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Mastectomy for recurrent breast cancer

A mastectomy is prudent when breast cancer returns after a lumpectomy

Mastectomy for recurrent breast cancer

A mastectomy is prudent when breast cancer returns after a lumpectomy, because survival rates are better than with another breast conservation therapy. Many women with breast cancer recurrence previously treated with breast cancer therapy desire to repeat lumpectomies. Researchers from California studied 747 women who had a same-breast cancer recurrence after undergoing breast conservation therapy to strengthen their assumption that undergoing mastectomy for breast cancer recurrence would show better results. It was found that out of 747 patients, 24 percent of the women had undergone a second lumpectomy and others underwent mastectomy. After five years, the survival rate was 67 percent and 78 percent respectively. An analysis confirmed that lumpectomy reduced the odds of survival by 50 percent. The researchers concluded that mastectomy is the best option for women experiencing recurrence of cancer in the same breast. However, in selected cases second and even third lumpectomies can be recommended after taking into consideration the factors that make the cancer more aggressive.
American Journal of Surgery
October 2008

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