HONOLULU (KHON2) — For those who have been newly diagnosed with breast cancer, the conversation with a patient’s health care team will often turn to treatment options. And that may include the possibility of a mastectomy or a lumpectomy. This morning on Ask a Specialist we’re talking about what you need to know with Dr. Kathleen Mah, Breast Surgical Oncologist with the Queen’s Medical Center.
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Dr. Mah discussed what a lumpectomy is and how it is different from a mastectomy:
- Breast conserving surgery
- Ideal for smaller tumors
- Usually paired with radiation treatment
- Oncoplastic techniques
- Outpatient surgery, quicker recovery
Does a bigger surgery, such as a mastectomy, offer better outcomes?
- Mastectomy=lumpectomy + radiation
- Best for larger/multiple tumors
- Can avoid radiation
- Option to reconstruct
If someone chooses a mastectomy, does that person still need chemotherapy?
- Multimodal treatment
- Tumor biology
- Decision for medicine
- Anti-endocrine vs. chemotherapy vs. immunotherapy
Lastly, if a person has cancer in one breast, can it jump to the other one?
- 0.5% risk of cancer
- Monitor with SBE, CBE, MMG, and MRI
- No benefit for mastectomy
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