In cases where breast-conserving surgery isn’t possible, for instance when the tumour is too large or when multiple tumours are found in different locations in the same breast, a mastectomy would be the safer route, said Dr Seah.
In most cases, reconstruction can be considered in the same surgery, she added.
“Women drift to sleep under general anaesthesia and wake up with the cancer and breast tissue on the affected side removed, but with the appearance of the breast intact. We retain the original skin envelope and nipple areola while removing the cancer and replacing the lost volume,” explained Dr Seah.
Knowing there are options can bring relief during an already stressful time, and ease the fear that some women feel about losing their breast to cancer.
“When one has the weight of the cancer diagnosis on her mind, it is difficult to deal with the possibility of losing the breast and permanently altering her body appearance at the same time,” said Dr Seah. “That being said, being cancer free and preserving life is always at the forefront of priorities for most patients.”
TAKING CHARGE OF YOUR CANCER JOURNEY
Even with advances in breast cancer surgery, the doctors stressed that removing the cancer effectively will always come first. Every patient’s treatment journey is unique, and they advise having open discussions with the medical team, taking into account one’s personal expectations and priorities.
“For example, if body image and cosmesis are a very important part of you, we can explore reconstruction options. But if your main priority is to get the cancer out (without considering body image), with the simplest operation and lowest risk of complications, of course, we will discuss those options as well,” said Dr Ang.
Dr Seah added that it helps to ask for a timeline of the treatment plan. Knowing what to expect in the next six to 12 months can provide a sense of clarity during what can be an overwhelming time.
To women fearful of losing part of their identity to breast cancer, Dr Seah’s advice is to “choose life”.
“There are so many wonderful ways to preserve the shape and appearance of the breast. That is important and can be done but being cancer free is always the foremost priority,” Dr Seah said.
