Tuesday, July 29, 2008

Cancer Treatment - Surgery as Breast Cancer Treatment Option.

By Meng Y

No person wants to undergo surgery. Luckily, breast cancer surgery that is performed today is targeted than it has been in the past. Individuals today do not experience as much scarring and are able to quickly recover while also receiving treatment that is effective enough to lower the odds of recurrence.

Diagnostic tools are more precise and the disease is better understood. Traditional options still largely apply, but employing them is no longer automatic. Each case is unique and individually analyzed. The breast cancer patient has choices and is an active participant in the decision making process.

One of the most common choices made is known as a lumpectomy. Just what it sounds like, a lumpectomy is the surgical removal of the lump that constitutes the cancer tumor. Even here there are a wide range of choices. The amount of tissue removed around the lump varies. Surgeons make a judgment call about how much is needed to reduce the chances of the cancer returning.

Depending upon where the tumor is located, its size, and how long it has been growing a surgeon might have to remove one or more lymph nodes during the lumpectomy process. Lymph nodes are bean-sized glands that are typically oval in shape. They operate as part of a system that operates throughout the body. Lymph nodes are necessary in the immune system. Lymph nodes help to fight off bacteria and the invasion of foreign bodies.

Once cancer has reached a lymph node it can easily and quickly be spread throughout the body by way of the blood vessels that connect lymph nodes together. When and if this occurs cancers become extremely difficult to treat. Sometimes chemotherapy or even radiation treatments are necessary at this stage.

To minimize the likelihood of that happening, surgeons will sometimes remove one or more lymph nodes near a cancerous tumor. Then, lab tests are performed to check for any spread of the cancer. Here again, each case is unique and the options and likely actions should be discussed with all the physicians involved.

Like other cancers, breast cancer develops in different stages. The stages are determined by the location, size and type of tumors that the cancer is comprised of. When breast cancer reaches a stage where it is necessary surgery may extend beyond a lumpectomy. The patient and the doctor might decide that a segmental or partial mastectomy is necessary.

In that procedure more breast tissue is removed than in a simple lumpectomy. In many cases radiation therapy may be part of the follow up treatment regimen, often extending for six or eight weeks. The goal is to ensure that all the cancer was removed, or that any remaining malignant tissue the surgeon was unable to get is destroyed by the radiation.

In more extreme cases, which are fortunately recommended much less often today, a mastectomy may be performed. Most or all of the breast is removed. When no lymph nodes are taken, the procedure is called a simple or total mastectomy. When all the breast tissue is removed, along with the nipple and lymph nodes in the armpit, the surgery is termed a modified radical mastectomy.

When the surgeon has to go further and remove the accompanying chest wall muscles the procedure is called a radical mastectomy. Fortunately, this extreme action is rarely called for today. Even when required, reconstructive surgery or prosthetics can often restore appearance almost entirely.

Hospital stay varies with the type of treatment, ranging from outpatient, same-day release for a simple lumpectomy to a week for more intensive procedures. Explore all your options and research the effects carefully. Ask questions and don't be put off by too-busy physicians. Finding one willing to answer questions at length in layman's terms is the first step toward proper treatment.

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