Guide :

Additional surgery recommended after lumpectomy

My mammogrpy in August showed a cluster of microcalcifications in the right breast.  I had a needle biopsy done last month and was diagnosed with DCIS.  My lumpectomy was done on October 16.  My surgeon is recommending a re-excision based on the lab findings as follows: - Foci of residual ductal carcinoma of intermediate nuclear grade with foci of central calcification and necrosis, solid and cribriform pattern. - ductal carcinoma in-situ, seven out of sixteen slides. largest focus measuring 0.4 cm. - The ductal carcinoma in-situ present in close proximity, 0.1

Research, Knowledge and Information :


additional surgery recommended after lumpectomy - HealthTap


Secure video or text chat with a doctor anywhere, anytime, 24/7 - get prescriptions, referrals, second opinions and more. Or get trusted answers and tips from tens of ...
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What Happens During a Lumpectomy? | Patient Advice | US News


May 03, 2017 · “When patients are recommended to have additional surgery, ... Some patients will have radiation therapy or chemotherapy after a lumpectomy.
Read More At : health.usnews.com...

Talking With Your Doctor About Breast Surgery Options ...


Talking With Your Doctor About Breast Surgery ... Chemotherapy may be recommended regardless of the surgery. ... but after a lumpectomy, we can always do additional ...
Read More At : www.cancer.net...

Exercises After Lumpectomy Breast Surgery - HealthTap


Doctors give unbiased, helpful information on indications, contra-indications, benefits, and complications: Dr. Rosen on exercises after lumpectomy breast surgery ...
Read More At : www.healthtap.com...

When Is Radiation Appropriate? - Breastcancer.org


It may be appropriate for people with stage 0 through stage III breast cancer after lumpectomy or ... be recommended after mastectomy to ... after surgery.
Read More At : www.breastcancer.org...

Trends in Surgery After Initial Lumpectomy for Breast Cancer ...


Trends in Surgery After Initial Lumpectomy for ... Society of Radiation Oncology recommended use of “no ink on tumor” as the ... Additional Surgery. ...
Read More At : www.ascopost.com...

Lumpectomy Surgery: Click to Learn About Recovery Time


... additional surgery or treatment may be ... lumpectomy is not a recommended surgery for some women. ... may also be drastically disfigured after lumpectomy.
Read More At : www.emedicinehealth.com...

Breast Surgery Guidelines Take Aim at Unnecessary Operations ...


Breast Surgery Guidelines Take Aim at ... Monday, February 10, 2014. New guidelines recommend against surgery to remove additional ... After lumpectomy found ...
Read More At : www.mskcc.org...

Fewer Women Need To Undergo Repeat Surgery After Lumpectomy - NPR


A change in guidelines for lumpectomy surgery in 2014 has already reduced the number of women undergoing additional surgery, including mastectomy, by 16 percent.
Read More At : www.npr.org...

Suggested Questions And Answer :


DCIS

Hi, Recent studies show that all women with DCIS would benefit from radiation therapy. DCIS means that the cells are within the duct and technically do not have the ability to spread - so it isn't really cancer - although the treatment is almost as aggressive as if it were cancer.  In the past radiation was given to higher grades of DCIS and some other types were excluded,but actually radiation therapy is often recommended by Oncologists who are also considering many other factors in one's particular case. If I were you I would go for radiation therapy, if my oncologist would deem it  necessary for my treatment. Best wishes...and good luck.
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Intro and NS appt today

My opinion is to find someplace else to be evaluated. Square two was to have physical therapy. Not to "wait and see if it gets worse". Sometimes it works, sometimes it does not. But the failure to recommend such therapy give your health care provider a "F". Under no circumstances should you have surgery without first undergoing physical rehabilitation therapy.
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Oversea facelift

I JUST read an article about this and their take on it was if you ARE going to leave the US for PS, Canada is the place to go. They high very stringent policies towards patient safety & education, an overall very high ranking in almost every area of medical standards, any potential communication barriers with your Dr or nursing staff is eliminated, and lastly, it's also usually much more affordable than the same procedure in the US. If I can remember the source of the article I will update and provide in case there are additional links to actually finding Canadian providers or how to go about it. If you were to move forward with it your experience could be a really interesting and helpful blog on the whole schibang. If you're into that type of thing, maybe you hate writing! Lol. But it's a topic that's creeping into the US beauty mainstream quietly but quickly. I hth a little anyway and I'll try to dig up the article. It was just yesterday I think...... :)
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Phyllodes tumors

Hi there. I understand your concern regarding this.  Indeed, the knowledge with Phylloides tumors is dwarfed compared to the abundant data on the classic breast cancers, but there are also a good deal of data regarding Phylloides.  The fact that this is benign phylloides in good news, in the sense that the other tumors that you have right now may just be multiple fibroadenomas.  However, I understand your concern regarding future surgeries and the incisions to be made.  If all the tumors can be removed with one incision, then this would give the best result, just make sure that the doctors take out a good margin, since clear margins are the primary measure of success in controlling phylloides tumors or any other breast mass for that matter. I hope that everything will turn out fine.  Wishing you the best.  God bless.
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DCIS margins

It never hurts to get a second opinion.  From my experience 1mm margins are desirable.  Even if you receive a second lumpectomy, radiation will be advised as well as a course of tomoxifan if your dcis was er positive.  Have you seen an oncologist yet?  If not, I would make an appointment with one and talk to them.  With DCIS you generally have time to research your options. Regards
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Atypical ductal hyperplasia

Hi, The physical and mental trauma that you have gone through in the past few years/ months is surely astonomical. But it is commendable that you have sustained all this with good strength. The doctors have told you correctly that atypical ductal hyperplasia has high chances of turning into a malignant lesion - so you ought to go ahead with the surgery required - be it a lumpectomy or mastectomy. It still is the pre-cancerous stage and hopefully can be contained with the right approach at the right time. Discuss all the options you have and the post surgical care and follow up that you would need before you go ahead with the surgery. Goodluck.
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Back again with a question about chemo

It was very surprising that despite the nice introduction to the forum (the purpose and the goal), nobody even took a look at my post. Every single other posts got a response except mine. Wish you all good luck.
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Next step

I am so sorry you have to deal with this. Cancer stinks. Decisions like this are so personal to each person. Some want to conserve breast tissue and some are like me, get it off of me now so I don't have to go through this again . How about bilateral mastectomy with immediate reconstruction so you get it all done at once? Just a thought and that's what I would have done if I had known I could. I removes most of your breast tissue and seriously reduces the risk of more cancer or DCIS. If you don't have to do radiation, you could do implants or what I chose which is DIEP flap which spares the muscle but moves your tummy fat and blood supply up to make gorgeous breasts. I actually look better now than I did before cancer (body wise) and am glad I chose what I chose. Best wishes and remember, do what's best for you and what you can live with without regrets. :)
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Retroflexed Odontoid

  Hi...I also had a retroflexed odontoid, but I did not need that done when I had my PFD...I was told I needed to have another surgery as I also had cervio cranial instability and a few bulging disks. I also had my surgery at TCI...but, I would suggest u get another opinion as to how another NS might handle this...like Dr Henderson in MD, or Dr Rosner, or Dr Oro...any of them could give u a 2nd opinion....as all chiari Drs do not approach these surgeries the same and it may give u other options. TCI does their own research and are top in this field for chiari...but, it never hurts to validate what u already know by talking to another dr....   Not sure if that was what u were looking for, but the best I can offer at this time.     "selma"
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