Breast cancer treatment options

Please remember that none of these options are superior to the other in terms of the cancer survival rate.

Chemotherapy:

Chemotherapy is done for all tumours larger than 1 cm or smaller cancers with unsatisfactory histology as reported by the pathologist after surgery.

Radiation:

Radiation is done in the following instances:

• The tumour is removed and not the breast (lumpectomy).
• Your glands test positive for cancer.
• If the whole tumour is not removed.

Radiation involves 30 sessions = every day for six weeks, weekends excluded.

Mastectomy

Advantages:

• The whole breast is removed, not necessary for a possible second procedure.
• If the glands are negative, no radiation is necessary.

Disadvantages

• The whole breast is removed, which will lead to disfigurement.

Lumpectomy with radiation

Advantages:

• You still have your breast, but your breast may just change shape and size.

Disadvantages:

• You will need radiation.
• You might need a second surgery if the tumour is not completely removed
• The medical aid might not cover the procedure, but this is becoming less of a problem.

Mastectomy with immediate reconstruction

Advantages:

• The whole breast and tumour is removed, and you will immediately have a reconstructed breast.
• There is no need for radiation if the glands are negative.

Disadvantages:

• There will be a larger wound with a more extended recovery period.
• You will need a second consultation with a plastic surgeon.