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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Old Muscle Implants Be Removed At Same Time As Mastectomy And Have Double Mastectomy?

I have recently been diagnosed with invasive infiltrating mammary carcinoma in my right breast - approx 8 mm at the 400 position. Detected by MRI accidentally when checking on scar tissue in the other breast. After core biopsy DX was the above it is both estrogen and progesterone receptor positive. I am wondering if I made right decision. Could have lumpectomy followed by radiation. Or mastectomy w/ sentinel lymph node biopsy. Now the complication is: I have small under the muscle implants and that are 24 yrs old. Do I need to have these removed at same time as mastectomy and opt to be proactive and have double mastectomy ?? Possibly have plastic surgeon place tissue Xander s in during surgery. I was basically encouraged toward mastectomy due to difficulty radiation may cause in my case. I am SO SHOCK CONFUSED AND NEED SOME QUESTIONS ANSWERED FROM YOU PLEASE! I DON T KNOW IF BEST TO JUST LEAVE IMPLANTS IN AND HAVE MORE SURGERY BUT I AM TRYING TO DO THR LEAST AMOUNT OF PROCEDURES AND BE ABLE TO COPE. IF A + sentinel node is found will they take all my l nodes out??
Tue, 7 Jan 2014
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  User's Response
HI
Thank for asking to HCM
I really appreciate your concern, the intraoperative procedure is very important and many times surgeon has to take the decision instantaneously and need to change the plan, but the attitude through out the procedure of surgeon is for minimal dissection or resection, so looking to this strategy the whole thing is depends upon the interoperation events, as doctor I would say you that the surgeon takes very good care of this and you need to worry about this, if you have doubt then you can have word with surgeon just prior to operation, have good day.
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Should Old Muscle Implants Be Removed At Same Time As Mastectomy And Have Double Mastectomy?

HI Thank for asking to HCM I really appreciate your concern, the intraoperative procedure is very important and many times surgeon has to take the decision instantaneously and need to change the plan, but the attitude through out the procedure of surgeon is for minimal dissection or resection, so looking to this strategy the whole thing is depends upon the interoperation events, as doctor I would say you that the surgeon takes very good care of this and you need to worry about this, if you have doubt then you can have word with surgeon just prior to operation, have good day.