Despite the increased ability to offer
breast-conservation techniques to
patients with breast cancer, there
exist certain groups who may be better
served by traditional mastectomy
procedures including:
- women who have already had
radiation therapy to the affected
breast
- women with 2 or more areas of
cancer in the same breast that are
too far apart to be removed through
1 surgical incision, while keeping
the appearance of the breast
satisfactory
- women whose initial lumpectomy
along with (one or more)
re-excisions has not completely
removed the cancer
- women with certain serious
connective tissue diseases such as
scleroderma, which make them
especially sensitive to the side
effects of radiation therapy
- pregnant women who would
require radiation while still
pregnant (risking harm to the
fetus)
- women with a tumor larger than
5 cm (2 inches) that doesn't shrink
very much with neoadjuvant
chemotherapy
- women with a cancer that is
large relative to her breast
size
- male breast cancer
patients