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Hereditary Breast Cancer: Surgical Strategies for High-Risk Patients

Hereditary or familial breast cancer accounts for a significant percentage of all breast cancer cases, with genetics playing a pivotal role in determining risk. It is estimated that approximately 10% of all breast cancers are linked to the inheritance of mutated breast cancer genes, especially mutations in the BRCA1 and BRCA2 genes. For patients with such a family history of breast cancer, surgical intervention is often a key component of their treatment strategy. Consulting with an experienced breast cancer surgeon in pune is therefore crucial for these high-risk patients to navigate their surgical options and manage their risk effectively.

Understanding Hereditary Breast Cancer

The Role of a Breast Cancer Surgeon

A breast cancer surgeon plays a critical role in the treatment and management of hereditary breast cancer. These specialists are trained to perform surgeries that not only remove existing cancer but also reduce the risk of future cancer development. Here are some key surgical strategies used by breast cancer surgeons for high-risk patients:

Prophylactic Mastectomy

For high-risk patients, a prophylactic mastectomy, or preventive mastectomy, is often recommended. This surgery involves the removal of one or both breasts to significantly reduce the risk of developing breast cancer. Studies have shown that prophylactic mastectomy can reduce the risk of breast cancer by up to 95% in women with BRCA1 or BRCA2 mutations.

Breast-Conserving Surgery

In cases where the cancer is detected early, breast-conserving surgery (BCS), also known as a lumpectomy, may be an option. A breast cancer surgeon will remove the tumor and a small margin of surrounding tissue, preserving as much of the breast as possible. The surgeon could additionally remove some lymph nodes under the arm since breast cancer often metastasizes to the lymph nodes. Breast conserving surgery is often followed by radiation therapy to ensure the elimination of any remaining cancer cells and to decrease the risk of cancer recurrence.

Reconstructive Surgery

For many patients undergoing breast cancer surgery, breast reconstruction is an important part of the surgical process. A breast cancer surgeon can work closely with a plastic surgeon to plan and execute reconstructive surgery, which can be performed immediately following a mastectomy or at a later date. Reconstructive surgery helps restore the appearance of the breast, improving the patient’s quality of life and psychological well-being.

Personalized Surgical Plans

Every patient’s situation is unique, and a breast cancer surgeon will develop a personalized surgical plan tailored to the individual’s risk factors, preferences, and overall health. Factors such as the patient’s age, genetic profile, and personal preferences are all taken into account when designing a treatment strategy.

Conclusion

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