what is the best for breast cancer mastectomy or lumpectomy? Dr. Liz Reveals
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- Опубліковано 28 чер 2024
- what is the best for breast cancer mastectomy or lumpectomy? Dr. Liz Reveals All!
❓If you've just been diagnosed with breast cancer, how do you know what surgery you need? In this video, I'll explain how your surgical team help you come to a decision and answer all your questions
I'm Dr Liz O'Riordan, a breast cancer surgeon who's had breast cancer three times.
I'm an expert in all things breast cancer. If you've got a question - I'll answer it for you
Website - 👉 liz.oriordan.co.uk
Author ‘Under The Knife’ and ‘The Complete Guide to Breast Cancer’
Podcast - So Now I've Got Breast Cancer
👉Instagram @oriordanliz
👉Twitter @Liz_ORiordan
In this video, we delve into the important question of what is the best treatment option for breast cancer: mastectomy or lumpectomy? We explore the differences between the two procedures, their potential benefits and risks, and factors to consider when making this crucial decision. Stay informed and empowered in your journey towards breast cancer treatment.
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#BreastCancer #MastectomyVsLumpectomy #TreatmentOptions - Наука та технологія
I was told I needed a masectomy & then had to explain the reasons to the surgeon to show I understood. I was not given a choice. One of the people having surgery on the same day was told she had to have a lumpectomy: she was denied a masectomy. BTW, my prosthesis isn't small. Not all women lose a small breast! There's a lack or understanding that some of us have to go flat for practical reasons on one side but still have one big one.
Thank you doctor, I appreciate you. You've given excellent advice. At age 59 when I found out that I have DCIS, my decision was easy. I immediately told my doctor that I want my breast removed before I even knew what mastectomy meant. When it comes to cancer disease, my attitude is I rather preserve my life than my looks. Hearing that I have cancer is complicated enough. No need to complicate my treatment.
Great video! In my opinion one of the 10 questions should be ‘are you willing to have radiotherapy?’. Whilst most women will answer this with yes, I had severe reservations as I have seen the most terrible late effects in my mother. It’s not about the 5 or 15 sessions, it’s about what can happen afterwards. For most women this will all be fine, but for some it won’t. In my experience the consequences of radiotherapy are not spelled out unless you specifically ask about them and are persistent in asking. I am an athlete (though very much amateur) and was particularly worried about losing any of my lung capacity. I had a lumpectomy first (and was lucky to have clear margins and nodes) and then had a completion mastectomy to avoid radiotherapy. Interestingly DCIS was found in the removed breast which vindicated my decision even further.
I am alarmed about the prospect of radiotherapy. It wasn't even mentioned at the outset. I would like to avoid having to have this if possible but surgeon is saying 'for you a mastectomy would be overkill'. Bad choice of language
I totally agree, radiotherapy can even cause heart damage. It makes me really sad and angry what avoidable harms women are expected to endure just to keep a body part that isn't even needed. I'm a previvor, both breasts removed before they tried to kill me and I couldn't be happier!
I chose to have a mastectomy rather than radiotherapy.
I have not regretted my decision so far, but it is early days. Only a month sin e my operation.
@jenefersargent7180 I agree. I have seen the results of radiotherapy in relatives and did not want that.
The other thing us that a mastectomy removes all the tissue and therefore, can be considered a cure. Very reassuring.
Hi Dr., good video. I was recently diagnosed with IDC, rt breast, ++-. I'm 59, with A cup breasts, they don't actually fill an A cup. My surgeon wanted to do a lumpectomy with radiation. I told him I want a bilateral mastectomy. I've done tons of research, and have 10 valid reasons why I want this. I won't bore you by listing them, but he really doesn't want to do it, but is going to push it through with insurance if he can. I'm so angry right now. I'm so disgusted by the value our society places on breasts! It's my body, and I know what I want
Stage I grade I IDC (6 mm IDC mucinous carcinoma). I asked for double mastectomy because i had small brests and dense breast tissue. No reconstruction. My scars are really horrible and painful. Be careful of what you really want.
PS my surgeron said this was my choice.
I'm sorry your scars hurt you. Are they fully healed? I have the same scenario, dense and small breasts.
The surgery took place more than 3 years ago, but it did not heal well. I m not saying that what I did is not good, but I should have asked more questions at that time.
Stay strong and do what you feel is good for you, but ask as many guestions as possible in advance and make sure that they will answer all of them. If not, choose another surgeon.
Is there any body who can tell about life with implants please. After bilateral mastectomy and fisrt expanders. What they found good or not. Was there decision a good one in hind sight.
@@AlexDrag-rd5cf thank you❤
This is a great video. After watching it I am glad I got a mastectomy with no reconstruction. I didn’t want complications and I couldn’t see the meaning of it. No one pressured me into getting reconstruction. Being flat is not a big deal. I just put bra cups into my bras. I can wear sports bras. I’m happy. Thank you for these videos.
An interesting video i did not aske any questions when I had my lumpectomy, 2 sentenal nodes removed
I wasn't given a choice I had invasive ductal breast cancer
I look forward to seeing your next video thank you !
Super useful ❤ I'm grateful my surgeon was open and honest. Although initially she talked about reconstruction options it quickly became clear from her explanations that a mastectomy would be the best for me (slim, small breasts, 60 years old - so breasts on the way south). I did consider an implant but once again my surgeon was clear about the risks so I'm now very happy with my flat side and silicone prosthesis. In the summer I sometimes even use the small fabric prosthesis that was given me after surgery.
Love all of your informative videos. Last December I had a lumpectomy for stage one invasive ductal carcinoma with clear margins and clear lymph nodes. I was told I was a good candidate for excelerated radiation. I was given five treatments in all three the first week and two the next week. Each treatment was maybe ten minutes. Could you discuss the reasoning behind such a short duration of treatment. I was happy to hear I was a good candidate however, I never really questioned what is considered when deciding this short time frame. I wish you the best in your journey to good health. Thank you!
Same here. My radiation was “targeted”, too (I believe that’s how they described it). Only 5 days for completion. This was in 2020. Fall of 2022, I started experiencing “bone pain” in my chest. Bone scan showed a healing rib fracture under the breast where I had the lumpectomy & subsequent radiation, as well as a spot on my lung, also attributed to effects of the radiation . Wishing I had been offered a choice to have bilateral mastectomy instead of lumpectomy with radiation.
I have seen so many of your videos and appreciate them all. This is one of the best in my opinion. I was diagnosed with lobular carcinoma in situi June 2021 Based on my fast research, I knew that it would become a serious breast cancer not only in this Breast and the other. I decided to have a bilateral prophylactic mastectomy before I even met my breast surgeon. When I met my breast surgeon, there was no collaboration she walked in and said oh! All you need is a lumpectomy. I told her no that’s not happening. I didn’t even know the time that would involve radiation. I just knew that my chances of reoccurrence, in that breast or the other were very high. Never mind that I had very small breasts and a lump ectomy might as well have been mastectomy! I’m so grateful that I made the right decision for me. I went from having small breasts and wearing padded bras to a fuller cup. That looks very acceptable. For me, that’s important. After the prophylactic mastectomy, incidentally, they found a grade one carcinoma nearby. I’m also very grateful a redo lumpectomy and I didn’t need chemotherapy. Of course it was ER and PR positive. The tamoxifen took away my quality of life. I had to retire before the scheduled age because of brain fog, joint pain, and fatigue. It took over a year and a half after six months of taking it to get rid of the joint pain. Apparently estrogen doesn’t really Increase your risk of death from breast cancer or reoccurrence in an in situ or stage one situation. I have recently found one of the few doctors who will prescribe it to me and my brain fog that led to an early retirement is almost gone after just a month and a half. I really dislike that all the focus on dying from breast cancer, which in an early stage is not that high, but without estrogen, your risk of dying from hip fractures, secondary to osteoporosis, heart disease, and dementia are much greater. Life is finally looking up after 2 1/2 years of a very life-changing event. Please check out the book estrogen matters. Most of its over my head involving many scientific Studies that have not been followed through by the main medical society. All I can say is, I am so glad to have my cognitive life, physical abilities, and mental health back! It’s a personal choice. I believe estrogen will not expedite my death, but the lack of estrogen will destroy my quality of life in the meantime.
I agree with you about the estrogen.
I had a total hysterectomy in my early thirties. I was prescribed HRT and took it for over ten years. Then I moved and my bew doctor advised me to stop because of the risk of developing cancer.
It was horrific. I had hot flushes every ten minutes, I felt edgy, and just didn't have the energy to enjoy life.
I went to a gynecologist, who had no hesitation in prescribing HRT and normal life resumed.
The cancer fear has now been disproven and was based on a 1969 study.
I was also worried about osteoporosis. I already had a spinal injury and didn't want my back to get any worse.
Just over a month ago I was diagnosed with DCIS. I chose a mastectomy rather than radiotherapy. However, I am off the HRT again. I am now 77, so am not too worried about my bones. Taking lots of vitD! The hot flushes are not as bad as before, either, although I do get them. Brain fog is horrid and embarrassing, though.
Such a clear and easy understanding video Doctor... Thanks a lot for this
Thank you for this video! I’ve just discovered you through a podcast, I will be soon having a chat about surgery after my chemo ends and results from and MRI and this has really helped me think about what I need to ask and think about before deciding on what will be best for me. I’m not going to work my way through more videos for more advice and information as some other channels I have found don’t explain as clearly as you do!
Thank you so so much!
Jodie
In the states, phasing out radiotherapy (RT) is more and more in disucssion. In the US, some pateints and doctors are preferring to do systemic therapies instead (like hormone therapy) adjuvantly after lumpectomy. I twould be nice to hear this discussed more here, especially for those who have low rates of benefit from RT. For example my benefit from RT is less than 3-8%. Not enough imy my opinion to risk this considering the risk of a secondary cancer from the treatment itself is %18. Also, there is no OS (overall survivial benefit) from RT. Therefore RT just seems increasingly barbaric and outdated. This should be discussed for those choosing lumpectomy but declingin RT becuase it is happening mroe and more as data shows there is not enough benefit from RT.
Good to hear!
@@lizeggar2421 Seriously, I hate to say it but UK is still sounding backwards on many areas of treatments. Chemo and RT induced mets are an issue too. Dr. Liz doesn't seem to bring up the cutting edge issues. She is just the party line. You have to get beyond that for the real info. WIsh she would say more.
Your video's are so helpful, thank you.
Very clear Liz. Thanks.
Another fantastic video Liz! Very informative. Thank you. Jx
Brilliant information. Take care 🙏🏻🇮🇪
Amazing videos.Thank you!
Glad you like them!
I've just had a lumpectomy and very happy with the end result. However, I've learned much from your presentation. thanks.
Great to hear!
Dear Dr., I wish I had an access to your videos 10 years ago. However, with breast cancer it seems ever new issues develop also after treatments. Have you/could you cover issues of selection the right silicon protheses and potential related issues with a spine? Many thanks for what you are doing at such a high expert and ethical level!
May I ask you after all treatment ( chemotherapy, now on Femara) can I use Ultra Smooth Ipl Hair Removing Device? Thank you
So glad i found you because im having anxiety. Hi my name is Dottie i just was told i have dcis my surgery is February 7th then i see this For the surgery Mastectomy, partial with sentinel node biopsy. Everything is happening so fast. Im 59 be 60 February 6th and no history of breast cancer. Dense breast. I get a mammogram every year. Last year i was told i need a ABus not understanding what ABUs was or is. Then when I received my results from mammogram i was told everything was fine. So okay im good. If on my mammogram results they should of had a number and reminded me of the ABUS. Then i would of most likely looked into it. So this year again expect i said well let me get an ABus so here i am. Doctor tell me in your medical terminology i need your professional advice. Im totally freaking. Researching but for me im just a basket case. Thank you for your time. ❤😊
Dear Dr Liz
Is there a difference between Lobular BC and Pleomorphic Lobular BC, I have been diagnosed with Pleomorphic BC
Mar
Thank you, Liz. Just had my first Chemo of 3 then Chemo plus Phesgo x3 for HER2+ EPneg tumour 32mm grade 3. Am I right in thinking that if I have a lumpectomy with radiotherapy and cancer comes back in the future that I will not be able to have radiotherapy anywhere on my body?
You won’t be able to have RT in the breast
I'm in the US so, opted for bilateral mastectomy. Why? My grandma & 2 of her sisters had BC & had masectomies w no other treatments. They lived on & died of old age. I went by family history. 😊
That makes sense.
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