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Breast-Conserving Surgery vs. Mastectomy: Which is Right for You?
Published: Aug 27, 2024
Choosing between breast-conserving surgery and mastectomy is a personal decision for many breast cancer patients. Understanding the pros and cons of each option can help you make the best choice for your situation.
Breast-Conserving Surgery: Saving the Breast
Breast-conserving surgery, also called lumpectomy, removes the tumor and a small amount of surrounding tissue. This approach preserves most of the breast. It's usually followed by radiation therapy to reduce the risk of cancer returning. Many women choose this option to maintain their natural breast shape.
Mastectomy: Removing the Entire Breast
Mastectomy involves removing the entire breast. This may be recommended for larger tumors or when cancer is found in multiple areas of the breast. Some women choose mastectomy for peace of mind, even if breast conservation is an option. Breast reconstruction can often be performed at the same time or later.
Comparing Outcomes
Studies show that breast-conserving surgery plus radiation therapy is just as effective as mastectomy for many early-stage breast cancers. Both approaches have similar long-term survival rates. The main difference is in how much breast tissue remains after surgery.
Factors to Consider
Your doctor will help you decide which surgery is best based on factors like tumor size, location, and your overall health. Personal preferences matter too. Consider how you feel about preserving your breast, undergoing radiation, and potential follow-up surgeries. Some women prioritize a quicker recovery, while others focus on body image concerns.
Frequently Asked Questions
Both surgeries are generally safe, with similar overall survival rates for early-stage cancers.
Some women need radiation after mastectomy, but it's more common after breast-conserving surgery.
Yes, though most women who choose breast conservation don't need reconstruction.
Lumpectomy recovery is typically shorter, while mastectomy may require several weeks.
If cancer returns, a mastectomy is usually performed at that time.
Making Your Choice
The best surgical approach depends on your unique situation and personal preferences.
References
- American Cancer Society. Breast-conserving Surgery (Lumpectomy). https://www.cancer.org/cancer/breast-cancer/treatment/surgery-for-breast-cancer/breast-conserving-surgery-lumpectomy.html
- Breastcancer.org. Mastectomy vs. Lumpectomy. https://www.breastcancer.org/treatment/surgery/mastectomy-vs-lumpectomy
- National Cancer Institute. Surgery to Reduce the Risk of Breast Cancer. https://www.cancer.gov/types/breast/risk-reducing-surgery-fact-sheet
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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