Question
What are the risks of doing breast reconstruction with implants after mastectomy?
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Are there any alternatives to chemotherapy for breast cancer after a mastectomy?
Chemotherapy is an adjuvant treatment modalty aimed to reduce the overall risk of cancer recurrence. The benefit and need for chemotherapy can vary from patient to patient depending on the stage of cancer, cancer biology, patient baseline health status and relative age of the patient. Stage 3 breast cancers will generally benefit from chemotherapy and omitting it may lead to a high chance of recurrence. Depending on tumour biology and one of which is what we call the receptor status of the tumour ,will dictate if the patient is suitable for endocrine treatment (tablets).
Is prophylactic mastectomy recommended in cases of women who have a family history of breast cancer?
I would strongly suggest genetic counselling and getting yourself checked for hereditary breast cancer based on your family history. But before that I usually advise that my patients have medical and hospitalisation insurance sorted for yourself and your family members. Even with such a strong family history, it is not given that you may be carrying genes that increase your risk of breast cancer. Prophylactic mastectomy ( mastectomy before diagnosis of breast cancer) is an option for those who are carrying genes that put them at very high risk of having breast cancer e. g. BRCA gene mutation.