{"id":72248,"date":"2024-02-22T09:16:35","date_gmt":"2024-02-22T16:16:35","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=72248"},"modified":"2024-02-22T09:16:35","modified_gmt":"2024-02-22T16:16:35","slug":"navigating-breast-cancer-surgery","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/navigating-breast-cancer-surgery\/","title":{"rendered":"Navigating breast cancer surgery"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_72276\" aria-describedby=\"caption-attachment-72276\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-72276\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2023\/10\/23152952\/Getty-nurse-talking-with-patient-web.webp\" alt=\"nurse reviewing management options with a patient in regards to breast cancer surgery.\" width=\"640\" height=\"301\" \/><figcaption id=\"caption-attachment-72276\" class=\"wp-caption-text\">As soon as breast cancer is diagnosed, a patient is referred to a multidisciplinary team that reviews management options with the patient. Photo: Getty Images.<\/figcaption><\/figure>\n<p>A breast cancer diagnosis is never welcome, but with advances in breast cancer surgery, it may be more manageable than many women assume.<\/p>\n<p>\u201cI think a lot of women historically think that if they have breast cancer, they\u2019re going to need a mastectomy, which is not true in most cases,\u201d said <a href=\"https:\/\/www.uchealth.org\/provider\/zach-hartman-md\/\">Dr. Zach Hartman<\/a>, a general surgeon in Steamboat Springs and a member of the medical staff at <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-yampa-valley-medical-center\/\">UCHealth Yampa Valley Medical Center<\/a>. \u201cAnd they often look at it from a fairly morbid standpoint, when with modern treatment, women can often go on to live full, high-quality lives.\u201d<\/p>\n<h2><strong>When is surgery considered as a treatment option?<\/strong><\/h2>\n<p>As soon as breast cancer is diagnosed, a patient is referred to a multidisciplinary team that typically includes a surgeon, an oncologist, a radiation oncologist, nurses and other staff members to review management options.<\/p>\n<p>Surgery is often, but not always, part of the treatment plan.<\/p>\n<p>\u201cFor some patients, surgery isn\u2019t the answer,\u201d Hartman said. \u201cOur first job is to understand exactly what the diagnosis is, what stage the cancer is in and to pick out the most modern treatments that are most beneficial for the patient. Treatment depends on each woman\u2019s goals for care, and we take that into account when we design a treatment plan.\u201d<\/p>\n<h2><strong>Improvements in surgery for breast cancer<\/strong><\/h2>\n<p>\u201cBreast surgery for cancer has come a long way over the years,\u201d Hartman said. \u201cIt has become much less invasive and less disfiguring.\u201d<\/p>\n<figure id=\"attachment_72253\" aria-describedby=\"caption-attachment-72253\" style=\"width: 200px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-72253\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2023\/10\/23095702\/zach-hartman.webp\" alt=\"Dr. Zach Hartman, who discusses breast cancer surgery.\" width=\"200\" height=\"262\" \/><figcaption id=\"caption-attachment-72253\" class=\"wp-caption-text\">Dr. Zach Hartman<\/figcaption><\/figure>\n<p>In the past, a mastectomy \u2013 in which the entire breast is removed \u2013 was often recommended. Now, it\u2019s much more common for women to have a lumpectomy, in which only the part of the breast with cancer is removed. In most cases, outcomes and survival rates of women who have a lumpectomy are on par with those of women who have a mastectomy.<\/p>\n<p>\u201cWe target the specific area of the breast where the cancer is and just remove that,\u201d Hartman said. \u201cNormally, the contour of the breast is preserved, and we try to make the incisions as subtle and hidden as possible.\u201d<\/p>\n<p>Advances in technology play a key role in surgical outcomes. For instance, the <a id=\"\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32620602\/\" target=\"_blank\" rel=\"noopener\">SAVI SCOUT<\/a> is a tiny locator the size of a grain of rice that a radiologist implants in the tumor.<\/p>\n<p>\u201cIt acts like a little beacon, and we use it to target exactly what we need to take out,\u201d Hartman said. \u201cThe goal is to take out all of the cancer, but nothing else.\u201d<\/p>\n<h2><strong>Before and after breast cancer surgery<\/strong><\/h2>\n<p>Before surgery, the care team determines whether lymph nodes should be sampled to provide information on the stage of cancer and also reviews whether additional treatment, such as chemotherapy or radiation therapy, will be needed. A plastic surgeon may be involved in reviewing options for cosmetic reconstruction.<\/p>\n<p>Most breast cancer surgeries are outpatient procedures, so patients can go home the same day. Follow-up appointments help ensure healing and additional treatments are on track.<\/p>\n<h2><strong>Personalized approach to treatment for breast cancer<\/strong><\/h2>\n<p>Treatment is customized for the individual.<\/p>\n<p>\u201cOne thing that has changed over the years is an overall culture of how the surgical team and cancer team interact with patients and their families to really understand a patient\u2019s goals,\u201d Hartman said. \u201cWe tailor treatment for what women want and what will get them the best outcomes.\u201d<\/p>\n<p>Patients are often worried about other family members\u2019 risks for breast cancer. Hartman encourages them to work with the <a href=\"https:\/\/www.uchealth.org\/services\/genetic-testing-and-counseling\/adult-genetic-testing\/\">genetic counseling team<\/a> to assess risk and understand screening recommendations.<div class=\"su-callout-box col-xs-12 col-sm-6 right\" style=\"background-color:#dce4e7; color:#2e3b44;\"><a href=\"https:\/\/www.uchealth.org\/diseases-conditions\/breast-cancer\/\">Find a UCHealth breast cancer provider or treatment location<\/a>. <\/div>\n<p>\u201cIt\u2019s very important to do the screenings,\u201d Hartman said. \u201cThe earlier you catch a problem, the easier it is to manage and the better the outcomes.\u201d<\/p>\n<p>But even if a breast cancer diagnosis occurs, Hartman reminds patients that the quality of local care is top-notch.<\/p>\n<p>\u201cWe really do have advanced, multidisciplinary cancer care close to home right here in the Yampa Valley,\u201d Hartman said. \u201cWe have the same capabilities and as good of clinical outcomes as many larger areas, and we have the convenience of being close to home.\u201d<\/p>\n<p><em>\u00a0This story first appeared in the Steamboat Pilot.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A breast cancer diagnosis is never welcome, but with advances in breast cancer surgery, it may be more manageable than many women assume. \u201cI think a lot of women historically think that if they have breast cancer, they\u2019re going to need a mastectomy, which is not true in most cases,\u201d said Dr. Zach Hartman, a [&hellip;]<\/p>\n","protected":false},"author":2163,"featured_media":72276,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[6835,4801,28,49,212],"class_list":["post-72248","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-breast-cancer-treatment","tag-breast-imaging-and-tests","tag-cancer-care-oncology","tag-cancer-treatment","tag-womens-care"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - 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