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Cancer Straight Talk

Breast Cancer Treatment Part 1: Surgery, Radiation and Reconstruction

Jun 19, 2024
Dr. Michael Bernstein, a radiation oncologist at Memorial Sloan Kettering, explains the pivotal role of radiation therapy in breast cancer treatment, discussing planning, side effects, and patient experiences. Dr. Michelle Coriddi, a plastic and reconstructive surgeon, shares insights into various reconstruction techniques, emphasizing the importance of body image post-treatment. The two experts address lumpectomy versus mastectomy options, patient testimonials, and the emotional journey of navigating breast cancer care. Their expert advice empowers patients to make informed choices.
25:16

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Quick takeaways

  • Understanding the differences between lumpectomy and mastectomy, including the impact of genetic factors like the BRCA mutation, enables informed surgical decisions.
  • Advancements in radiation therapy provide patients with targeted, less toxic treatment options that help minimize recurrence risk after breast conserving surgeries.

Deep dives

Understanding Surgical Options for Early Stage Breast Cancer

When diagnosed with early stage breast cancer, patients typically face two surgical options: breast conservation through lumpectomy or mastectomy. Lumpectomy involves removing only the cancerous area of the breast, often followed by radiation therapy, preserving most of the breast tissue. Mastectomy, on the other hand, consists of the complete removal of the breast and is recommended in certain circumstances, such as when there's a high risk of recurrence due to genetic factors like the BRCA mutation. Most patients are suitable for breast conservation, which yields outcomes comparable to mastectomy, allowing them to maintain breast integrity while emphasizing the importance of informed decision-making.

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