How to Prepare for a Radical Mastectomy

A radical mastectomy is a surgical procedure to remove all of the lymph nodes under the arm, the chest muscles and the entire breast. While this procedure was standard for years, it is only used today in cases where the cancer has already metastasized (spread) to the chest muscles, and no other treatment option is advisable. It may require removal of additional skin and fat in the chest area in order to remove all involved tissue. Read on to learn how to prepare for a radical mastectomy.

Instructions

• 1

  Recognize the importance of taking drastic measures to remove all traces of metastasized cancer. In a radical mastectomy, all possible cancerous tissue is removed, including the extension into and around the chest wall. A doctor will typically not recommend this procedure without thorough consideration and elimination of all other less invasive options.

• 2

  Prepare to have chemotherapy or some type of hormone therapy prior to a radical mastectomy to shrink the tumor. This may make it possible to have a less dramatic procedure than a radical mastectomy.

• 3

  Prepare for a radical mastectomy to require a longer surgical time than any other type of mastectomy. It is a more complex surgery because of the amount of tissue involved.

• 4

  Expect all lymph nodes in the breast area and under the armpits to be removed during a radical mastectomy. The lymph nodes are part of the lymphatic system which circulates lymph (a fluid that helps fight disease and infection).

• 5

  Anticipate an adjustment to activities following a radical mastectomy. Protection of the surgical side (especially the arm and hand) may be necessary for months. It is important to understand the extent of nerve involvement in removal of massive amounts of tissue.

• 6

  Discuss with your oncologist the possibilities of chemotherapy and radiation following a radical mastectomy. Prepare in advance for the lengthy recovery and continuing treatment that may be required to recover from surgery.

• 7

  Learn the difference between a radical mastectomy and a modified radical mastectomy. In a modified radical mastectomy, as much of the chest wall and muscles as possible will be left.

• 8

  Know that the stage of cancer involvement will determine if a radical or modified radical mastectomy is most likely to give the best opportunity for cancer control. Patients with Stage I and II cancer may be offered the option of a modified radical mastectomy. Stage III breast cancer is better controlled with a radical procedure.