{"id":415,"date":"2018-10-23T18:55:51","date_gmt":"2018-10-23T18:55:51","guid":{"rendered":"https:jwcistage.wpengine.com\/breast\/treatment-2\/surgical-oncology\/"},"modified":"2025-04-09T19:25:51","modified_gmt":"2025-04-09T19:25:51","slug":"surgical-treatments","status":"publish","type":"page","link":"https:\/\/www.saintjohnscancer.org\/breast\/breast-cancer\/treatment\/surgical-treatments\/","title":{"rendered":"Surgical Treatments for Breast Cancer"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":null,"protected":false},"author":2,"featured_media":0,"parent":401,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"class_list":["post-415","page","type-page","status-publish","hentry"],"acf":{"layers":[{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"

The fellowship-trained breast surgeons at Providence Saint John\u2019s Health Center offer the most advanced surgical breast techniques available, including oncoplastic lumpectomy\/partial mastectomy surgery, extreme oncoplastic surgery, sentinel node biopsy, and skin-sparing and nipple-sparing mastectomy with breast reconstruction.\u00a0At the Margie Peteresent Breast Center, we offer a comprehensive approach, involving many specialists collaborating on how to optimize treatment plans for each patient.<\/p>\n

Breast-Conserving Surgery (Lumpectomy or Partial Mastectomy)<\/h2>\n

\"Consultation
Your consultation will reveal your treatment options including breast conservation surgery.<\/figcaption><\/figure>Breast-conserving surgery, also known as lumpectomy or partial mastectomy, aims to preserve as much of the breast tissue as possible. This is an effective option for patients with early-stage breast cancer. In this procedure, only the cancerous breast tissue, along with a small area of normal tissue surrounding it, is removed. While this is often preferable, breast-conserving surgery is not possible for all situations and is generally followed by radiation therapy. It’s important to understand that breast-conserving surgery has been shown to be just as effective as mastectomy in terms of survival. This surgery is usually performed as an outpatient procedure under mild sedation (a light form of anesthesia).<\/p>\n

Whether or not you can undergo breast-conserving surgery depends on many factors, including the size of the cancer, the size of your breast, the number of cancer sites within the breast, and whether you can undergo subsequent radiation treatments. Incisions are often small enough to be hidden, and once healed, may even be difficult to see. With breast-conserving surgery, the nipple is almost always left in place. Our approach involves techniques that are least invasive, offering the best recovery and patient outcomes, and the most optimal post-surgical apearance of the breast. <\/p>\n

Oncoplastic Surgery<\/h2>\n

Oncoplastic surgery is a different approach to breast-conserving surgery. Specially trained breast surgeons use traditional plastic surgery incisions and techniques to perform the partial mastectomy. The benefit of oncoplastic surgery is to allow for wider removal of cancer with immediate reshaping of the breast tissue to provide an optimal cosmetic result. This approach has been shown to reduce the need for multiple operations to completely remove the cancer and is useful for removing larger cancers in patients who may otherwise have been advised to have a mastectomy. Oncoplastic surgery a good option for patients who are also candidates for breast reduction or mastopexy (breast lift). The opposite breast may also be modified to create symmetry.<\/p>\n

\"Oncoplastic<\/div>\n

Mastectomy<\/h2>\n

Mastectomy is a type of surgery that removes most of the breast tissue. Breast tissue extends from just below the collarbone to the fold under the breast, and from the breastbone to the side of the chest wall. When a mastectomy is performed, every effort is made to remove as much breast tissue as possible. However, there will be some residual breast tissue left under the skin. Mastectomy does not eliminate the risk of future breast cancer but will significantly reduce the risk to 1-3%. Radiation therapy can often be avoided in patients who have a mastectomy, although some patients with more advanced disease may still need radiation therapy afterward.<\/p>\n

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Types of Mastectomies<\/h3>\n

Total Mastectomy: During this surgery, the entire breast, nipple, and some skin are removed. This surgery is performed when the area of cancer is too large for breast-conserving surgery or for patients who cannot or will not have radiation therapy, or for men with breast cancer. This is usually done when patients are not interested in immediate reconstruction. Skin is removed so the patient is not left with excess skin after surgery. Breast reconstruction can still be done later to restore the appearance of the breast mound.<\/p>\n

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Skin-Sparing Mastectomy<\/h4>\n

This procedure removes the underlying breast tissue and nipple while preserving as much breast skin as possible. This leaves the breast skin envelope so that breast reconstruction can be performed with a better cosmetic result. This is always performed as part of a plan for reconstruction by the plastic surgeon.<\/p>\n

Nipple-Sparing Mastectomy<\/h4>\n

This operation removes the entire breast but preserves the skin envelope and the nipple to maintain the appearance of the breast. The breast tissue is removed, but the overlying skin, nipple, and areola are left in place. An advantage of this procedure is that the breast remains more cosmetically attractive. The disadvantage is that the nipple and areola usually lose sensation.<\/p>\n

Modified Radical Mastectomy<\/h4>\n

This is a total mastectomy with axillary lymph node dissection. During this procedure, the entire breast and the lower-level underarm lymph nodes are removed. The chest muscle is left intact. Breast reconstruction may be done by a plastic surgeon at the time of surgery or in the future to restore the appearance of the breast.<\/p>\n<\/div>\n<\/div>\n

Oncoplastic Breast Surgery – A Novel Approach to Breast Cancer Surgery Webinar<\/h3>\n
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