What is the difference between a simple and radical mastectomy?

What is the difference between a simple and radical mastectomy?

A simple mastectomy (left) removes the breast tissue, nipple, areola and skin but not all the lymph nodes. A modified radical mastectomy (right) removes the entire breast — including the breast tissue, skin, areola and nipple — and most of the underarm (axillary) lymph nodes.

What is a bilateral simple mastectomy?

A double mastectomy—also known as a bilateral mastectomy—is exactly what it sounds like: a surgery in which both breasts are removed at the same time. It’s major surgery that removes both breasts to remove cancer, or to reduce the risk of breast cancer in a woman who may be at high risk for the disease.

When is a simple mastectomy needed?

Indications for a simple mastectomy with a concomitant axillary procedure, which may be either a sentinel node biopsy or an axillary clearance, are as follows:

  1. Locally advanced breast cancer.
  2. Multifocal breast cancer.
  3. Large tumor relative to the size of the breast, excision of which may compromise final cosmesis.

How long does a simple bilateral mastectomy take?

The operation takes about 90 minutes, and most people go home the following day. It can take 4 to 6 weeks to recover from a mastectomy.

Is a simple mastectomy major surgery?

Mastectomy is considered a major surgery for the below reasons: The procedure involves permanent removal of either one or both breasts, which itself is a major risk factor. Usually, the procedure may last up to 4 hours depending on the severity of the disease. It is performed under general anesthesia.

What is the difference between a bilateral mastectomy and a double mastectomy?

Double mastectomy When both breasts are removed, it is called a double (or bilateral) mastectomy. Double mastectomy is sometimes done as a risk-reducing (or preventive) surgery for women at very high risk for getting breast cancer, such as those with a BRCA gene mutation.

How painful is a bilateral mastectomy?

Right after the surgery, you will probably feel weak, and you may feel sore for 2 to 3 days. You may feel pulling or stretching near or under your arm. You may also have itching, tingling, and throbbing in the area. This will get better in a few days.

Is mastectomy a high risk surgery?

Like any type of surgery, a mastectomy can have risks and side effects, some of which could affect your quality of life. Because of this, preventive surgery is not usually a good option for women who are at average risk of breast cancer, or for those who are at only slightly increased risk.

Do I need a mammogram after bilateral mastectomy?

If both breasts have been removed (a double or bilateral mastectomy), mammograms should no longer be needed because there shouldn’t be enough breast tissue left to do a mammogram.

How long do you stay in the hospital after a double mastectomy?

The surgery usually involves a short hospital stay of 1 to 3 days and a follow-up in 1 to 2 weeks, but it may be longer if your procedure is more complex, or if you also opt for immediate reconstructive surgery. You also have an option for a delayed reconstruction or no reconstruction at all.

When is mastectomy not recommended?

It depends. For women with metastatic tumors, mastectomy is not recommended, explains Dr. King, but it might be a good choice for early stage tumors that are large or directly behind the nipple.

Is a mastectomy painful?

Reports indicate that 40 to 60 percent of patients who undergo mastectomy suffer from chronic pain — pain lasting longer than three months.

Do you need chemo after a double mastectomy?

Does a patient need chemotherapy before or after they have a mastectomy? For most patients, the mastectomy is performed first and is followed by chemotherapy or other suitable treatments. But some patients have better success if that order is reversed and they receive chemotherapy before their surgery.

Is a mastectomy major surgery?

What is a double (or bilateral) mastectomy?

This operation may still be done for large tumors that are growing into the pectoral muscles. When both breasts are removed, it is called a double (or bilateral) mastectomy. Double mastectomy is done as a risk-reducing surgery for women at very high risk for getting breast cancer, such as those with a BRCA gene mutation.

What is a total mastectomy?

A total mastectomy, also known as a simple mastectomy, involves removal of the entire breast, including the breast tissue, areola and nipple. A sentinel lymph node biopsy may be done at the time of a total mastectomy.

What is an extended simple mastectomy?

Simple mastectomy is the surgical removal of one or both breasts. The adjacent lymph nodes and chest muscles are left intact. If a few lymph nodes are removed, the procedure is called an extended simple mastectomy.

What is the difference between a simple mastectomy and mastectomy?

The subcutaneous mastectomy, or nipple-sparing mastectomy, preserves the skin and the nipple over the breast. During a simple mastectomy, the surgeon makes a curved incision along one side of the breast and removes the tumor and all of the breast tissue.