Are there typically surgical options for a lumpectomy? What questions should I ask my physician to understand these options and the resulting scars?

Expert Answers

dianeradfordmd (Physician - Surgery - Breast (Verified) ) - 04 / 08 / 2012

Generally lumpectomy is offered for unifocal (one site of disease), and the patient is willing to undergo radiation. If the tumor is large relative to the breast size, neo-
adjuvant (up-front) treatment may be given to shrink the cancer before lumpectomy.

Questions to ask would be:
How large is the cancer? Can clear margins be obtained? Should I receive chemotherapy or endocrine therapy prior to surgery to shrink the tumor? How will the incision lines be placed? Will oncoplastic techniques be used? How much deformity will there be? Is there a reason not to preserve the breast?
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