T3NoMo best management is simple mastectomy or bct?

T3NoMo best management is simple mastectomy or bct?

The choice between simple mastectomy (also known as total mastectomy) and breast-conserving therapy (BCT), which typically involves a lumpectomy followed by radiation therapy, depends on several factors including the size and location of the tumor, the extent of the disease, the patient’s preferences, and overall health.

In cases where the tumor is relatively large (T3) but hasn’t spread to nearby lymph nodes (N0) or to distant sites (M0), both mastectomy and BCT may be viable options. Here’s a brief comparison:

  1. Simple Mastectomy (Total Mastectomy):
  • This involves removing the entire breast tissue, including the nipple and areola, but not the lymph nodes.
  • It’s a good option when the tumor is large relative to the breast size or when there are multiple tumors.
  • It’s associated with a lower risk of local recurrence compared to BCT.
  • It doesn’t require radiation therapy after surgery.
  1. Breast-Conserving Therapy (BCT):
  • BCT involves a lumpectomy (partial removal of the breast) followed by radiation therapy to the remaining breast tissue.
  • It aims to preserve the breast while effectively treating the cancer.
  • It may be preferred by some patients who wish to maintain the appearance of their breast.
  • BCT is associated with similar long-term survival rates as mastectomy in appropriately selected patients.

Ultimately, the decision between mastectomy and BCT should be made collaboratively between the patient and their healthcare team, taking into account factors such as tumor characteristics, overall health, potential side effects of treatment, cosmetic outcomes, and personal preferences. Each option has its own benefits and considerations, and what’s best for one patient may not be the same for another.