What’s the right treatment for breast cancer patients in St. Louis?

Posted: April 23, 2012 in Board Certified Plastic Surgeon Breast Cancer Breast Surgery

What’s the right treatment for breast cancer?

Today surgical treatment varies from modified radical mastectomy to skin sparing mastectomy, nipple sparing mastectomy and lumpectomy. Adjuvant treatment may include radiation therapy, chemotherapy or hormonal therapy. What is right for any one individual depends upon the tumor: the size, location, type, grade, if receptors are positive, if there evidence of spread locally, to regional lymph nodes, or beyond. Individuals differ in their age, health, medical history, family history of breast cancer, genetics, and their personal desires. Therefore the available options for treatment may be different from one person to another. Is the treatment consistent with the NCI [National Cancer Institute] guidelines? Are there randomized controlled studies to provide data behind the recommendations? How much is risk reduced? New treatments may be described on the internet and show promise, but currently lack the clinical research to determine the true efficacy of those techniques and long term survival. Fortunately in the St. Louis metropolitan area there are multiple well trained surgical oncologists, medical oncologists,and radiation oncologists. It is always reasonable to obtain a second opinion if desired.

St. Louis Breast Procedure Supernumerary Nipples

Posted: April 9, 2012 in Board Certified Plastic Surgeon Breast Procedures Uncategorized

St. Louis Supernumerary Nipples

Supernumerary [extra] nipples are a common, minor congenital anomaly. This type of breast procedure is present in 5 to 6 % of the population. They are most often found along the milk line [the line down the trunk from the midpoint of the clavicle through the nipple]. Less commonly they can be found in other locations. Unlike ectopic breast tissue they can often be identified at birth. But similar to breast tissue the extra nipple can change under the influence of hormones and can be subject to disease processes. The supernumerary nipple is typically smaller than the normal areola in size. Some may resemble the normal nipple-areola complex while others appear to be simply a “mole”. One study has shown them to be more common on the left side and more common in males. Rarely they can be associated with internal conditions, especially urologic. Excision of the extra nipple is commonly done under local anesthesia.

Axillary Breast Tissue

Posted: April 2, 2012 in Breast Procedures Breast Reconstruction

Axillary Breast Tissue

Breast tissue can be found in the axilla [the armpit] more often than people think. It is present in 2 to 6 % of women. It may appear as a soft mass and/or there may be discomfort and tenderness. It may be unilateral or bilateral. It is hormonally responsive like all breast tissue, so there may be tenderness and swelling that varies with the menstrual cycle. This axillary breast tissue may become enlarged with puberty or pregnancy.

Treatment may be done with excision or by liposuction. The procedure may be more comfortable with anesthesia. If the insurer is covering it, then excision is usually required so there will be a specimen for pathology. The same changes which can happen in any breast tissue, even breast cancer, can potentially occur in the axillary breast tissue.

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