Axillary Surgery for Early Stage Breast Cancer

9 January 2017 The American Society of Clinical Oncology recently updated their guideline on sentinel node biopsy for patients with early stage breast cancer. Axillary dissection, or removal of underarm lymph nodes, has traditionally accompanied mastectomy and lumpectomy surgery. It was initially felt that removal of these nodes was important to prevent the cancer from spreading to other areas in…

Read more

Surgeon Recommendation a Factor in Contralateral Prophylactic Mastectomy Decision

21 December 2016 A study published in JAMA Surgery found that in women with early stage breast cancer, a surgeon recommendation against removal of the unaffected, healthy breast (known as a contralateral prophylactic mastectomy or CPM) often led to the patient not undergoing that procedure. However, if the surgeon did not make a specific recommendation for or against the procedure,…

Read more

SSO – ASTRO – ASCO DCIS Margin Guidelines

15 August 2016 A consensus statement was released today by the Society of Surgical Oncology,the American Society for Radiation Oncology, and the American Society of Clinical Oncology. It addresses the issue of surgical margins for patients undergoing breast conserving surgery (lumpectomy) for ductal carcinoma in-situ (DCIS).The press release provides a summary of the important findings. We know from many years of…

Read more

ASBrS Issues CPM Consensus Statment

During the April 2016 meeting of the American Society of Breast Surgeons (ASBrS), a consensus conference was held to discuss contralateral prophylactic mastectomy (CPM). CPM is the removal of the healthy, opposite breast, and the rates of CPM have been increasing, for various reasons. A patient’s decision to undergo a CPM is very difficult and is unique to each individual with breast cancer.…

Read more

Prophylactic Mastectomy for Male Breast Cancer

08 September 2015 Rather write another post about increasing mastectomy rates (see Science vs. Personal Choice) I asked Dr. Oliver Bogler to provide his perspective as a male breast cancer patient and cancer researcher.  Guest post by Dr. Oliver Bogler The observation published in JAMA Surgery (doi:10.1001/jamasurg.2015.2657) that prophylactic contralateral mastectomies are on the rise in men with breast cancer…

Read more

How can we improve breast cancer surgery?

31 July 2015 The majority of patients newly diagnosed with breast cancer are candidates to undergo what is known as breast conserving surgery, or lumpectomy. However, one challenge is obtaining a clear margin – a rim of normal tissue around the tumor. While we have gotten better at visualizing the extent of the tumor by using mammograms, ultrasound and MRI,…

Read more

Do I Need Surgery for DCIS?

9 June 2015 Surgery doesn’t help women with early-stage breast cancer. That’s certainly a headline that will get attention! The recent NPR article referred to a study published in JAMA Surgery: Survival Benefit of Breast Surgery for Low Risk Ductal Carcinoma In Situ – A Population-Based Cohort Study(1). The study raises some very interesting points, but the NPR headline is misleading.…

Read more

Increasing Mastectomy Rates – Science vs. Personal Choice

19 January 2015 This past weekend, I gave a talk at the Southern California Chapter of the American College of Surgeons Annual Meeting – the title of the talk was Increasing Mastectomy Rates – Science vs. Personal Choice. There is a tremendous amount of literature documenting the increasing mastectomy rates. The talk focused on women with early stage breast cancer…

Read more

(Reasonable) Fear Prompts “Extra” Mastectomy Decision

3 June 2014 A study was recently published evaluating the reasons why women diagnosed with breast cancer might undergo a contralateral prophylactic mastectomy. First, some definitions: –       Mastectomy – removal of the entire breast –       Prophylactic mastectomy – removal of a breast that does not have cancer –       Contralateral prophylactic mastectomy (CPM) – removal of the breast that does NOT have cancer, in a patient undergoing mastectomy…

Read more

Women Have New Options for Breast Cancer Surgery

24 October 2013 Many advances have been made in the area of breast cancer surgery. Up until the 1970’s, the only option available was a radical mastectomy, which involved removal of the entire breast, the pectorals muscle over the ribs, and a large number of lymph nodes. Subsequent studies have proven that more surgery is not necessarily better, and a…

Read more
Pages