Lumpectomy not advised if breast cancer returns

NEW YORK (Reuters Health) - A mastectomy is prudent when breast cancer returns after a lumpectomy, because survival rates are better than with another lumpectomy, according to a new report.

“We were surprised to find that so many women in our study — almost a quarter of them — had received another lumpectomy rather than a mastectomy,” Dr. Steven L. Chen, from the University of California Davis Cancer Center in Sacramento, said in a statement.

“It’s likely,” he added, “that patients are asking for lumpectomies when their cancer is diagnosed a second time, and their doctors are simply complying with that request. Whatever the reason, that decision can shorten life spans.”

The study, in the American Journal of Surgery, involved 747 women who had a same-breast cancer recurrence after undergoing breast conservation therapy. Twenty-four percent of these patients underwent a second lumpectomy.

The 5-year survival rate was 67 percent for women who had a lumpectomy compared with 78 percent for those who had a mastectomy. An analysis confirmed that lumpectomy reduced the odds of survival by 50 percent.

“As therapy for breast cancer becomes more targeted and researchers come closer to identifying those factors that make some breast cancers more aggressive than others, we may have the option of recommending second, and even third lumpectomies in select cases in the future,” study co-author Dr. Steven Martinez commented.

“Until then,” he added, “mastectomy remains the best option for women experiencing a same-breast recurrence of their breast cancer.”

SOURCE: American Journal of Surgery, October 2008.

Source

--------------------------------------------------------------------------------------------
Related Posts:


By Will Dunham WASHINGTON (Reuters) - Women with a family history of breast cancer but who test negative for two genetic mutations commonly linked to it still have a very high risk of developing the disease, Canadian researchers said on Monday. These women are four times more likely to develop breast cancer than the average woman, translating

Full Post: Family history key in figuring breast cancer risk
--------------------------------------------------------------------------------------------

By Amy Norton NEW YORK (Reuters Health) - Women with early-stage breast cancer may live longer if they maintain a diet rich in fruits, vegetables, whole grains and low-fat dairy, a new study suggests. This so-called “prudent” diet was not linked to a lower risk of death from breast cancer specifically. However, researchers found, breast cancer patients

Full Post: Diet tied to survival in breast cancer patients
--------------------------------------------------------------------------------------------

WASHINGTON (Reuters) - Certain breast cancer survivors who load up on fruits and vegetables, eating far more than current U.S. guidelines, can slash their risk the tumors will come back by nearly a third, according to a U.S. study released on Monday. The finding only held for women who did not have hot flashes after their

Full Post: Fruits, veggies slash breast cancer risk: U.S. study
--------------------------------------------------------------------------------------------

NEW YORK (Reuters Health) - Data from the Women’s Health Initiative Observational Study show that higher than normal insulin levels are an independent risk factor for breast cancer. Study investigators, led by Dr. Marc J. Gunter at Albert Einstein College of Medicine in the Bronx, New York, examined the association between breast cancer and blood parameters

Full Post: High insulin levels may increase breast cancer risk
--------------------------------------------------------------------------------------------

NEW YORK (Reuters Health) - Painful swelling of the arm or shoulder area following treatment for breast cancer — a condition called lymphedema - is more common in women who are overweight or obese than in women of normal weight, researchers have found. Lymphedema is a common, chronic condition that often develops after breast surgery involving

Full Post: Obesity raises risk of cancer-related lymphedema

Site Navigation

Most Read

Search