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Treatment

 
Treatment

Chapter: 6 - Treatment

Subchapter: 5 - Breast Tissue Conservation Surgeries

If the cancer is detected early enough, there are options that will remove the cancer while preserving breast tissue. The common types are the lumpectomy (most often followed by breast radiation treatments) and the partial mastectomy.

Lumpectomy
A lumpectomy usually removes the least amount of breast tissue. The surgeon removes the cancer and a small portion of the surrounding tissue, but not the breast itself. Even though the lumpectomy is the least invasive breast cancer surgery, it can still be very effective, and further surgery may not be needed.

Partial Mastectomy
A partial mastectomy requires the surgeon to remove a larger portion of the breast than in the lumpectomy — perhaps a whole segment or quadrant of tissue — in order to eliminate the cancer. Occasionally, the surgeon will remove some of the lining over the chest muscles as well.

Related Questions

  • nancy f Profile

    I had a lumpectomy and a few nodes removed almost 2 weeks ago - lately it is itchy and driving me crazy.. today I noticed my breast has a measle like rash - not raised rash just there.. is this normal?

    Asked by anonymous

    Stage 1 Patient
    almost 6 years 3 answers
    • Thumb avatar default
      anonymous
      Survivor since 2012

      It could be reaction to stitches. I really itched when I started healing. That lasted a while.

      Comment
    • Thumb avatar default
      anonymous
      Learning About Breast Cancer

      I used Aquaphor. I was really itchy too. It could Br a skin reaction to whatever cream your applying.

      1 comment
  • Jessica Fisher Profile

    I'm 29 recently diagnosed with IDC and the surgery option has been left up to me now and I'm struggling with the decision to have a lumpectomy or a preventative double mastectomy with full reconstruction. Suggestions?

    Asked by anonymous

    Stage 3A Patient
    about 7 years 6 answers
    • View all 6 answers
    • Diana Foster Payne Profile
      anonymous
      Stage 4 Patient

      Hi Jessica, I'm sorry to hear about your DCIS diagnosis. I have stage 3 IDC and can relate to what you're feeling. Have you had the BRACA testing performed? It tests to see if you carry the breast cancer gene. That would definitely help with your decision. There are many things such as if any...

      more

      Hi Jessica, I'm sorry to hear about your DCIS diagnosis. I have stage 3 IDC and can relate to what you're feeling. Have you had the BRACA testing performed? It tests to see if you carry the breast cancer gene. That would definitely help with your decision. There are many things such as if any other members of your immediate family has had cancer, etc. I have a later stage of cancer so I have decided to have a double mastectomy. But it's such a personal decision to make. There is a wonderful site called breastcancer.org. You have to be very careful about doing research online. There is a lot of misinformation out there. This is a very good site for cancer info and includes a support board with other women that have DCIS. Dr Susan Love's breast book is also very informative. Best wishes to you whatever you decide,

      Diana

      6 comments
    • Surf  Momma Profile
      anonymous
      Learning About Breast Cancer

      I also had the option of choosing what treatment to do. It did not sit right with me because I am not a doctor. Educate yourself in all options. Try and think of all scenarios and how you might feel with each. I choose a bilateral mastectomy with reconstruction. My surgery was just 2 weeks...

      more

      I also had the option of choosing what treatment to do. It did not sit right with me because I am not a doctor. Educate yourself in all options. Try and think of all scenarios and how you might feel with each. I choose a bilateral mastectomy with reconstruction. My surgery was just 2 weeks ago.

      Good luck

      1 comment
  • Karen Milburn Profile

    Lumpectomy with 15 nodes removed ; complete pathological response no residue cancer either had 3.9 cm tumor and same cancer in lymph node. No cancer anywhere now, but I have this drain. When does the drain come out?

    Asked by anonymous

    Stage 2B Patient
    over 4 years 4 answers
    • View all 4 answers
    • Lou Cam Profile
      anonymous
      Survivor since 2013

      It will come out when the fluids that are draining decrease output enough. I had to measure fluids and keep a record of it. Mine were in over two weeks. It really varies from person to person. My drain area hurt, and the ladies on here advised me to use ice, which really helped. When the drains...

      more

      It will come out when the fluids that are draining decrease output enough. I had to measure fluids and keep a record of it. Mine were in over two weeks. It really varies from person to person. My drain area hurt, and the ladies on here advised me to use ice, which really helped. When the drains were taken out, I felt so much better.

      Comment
    • Mimi Carroll Profile
      anonymous
      Learning About Breast Cancer

      About 10 days... Whoooo on complete pathological response! Research shows that this significantly drops chance of recurrence

      4 comments
  • Karen Milburn Profile

    What test results or information did you use to decide to do a lumpectomy or mastectomy or double mastectomy if only 1 breast had an issue?

    Asked by anonymous

    Stage 2B Patient
    almost 5 years 10 answers
    • View all 10 answers
    • Mimi Carroll Profile
      anonymous
      Learning About Breast Cancer

      My thinking... Breast are part of your body and function in ways that we fully don't understand to keep us healthy. I never felt my breast was trying to kill me- the cancer was the problem not my breast. So keeping them was body heathy, I couldn't get out of any treatment by having mastectomy, ...

      more

      My thinking... Breast are part of your body and function in ways that we fully don't understand to keep us healthy. I never felt my breast was trying to kill me- the cancer was the problem not my breast. So keeping them was body heathy, I couldn't get out of any treatment by having mastectomy, statistics are same for recurrence , if recurrence happened in breast I had more tissue to spare, and I like my breasts. I needed two surgeries to get margin... Lumpectomy was much easier surgery, I Had no problems healing and got to chemo quickly. It was great for me, yet each women has to choose what is right for them.

      Comment
    • anonymous Profile
      anonymous
      Patient

      1. Was afraid of not getting clear margins.2. Reoccurring in good breast down the road.3. Being ahead of the cancer of I could. 4. Trying to be brave. I choose dbl mast. Only one was BC drs wanted lumpectomy.. It worked out best mine was bigger and margins would not have been clear. Went with my...

      more

      1. Was afraid of not getting clear margins.2. Reoccurring in good breast down the road.3. Being ahead of the cancer of I could. 4. Trying to be brave. I choose dbl mast. Only one was BC drs wanted lumpectomy.. It worked out best mine was bigger and margins would not have been clear. Went with my gut feeling it was right. Best of luck to you it's a hard decision. I miss my healthy breast :( but i felt like it was a bomb ticking.

      1 comment

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