Hello Melinda, You present a difficult question for anyone even a surgeon who can examine you. There are advantages to both your options here: Expander/Alloderm - This is lesser surgery and does not involve operating your back. Latissimus Dorsi Flap - This is more reliable and provides more tissue for... more
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Mastectomy or Lumpectomy and Breast Implants for ADH?
I have ADH and thinking of getting a Nipple Sparing Mastectomy (NSM), but my doctor wants to do a Lattisimus Dorsi Flap (LDF) with tissue expanders and then have a second surgery for silicone breast implants. I have breast implants that are over the muscle right now and my lesion is right against my chest wall. I don't know if I should do a lumpectomy and new breast implants, or NSM with Alloderm instead of the LDF because I really don't want my back muscle removed. Any suggestions would be greatly appreciated.
4 answers to “Mastectomy or Lumpectomy and Breast...”
A: Breast reconstruction
Although your treatment options for the ADH is predominantly determined by your oncological surgeon and oncologist, the final decision should be predominantly determined by what you desire your endpoint to be. That is where your reconstructive surgeon is the key. If the mastectomy with nipple sparing... more
A: Breast Reconstruction -Lumpectomy and new breast implants VS nipple sparing matectomy with Alloderm?
Dear Melinda, I agree with Dr. Pfeifer's post and would like to elaborate. As our dealings with breast cancer have changed over the years - so have our breast reconstruction. Fortunately and unfortunately, depending on your philosophy, this remains a complex topic where no one solution is always applicable to... more
A: Lumpetomy or mastectomy for atypical ductal hyperplasia
Hi Melinda Cheryl. The decision about how to treat atypical ductal hyperplasia must be undertaken with your breast oncologic surgeon. You could manage it either way, lumpectomy or mastectomy, and the decision is usually driven by your other risk factors for the development of breast cancer in the... more
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