Breast Cancer Surgery in Flagstaff
Early detection and expert surgical treatment significantly improve breast cancer outcomes. The general surgeons at Flagstaff Surgical Associates provide comprehensive breast cancer evaluation, surgical treatment, and coordination with medical oncology and radiation therapy.
Breast Cancer Treatment Options
Lumpectomy (Breast-Conserving Surgery) – Removal of tumor and surrounding tissue while preserving the breast. Often combined with radiation therapy. Appropriate for early-stage cancers.
Mastectomy – Removal of entire breast. Recommended for advanced tumors, multiple tumors, or patient preference. Breast reconstruction is available.
Sentinel Lymph Node Biopsy – Removal of first lymph nodes cancer cells would reach, reducing need for extensive lymph node removal.
Axillary Lymph Node Dissection – Removal of lymph nodes under the arm when cancer is present, determining staging and prognosis.
Our surgeons discuss all options and help you make informed decisions based on cancer stage, size, and your preferences.
Breast Reconstruction Options
For patients undergoing mastectomy, reconstruction provides improved appearance and self-image. Options include:
– Implant reconstruction
– Autologous tissue reconstruction (flaps from other body areas)
– Combined approaches
Reconstruction can be performed at the time of mastectomy or delayed. Our surgeons coordinate with plastic surgeons to achieve the best aesthetic and functional outcomes.
Frequently Asked Questions – Breast Cancer
What is the difference between lumpectomy and mastectomy?
Lumpectomy removes only the tumor and surrounding tissue, preserving the breast. Usually combined with radiation. Best for early-stage cancers. Mastectomy removes entire breast, recommended for advanced tumors or patient preference. Survival is equivalent for early-stage cancers with appropriate adjuvant therapy.
Do I need chemotherapy after breast cancer surgery?
Chemotherapy depends on cancer stage, grade, and tumor characteristics. Your surgeon coordinates with medical oncology to determine if chemotherapy is recommended. Some early-stage cancers don’t require chemo, while advanced cancers usually benefit from chemotherapy before or after surgery.
Can I have breast reconstruction after mastectomy?
Yes. Reconstruction can be performed at time of mastectomy or delayed. Many reconstruction options exist. Your plastic surgeon will discuss timing and options. Insurance typically covers reconstruction as part of breast cancer treatment.
What is sentinel lymph node biopsy?
Sentinel lymph node biopsy identifies the first lymph nodes cancer would spread to. A dye and radioactive tracer guide the surgeon to these nodes, which are removed and tested. If negative for cancer, extensive lymph node removal may not be needed, reducing complications.
How long is recovery after breast cancer surgery?
Lumpectomy: 1-2 weeks for light activity, 3-4 weeks for normal activity. Mastectomy: 2-3 weeks light activity, 4-6 weeks normal activity. Pain is manageable with medication. Arm swelling and numbness can occur but usually resolve. Drainage tubes are typically removed within 1-2 weeks.
What is my prognosis after breast cancer surgery?
Prognosis depends on cancer stage, grade, hormone receptor status, and HER2 status. Early-stage cancers have excellent prognosis (90%+ 5-year survival). Advanced cancers have more guarded prognosis but treatments continue improving. Your oncologist provides specific prognosis based on your cancer characteristics.
Will I lose sensation in my breast or arm after breast surgery?
Numbness and sensory changes are common after breast and lymph node surgery. Most sensation returns over 6-12 months. Axillary lymph node dissection increases arm swelling and numbness risk. Compression therapy and physical therapy minimize these complications.