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DESCRIPTION
A radical mastectomy removes the breast, all the axillary nodes and the pectoral muscles. With a modified radical mastectomy the pectoral muscles are not removed. An extended radical mastectomy removes the internal mammary nodes in addition to the standard radical procedure and in a simple mastectomy, the entire breast is removed, leaving the axillary nodes intact. Be sure you understand the rationale for any recommended procedure, the risks and benefits involved and any possible alternative treatments. Breast reconstruction is usually feasible and should be discussed prior to a mastectomy.
MoonDragon's Procedures Information: Breast Surgery Index
REASONS FOR PROCEDURE
Cancer of the breast.
RISK
Obesity or poor nutrition.
Smoking.
Stress.
Recent or chronic illness.
Use of drugs such as antihypertensives; muscle relaxants; tranquilizers; sleep inducers; insulin; sedatives; beta-adrenergic blockers; or cortisone.
Use of mind-altering drugs.
DESCRIPTION OF PROCEDURE
A general anesthesia is administered by injection and inhalation with an airway tube placed in the windpipe.
An incision is made encompassing the entire breast.
The underlying tissue is cut free and removed in one piece with the lymph glands from the armpit. Bleeding is controlled with sutures and electro-cauterization. A tube is inserted for drainage. The drain is generally removed by your health care provider within the first few days following the procedure.
The skin is closed with sutures or surgical clips, which usually can be removed about 1 week after surgery.
EXPECTED OUTCOME
Expect complete healing of the surgical wound. Allow about 6 weeks for recovery from the surgery.
You may need as long as a year to recover fully, exercising regularly to strengthen remaining arm and chest muscles.
POSSIBLE COMPLICATIONS
Excessive bleeding.
Surgical-wound infection.
Depression.
Accumulation of blood under the skin in the surgical area.
Limited shoulder motion.
Lung damage.
Nerve damage.
Lymphedema in affected arm.
TREATMENT
GENERAL MEASURES
A hard ridge should form along the incision. As it heals the ridge should recede gradually.
Use an electric heating pad, a heat lamp or a warm compress to relieve incisional pain.
Bathe and shower as usual. You may wash the incision gently with mild unscented soap.
Move and elevate your legs often while resting in bed to decrease the likelihood of deep-vein clots.
Seek help from friends or family or support groups to help you learn to cope with the emotional feelings.
Swelling (edema) can be reduced in the affected arm by elevating it frequently.
Additional information available from: American Cancer Society
(800) ACS-2345
Website: http://cancer.org
National Cancer Institute
(800) 4-CANCER
Website: http://www.nci.nih.gov
Peter Montague - Environmental Research Foundation
The Truth About Breast Cancer - Part 1
The Truth About Breast Cancer - Part 2
The Truth About Breast Cancer - Part 3
The Truth About Breast Cancer - Part 4
The Truth About Breast Cancer - Part 5
Breast Cancer Network
Breast Cancer Information Page
MEDICATION
Prescription pain medication should generally only be required for 2 to 7 days following the procedure.
You may use non-prescription drugs, such as acetaminophen or ibuprofen, for minor pain.
Stool softener laxative to prevent constipation.
Antibiotics to fight infection.
ACTIVITY
To help recovery and aid your well-being, resume daily activities, including work, as soon as you are able.
Avoid vigorous exercise for 6 weeks after surgery. Physical therapy and/or special exercises are usually prescribed (to help speed recovery and reduce complications).
Resume driving 2 weeks after returning home.
Resume sexual relations when able.
DIET
Clear liquid diet until the gastrointestinal tract functions again. Then eat a well-balanced diet to promote healing.
However, once you are able, you should follow a healthy, balanced nutritional program for a healthy immune system and to assist in a rapid recovery from your surgery.
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
Any of the following occurs:
- Increased pain, swelling, redness, drainage or bleeding in the surgical area.
- Nausea, vomiting or constipation.
- Signs of infection; headache, muscle aches, dizziness or a general ill feeling and fever.
- Redness, warmth, swelling, stiffness or hardness in the affected arm or hand.
- New, unexplained symptoms. Drugs used in treatment may produce side effects.
MOONDRAGON'S BREAST CANCER LINKS
Learning About Breast Cancer
Learning About Breast Surgery
Understanding Breast Tumor Staging
Familiarizing Yourself With Diagnostic Techniques
Understanding Fibrocystic Breast Disease
Guide To Types of Mastectomies
Patient Preparation For A Mastectomy
Mastectomy Care After Surgery
Learning About Breast Reconstruction
Selecting A Prosthesis
Applying An Arm Sleeve and Gauntlet
Preventing Complications After A Mastectomy
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