Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.
If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-778-2778. It is possible to get an appointment for a second opinion within a few days of contacting us.
We hope you find the information helpful!
|Forum||Questions||Ask a Question|
|Mastectomy without Reconstruction
Questions about Mastectomy without Reconstruction.
|Asked||Publicly Submitted Question|
|3/25/2010||I had the left breast mastectomy with sentinal node biopsy (sentinal node and one more node were removed, two in total) on 9 November 2009 . Stage 1,grade 1, E+,PR+,HER2-,tumor 7mm. No radiation, no chemo,now on tamoxifan. I am thinking about the mastectomy on the remaining breast. My doctor told me that she would check the sentinal node before the mastectomy, because if she does not and the pathology report will show the presence of cancer she will have to remove all lymph nodes. Would you recommend the bilateral mastectomy in my case? And if I have the sentinal node removed on the second breast which arm would be used to measure blood pressure or to take the blood for the test? Thank you for the time you devote to this site.|
|Replied||JHU's Breast Center Reply|
|3/25/2010||For women who do not carry a breast cancer gene, the average risk of breast cancer in the remaining breast is about 5%. quite low. when a patient chooses to do prophylactic mastectomy no sentinel node biopsy is needed. instead a mammogram of the breast a few weeks before surgery is to be done to verify that there appears to be no evidence of disease and this truly is preventative surgery. Unless a patient is consider DIEP flap reconstruction usually women don't do bilateral mast. DIEP flap recon involves harvesting the abdominal fat (but no muscle) to recreate a breast and the tummy fat that is unused is tossed therefore women oftentimes do opt to do bilateral mast and use the remaining tummy fat for the other side to create symmetry. L|
Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.