Breast Cancer Surgeries - Lumpectomy, Mastectomy, and Lymph Node Removal
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- čas přidán 13. 09. 2020
- What are the different types of surgeries available to treat breast cancer? What are the pros and cons of each? Which one is right for me? In this video, Dr. Jennifer Griggs explains everything you need to know about surgeries to treat breast cancer.
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Attorney here. Isn't the type of surgery up to the patient? What is someone doesn't want radiation or hormone therapy, both of which have significant and often permanent side effects? Someone shouldn't be coerced or bullied into having a type of surgery they don't want.
My Mother had a partial mastectomy 20 years ago. It was accompanied with radiation. A few years ago she started developing calcium build up in her breast. It has continuously grown in her breast breaching the skin. She has chronic open wounds on her beast on the top and sides. They discharge a lot and keeping up with changing the dressing every day is daunting. She is 84 and has mild dementia. She is not a good candidate for surgery at her age because of risks. If we knew now what we didn't know then we would have had a full mastectomy.
While SURVIVAL rates with lumpectomy + radiation + hormone therapy and mastectomy are quite similar (however, mastectomy does seem to have a slightly higher surviva rate), REOCCURRENCE rates are different (mastectomy REOCCURRENCE rates are lower) This is something to know and to consider when making a surgical choice. One wonders if patients are told this, when they absolutely should be. Who wants to go through breast cancer a second time? To make an informed decision, one needs to be fully informed, including being informed about reoccurrence rates. Also, with lumpectomy with radiation + hormone therapy one needs frequent surveillance, including mammogram, which is radiation and which isn't 100 % accurate. Also, chest radiation following lumpectomy has significant potential side effects (heart/lung fibrosis which can occur months to years later and which is permanent, possible osteoporosis and bone fractures, and possibly radiation-induced cancer). These side effects aren't all that rare - read the scientific articles on line to learn more. Patients do need to be informed so they can make INFORMED decisions. Just telling patients about survival rates isn't enough and I think is misleading. One other thought - hormone therapy itself can cause liver problems and osteoporosis, as well (osteoporosis is treatable, although not curable). These are some things to consider and to ask the surgeon about, although one would think the surgeon would be forthcoming about this information at the onset. And last - patients should be informed of ALL of their surgical options - ultimately, they must live with this.
I had stage 3 melanoma, still under care for that. I had my mammogram a few months ago, BIRADS 4, found an issue in the right breast, sent me to a major hospital for follow up, I had a stereotactic biopsy , and that hospital found a mass in the left breast , had a US guided biopsy, left breast was DCIS, right breast was IDC, I was scheduled for bilateral lumpectomies, the week before surgery, I had an MRI, which found another mass in the left breast. I decided to have a bilateral mastectomy, I felt it was the best thing to do given my prior cancer. After my surgery, the mass in the left breast was upgraded from DCIS to cancer.
Hello doc. i'm from philippine can u please help me what kind of treatment can i go i had a breast cancer stage 1 i had new ultrasound 1x1 cm doc what un u frefer remove the breast or only the mass thank u and Godbless
Unless mammogram and/or ultrasound shows abnormalities, I do not want any lymph nodes removed, sentinel or otherwise, regardless. I am no spring chicken and don't want to spend whatever remaining years I may have left suffering from lymphedema or worse.
Awesome Vid…Thank You🙌🏼💗
What surgery and/or f/u treatment is recommended for Paget's of the nipple? I've had mammogram, ultrasound, MRI and punch biopsy of the nipple which finally confirmed Paget's. There appears to be no underlying masses associated with it, only nipple involvement - is that possible? All my research suggests an underlying cancer.
Thank you for an easy to understand explanation.
Whether there is more chance for lymphoedema for mastectomy?
Again i find your videos so supportive and helped me to more clearly remember/learn why certain things were done..I'm the person who had a bilateral mastectomy done. .stage 3 lobular cancer size and lymph nodes were involve.3 foci with 1 being 5.5 cm and other 2 totalled over 5 cm.... reason bilateral done was 1 breast 'loaded' with ca and other had an area of atypical lobular hyperplasia and LCIS.. I had a choice of having lumpectomy(sp) or mastectomy on second
Thanks for the informative video
Thank you dr. Very good 👍
Thanks Doctor. This has been very informative. I had Surgery 7 years ago to remove cists... it
This was wonderful and you seem to be a kind, caring physician. I wish you were mine...I just found I have ADH with borderline low grade DCIS. My doctor isn't terribly kind and seems evasive. I've put off surgery because of it, but will have it this week. I don't even know what it is, that's pretty bad. Thank goodness for people like you...the world needs more of this.
I have heard that blue dye is very painful.
Best to c oncologist an have surgery remove lump .