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Definition

By Mayo Clinic staff

Mastectomy is surgery to remove all breast tissue from a breast as a way to treat or prevent breast cancer. Many women with early-stage breast cancer can choose breast-conserving surgery (lumpectomy), in which only the tumor is removed from the breast. Deciding between mastectomy and lumpectomy can be difficult. Both procedures are equally effective. But lumpectomy isn't an option for some women with breast cancer, and others prefer to undergo a mastectomy.

Newer mastectomy techniques can preserve breast skin and allow for a more natural breast appearance following the procedure. Surgery to restore shape to your breast — called breast reconstruction — may be done at the same time as your mastectomy or during a second operation at a later date.

References
  1. Kass RB, et al. Breast procedures. In: Souba W, et al. ACS Surgery: Principles and Practice. 6th ed. Philadelphia, Pa.: BC Decker Inc.; 2007.
  2. Benson JR, et al. Early breast cancer. The Lancet. 2009;373:1463.
  3. Breast cancer. Merck Manuals Online Medical Library for Health Care Professionals. http://www.merck.com/mmpe/print/sec18/ch253/ch253e.html. Accessed Sept. 10, 2009.
  4. Sabel MS, et al. Mastectomy and breast conserving therapy for invasive breast cancer. http://www.uptodate.com/home/index.html. Accessed Sept. 10, 2009.
  5. Breast cancer. NCCN Practice Guidelines in Oncology - v. 1.2009. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp. Accessed Sept. 10, 2009.
  6. Iglehart JD, et al. Surgical treatment of breast cancer. In: Townsend CM, et al. Sabiston Textbook of Surgery, 18th ed. Philadelphia, Pa.: Saunders, 2007. http://www.mdconsult.com/das/book/body/154656547-3/875806831/1565/335.html#4-u1.0-B978-1-4160-3675-3.50038-1--cesec62_1699. Accessed Sept. 10, 2009.
  7. Hayes DF. An overview of breast cancer and treatment for early stage disease. http://www.uptodate.com/home/index.html. Accessed Sept. 10, 2009.
  8. Surgery for breast cancer. American Cancer Society. http://www.cancer.org/docroot/CRI/content/CRI_2_4_4X_Surgery_5.asp?sitearea=. Accessed Sept. 10, 2009.
  9. Mastectomy. MedlinePlus Medical Encyclopedia. http://www.nlm.nih.gov/medlineplus/ency/article/002919.htm. Accessed Sept. 10, 2009.
  10. Giuliano AE. Breast. In: Doherty GM, et al. Current Surgical Diagnosis & Treatment. McGraw-Hill's AccessMedicine. http://www.accessmedicine.com/popup.aspx?aID=2064014&pr. Accessed Sept. 10, 2009.
  11. What's new in breast cancer research and treatment? American Cancer Society. http://www.cancer.org/docroot/CRI/content/CRI_2_4_6X_ _Whats_new_in_breast_cancer_research_and_treatment_5.asp?rnav=cri. Accessed Sept. 10, 2009.
  12. Abeloff MD, et al. Cancer of the breast. In: Abeloff MD, et al. Abeloff's Clinical Oncology, 4th Ed. Philadelphia, Pa: Churchill Livingstone Elsevier; 2008.  http://www.mdconsult.com/das/book/body/159336554-2/0/1565/335.html?tocnode=54737888&fromURL=335.html#4-u1.0-B978-1-4160-3675-3..50038-1--cesec57_1694. Accessed Sept. 10, 2009.
  13. Breast cancer treatment (PDQ). National Cancer Institute. http://www.cancer.gov/cancertopics/pdq/treatment/breast/HealthProfessional. Accessed Sept. 10, 2009.
  14. Phan GQ, et al. Breast diseases. In: Klingensmith ME, et al. The Washington Manual of Surgery. Philadelphia, Pa: Lippincott Williams & Wilkins;2008. http://ovidsp.tx.ovid.com/spb/ovidweb.cgi QS2=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. Accessed Sept. 10, 2009.

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Oct. 17, 2009

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