Many Breast Cancer Patients Are Not Receiving Most Advanced Breast Conserving Surgical Techniques, New S... (d they performa skin-sparing mastectomy ...)

Many Breast Cancer Patients Are Not Receiving Most Advanced Breast Conserving Surgical Techniques, New Study Finds

Date:10/29/2008

d they perform a skin-sparing mastectomy in most cases when immediate breast reconstruction is planned.

"This finding is important because it shows that women with breast cancer are treated appropriately for the cancer, but many woman are unnecessarily left with highly visible scars and poor breast shape after surgery," said Joel Aronowitz, M.D., senior author of the study and the Clinical Chief of the Plastic Surgery Division at Cedars-Sinai Medical Center in Los Angeles. "We have a well developed body of literature demonstrating uncompromised, highly effective treatment of the malignancy over the long-term, and more aesthetically pleasing results with skin-sparing mastectomy, yet there remains significant variation in practice patterns among general surgeons treating breast cancer.

"Part of the problem is that amidst the shock and anxiety of a breast cancer diagnosis, many women and some physicians consider the appearance of the breasts of secondary importance and not worthy of serious consideration compared to the treatment of cancer. Natural looking breasts help restore a women's sense of wholeness and aid in the healing process."

Aronowitz and his co-authors concluded that additional education regarding skin-sparing mastectomy is needed among the general surgery community to increase utilization of breast skin conserving approaches and use of plastic surgery principles for placement of incisions for biopsy and mastectomy procedures. Their hope is that increased use of these modern, reconstructive surgery concepts will result in a decreased use of standard, centuries old "cut across the chest" incisions.

To help better educate and inform women with breast cancer and their caregivers, Aronowitz has established The Breast Preservation Foundation (http://www.breastpreservation.org), a nonprofit organization dedicated to increasing awareness of the skin-sparing mastectomy.

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