivorship
by American College of Sports Medicine, Melinda L. Irwin
Human Kinetics, Incorporated, 2012

For example, a small, noninvasive breast cancer may be treated only with lumpectomy and radiation, whereas a larger, aggressive tumor (one with a high histologic grade) may be treated with a mastectomy and chemotherapy, followed by radiation.

“Medical-Surgical Nursing: Patient-Centered Collaborative Care, Single Volume” by Donna D. Ignatavicius, M. Linda Workman, PhD, RN, FAAN
from Medical-Surgical Nursing: Patient-Centered Collaborative Care, Single Volume
by Donna D. Ignatavicius, M. Linda Workman, PhD, RN, FAAN
Elsevier Health Sciences, 2015

Prospective randomized clinical trials proved that lumpectomy followed by radiation therapy is equal to mastectomy for the control of locoregional breast cancer; therefore, lumpectomy followed by radiation therapy is an alternative to mastectomy for most women.

“Medicine” by Mark C. Fishman
from Medicine
by Mark C. Fishman
Lippincott Williams & Wilkins, 2004

Although this often requires mastectomy, breast-conserving therapy is an option if resection of both the cancer and the nipple-areolar complex can be accomplished (central lumpectomy), followed by definitive breast radiation therapy.

“Abeloff's Clinical Oncology E-Book” by John E. Niederhuber, James O. Armitage, James H Doroshow, Michael B. Kastan, Joel E. Tepper
from Abeloff’s Clinical Oncology E-Book
by John E. Niederhuber, James O. Armitage, et. al.
Elsevier Health Sciences, 2019

Cancer of the breast: Treatment options for breast cancer include surgery such as lumpectomy with sentinel node biopsy, partial mastectomy with breast reconstruction, or radical mastectomy followed by chemotherapy or radiation therapy.

“Lippincott's Content Review for NCLEX-RN” by Diane M. Billings
from Lippincott’s Content Review for NCLEX-RN
by Diane M. Billings
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008

Patients better treated by mastectomy include those with multicentric disease, disease not able to be encompassed in a cosmetically acceptable lumpectomy, and those with persistently positive margins after reexcision lumpectomy.

“Surgery: Basic Science and Clinical Evidence” by Jeffrey Norton, R.Randall Bollinger, Alfred E. Chang, Stephen F. Lowry
from Surgery: Basic Science and Clinical Evidence
by Jeffrey Norton, R.Randall Bollinger, et. al.
Springer Berlin Heidelberg, 2012

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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3 comments

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  • Very informative as I am doing research on due to: diagnosed with triple breast cancer no nodes as yet under ultrasound, awaiting surgery, during which a sentinel will be performed. Despite bigger is not more not BRACA I want to have both taken off.
    Older! Not worried about cosmetics and I don’t want to have this surgery again.

  • this was very helpful, i was just in the surgeons office having to make a decisions between the two and declined to making a decision on the spot… now i have to make a new appointment and maybe wait longer, but at least get into it better informed!

  • Thank you Dr. DiNome. It is excellent video. Now I understand better why some patients choose chemo and why others do not. Very excellent information. I wish all breast cancer doctors explain like you do.