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Why Are Women Choosing Mastectomy over Lumpectomy?

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Many women choose to have a mastectomy when a lumpectomy is possible

For many women whose breast cancer tumors have grown and reached a more advanced stage, there may be little choice but to have a mastectomy, which involves the complete removal of the cancer-affected breast. However, if breast cancers can be caught in an earlier stage, a more limited procedure called a lumpectomy may be an alternative option. This surgery involves the removal of the cancerous tumor and some surrounding tissue, but allows the woman to save the mass of the breast.

Doctors generally recommend a lumpectomy when cancers are caught in the early stages. In the past, it was believed that a mastectomy provided the best chance to keep cancer from spreading and recurring. However, the latest studies have shown that in situations where both a mastectomy or a lumpectomy combined with radiation are considered legitimate options, recurrence of breast cancer is not more frequent with either option, and mastectomies do not increase long-term survival rates for women who have been afflicted with this disease.

Surprisingly many women, when given the choice, are actually choosing mastectomies over lumpectomies. Medical science took a lot of criticism in the not-too-distant past for their overreliance on the more radical form of breast surgery, which is why it is quite unexpected to see women choosing to have mastectomies even when they are being given another option. So the question has to be asked: why are mastectomies still being requested by women when this radical procedure is not medically necessary?

Old Ideas Die Hard
Even though research has shown mastectomies do not increase survival odds, it appears that some women are not entirely convinced. Many woman, when asked to explain their decision to have a mastectomy, have expressed their fear that unless the entire breast is removed, breast cancer will eventually return. This could indicate that women simply aren’t aware of what the latest research about survival odds has shown, or it could indicate that doctors are not doing enough to communicate those findings to their patients. In some cases, however, it may be that psychological factors are the dominant ones, and having the entire breast removed after breast cancer has been diagnosed may simply make some women feel more secure.

Fears of Radiation
Chemotherapy and radiation have become standard treatments for breast cancer but because of their side effects, they are inevitably greeted with a lot of fear and dread by woman who have been diagnosed with the disease. Many woman who choose mastectomy appear to be doing so because it will allow them to avoid the radiation treatments that always accompany the less-radical procedure. Beyond the feelings of fatigue and sickness that follow radiation therapy, just the mention of the word “radiation” has a tendency to strike fear in people’s hearts. Being able to avoid radiation treatments probably brings a feeling of relief to a lot of woman who have been under extreme stress every since they were first diagnosed with breast cancer.

Convenience of Treatment
For most women, cancer treatment represents a significant disruption in their normal, everyday lives. At least with a mastectomy, it is possible to get it over with quickly, wheareas lumpectomies require a woman to return repeatedly to their nearest cancer center for continuing radiation therapy. In many cases, woman may live a considerable distance from medical facilities, and getting there for a series of treatments may be next to impossible.

Reconstructive Breast Surgery
One of the biggest reasons why woman are seemingly more willing to consider mastectomy now is because of the possibility of reconstructive breast surgery. The technology and the medical expertise in this area has improved dramatically over the years, not only with respect to appearance but also in convenience. It is actually possible for women to have reconstructive surgery immediately after a mastectomy is performed, so a woman can leave the hospital after breast surgery without a noticable change in appearance. While a lumpectomy is a less severe procedure than a mastectomy, it does still involve invasive surgery and the removal of a significant amount of breast tissue, which can change the appearance of the breast in a way that many woman do not find pleasing. Of course following bilateral mastectomy and reconstruction, a woman should expect to stay at home for a minimum of six weeks to recover.

Making the Final Decision
Ultimately, the decision of whether to have a mastectomy or a lumpectomy is up to the woman who has been diagnosed with breast cancer. While the mastectomy may not be a medically necessary choice in every instance, woman who do choose to go this route are obviously not making their decision lightly or easily. All that medical professionals can do is give their patients the most up-to-date information available about treatments and prognosis; any choices that are made after that are highly personal and entirely a matter of individual preference.

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