Radiation therapy and chemotherapy are used in addition to surgical procedures designed to remove the cancerous breast tumor(s). Radiation therapy involves applying radiation beams to the area affected by the breast cancer. Treatment typically occurs five times per week for five to seven weeks. Chemotherapy uses cytotoxic medications to kill cancerous cells. This type of therapy can be used prior to surgery to decrease the size of the tumor.
Hormone therapy can be used to treat breast cancers that are receptor-positive.
Receptor-positive breast cancers require estrogen to proliferate. Tamoxifen works as an estrogen antagonist, by blocking estrogen receptors in cancer cells, preventing further growth. Raloxifene, a selective estrogen receptor modulator (SERM), may also be used. This drug binds to estrogen receptors blocking estrogen activity.
A lumpectomy is a surgical procedure to remove a cancerous tumor, while also preserving the natural breast. While a lumpectomy may be desired for cosmetic reasons, this procedure may be contraindicated depending on the size and location of the tumor(s).
A mastectomy is the surgical removal of one or both breasts. Postoperatively, the patient’s arm on the affected side(s) should be elevated to promote drainage of lymphatic fluid. The patient should also be monitored closely for bleeding.
After a mastectomy, blood pressure readings and injections should be performed on the unaffected side to prevent lymphedema.
Performing low-intensity exercises, such as squeezing a ball, can help reduce swelling by facilitating drainage of lymph from the arm after a mastectomy. These exercises are also helpful in maintaining muscle tone and movement of the affected arm.
Changes in body image following a lumpectomy or mastectomy can elicit feelings of grief. Providing emotional support to patients is an important element of care and healing.
After undergoing a mastectomy, a patient may choose to have reconstructive surgery to restore the natural look and feel of the breast. Patients may instead choose to be fitted for a breast prosthesis. The prosthesis is typically in the pocket of a specially designed bra.
After undergoing a mastectomy, a patient may choose to have reconstructive surgery to restore the natural look and feel of the breast. Patients may instead choose to be fitted for breast prosthesis. The prosthesis is typically in the pocket of a specially designed bra.
Accumulation of lymph fluid in the tissues, lymphedema, can occur after surgical removal of the axillary lymph nodes. Elevating the arm above the level of the heart can help to reduce accumulation of fluid.
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