Single vs. Double Mastectomy: Making an Informed Decision

Woman in sports bra with her hand on her hip (model)

When breast cancer becomes part of your story, deciding on a single or double mastectomy is a profoundly personal step. At Bedford Breast Center, we understand the complexity of this choice and are committed to guiding you through your options with compassion and expertise.

Insights on Survival Rates

Recent studies have challenged long-held beliefs about double mastectomy versus single mastectomy outcomes. A comprehensive 20-year study published in JAMA Oncology revealed:

  • No significant difference in overall survival rates between single and double mastectomy patients.
  • Similar breast cancer mortality rates across surgical groups.
  • A lower risk of contralateral breast cancer with double mastectomy but no impact on overall survival.

These findings suggest that, for many women with unilateral breast cancer, a single mastectomy may be just as effective for long-term survival.

Understanding Your Options

Choosing between a single and double mastectomy involves considerations unique to you. At its core, this choice is about balancing medical needs and personal preferences, influenced by the nature of the diagnosis and your outlook on future health.

  • Single Mastectomy: This option removes only the affected breast, preserving healthy tissue in the other breast. It’s often recommended for those with early-stage, unilateral breast cancer and addresses the disease without altering the unaffected breast.
  • Double Mastectomy: Removing both breasts can offer peace of mind, particularly to those with genetic predispositions or higher recurrence risks. For patients seeking this added sense of security, a double mastectomy may feel like a proactive step toward long-term wellness.

Both options present unique benefits, allowing you to approach cancer treatment in a way that aligns with your health goals and personal values. Here are some considerations that may influence your decision:

  • Cancer stage and type
  • Personal risk factors
  • Your overall health
  • Family history and genetic risk factors
  • Personal comfort and peace of mind
  • Goals for reconstruction and aesthetic preferences

Ultimately, determining the right approach to mastectomy is a collaborative decision between you and your healthcare team.

Making Your Decision

While recent research suggests similar survival outcomes, the choice between single and double mastectomy remains deeply personal. Consider the following:

  • Your comfort level with different types of mastectomy.
  • The potential benefits against the risks of more extensive surgery.
  • The impact on your body image and lifestyle.

There’s no one-size-fits-all approach to breast cancer treatment. By understanding your options and working closely with your healthcare team, you can make an informed decision that’s right for you.

Bedford Breast Center’s pioneering surgeons specialize in advanced mastectomy and reconstruction procedures, ensuring optimal outcomes regardless of whether you choose a single or double mastectomy.

Take the Next Step Toward Informed Breast Health

The team at our world-class center is ready to provide personalized guidance tailored to your unique situation. We encourage you to call our office today at (310) 278-8590 or request a consultation. Let us help you make the best decision for your health and well-being.

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