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.