Dr. Silverstein on Oncoplasty Versus Mastectomy for Patients With Breast Cancer

Melvin J. Silverstein, MD, FACS, medical director, Hoag Breast Center, Gross Family Foundation Endowed Chair in Oncoplastic Breast Surgery, Hoag Memorial Hospital Presbyterian, compares oncoplastic surgery with mastectomy for patients with breast cancer.

Mastectomy rates have risen in the United States over the last decade, Silverstein explains. Moreover, double mastectomy rates have increased by 10% during this time.

Patients with breast cancer are encouraged to meet with an oncoplastic surgeon for a second opinion after being recommended to have a mastectomy, Silverstein adds. Surgeons conduct mammographies, ultrasounds, magnetic resonance imaging scans, and evaluations by specialists in plastic surgery, medical oncology, pathology, and surgical oncology. The multidisciplinary approach is used to determine if this breast-conserving surgery is the best option for a patient.