Our Summary

This study compared the early post-operative complications between two types of breast cancer surgeries: breast conservation surgery (BCS) and simple mastectomy (SM). The researchers looked at data from 2009-2012 and included only those patients who had a sentinel lymph node biopsy, excluding those who had further treatments or procedures. They found that there was no significant difference in comorbid conditions (other existing illnesses) between the groups, except for a slightly higher rate of diabetes in the SM group. However, they found that the SM group had significantly higher rates of complications after surgery, including wound problems, bleeding, and infections. The research suggests that while both types of surgery have low rates of early post-operative complications, BCS has fewer such issues compared to SM.

FAQs

  1. What types of breast cancer surgeries were compared in this study?
  2. Were there any significant differences in comorbid conditions between the BCS and SM groups in the study?
  3. According to the study, which type of breast cancer surgery had a higher rate of early post-operative complications?

Doctor’s Tip

A doctor may tell a patient undergoing a lumpectomy that it is a less invasive surgery compared to a mastectomy, which may result in fewer post-operative complications such as wound problems, bleeding, and infections. It is important to follow post-operative care instructions carefully to minimize the risk of complications and promote healing. Regular follow-up appointments with your healthcare provider are also important to monitor your recovery progress and address any concerns.

Suitable For

Patients with early-stage breast cancer are typically recommended lumpectomy, also known as breast conservation surgery (BCS), as a treatment option. Lumpectomy is usually recommended for patients with smaller tumors that can be removed while preserving the breast, rather than opting for a full mastectomy. This type of surgery is often recommended for patients with early-stage breast cancer who are suitable candidates for breast-conserving therapy.

Patients who have smaller tumors, no evidence of spread to the lymph nodes or distant organs, and who are able to undergo radiation therapy after surgery are good candidates for lumpectomy. Additionally, patients with a single tumor in one breast, good overall health, and a willingness to undergo close monitoring and follow-up care are typically recommended lumpectomy as a treatment option.

It is important for patients to discuss their individual situation and treatment options with their healthcare provider to determine the most appropriate course of action for their specific circumstances.

Timeline

Before lumpectomy:

  1. Patient undergoes diagnostic tests such as mammogram, ultrasound, or MRI to confirm the presence of a breast tumor.
  2. Patient consults with a surgeon to discuss treatment options and decide on lumpectomy as a surgical option.
  3. Patient may undergo pre-operative tests and evaluations to ensure they are fit for surgery.
  4. Patient receives instructions on how to prepare for surgery, including fasting and avoiding certain medications.
  5. Patient undergoes lumpectomy surgery, which involves removing the tumor and a small margin of surrounding healthy tissue.
  6. Patient may receive additional treatments such as radiation therapy or hormone therapy depending on the pathology of the tumor.

After lumpectomy:

  1. Patient is monitored in the recovery room immediately after surgery for any complications.
  2. Patient may experience pain, swelling, and bruising at the surgical site and may need pain medication.
  3. Patient is discharged from the hospital after a brief observation period and given instructions for post-operative care.
  4. Patient may experience side effects such as fatigue, limited arm movement, and changes in breast shape or sensation.
  5. Patient follows up with the surgeon for wound care and to discuss pathology results.
  6. Patient may undergo further treatments such as radiation therapy or hormone therapy as part of their breast cancer treatment plan.
  7. Patient undergoes regular follow-up appointments for surveillance and monitoring of recurrence or complications.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a lumpectomy?
  2. What is the likelihood of needing additional treatments or procedures after a lumpectomy?
  3. How will a lumpectomy affect my long-term prognosis for breast cancer?
  4. Will I need to undergo radiation therapy after a lumpectomy?
  5. What is the expected recovery time after a lumpectomy?
  6. Will there be scarring or changes in the appearance of my breast after a lumpectomy?
  7. Are there any lifestyle changes or precautions I should take after a lumpectomy?
  8. How often will I need follow-up appointments or screenings after a lumpectomy?
  9. What are the alternative treatment options to a lumpectomy, and how do they compare in terms of risks and benefits?
  10. Can you provide me with more information about the specific surgical technique you will be using for the lumpectomy?

Reference

Authors: Chatterjee A, Pyfer B, Czerniecki B, Rosenkranz K, Tchou J, Fisher C. Journal: J Surg Res. 2015 Sep;198(1):143-8. doi: 10.1016/j.jss.2015.01.054. Epub 2015 Feb 4. PMID: 26070497