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**Surgery plays a crucial role** in the treatment of breast cancer, aiming to remove the cancerous tissue from the breast. There are two main types of surgery for breast cancer: lumpectomy and mastectomy. Lumpectomy, also known as breast-conserving surgery, involves removing the tumor and a small amount of surrounding tissue. It is typically followed by radiation therapy to kill any remaining cancer cells. Mastectomy involves removing the entire breast. There are several types of mastectomies, including simple mastectomy (removal of the breast only), modified radical mastectomy (removal of the breast and lymph nodes under the arm), and skin-sparing mastectomy (preservation of the breast skin for reconstruction). The choice of surgery depends on several factors, including the size and location of the tumor, the stage of the cancer, and the patient's preferences. In general, lumpectomy is preferred for smaller tumors that can be completely removed with clear margins (meaning there are no cancer cells at the edge of the removed tissue). Mastectomy may be necessary for larger tumors, tumors that are close to the chest wall, or when the patient prefers to have the entire breast removed. Breast reconstruction is often an option after mastectomy, allowing women to restore the shape and appearance of their breast. Reconstruction can be done at the same time as the mastectomy (immediate reconstruction) or at a later date (delayed reconstruction). There are several types of breast reconstruction, including implant-based reconstruction and autologous reconstruction (using tissue from another part of the body). Surgery for breast cancer can have physical and emotional effects, and it is important for patients to discuss their options with their healthcare team to make informed decisions that are right for them.
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