Local Surgeons Offer Comprehensive Breast Cancer Care Options

After receiving a breast cancer diagnosis, many women face the pressing question of whether surgery is necessary. According to Dr. Asfandyar Khan, a general surgeon at Dignity Health Sierra Nevada Memorial Hospital, the answer largely depends on the cancer’s stage and characteristics. “Women with breast cancer that hasn’t spread to other organs will require some form of surgery,” Dr. Khan explains. This may involve either complete tumor removal or minimally invasive procedures to assess the cancer’s extent.

In cases where the cancer has progressed to other organs, surgery could still be an option aimed at alleviating symptoms. The specific approach is individualized, taking into account tumor biology, stage of cancer, therapeutic response, and patient preferences.

Understanding Surgical Options

Patients typically have two primary surgical options: breast conservation surgery and mastectomy. Dr. Khan elaborates that breast conservation surgery often involves a lumpectomy, where only a portion of the breast containing the tumor is removed, accompanied by lymph node sampling. Conversely, a mastectomy entails the removal of the entire breast. Patients can also discuss options for immediate or delayed breast reconstruction based on their specific needs and preferences.

Breast reconstruction is a multifaceted process, as noted by Dr. Bruce V. Lattyak, a plastic surgeon and Medical Director for the SNMH Wound Healing and Hyperbaric Medicine Center. The goals of reconstruction may include restoring symmetry, enabling women to wear normal clothing, or altering breast size. Techniques can vary and may involve implants or flaps derived from other body parts, depending on the patient’s unique anatomy and surgical history.

Dr. Lattyak emphasizes that the type of cancer surgery performed—whether a unilateral mastectomy, bilateral mastectomy, or lumpectomy—significantly influences reconstruction options. Additionally, the timing of the reconstruction, whether immediate or delayed, alongside the patient’s breast size and skin laxity, will determine the best surgical approach.

Local Care for Patients

Fortunately for residents of Nevada County, most surgeries and reconstructions can be conducted locally, minimizing the need for travel. “If you are considering breast reconstruction, ask for a plastic surgery consultation to address all your questions,” Dr. Lattyak advises. He points out that most cases have multiple reasonable options, allowing patients to make informed choices that align with their personal circumstances.

Dr. Khan encourages women to engage actively with their healthcare teams and support networks during this challenging time. “Understand your surgery and options. Ask questions. Consider joining a support or survivorship group. And prepare emotionally,” he states. He underscores that breast cancer treatment is not a one-size-fits-all solution; each patient’s treatment plan is tailored to their specific needs.

Proactive breast health management is crucial. Dr. Khan highlights the importance of early detection through regular mammography screenings. “Early detection and intervention are key to achieving a complete cure,” he says. Women seeking to schedule a mammogram can contact the SNMH breast imaging scheduling line at 530-274-6246.

As the healthcare team at Dignity Health Sierra Nevada Memorial Hospital continues to provide comprehensive care, they emphasize the significance of understanding options and making informed decisions in the journey against breast cancer.