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|Mastectomy with Tissue Expander
Questions about Mastectomy with Tissue Expander.
|Asked||Publicly Submitted Question|
|12/20/2011||I have a question on something. I have Atypical Duct Hyperplasia. I have decided on a double mastectomy with reconstruction with tissue expanders/implants. What is the chance of getting cancer after the preventive mastectomy? I hear the lumpectomy is equivelant to a mastectomy. There is one big if there, if the cancer is found early in the lumpectomy. What is the follow up that should be done after a preventive mastectomy and reconstruction? I hear of women getting cancer after mastectomy. If there is follow up, should it be a MRI or mammogram. I dont know if they mammogram implants. Thank you so much for your time, Im nervous and worried,|
|Replied||JHU's Breast Center Reply|
|12/20/2011||opting to do bilateral mastectomy for a diagnosis of ADH is unusual today unless there is significant family history and./or a known breast cancer gene the patient has. Before doing mastectomy, additional tissue should be removed where the ADH was found on a core biopsy to confirm no cancer is present now. this can help to reduce the need for sentinel node biopsy which is not done for prophylactic surgeries of this kind. For women WITH breast cancer who have mastectomy surgery the risk of local recurrence is 1%. For those without ever having had breast cancer and don't carry a gene, the risk if less than 1%. For women who have lumpectomy FOR breast cancer treatment and later get a local recurrence, their survival remains equal to those who never developed a local recurrence. hope that helps you. no imaging studies are to be done after prophylactic mastectomy surgeries. there is frankly nothing to take an image of.|
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