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|Questions to ask to ensure you are in good hands
Questions on what to ask to make sure your in good hands.
|Asked||Publicly Submitted Question|
|4/10/2012||I am 63 years old and I have had a lumpectomy. The pathology report showed 0.7-1.1 cm foci of invasive ductal carcinoma. I have decided to have a simple mastectomy.Does this sound like a good edcision?|
|Replied||JHU's Breast Center Reply|
|4/10/2012||Doing more surgery doesn't mean a higher survival rate if that is the goal you are seeking-- a higher survival rate. First, if the cancer is limited to one tumor (unclear since the measurement was given with a "-" in it) then lumpectomy is reasonable to do. the mission for breast cancer surgery is clear margins. if clear margins were already achieved them your surgery is done. If clear margins not achieved then re-assessing whether re-excision is feasible would be the next step. how many margins are positive, ws MRI done preop to confirm only one tumor. Is the residual DCIS or invasive cells. all of these questions factor into the next step. Sentinel node biopsy is needed if not done at time of lumpectomy too. Mastectomy is a bigger operation with the primary benefit for women with stagge 1 breast cancer being able to skip the need for radiation. Radiation today is quite safe however and enables women to preserve their breast. If you want to come to us for consultation about re-excision vs mastectomy you are welcome to do so. 443-287-2778.|
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