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Survival with lumpectomy plus radiation therapy is the same as with mastectomy [ 2 ]. They lower the risk of death from breast cancer and the risk of death from any cause by the same amount [ 2 ]. Most people diagnosed with breast cancer will never have a breast cancer recurrence return of breast cancer. However, everyone who has had breast cancer is at risk of recurrence. Compared to mastectomy though, there's a slightly higher rate of the cancer returning within the breast called local recurrence with lumpectomy [ 2 ]. The risk of cancer spreading to other parts of the body called metastasis or distance recurrence is the same for both procedures [ 2 ].

Learn more about treatment for local recurrence and treatment for metastasis. Figure 5. The main benefit of lumpectomy plus radiation therapy is the breast is preserved as much as possible. A potential benefit of mastectomy is radiation therapy may be avoided. Although some women will need radiation therapy after mastectomy, many will not.

Ask your health care team if you are likely to avoid radiation therapy if you have a mastectomy.

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Radiation therapy has some side effects and requires daily trips to a treatment center. If you live far away from a radiation treatment center, or if you cannot have radiation therapy, mastectomy is usually a better option than lumpectomy. Total mastectomy. Lumpectomy plus radiation therapy. Major surgery with general anesthesia.

Less extensive surgery with general or regional anesthesia. After mastectomy with or without breast reconstruction , you will be numb across your chest from your collarbone to the top of your rib cage. Unfortunately, this numbness is usually permanent. You may get some feeling back over time, but it will never be the same as before surgery. After lumpectomy, you are likely to have numbness along the surgical scar. Learn more about the management of surgery-related pain. If axillary lymph nodes are removed during surgery, there is some risk of lymphedema.

The type of surgery you have does not affect whether you will have chemotherapy, hormone therapy or HER2-targeted therapy. These drug therapies are given based on the characteristics of the tumor, not the type of surgery you have. Lumpectomy rates vary across the U. The highest rates are in the Northeast and the lowest rates are in the South [ ]. For a table showing differences in U. Personal preference matters a lot when deciding between lumpectomy and mastectomy.

How to do it: feasible reform options

Some women very much wish to keep their breasts, while for other women mastectomy offers peace of mind. Where you live may affect your surgery choice. Compared to women who live in urban areas, those who live in rural areas are less likely to have a lumpectomy [ 9 ]. Women who live far from a center that offers radiation therapy needed for lumpectomy may prefer to have a mastectomy. Not all women can have a lumpectomy plus radiation therapy instead of a mastectomy. Talk with your health care provider about whether lumpectomy is an option for you.

Learn about the risks and benefits of each surgery option. Awards Season Find out more.

Double Danger (Live! from Brentwood High, book 3) by Judy Baer

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