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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

  • Thumb avatar default

    Do i have to go through both chemo and radiation? What if if i don't want to do either one? Is there a such thing as just to do a lumpectomy and that should be it?

    Asked by anonymous

    Patient
    about 6 years 5 answers
    • View all 5 answers
    • Sharon Danielson Profile
      anonymous
      Survivor since 2007

      Anonymous,
      Nobody wants to go through the treatment for breast cancer. It is lousy.... to say the least. I think you are still going through the shock of discovery and you want to not have to face the prospect of what is ahead of you. This is completely understandable. As far as your...

      more

      Anonymous,
      Nobody wants to go through the treatment for breast cancer. It is lousy.... to say the least. I think you are still going through the shock of discovery and you want to not have to face the prospect of what is ahead of you. This is completely understandable. As far as your treatment goes, it all depends on many factors yet to be found. No two treatment plans are the same. It really has to do with the type of breast cancer, stage, grade, ER, PR, oncoDX, your age, etc. Each woman's cancer is different as will be the treatment course. We would all wished the same... a little surgery and get on with your life. What you are going to find are options for the best way of treating this disease. If, after you hear the treatment plan, you are not satisfied, get a second opinion. We all go through the shock of hearing this terrifying diagnosis. Breast cancer is a formidable opponent. It is nothing to be trivialized. You want to beat this thing and never have to face it again in your life. Reoccurrences happen.... and that is why you want to kick breast cancer in the butt right now while you have the best chance. We are all here for you with our support, our experiences, and our advice. Hang in there... and take care, Sharon

      1 comment
    • Diane Washington Profile
      anonymous
      Survivor since 2012

      Yes it is necessary its not a great thought. But living is it also give a greater chance of living and cancer not returning. They base treatment on what stage you come in with. Not as the way you end up. I felt the Same i was fighting and kicking the whole process but chemo. Behind now 28...

      more

      Yes it is necessary its not a great thought. But living is it also give a greater chance of living and cancer not returning. They base treatment on what stage you come in with. Not as the way you end up. I felt the Same i was fighting and kicking the whole process but chemo. Behind now 28 treatments of radiation left I have taken two , but I am alive Lumpectomy are great but the steps chemotherapy, radiation is what kills all that that surgery don't get.

      Comment
  • Shelley Zipp Profile

    I just found out I have triple negative breast cancer, a form of invasive ductal carcinoma - stage 1 1.3cmm tumor, very small, but still requires llumpectomy, chemo, then radiation. What's the recovery time after a lumpectomy?

    Asked by anonymous

    Learning About Breast Cancer
    about 7 years 3 answers
    • Sarah Adams Profile
      anonymous
      Survivor since 2010

      Has your doctor tested you for the BRCA gene mutation? If not, I would suggest doing that before moving forward with him/her. Triple negative breast cancer is most often associated with the BRCA gene mutation & if you happen to have it, you may be advised to do more than a lumpectomy. I'm no...

      more

      Has your doctor tested you for the BRCA gene mutation? If not, I would suggest doing that before moving forward with him/her. Triple negative breast cancer is most often associated with the BRCA gene mutation & if you happen to have it, you may be advised to do more than a lumpectomy. I'm no doctor...it's just a suggestion. I'd get a second opinion, anyway. :) Wishing you the best!

      Comment
    • Thumb avatar default
      anonymous
      Learning About Breast Cancer

      Hello - you know lumpectomies can vary enomormusly in size and location, as can the number and type of stitches required. All that as well as your general health and other complications such as infection means the recovery rate can vary significantly from person to person. I was discharged around...

      more

      Hello - you know lumpectomies can vary enomormusly in size and location, as can the number and type of stitches required. All that as well as your general health and other complications such as infection means the recovery rate can vary significantly from person to person. I was discharged around 16 hours after the operation. I had to stay overnight because of bad reaction to general anesthetic + I was a late in the day operation. I had about 57grams removed from my right inner upper quadrant and I had double stitching [underneath as well as on top]. It took about a week for the special bandages to fall off naturally. I was back doing 90 minute yoga class within a few days of the lumpectomy, so on one level it was a fast recovery BUT I needed some physiotherapy to restore my right arm mobility to about 95% of what it was - that was caused by the sentinel node biopsy though, not the lumpectomy. Many women I have spoken to say they experience more problems from the sentinel node biopsy rather than the lumpectomy. The lumpectomy is a fat removal essentially whereas the sentinel node biopsy is close to a lot of nerves and pathways and muscles so this is not unexpected.

      Comment
  • Thumb avatar default

    ILC, 2.5cm her2 neg positive on receptors. My question is do you regret decision on lumpectomy? Or mastectomy?

    Asked by anonymous

    Learning About Breast Cancer
    over 6 years 6 answers
    • View all 6 answers
    • Kim Wallis Profile
      anonymous
      Learning About Breast Cancer

      I had 1.4cm invasive ductal and I chose to have a bi lateral mastectomy, which was done in November. After consider all other options I decided it was the best choice to give me the most peace of mind. I am going through expander reconstruction at the moment. It is a very individual thing so get...

      more

      I had 1.4cm invasive ductal and I chose to have a bi lateral mastectomy, which was done in November. After consider all other options I decided it was the best choice to give me the most peace of mind. I am going through expander reconstruction at the moment. It is a very individual thing so get as much info as you can before you make I decision. I can only tell you that I have not regretted my decision for one second. Good luck on your journey.

      Comment
    • Diana Foster Payne Profile
      anonymous
      Stage 4 Patient

      I had stage 3c IDC. Positive receptors as well, HER 2 neg. my lump was approx 7 cm. I had chemo, a bilateral mastectomy (in Oct. 2011) then more chemo afterwards due to extensive extranodal spread. I just finished chemo a little over 3 weeks ago. And I'm happy to say I had a clean PET scan!!! ...

      more

      I had stage 3c IDC. Positive receptors as well, HER 2 neg. my lump was approx 7 cm. I had chemo, a bilateral mastectomy (in Oct. 2011) then more chemo afterwards due to extensive extranodal spread. I just finished chemo a little over 3 weeks ago. And I'm happy to say I had a clean PET scan!!! I wasn't able to have reconstruction at the same time as my mastectomy due to the cancer being in a late stage & in my chest wall. So...I will do that later on. My next step is radiation therapy. It was hard losing my breasts but I don't regret my decision at all. That combined with chemo, my awesome oncology team, faith, family, & friends pulled me through & saved my life!!!!!!! No regrets. :). Like Kim said...it is a very personal choice. Prayers to you on your journey to wellness.

      Comment
  • Carrie Drury Profile

    What is a lumpectomy?

    Asked by anonymous

    Learning About Breast Cancer
    about 7 years 1 answer
    • Ana Naluh Andrade Profile
      anonymous
      Learning About Breast Cancer

      A surgery where only the lump and a margin of tissue around it is removed because the doctors don't think is necessary to do a full mastectomy.

      Comment

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