Ask an Expert: View a Question
 
 
 
 

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 443-997-8282. 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!.

ForumQuestionsAsk a Question
Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
1,357 This functionality is disabled from time to time due to volume.

AskedPublicly Submitted Question
7/7/2017I had left lower inner quadrant breast cancer: IDC & ILC plus DCIS that required a lumpectomy and then a revision when the margin was not clear in 2016. This was followed by 34 radiation treatments. Needless to say, my residual breast is quite deformed. I was told I would be a candidate for reconstruction by the radiation oncologist but every reference I see is for reconstruction after mastectomy, not lumpectomy. I recently consulted a plastic surgeon for possible breast reconstruction and the outcome was that he felt I would not be a candidate due to the extent of damage done by the surgery and radiation. This is distressing because this breast serves as a daily reminder of my cancer. Is there no hope for reconstruction? This is so depressing.
RepliedJHU's Breast Center Reply
7/9/2017One of the tasks of a breast surgeon is to determine if good cosmetic results can be achieved when a lot of breast tissue needs to be surgically removed to achieve clear margins. when good cosmesis isn't achievable, then mastectomy with reconstruction is to be the surgical option to choose, unless the patient insists on lumpectomy no matter what the cosmetic defect may be. That said, more than likely what you would need now is a mastectomy with reconstruction. Doing a partial reconstruction likely will not work due to the breast tissue having been radiated. come to us. you do not need a daily reminder of your cancer. you need your silhouette whole again. call 443-997-1513. this is worth traveling for. Tell the scheduler that you communicated with Lillie on Ask an expert and that i directed you to her to get booked with a breast surgical oncologist and a breast reconstruction plastic surgeon. let our experts and nurse navigators get their arms around you and see what is not possible so you can be happy once again. 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.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.

 
 
 
 
 

© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System, All rights reserved.