Total Mastectomy

A total mastectomy is the surgical removal of the entire breast tissue.

Key Benefits of Total Mastectomy

• Eliminated need for radiation.

In many cases, radiation therapy is not required after a mastectomy.

• Equivalent to BCT for some outcomes.

Studies have show similar long-term survival rates to BCT with radiation in some populations.

When is a total mastectomy is used?

• When BCT is not an option due to the size, location or extent of the cancer.

• When the cancer involves the nipple-areola complex.

• In cases where the patient may not be able to undergo radiation therapy.

Key Considerations

• The best treatment choice is not universal; it depends on the stage and characteristics of the cancer, as well as patient preferences.

• For early-stage breast cancer, BCT with radiation has demonstrated similar or even superior overall survival and lower recurrence rates compared to mastectomy alone in several studies.

• BCT requires radiation, which involves a longer treatment course (e.g., daily treatments for several weeks), while a mastectomy may offer a shorter recovery period but can also involve more complex recovery if reconstruction is pursued.

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