The goal of breast cancer surgery is to remove the entire tumor from the breast.
Some of the lymph nodes in the underarm area (axillary nodes) may also be removed to see if cancer cells are present.
There are 2 basic types of surgery to remove breast cancer:
Figure 5.1 shows each type of surgery.
Lumpectomy. The surgeon removes the breast tumor and a small rim of normal tissue around it, but the rest of the breast remains intact.
How your breast looks after lumpectomy depends on the amount of tissue removed. The image below is just an example. Your scar may be a different size and/or in a different location.
Image courtesy of Lange Productions (http://langeproductions.com/).
Mastectomy. The surgeon removes the entire breast (in many, but not all, cases this includes the nipple and areola).
Sometimes, breast reconstruction is done at the same time as a mastectomy.
Most women who have a lumpectomy will have radiation therapy to the breast, and sometimes the underarm area, after surgery.
Some women who have a mastectomy may have radiation therapy to the chest and/or the underarm area.
Learn more about radiation therapy.
Breast reconstruction can help restore the look and feel of the breast after a mastectomy. It can be done at the same time as the mastectomy or later.
In rare cases, reconstruction may be done after a lumpectomy to maintain a more natural appearance of the breast, or to match the size and shape of the other breast.
Learn more about breast reconstruction.
Although the exact treatment for breast cancer varies from person to person, guidelines help ensure high quality care. These guidelines are based on the latest research and agreement among experts.
The National Comprehensive Cancer Network (NCCN) and American Society of Clinical Oncology (ASCO) are respected organizations that regularly review and update their guidelines.
In addition, the National Cancer Institute (NCI) has treatment overviews.
Talk with your health care providers about which treatment guidelines they use. Since there’s often a lag time between the latest research and guideline updates, most providers prefer to base their treatment on the latest research.
You may have a choice between a lumpectomy or a mastectomy.
Almost all women who have a lumpectomy will also get radiation therapy.
For women who have a choice, survival with lumpectomy plus radiation therapy is the same as with mastectomy .
The choice of surgery does not affect whether you will need chemotherapy, hormone therapy and/or targeted therapy. Drug therapies are given based on the characteristics of the tumor, not the type of surgery you have.
Take time to study your options and make a thoughtful, informed choice after carefully considering the pros and cons of each surgical option.
Learn more about deciding between lumpectomy and mastectomy.
If you are facing breast cancer surgery, remember, many women have been where you are today. They had the same fears and made the same tough choices. These women have gone through breast cancer treatment, recovered and are living their lives.
It may be helpful to talk with women who have finished treatment about their experiences to help ease your fears.
You can find someone to talk to on our Message Boards. Your health care provider may be able to help you find a local support group.
Learn more about social support and find a list of support resources.
SUSAN G. KOMEN® SUPPORT RESOURCES
Learn more about talking with your health care provider.
If you have been diagnosed with breast cancer, Susan G. Komen® has some Questions to Ask Your Doctor cards that may be helpful. For example, we have a question card on breast cancer surgery and a question card on breast reconstruction.You can download and print these cards and take them with you to your next doctor appointment. There’s plenty of space to write down the answers to these questions, which you can refer back to later.You can also download other Questions to Ask Your Doctor cards on many different breast cancer topics.
Interactive Treatment Navigation Tool
Surgical Options Video
Facts for Life: Breast Cancer Surgery
Questions to Ask Your Doctor: Breast Cancer Surgery
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