How to Preventive Mastectomy
Breast surgery can be either a lumpectomy, where the tumor is removed, or a partial or modified radical mastectomy. With a lumpectomy, it is typically followed by radiation. This way, you get to keep your breast and studies have shown no difference in survival rates between lumpectomy/radiation and mastectomy.
When a pathologist looks at the cells, he or she is looking for abnormalities which could suggest that cancer might develop at a later date. Women may want to consider preventive measures if abnormalities are found to be present in the breast. Those can include careful monitoring with mammography, clinical breast exams and breast self-exams; prophylactic mastectomy (preventive breast removal) for women at very high risk of breast cancer and the use of the drug tamoxifen, an anti-estrogen.
Some women who have a high risk of developing breast cancer may choose to have a preventive mastectomy of both sides with reconstruction to prevent breast cancer from occurring. Women who have this procedure will have a much lower risk of developing the disease.
If your family has a history of breast cancer, you should be doing that anyway. If you do have the gene, you have a number of options. You can simply be frequently monitored to see if you do get cancer. Should you have your breasts and ovaries removed? Preventive oophorectomy (ovary resection) and mastectomy (breast resection) may help. You can take tamoxifen for 5 years.
Some women may choose to surgically remove their breasts in order to prevent breast cancer. This is called a preventive mastectomy. This is usually done by women who have a strong family history of breast cancer, as in several women (usually a woman’s mother, sisters and/or aunts) in the family have been diagnosed with breast cancer. This surgery reduces the risk of breast cancer by as much as 90%.
Sometimes, the surgeon will remove a larger part (but not the whole breast), and this is called a segmental or partial mastectomy. Most patients with DCIS that have a lumpectomy are treated with radiation therapy to prevent the local recurrence of DCIS. More advanced breast cancers are usually treated with a modified radical mastectomy. Modified radical mastectomy means removing the entire breast and dissecting the lymph nodes under the arm.
If there is a family history of breast cancer removal of both breasts, or prophylactic mastectomy, may reduce the risk of developing breast cancer for a woman. Careful consideration must be given before a woman makes a decision to have prophylactic mastectomy. It is important that breast cancer risk assessments and counseling are undergone before making such a decision. Women who have prophylactic mastectomy may develop anxieties and depression as well as concern about their body image.
First the mastectomy was canceled. On Oct 10th, 2006 before her 2nd chemo treatment, the tumor marker had dropped from 180 to 76! The doctor couldn’t believe it. Char’s says, “I can’t say that I would have survived without the traditional treatments, however I do believe it’s everything including diet, exercise, H20 and sleep. What a concept!”
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