Tag Archives: breast cancer treatment

Should You Get a Lumpectomy or Mastectomy?

So your recent diagnosis of breast cancer has left you confused. And, for good reason. No one expects to be diagnosed with breast cancer. After your diagnosis, it will seem like there are so many decisions to be made, with so little time. Most of them may not even make sense to you. As physicians, its our job to help provide some clarity when it comes to breast cancer treatment. Depending on how advanced your breast cancer is (what we in the medical field call Continue reading →

Repeat Surgery After Lumpectomy For Breast Cancer May Not Be Needed

There was an article recently published in the Journal of the American Medical Association which showed that almost 25% of lumpectomies for breast cancer are followed by re-excision surgery, although this varies widely across surgeons and centers. What’s more alarming is that half of these re-excisions were in patients with negative margins, or in plain terms, patient’s whose cancers were already fully removed during the first surgery! There has always been debate about an acceptable width of tumor free margins. Recent literature suggests that as long Continue reading →

Interesting Research Developments in Surgery for 2011

As the year comes to a close, I thought I would highlight some of the more interesting research studies that were conducted in the field of surgery for 2011: 1. Adenocarcinoma in Patients With Barrett’s Esophagus A study from Denmark showed that although patients with documented Barrett’s esophagus have an 11.3-fold increased risk of developing cancer of the esophagus, the annual risk of cancer development is actually lower than previously thought (0.12% vs. 0.5%). This raises a question on the current guidelines for surveillance in patients with Continue reading →

What Are the Treatment Options for Lobular Carcinoma In Situ (LCIS)?

Lobular Carcinoma in Situ (LCIS) is somewhat of a misnomer in that it is not a cancer, but a “pre-malignant” condition in which there are abnormal cells present in the glands (lobules) of the breast. Patients who have been diagnosed with LCIS do not have cancer, but are at a higher risk of developing breast cancer than the general population. For this reason they require closer observation and shorter intervals between screening mammograms. In patients with a strong family history of breast cancer, or those at very high risk, Continue reading →

Choosing Between Lumpectomy and Mastectomy

Many women with early-stage breast cancers have the option of choosing between a breast-conserving surgery such as a lumpectomy or a mastectomy which removes the entire breast tissue. The main advantage of a lumpectomy is that it allows a woman to keep most of her breast. A disadvantage is the usual need for radiation therapy — most often for 5 to 6 weeks — after surgery. A (very) small number of women having breast-conserving surgery may not need radiation, while a small percentage of women who undergo mastectomy will still Continue reading →