For most women with stage I or II breast cancer, breast-conserving
surgery (BCS) plus radiation therapy is as effective as mastectomy.
Survival rates of women treated with these 2 approaches are the same.
In deciding which type of surgery to have for early-stage breast
cancer, the choice is not between saving your breast and saving your
life. Women with early-stage breast cancer who have breast-sparing
surgery live just as long as those who have mastectomy. A woman’s life
expectancy is the same no matter which surgical choice she makes.
When
women are told that the survival rates of both approaches are the same,
they might be surprised or skeptical. Some women assume that breast
cancer won't return if the whole breast is removed. However, some breast
tissue is left behind even after mastectomy, and cancer can recur in
that tissue or on the nearby chest wall. For women with early-stage
breast cancer who choose breast-sparing surgery, research clearly shows
that radiation therapy after surgery lowers the risk of recurrence. The
risk of cancer returning in the same breast is low. Yet, even if breast
cancer does recur in the same breast, that does not reduce a woman's
chances for a healthy recovery. As was already noted, the chance of
survival is not affected by the choice of surgery. However, a recurrence
in the same breast could require more surgery, and a woman may decide
to have a mastectomy at that time.
The type of surgery does not affect the risk of cancer in the healthy breast or elsewhere in the body.
womenshealth.gov
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