Breast Cancer Surgery: From Lumpectomy to Mastectomy – Options and Considerations

Posted on Sept. 21, 2025, 11:36 a.m. by Dr Ramkishan Nag
breast-cancer-surgery-from-lumpectomy-to-mastectomy-options-and-considerations

## Breast Cancer Surgery: From Lumpectomy to Mastectomy – Options and Considerations

When faced with a breast cancer diagnosis, understanding the surgical options available is crucial. Two primary surgical procedures are commonly considered: lumpectomy and mastectomy. A lumpectomy, also known as breast-conserving surgery, involves the removal of the tumor and a small margin of surrounding healthy tissue. This approach aims to preserve as much of the natural breast as possible. Mastectomy, on the other hand, involves the removal of the entire breast. The choice between these options depends on various factors, including the size and location of the tumor, the stage of the cancer, and patient preference.

Several factors influence the surgical decision-making process. The size of the tumor relative to the size of the breast is a key consideration. If the tumor is large compared to the breast, a mastectomy may be recommended to ensure complete removal of the cancer. The presence of multiple tumors in different areas of the breast may also necessitate a mastectomy. Additionally, personal preferences and lifestyle considerations play a significant role in the decision. Some patients may prioritize breast conservation, while others may feel more comfortable with a mastectomy to reduce the risk of recurrence.

Reconstruction is an important aspect of breast cancer surgery, particularly following a mastectomy. Breast reconstruction aims to restore the shape and appearance of the breast after surgery. There are various reconstruction options available, including implant-based reconstruction and reconstruction using the patient's own tissue (autologous reconstruction). The choice of reconstruction method depends on individual factors such as body type, overall health, and patient preference. Dr. Ramkishan Nag, a highly skilled Surgical Oncologist based in Mumbai, Maharashtra, can provide expert guidance on the most suitable reconstruction option for each patient.

Post-operative care is essential for a successful recovery after breast cancer surgery. This includes pain management, wound care, and physical therapy. Following a lumpectomy, radiation therapy is often recommended to eliminate any remaining cancer cells. After a mastectomy, adjuvant therapies such as chemotherapy or hormone therapy may be considered, depending on the stage and characteristics of the cancer. Regular follow-up appointments with your surgical oncologist are crucial to monitor for any signs of recurrence and to address any concerns or side effects.

Dr. Ramkishan Nag, located at 1st Floor, Urban Grandeur, Kanakia, Mira Road 401105, Mumbai, Maharashtra 401105, is dedicated to providing comprehensive and compassionate care for breast cancer patients. With over a decade of experience and expertise in advanced laparoscopic and robotic techniques, Dr. Nag offers patients faster recovery, minimal scarring, and organ-preserving options. He specializes in a wide range of cancer surgeries, including those for gastrointestinal, colorectal, liver, pancreatic, gynecologic, and breast cancers, and is committed to delivering world-class oncology care with ethical and evidence-based treatment.

About Dr Ramkishan Nag
I am a highly skilled Surgical Oncologist with more than a decade of experience and over 5,000 cancer surgeries to my credit. I specialize in advanced laparoscopic and robotic techniques, offering patients faster recovery, minimal scarring, and organ-preserving options. My expertise spans gastrointestinal, colorectal, liver, pancreatic, gynecologic, and breast cancers.

Trained at the renowned Tata Memorial Hospital, Mumbai, and in cutting-edge procedures such as HIPEC and PIPAC, I bring global standards of cancer care to India. I am committed to ethical, evidence-based treatment and strive to make world-class oncology care accessible and affordable for every patient, combining medical excellence with genuine compassion.
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