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Before and After Mastectomy

If you have breast cancer, you are well-aware of the heavy emotional and physical toll it takes on you and those around you. It is important to choose a treatment plan as early as possible in order to beat the disease. One common option is a surgical procedure called a mastectomy. Being well-informed, and knowing what to expect after a mastectomy can alleviate some of your concerns.

After MastectomyWhat is a Mastectomy?
A mastectomy is a form of treatment for breast cancer which involves the surgical removal of a breast or part of it. The purpose is to stop the cancer cells from spreading to other areas of the body. There are different kinds of mastectomies. The type of cancer, and what stage it is in determines which kind of mastectomy is required for that particular patient.

Who Needs a Mastectomy?
Not all women need to undergo a mastectomy. Individual cases are assessed and treatment options are offered. Your doctor will advise you. A mastectomy may be recommended if a patient falls in one of the following categories:

  • Cancer is present in more than 1 area of the breast
  • Lumpectomy was not successful
  • Radiation was not successful
  • The breast tumor is larger than 5 cm
  • Radiation is not possible due to health factors (i.e. pregnant)

Types of Mastectomies

Partial Mastectomy: This procedure, which is the least invasive, involves removing only a small part of the breast. It is usually performed when the patient is in the early stages of breast cancer or has a small tumor.

Total Mastectomy: This surgery consists of the removal of the entire breast, but no lymph nodes are removed. It usually involves a brief hospital stay and a return shortly after to remove the drainage tube that was inserted during surgery. Sometimes, a patient opts to have both breasts removed as a preventative measure.

Modified Radical Mastectomy: This is the most common type of mastectomy. It amounts to the removal of the entire breast, including the skin, nipple and some of the lymph nodes.

Radical Mastectomy: This procedure is very similar to the modified radical mastectomy, except that all the lymph nodes and the muscles in the chest wall are removed.

What to Expect after a Mastectomy
After a mastectomy, the patient will notice some sensitivity and discomfort. On average, most women stay in the hospital for 2 or 3 days after the surgery. The most common side effects are fatigue, swelling, and some pain in the breast area.

Post-surgery physiotherapy begins while in the hospital and is continued at home. It is important not participate in any strenuous activities until the attending doctor gives the green light.

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