Masectomy Vs. Lumpectomy

Women with breast cancer can choose between two surgical procedures: a lumpectomy--removal of only part of the breast, or a mastectomy--removal of the entire breast.

Advantages

The advantage of a lumpectomy is that only the tumor is removed and the remaining breast is kept intact, so cosmetic reconstruction may not be needed. The advantage of a mastectomy is that it eliminates the chance for recurrence, and radiation treatment is unnecessary.

Disadvantages

A lumpectomy requires five to seven weeks of radiation and cancer may recur. A mastectomy may cause psychological difficulties, recovery time is longer and cosmetic surgeries may be needed.

Procedure

A lumpectomy is an out-patient procedure that takes less than two hours. Local or general anesthesia is used. The tumor and surrounding healthy tissue is excised. A mastectomy is an in-patient procedure that takes one to three hours. The entire breast is removed under general anesthesia. Lymph node tissue may also be removed.

Side Effects

Severe pain following a lumpectomy is uncommon, but feelings of insensitivity and pressure under the arm may occur.

Recovery

Care of the surgical area and recognizing and treating possible infection is necessary until the scar heals. Patients should take regular naps and lighten up on activities for several weeks.

References

• Mastectomy vs. Lumpectomy
• Mastectomy vs. Lumpectomy Guide

Resources

• Mastectomy vs. Lumpectomy: Making Your Decision
• Breast Cancer: An Interview with Susan Love, M.D.