What is breast conserving therapy (BCT) and mastectomy and how does someone choose which is best?
A Breast conserving therapy (BCT) involves removing the portion of the breast with a malignancy and adequate surrounding tissue which is “clean” of disease. If accomplished, a woman could potentially maintain near normal contour of her breast but is variable depending on the size and location of the tumor. However, radiation therapy is necessary in BCT and side effects of the radiation can be problematic on overall appearance of the breast over time. In some cases, a woman may be best suited to see a surgeon specializing in breast oncoplasty, a newer approach to conservation of the breast in individuals with complex disease. Not everyone should have BCT. Some types or extent of cancer clearly benefit from mastectomy. Discussion of the benefits and risks with your “team” of specialists should be accomplished to allow you to make a well-informed decision.
