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Entries in Lumpectomy (3)

Monday
Jan282013

Early Stage Breast Cancer: Lumpectomy May Be Better than Mastectomy

Comstock/Thinkstock(NEW YORK) -- When diagnosed with early stage breast cancer, women may face an agonizing decision: Should I opt for a lumpectomy or mastectomy?

For over two decades, it's been believed that in early stage breast cancer, the outcomes between mastectomy and lumpectomy plus radiation were equivalent.  

But a study of more than 112,000 women treated and followed for five years found that the lumpectomy option may be better.  Those patients had a 13 percent lower mortality rate from breast cancer and a 19 percent lower mortality overall than mastectomy patients.

A researcher at Duke Cancer Institute says it should reassure women that lumpectomy remains an excellent choice for those with small early stage breast cancer.

Copyright 2013 ABC News Radio

Friday
Jul132012

Breast-Sparing Operations Often Mean More Surgery Later

Comstock/Thinkstock(NEW YORK) -- Partial breast removal surgery to treat cancer is not likely to be a one-time operation, according to many breast cancer experts and a study released Thursday.

One in five women who opt for partial breast removal, or breast-conserving surgery, may need a second operation to remove more breast tissue, according to a study of more than 55,000 British women.

Repeat surgery rates may be slightly higher among American women -- about one in four -- according to a study published last February in the Journal of the American Medical Association.

Breast-conserving surgery, including lumpectomy and partial mastectomy, is a less radical form of cancer surgery that seeks to remove the localized tumor or cancerous tissue within the breast.  Additional surgeries are often performed when the doctors find additional tumors, or if the disease has spread to nearby lymph nodes.  

Regarding breast-conserving surgery as a one-time fix may lead some surgeons to remove too much breast tissue the first time, or even to overlook the need to perform additional surgery.  Instead, the goal for both patients and surgeons is to find the clear margins of the cancer, which may take more than one try, many experts said.

British researchers looked at data collected from the Hospital Episode Statistics database of more than 55,000 women ages 16 and older who underwent breast-conserving surgery between 2005 and 2008.

Twenty percent of the women underwent additional surgery, and 40 percent of those who had repeat surgeries underwent a mastectomy, according to the findings that were published Thursday in the British Medical Journal.

The women were nearly twice as likely to undergo additional surgery if the tumor was ductal carcinoma in situ, an early localized form of the cancer in which it may be harder to detect the boundaries of the disease.

"The only way to be guaranteed a single surgical procedure with breast cancer is to perform the largest operation we perform -- mastectomy with complete auxiliary lymph node removal," said Dr. Ben Anderson, director of the breast health clinic at the University of Washington.  

Still, many experts said that despite the findings, they would not recommend mastectomy over lumpectomy or partial mastectomy.

"The breast cancer survival rates are no different between women who undergo lumpectomy followed by radiation versus women who undergo mastectomy," said Dr. Keith Amos, assistant professor of surgery at the University of North Carolina at Chapel Hill.  "I counsel each patient before a lumpectomy that obtaining clear margins may require more than one operation.".

Copyright 2012 ABC News Radio

Wednesday
Dec142011

Giuliana Rancic’s Surgery Successful, Husband Says

Dan MacMedan/WireImage(LOS ANGELES) -- Television hostess Giuliana Rancic underwent a successful double mastectomy followed by reconstructive surgery on Tuesday, E! News announced.

“G is doing really well,” her husband, Bill Rancic, told the network. “Her surgery lasted about four hours and the doctors were very pleased with the result.”

Giuliana Rancic, 37, announced her decision to undergo the surgery earlier this month on NBC's Today show. She found out she had breast cancer in October after she had a mammogram prior to starting fertility treatment. Later that week, she had a double lumpectomy.

But the couple found out that the cancer didn’t completely clear out of one breast, prompting her decision to have a double mastectomy.

Dr. Marisa Weiss, president and founder of Breastcancer.org, told ABC News after Rancic’s announcement that a mastectomy may be medically necessary in cases where doctors can’t remove the entire lump.

“For someone with early-stage breast cancer, having a lumpectomy with radiation is equally as effective as a mastectomy, but only if doctors can get clear around the lump," she said.

Many women, Weiss said, choose to have the other breast removed in order to prevent cancer on that side, or if they already had cancer that was removed, to prevent it from coming back.

“With the double mastectomy, I have less than a one percent chance of getting it back. With another lumpectomy, radiation and medication, I could have seen 20 to 30 to 40 percent chance in my lifetime, and for me it just wasn’t worth it,” Giuliana Rancic said.

The Rancics have been very open about their struggle with fertility, and Giuliana Rancic said she hopes that after the surgery she can move forward with her plans to have a baby.

Her husband said his wife is doing well and is in good spirits.

“She had a little bit of pain through the night but is feeling much better this morning and was cracking jokes,” he told E! News.

And Giuliana had a message of her own to share.

“I want to thank all the viewers and fans for their support and prayers,” she said. “The tweets and notes have not gone unnoticed. I am very grateful.”

Copyright 2011 ABC News Radio







ABC News Radio