Lumpectomy or mastectomy for early invasive breast cancer?

Feb 14, 2023 Source: Cainiu Health
Dr. Yu Xiaopeng
Introduction
If a patient has early-stage breast cancer with a small tumor and strongly desires breast conservation, breast-conserving surgery can be performed. However, if the tumor is large, widely dispersed, or the patient does not have a strong preference for breast preservation, a mastectomy may be chosen to improve the likelihood of cure. Since there is a possibility of recurrence after breast-conserving surgery, patients should undergo regular follow-up examinations at the hospital after treatment.

Early invasive breast cancer refers to early-stage breast cancer, and the decision between breast-conserving surgery and total mastectomy should be based on the patient's individual circumstances, ensuring effective treatment while respecting the patient's preferences.

Breast cancer is characterized by uncontrolled proliferation of breast epithelial cells under the influence of various carcinogenic factors. Early-stage breast cancer is defined as a tumor smaller than 2 cm, with no detectable axillary lymph node metastasis or distant metastasis, and includes non-invasive cancers. Generally, if the patient has early-stage breast cancer with a small tumor and a strong desire to preserve the breast, breast-conserving surgery may be an appropriate treatment option. However, if the tumor is large, widely dispersed, or if the patient does not strongly wish to preserve the breast, total mastectomy may be recommended to improve the chances of cure.

It should be noted that breast-conserving surgery carries a risk of recurrence; therefore, patients should undergo regular follow-up examinations at the hospital after treatment.

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