Presentation
They present as circumscribed, often large breast masses in adolescent females and are usually managed with simple enucleation. A 15-year-old girl presented with a 6-month history of rapidly growing breasts. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
It has applications in the control of chronic pain with neuropathic component of the chest wall, and for pain control in thoracoscopic surgery. [ncbi.nlm.nih.gov]
You may have pain around the site of your cut after surgery. The pain is moderate after the first day and then goes away over a period of a few weeks. You will receive pain medicines before you are released from the hospital. [medlineplus.gov]
- Surgical Procedure
Surgical Procedure A, Estimated mortality among all patients if surgical procedure were randomly assigned (analysis of average treatment effect). [doi.org]
Simple or total mastectomy —In this procedure, the entire breast is removed, but the lymph nodes and surrounding muscle are left intact. Modified radical mastectomy —This is the most common surgical procedure performed for breast cancer. [healthcommunities.com]
While the amount of women who chose to have bilateral mastectomies is increasing, Boolbol said, the most common surgical procedure regarding breast cancer remains a lumpectomy. [foxnews.com]
All hormonal pathways included in this complex hormonal and surgical procedure of transgender surgery have important implications for women undergoing prophylactic mastectomy because of a high risk of possible breast cancer. [ncbi.nlm.nih.gov]
- Lymphedema
If you have had breast surgery with removal of your nodes, please consider purchasing a Lymphedema Medical Alert Bracelet or Pendant, and a Lymphedema Alert Sleeve for doctors' visits and/or hospital stays. NEW! [tlcdirect.org]
The most common side effect of axillary node dissection is lymphedema : chronic swelling of the arm. Approximately 10% to 20% of patients typically experience lymphedema when axillary node dissection is combined with radiation therapy. [imaginis.com]
Kathy Bates is getting real about her battle with breast cancer and subsequently dealing with a little-known condition called lymphedema. [etonline.com]
Lymphedema — Swelling caused by an accumulation of fluid from faulty lymph drainage. [medical-dictionary.thefreedictionary.com]
We first interpreted it as low-grade angiosarcoma following chronic lymphedema due to the operation, i.e., the so-called Stewart-Treves syndrome. [ncbi.nlm.nih.gov]
- Disability
[…] extended operation and two patients with recurrence in the internal mammary lymphnode chain following standard radical mastectomy underwent resection of internal mammary lymphnodes by sternal split, with no fatalities and no increase in postoperative disabilities [ncbi.nlm.nih.gov]
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[…] extended operation and two patients with recurence in the internal mammary lymphnode chain following standard radical mastectomy underwent resection of internal mammary lymphnodes by sternal split, with no fatalities and no increase in postoperative disabilities [doi.org]
- Weakness
[…] such as abdominal weakness ( 11, 12 ). [cancer.gov]
Leaving the abdominal muscle in place reduces post-operative pain and weakness and cuts the chance of a hernia, surgeons say. "The more muscle you leave behind, the better you are," said Dr. Hema Thaker, a reconstructive surgeon at Legacy Health. [oregonlive.com]
Following mastectomy the patient is likely to experience such physical problems as pain, numbness, tingling, and weakness related to nerve damage and muscle atrophy. [medical-dictionary.thefreedictionary.com]
These can include: balance issues visual change headache dizziness weakness Make an appointment with your doctor if you are concerned about the symptoms you are experiencing. [healthline.com]
Respiratoric
- Cough
Lungs Once cancer cells get into the lungs they can cause shortness of breath, difficulty breathing, and a chronic cough. Liver It can take a while for symptoms to show up from cancer in the liver. [healthline.com]
The patient receives routine postoperative care, including coughing and deep-breathing exercises, to prevent respiratory complications and early ambulation to avoid circulatory stasis. [medical-dictionary.thefreedictionary.com]
- Yawning
By Richard Klasco, M.D Photo Credit Ask Well Photo Credit Why Do We Yawn? Reading about yawning makes people yawn. You are probably yawning right now. By Roni Caryn Rabin Latest Search Latest Articles Search Articles 13898 results for sorted by [nytimes.com]
Gastrointestinal
- Nausea
Postoperative nausea, vomiting, and pain present considerable concerns after reconstructive breast surgery. [ncbi.nlm.nih.gov]
Nausea is common after any surgery. To ease nausea, eat small portions of food throughout the day instead of large timely meals. Drink plenty of liquids like yogurt and protein shakes as a substitute for solid foods. [medhalt.com]
A nurse will be able to help with any nausea, pain, or anxiety you might have. When you wake up from surgery, you will have a bandage over the surgery site. [uwhealth.org]
Musculoskeletal
- Shoulder Pain
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There are also risks associated with a mastectomy, such as bleeding, infection, pain, swelling (lymphedema) in the arm, formation of hard scar tissue at the surgical site, shoulder pain and stiffness, numbness — particularly under the arm — from lymph [breastcancer-news.com]
Risks: Shoulder pain and stiffness. You may also feel pins and needles where the breast used to be and underneath the arm. Swelling of the arm and or breast (called lymphedema ) on the same side as the breast that is removed. [medlineplus.gov]
Shoulder pain and general stiffness of the arm. Bleeding and infection. Scabbing, blistering, or skin loss along the site of the surgical incision. A "pins and needles" sensation where the breast used to be and, occasionally, under the arm. [medicalnewstoday.com]
Psychiatrical
- Fear
“For women who do, it alleviates anxiety, it alleviates the fear,” she said. [foxnews.com]
Cancer has "a unique psychological component, and people are very fearful; it's very traumatic and upsetting to go through this process," Hooks says. [npr.org]
The use of MRI, inadequate education, unrealistic expectations from reconstructive surgery, the “celebrity effect”, as well as fear and anxiety have been blamed. [bcsm.org]
“Women report fear of recurrence was a reason they would chose mastectomy. Or fear of developing a cancer in the other side as a reason they might choose a bilateral mastectomy,” says Dr. Cowher. [pittsburgh.cbslocal.com]
Pregnant women cannot have radiation therapy for fear of harming the fetus. [medical-dictionary.thefreedictionary.com]
Neurologic
- Paresthesia
Additionally numbness, patterns of weakness, and paresthesias are evaluated. The patient should be taught how to recognize and report these symptoms and any changes noted, as they could indicate progressive nerve damage. [medical-dictionary.thefreedictionary.com]
Workup
Several tests, such as routine blood workup, urinalysis, and electrocardiogram ( ECG ), may be performed a few days before the surgery. Before the surgery, the anesthesiologist examines the woman and reviews the test results. [emedicinehealth.com]
• Metastatic workup.• Routine blood investigations.• Pre-anesthetic evaluation.• Control of medical conditions like diabetes and hypertension.• Counseling and written informed consent.• Parts preparation- neck to mid thigh including pelvic region, axilla [slideshare.net]
MRI, the use of MRI, regardless of whether a contralateral cancer is detected or not, has been associated with a higher rate of CPM.8,9 It is hypothesized that this may be related to the fact that imaging findings, even if benign, may require further workup [gotoper.com]
Treatment
Treatments could reduce the risk of recurrence Young women who undergo mastectomies should be given drugs to restrict blood supply to cancer cells, research suggests. [news.bbc.co.uk]
The numbness requires no treatment. Necrosis of the skin may require a return to the operating room for revision of the scar. [emedicinehealth.com]
In addition, a societal perspective was used to estimate quality-adjusted life years (QALYs) following either treatment for a period of 30 years. [ncbi.nlm.nih.gov]
Prognosis
Generally, the prognosis is favorable; a mastectomy is required as the treatment of choice. She will then need multiple PET scans each year for five years. [fox43.com]
[…] and Predictive Factors Factors that correlate well with prognosis include the following:[ 5, 15 ] Size of the lesion. [cancer.gov]
As discussed above, unmeasured patient selection factors related to cancer prognosis and access to care may explain the higher mortality observed with unilateral mastectomy. [doi.org]
To improve the prognosis, axillary lymph nodes are routinely resected in radical mammectomy. However, there are several paths through which lymph drains from the breast to adjacent tissues, as shown in recent studies on sentinel lymph node [ 1, 2 ]. [breast-cancer-research.biomedcentral.com]
Etiology
Approximately 90% of ND is of benign etiology. An underlying carcinoma is present with a rate of 6% to 21%. This is more frequent if it is associated with clinical or radiologic abnormality. [ncbi.nlm.nih.gov]
Thus, the significance of CHEK2 mutations in etiology of breast cancer is still debatable. [aetna.com]
Epidemiology
METHODS: We selected women (≤50 years of age) from the Surveillance, Epidemiology, and End Results (SEER) database diagnosed with stage T1-2, N0-1, M0 primary breast cancer with invasive lobular features between 1998 and 2011, that were treated with either [ncbi.nlm.nih.gov]
We identified women diagnosed with unilateral stage I to III breast cancer between 1998 and 2012 within the Surveillance, Epidemiology, and End Results registry. [journals.lww.com]
Prevention
PURPOSE: Preventive breast surgery is offered to unaffected BRCA mutation carriers to prevent breast cancer incidence and mortality. [ncbi.nlm.nih.gov]
The issue of prophylactic or preventive mastectomy, or removal of the breast to prevent future breast cancer, is controversial. [medical-dictionary.thefreedictionary.com]
Cancer prevention: Role of surgery in cancer prevention. In: DeVita VT Jr., Hellman S, Rosenberg SA, editors. Cancer: Principles and Practice of Oncology. Vol. 1 and 2. 6th ed. Philadelphia: Lippincott Williams and Wilkins, 2001. [medicinenet.com]
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