Southwest Florida's Health and Wellness Magazine Health and Wellness Articles
By Sharla Gayle Patterson, MD, MBA
Breast cancer surgery is a critical component in the treatment of breast cancer, offering patients a range of surgical options tailored to their specific needs and diagnosis. At Magnolia Breast Center, we are committed to providing comprehensive care encompassing the latest advancements in breast cancer surgery, ensuring that each patient receives personalized treatment designed to achieve the best possible outcomes.
Understanding the Surgical Options
Breast cancer surgery typically involves removing the cancerous tissue while preserving as much healthy tissue as possible. The two primary surgical options are lumpectomy and mastectomy, with various subtypes within these categories.
1. Lumpectomy
A lumpectomy, also known as breast-conserving surgery or partial mastectomy, involves the removal of the tumor and a small margin of surrounding healthy tissue. This procedure is often recommended for early-stage breast cancer patients and is typically followed by radiation therapy to minimize the risk of recurrence.
• Who is it for? A lumpectomy is generally suitable for patients with a single, small tumor that can be easily removed without compromising the appearance of the breast. It is often preferred by women who wish to preserve as much of their breasts as possible.
• Patient outcomes: Studies have shown that when combined with radiation therapy, lumpectomy offers survival rates comparable to mastectomy for early-stage breast cancer.
2. Mastectomy
A mastectomy involves the removal of the entire breast. It is often recommended for patients with larger tumors, multiple tumors in different areas of the breast, or those who have a high risk of recurrence. There are several types of mastectomies, each with varying implications for reconstruction and recovery.
• Total (Simple) Mastectomy: This procedure involves the removal of the entire breast, including the nipple and areola. It is often performed when the cancer is confined to the breast and has not spread to the lymph nodes.
• Skin-Sparing Mastectomy: In this procedure, the breast tissue is removed, but most of the skin over the breast is preserved. This approach allows for immediate reconstruction and a more natural-looking breast post-surgery.
• Nipple-Sparing Mastectomy (NSM): NSM is a skin-sparing mastectomy where the nipple and areola are preserved while removing the underlying breast tissue. This option is increasingly popular among women eligible for breast reconstruction, as it offers superior cosmetic outcomes without compromising cancer control.
Decision-Making Process
Choosing the appropriate surgical option is a deeply personal decision that involves multiple factors, including the stage and type of breast cancer, the size and location of the tumor, genetic factors, and the patient’s personal preferences.
• Genetic Testing: For patients with a family history of breast cancer or those who test positive for BRCA1 or BRCA2 gene mutations, a more aggressive surgical approach, such as bilateral mastectomy, may be recommended to reduce the risk of cancer recurrence.
• Breast Reconstruction: Patients undergoing mastectomy have the option of immediate or delayed breast reconstruction. The choice of reconstruction method, whether using implants or autologous tissue, can influence the type of mastectomy performed.
• Patient Preferences: The emotional and psychological impact of breast cancer surgery cannot be overstated. Some women may prefer a lumpectomy to preserve their breasts, while others may opt for a mastectomy to minimize anxiety about recurrence.
Patient Outcomes and Quality of Life
Advancements in surgical techniques have significantly improved patient outcomes regarding cancer control and cosmetic results. Studies have shown that patient satisfaction is closely linked to preserving body image and choosing the surgical option that aligns with their values and lifestyle.
• Oncoplastic Surgery: Combining oncologic and plastic surgery techniques, oncoplastic surgery allows for tumor removal while simultaneously reshaping the breast. This approach can be applied in lumpectomy and mastectomy, offering patients better aesthetic outcomes and potentially reducing the need for additional surgeries.
• Nipple-Sparing Mastectomy Outcomes: Research has demonstrated that NSM when performed on appropriately selected patients, does not increase the risk of cancer recurrence and is associated with high patient satisfaction due to its cosmetic benefits.
At Magnolia Breast Center, we understand that the journey through breast cancer surgery is both physically and emotionally challenging. Our multidisciplinary team works closely with each patient to navigate the complex decision-making process, ensuring that every woman receives the care and support she needs to make informed choices about her treatment. Whether choosing a lumpectomy or a nipple-sparing mastectomy, our goal is to provide the highest standard of care that not only addresses the cancer but also prioritizes the patient’s quality of life and long-term well-being.
3530 Kraft Rd, Suite 202, Naples, FL 34105
239.758.PINK (7465) | magnoliabc.com
