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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

    I am going in for a lumpectomy and sentinel node biopsy. Could anyone please tell me about the pain involved and the experience of the whole procedure?

    Asked by anonymous

    Stage 2A Patient
    over 7 years 9 answers
    • View all 9 answers
    • P C Profile
      anonymous
      Stage 0 Patient

      Hi, I had a lumpectomy and sentinel node biopsy on Sep 29, 2011. My surgery went great, wide clear margins and both nodes they removed were negative. About two weeks following that, I developed some seromas in my breast at the surgery site and at the area just below node removal. My surgeon...

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      Hi, I had a lumpectomy and sentinel node biopsy on Sep 29, 2011. My surgery went great, wide clear margins and both nodes they removed were negative. About two weeks following that, I developed some seromas in my breast at the surgery site and at the area just below node removal. My surgeon drained the one below the node removal only one. He gave me pain medication to he me through that. About a month later, I had external pinpointed beam radiation for only 7 days, twice a day. It was not bad at all. I did have, and still do have what mu radiation oncologist calls zingers. They are very sharp pains, which have almost gone away. My seromas are completely gone. I have intermittent swelling on my right breast, which they say is normal. It also is less and less as time passes. Right now, I am taking Tamoxifen and Effexor. I am feeling so much better, but still not totally back to feeling as I did before my DCIS surgery, but I will get there. I had my 6 month mammogram and it was all good, only showed scar tissue from surgery and radiation. every so often, I have a bit of nausea, but I have found that if I drink ginger ale, it really helps. I have a prescription for Compazine, but have only had to use it twice. I had a little nausea and fainting incident a few months ago, but it all worked out. I fell pretty hard and had to have some metal stitches in my head, and a few days I the hospital to make sure it was nothing more Eros causing me to faint. All in all, it is goin good for me. My whole procedure was eventful, but not a bad thing. It is best to educate yourself on your contusion, mine was DCIS, stage 0 , clear margins, neg sentinel nodes, but positive estrogen and progesterone receptors. This is the reason for Tamoxifen. The Effexor was to counteract the hot flashes and it has really helped me feel better and speed up recovery. If you understand you care for your cancer plus a good support network, things, or me anyway, go muc smoother.

      Comment
    • Sharon Danielson Profile
      anonymous
      Survivor since 2007

      We are unique individuals and can have a range of reactions to any procedure. I was on the "good" end of everything. I did not seem to have much discomfort with anything. My perception of discomfort to the sentinel node mapping was no more than pinching. The tech told me I would feel that......

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      We are unique individuals and can have a range of reactions to any procedure. I was on the "good" end of everything. I did not seem to have much discomfort with anything. My perception of discomfort to the sentinel node mapping was no more than pinching. The tech told me I would feel that... which I did but it was nothing significant to me. I had 5 sentinal nodes removed. I had a mastectomy, I took no pain medication afterwards. I was up and around within 3 days. We all seem to have a fear or fears of what is about to happen. My big fear was the anesthesia. Since I was so afraid of it, I "interviewed" anesthesiologists and got recommendations. I think I was just SO HAPPY to wake up, the rest of the post-op stuff was nothing. We all have different pain tolerance. Mine, is obviously, on the high side. I would never say to a woman "Oh, it's nothing" because it isn't. There are a lot of mental images that go through every woman's mind. There may be some unexpected post-op problems that come up which you can't be prepared for. The other thought that went through my mind as I was approaching the surgery.... this was something I had to so to save my life. I developed a positive let's-get-going attitude and marched right into it. Sometimes bravery comes from acting that way. I became brave by --pretending-- to be brave. I wish you the very best and hope you have as easy a time as I did. I had a young woman surgeon who specialised in breast surgery. I had utmost confidence in her and my young woman anesthesiologist. I was not disappointed. Blessings to you in your journey. Take care, Sharon

      3 comments
  • Linda G Profile

    Do you have to wear a compression sleeve after a lumpectomy and sentinel node removal?

    Asked by anonymous

    Stage 1 Patient
    over 6 years 10 answers
    • View all 10 answers
    • Becky Lynn Profile
      anonymous
      Stage 1 Patient

      I only had one sentinel node removed and I ended up with truncal lymph edema. I have a compression garment that works really well at decreasing the pain and swelling in my side.

      Comment
    • kim c Profile
      anonymous
      Stage 1 Patient

      I only had the sentinel node removed and nobody mentioned anything about a sleeve. I've had no problems, knock on wood.,,

      Comment
  • Rosanna Wieder Profile

    Can anyone give me an idea of how long until I can go for walks/light jogs? I'm having a lumpectomy in a week and I really enjoy getting outside and walking. It clears my mind and helps me deal.

    Asked by anonymous

    Stage 2B Patient
    over 7 years 6 answers
    • View all 6 answers
    • Thumb avatar default
      anonymous
      Survivor since 2012

      Go Rosanna, It might be a little while before you can jog, but you can walk as soon as you feel up to it. It really aids in healing and jump starting the damaged lymph system. That will help with keeping down fluid retention. Be sure to wear that all important soft sports bra to keep jiggling to...

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      Go Rosanna, It might be a little while before you can jog, but you can walk as soon as you feel up to it. It really aids in healing and jump starting the damaged lymph system. That will help with keeping down fluid retention. Be sure to wear that all important soft sports bra to keep jiggling to a minimum. It supports the breast tissue and minimizes that painful tug on the stitches. It felt great to have my breast gently pressed against my chest. It saved me holding on to it. My doc wouldn't let me wear my underwire during recovery and preferred that i never would again, but I can't anyway because it really hurts the node incision and runs along the scar at the bottom of my breast. I also swell along the scar when I wear it. I couldn't wear a front opening in the sports bra, had to go with the back closure. I just found it more comfortable. Still sleep in it a lot for support after almost 6 months. Three days out of surgery, my husband dug the holes and I planted tomatoes. Gotta dig in the dirt. Be sure you get your post-op orders and call the doctor with any questions or concerns. Do your shopping before your surgery for button up pjs and bras. I was so glad I did that ahead of time. As soon as the bandage came off I put it on. You're already ahead of the game if you're a walker/jogger.
      Good luck. Keep us posted. Jo :_)

      5 comments
    • Thumb avatar default
      anonymous
      Learning About Breast Cancer

      I felt good after my lumpectomy. The weather was quite hot so didn't walk outside (it was June). I wore the surgical bra they gave me at the time of surgery when I walked. I went grocery shopping and walked in the mall the same week I had surgery. Dr said it was good to move. Just listen to your...

      more

      I felt good after my lumpectomy. The weather was quite hot so didn't walk outside (it was June). I wore the surgical bra they gave me at the time of surgery when I walked. I went grocery shopping and walked in the mall the same week I had surgery. Dr said it was good to move. Just listen to your body so you don't over do it.

      1 comment
  • Rosanna Wieder Profile

    Had lumpectomy and total lymph nodes removed Tuesday morning. My underarm is still numb. Has anyone else had this? Will it go away?

    Asked by anonymous

    Stage 2B Patient
    over 7 years 4 answers
    • View all 4 answers
    • Sharaya Staley Profile
      anonymous
      Learning About Breast Cancer

      I was told by my dr. It may take up to a year before it feel normal.

      Comment
    • Valerie Torrence Nichols Profile
      anonymous
      Learning About Breast Cancer

      I had my surgery in March and I still have weird feeling underarm. Not sure if numbness is how I would describe it but just not a normal feeling

      Comment

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