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  • FAQ of Breast Cancer Treatment - MammoCare - Breast Treatment
    on the actual size of the tumor and how many lymph nodes are involved Whether the patient has lumpectomy or mastectomy it probably does not make a difference to their need for chemotherapy Radiotherapy may make a difference For example if a patient has a small tumor less than 5cm and that it does not spread to the lymph node If they choose mastectomy they can omit radiotherapy However for patient whose tumors are larger for example more than 5cm or even if the tumor is small say 2cm but they have 5 lymph nodes involved even though they may have had mastectomy they would need radiation Radiation Oncologist The requirement for chemotherapy depends very much on tumor size nodule status that is also used to address decreasing the risk of distant relapse When we talk about radiation it is more for local relapse Therefore classically if mastectomy has been offered and if the tumor is small supposing at the end of surgery the pathology result comes back the lymph nodes are negative or only 1 to 3 lymph nodes are involved the patient will not require radiation If one elects for mastectomy it does not guarantee the patient will not require radiation after surgery 3 For early breast cancer tumor less than 4cm is survival affected by surgical treatment of the breast i e the difference between mastectomy and breast conservation Dr LS If you are talking about survival there is no difference between mastectomy and lumpectomy First of all lumpectomy has to follow by radiation If the patient chooses not to have radiotherapy after that then they must have mastectomy You can only do lumpectomy if the tumour is small enough relative through the breast size So this is nothing to do with the absolute tumour but rather the size of the tumour in relation to the size of the patient s breast So you can even do breast conservation surgery for tumor that is 5cm if patient has a large breast On the other hand you could have a patient who has only 3cm tumor and the breast is very small then it is better to do mastectomy Secondly the location of the tumor is very important Even if the tumor is very small and is right underneath the nipple then it becomes difficult to conserve please note that Dr Mona Tan does not agree with this comment With all these provisions then mastectomy and breast conservation plus radiotherapy has the same outcome in terms of survival that has been proven by randomized study Dr LK For tumor less than 3cm or 4cm despite the absolute size concern it doesn t really matter breast conserving surgery versus mastectomy studies has shown there is no overall survival for patient electing one way or other 4 What in your opinion is the reason for a surgeon offering mastectomy rather than breast conservation for smaller tumors Radiation Oncologist It must be multifactor not just the surgeon s point of view

    Original URL path: http://www.mammocare.com.sg/treatment/faq.php (2013-01-30)
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  • Breast Conservation Treatment - MammoCare - Breast Conservation Surgery
    women Breast conservation is generally preferred as it avoids the disfiguring operation of breast removal mastectomy and averts complications of breast reconstruction In the Guidelines for the Treatment of Breast Cancer published by the Ministry of Health in Singapore in 2004 it was stated that local recurrence rates for mastectomy breast removal was 6 2 whereas local recurrence rates for breast conservation treatment was 5 9 Breast conservation surgery is Dr Tan s particular interest She has an immense amount of experience in this area of surgery Although she was trained in Singapore and later at the well known New South Wales Breast Cancer Institute in Sydney Australia she has taken what she has learned to new heights and further developed techniques in breast conservation She is the FIRST surgeon in the world and the ONLY surgeon in Singapore to describe not one but three unique techniques which would enable more women to undergo breast conservation surgery resulting in a good appearance of the breast after treatment This has a very profound and personal impact on women who are treated for breast cancer Being the first surgeon internationally to describe these techniques her experience is unparalleled in this respect Her surgical methods are published in reputable international journals like Lancet Oncology The American Journal of Surgery and the Journal of the American College of Surgeons She also has written articles that have been published or have been accepted for publication in the Annals of Surgical Oncology the Annals of the Royal College of Surgeons of England Australian New Zealand Journal of Surgery the Breast Journal British Medical Journal online the Journal of Plastic and Reconstructive Surgery and World Journal of Surgery The quality of her work has been acknowledged by doctors in a university hospital in the United Kingdom Ninety

    Original URL path: http://www.mammocare.com.sg/treatment/wide_excision.php (2013-01-30)
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  • Removal of Lymph Nodes - MammoCare - Axillary Dissection
    two papers about a particular technique for axillary dissection which minimises the chances of this happening less than 10 Once again she is the only surgeon in Singapore to do so and the first internationally to describe a unique technique of surgical approach to achieve this desirable result Please feel free to consult Dr Tan for a copy of these articles One of the most feared complications of axillary dissection

    Original URL path: http://www.mammocare.com.sg/treatment/axillary_dissection.php (2013-01-30)
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  • Sentinel Lymph Node Biopsy Technique - MammoCare
    of the lymph nodes in the axilla arm pit A sentinel lymph node biopsy removes the leading lymph node s and if it they show no signs of cancer spread the patient is spared the need to completely remove all the lymph node tissue through an operation known as an axillary dissection Sentinel lymph node biopsy is a specialized procedure International experts have indicated that it should be performed by

    Original URL path: http://www.mammocare.com.sg/treatment/sentinel_lymph.php (2013-01-30)
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