
When facing breast cancer, the choice between breast conservation surgery (BCS) and mastectomy is crucial. BCS removes the tumor while preserving most of the breast, followed by radiation. Mastectomy removes the entire breast.
Indications:
- BCS: Suitable for smaller, localized tumors, often in younger patients with favorable breast size.
- Mastectomy: Recommended for larger tumors, multiple tumor foci, inflammatory breast cancer, or when radiation is contraindicated. Age is a factor but not absolute.
- Disease Severity: More advanced cancers often necessitate mastectomies.
Myths:
- A common myth is that mastectomy is always superior. Studies show that for eligible patients, BCS with radiation offers comparable disease-free survival (DFS), recurrence-free survival (RFS), and overall survival (OS) to mastectomy.
Comparing Outcomes:
- DFS, RFS, and OS are generally similar between BCS and mastectomy for appropriate candidates.
- The choice between the two is highly individualised.
Conclusion:
The best surgical option depends on individual factors. Consult with your surgeon to determine the most suitable approach.
Disclaimer:
This information is for general knowledge only and should not replace professional medical advice. Always consult with a qualified healthcare specialist for diagnosis and treatment.