Can my wife have breast reconstruction/augmentation after a partial mastectomy without having radiation or chemotherapy?
The treatment of breast cancer can be complicated. Issues of the type of breast cancer, family history/genetic testing, estrogen/progesterone receptor status, etc. often determine surgical and medical treatment. May I suggest you get copies of your wife's pathology reports(biopsy/mastectomy), operative reports, her medical/physical history and any data from her Oncologist and take these materials to a member of ASAPS for review. They certainly should be able to address your concerns and answer your questions.
Gary R. Culbertson, MD, FACS
There are a number of options for surgical improvement of the breast after partial mastectomy, and these differ depending upon the specific issue. The priority is of course effective treatment of the cancer. If the oncology team has not recommended radiation or chemo then it would be appropriate to see a plastic surgeon.
R. A. Baxter, MD
Yes, your wife can have breast reconstruction. She could also have reconstruction even if she were to have radiation therapy or chemotherapy. The real question is why did she decide not to have either. Most partial mastectomy procedures are a part of a combination therapy. If you have not done so, I would suggest you talk at length to her surgeon and oncologist about the difference in disease free interval and survival between patients with her type tumor and partial mastectomy with and without the radiation and chemotherapy.
R. T. Buchanan, MD