When is a simple mastectomy with a concomitant axillary procedure indicated?

Updated: Feb 11, 2019
  • Author: Kanchan Kaur, MBBS, MS (GenSurg), MRCSEd; Chief Editor: Erik D Schraga, MD  more...
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Answer

Answer

Indications for a simple mastectomy with a concomitant axillary procedure, which may be either a sentinel node biopsy or an axillary clearance, are as follows:

  • Locally advanced breast cancer

  • Multifocal breast cancer

  • Large tumor relative to the size of the breast, excision of which may compromise final cosmesis

  • Extensive ductal carcinoma in situ (DCIS)

  • Patient unsuitability for breast-conserving approaches as a result of contraindications for radiation therapy - Such contraindications include a previous history of chest wall irradiation, either after previous breast-conserving therapy or in mantle field radiation therapy for lymphoma; severe skin disorders, such as scleroderma and psoriasis; and severe pulmonary dysfunction

  • Patient preference for mastectomy - A patient who is a suitable candidate for breast conservation may opt for a mastectomy instead


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