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Mastectomy is a surgical procedure to remove all breast tissue from a breast. The goal of this surgery is to treat breast cancer. It is often performed when a woman cannot be treated with breast-conserving surgery (lumpectomy), which is a surgery where only the tumor is removed while the breast is preserved. Mastectomy is also the main treatment for breast cancer in men. Because men only have little breast tissue, and most tumors in men appear under the nipple, surgeons usually need to remove the whole breasts. Depending on your situation, mastectomy can be done to remove only one breast (known as unilateral mastectomy) or both breasts (known as bilateral mastectomy).
Mastectomy may be recommended to treat numerous types of breast cancer, including early-stage breast cancer (Stages I and II), locally advanced breast cancer (stages III), ductal carcinoma in situ (DCIS), inflammatory breast cancer, locally recurrent breast cancer, and Paget’s disease of the breast. Your doctor may recommend mastectomy if the cancer is in a large area of the breast or cancer has spread all around the breast. A mastectomy may also be recommended if you have a very high risk of developing breast cancer. Mastectomy performed to prevent breast cancer is known as prophylactic mastectomy. Doctors also recommend mastectomy for people with gynecomastia.
In most cases, breast reconstruction can be done at the same time as your mastectomy, but you can also choose to have it at a later date.
Breast cancer can be dangerous and life-threatening. It can change every aspect of your life in different ways. Breast cancer can also spread to other parts of the body, causing more complications. After a mastectomy, your quality of life should improve. Cancer may not spread to other parts of the body, and you may have higher survival rates.
The recovery period depends on the type of mastectomy you undergo. The total recovery time may take about 4 to 6 weeks. However, you will be able to get back to work within 2 to 3 weeks (if your job does not involve a lot of physical activities).
The survival rate for breast cancer patients may increase significantly after a mastectomy. A study revealed that 81.2% of women who had double mastectomy survived more than 10 years. In some cases, recurrence can occur, resulting in malignancy. This decreases the success rate of the procedure. Mastectomy done to treat gynecomastia is recorded to have a 90% success rate.
Like other surgical procedures, mastectomy carries a risk of complications. The risks you need to be aware of are pain, bleeding, infection, numbness, stiffness and shoulder pain, scar tissue, hematoma, and swelling in your arm.
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