Type of Surgery

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Last updated: 11/24/2009

Risks

There are several risks associated with modified radical mastectomy. The procedure is performed under general anesthesia, which itself carries risk. Women may have short-term pain and tenderness. The most frequent risk of breast cancer surgery (with...

extensive lymph node removal) is edema, or swelling of the arm, which is usually mild, but the presence of fluid can increase the risk of infection. Leaving some lymph nodes intact instead of removing all of them may help lessen the likelihood of swelling. Nerves in the area may be damaged. There may be numbness in the arm or difficulty moving shoulder muscles. There is also the risk of developing a lump scar (keloid) after surgery. Another risk is that surgery did not remove all the cancer cells and that further treatment may be necessary (with chemotherapy and/or radiotherapy). By far, the worst risk is recurrence of cancer. However, immediate signs of risk following surgery include fever, redness in the incision area, unusual drainage from the incision, and increasing pain. If any of these signs develop, it is imperative to call the surgeon immediately.


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Mastectomy or breast removal surgery is the most common treatment for certain types of breast cancer. The various types of mastectomy procedures are described including a modified radical mastectomy and lumpectomy in this narrated animation.

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Woman with scars from a modified radical mastectomy. (Biophoto Associates/Science Source. Reproduced by permission.) Woman with scars from a modified radical mastectomy. (Biophoto Associates/Science Source. Reproduced by permission.)




In a modified radical mastectomy, the skin on the breast is cut open (A). The skin is pulled back, and the tumor, lymph nodes, and breast tissue are removed (B and C). The incision is closed (D). (Illustration by GGS Inc.) In a modified radical mastectomy, the skin on the breast is cut open (A). The skin is pulled back, and the tumor, lymph nodes, and breast tissue are removed (B and C). The incision is closed (D). (Illustration by GGS Inc.)




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Other Information

In medicine, mastectomy is the medical term for the surgical removal of one or both breasts, partially or completely. Mastectomy is usually done to treat breast cancer; in some cases, women and some men believed to be at high risk of breast cancer have the operation prophylactically, that is, to prevent cancer rather than treat it. It is also the medical procedure carried out to remove breast cancer tissue in males. Alternatively, certain patients can choose to have a wide local excision, also known as a lumpectomy, an operation in which a small volume of breast tissue containing the tumor and some surrounding healthy tissue is removed to conserve the breast. Both mastectomy and lumpectomy are what are referred to as "local therapies" for breast cancer, targeting the area of the tumor, as opposed to systemic therapies such as chemotherapy, hormonal therapy, or immunotherapy.

Modified radical mastectomy: The entire breast tissue is removed along with the axillary contents (fatty tissue and lymph nodes). In contrast to a radical mastectomy, the pectoral muscles are spared.


From http://en.wikipedia.org/wiki/Mastectomy#Types_of_mastectomy

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