A double mastectomy, also known as a bilateral mastectomy, involves the removal of both breasts. This procedure can be chosen for various reasons, including:
- Cancer in Both Breasts: Women with cancer in both breasts may opt for a bilateral mastectomy
- Risk Reduction: Some women with cancer in one breast choose a Show Full Answer
A double mastectomy, also known as a bilateral mastectomy, involves the removal of both breasts. This procedure can be chosen for various reasons, including:
- Cancer in Both Breasts: Women with cancer in both breasts may opt for a bilateral mastectomy.
- Risk Reduction: Some women with cancer in one breast choose a bilateral mastectomy to reduce the risk of developing cancer in the healthy breast. This is known as contralateral prophylactic mastectomy.
- High-Risk Factors: Women with high risk factors, such as a strong family history of breast cancer or genetic mutations like BRCA1 or BRCA2, may choose a prophylactic bilateral mastectomy to lower their chances of developing breast cancer.
Types of Mastectomy:
- Total or Simple Mastectomy: Removal of all breast tissue and the nipple.
- Modified Radical Mastectomy: Removal of most lymph nodes under the arm, the lining over the chest muscles, and part of the chest wall.
Reconstructive Surgery:
- Skin-Sparing or Nipple-Sparing Techniques: These may be used if appropriate, allowing for a more natural-looking reconstruction.
Risks and Considerations:
- Surgical Risks: Blood clots, blood loss, infection, breathing problems, reactions to medication, and heart attack or stroke during surgery.
- Post-Surgery Care: Additional discomfort, wound and drain care, potential complications, monitoring for lymphedema, and shoulder exercises to prevent stiffness.
Suitability:
- Hormone Receptor-Negative Cancer: Bilateral mastectomy may provide the most benefits for premenopausal women with hormone receptor-negative cancer.
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July 3, 2024