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A MyBCTeam Member asked a question 💭
Cape Cod, MA
July 3, 2024
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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.

For more detailed information, you can visit the provided links in the context.

July 3, 2024

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