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Once you have been told that you have breast cancer or might have breast cancer, you will be referred to a surgeon. There are many doctors who perform breast cancer surgery, but most do not specialize in breast cancer. They may just do a handful of cases a year.
We recommend that you choose a breast surgeon who:
At the Johns Hopkins Breast Center, our breast surgeons are experts in breast surgical oncology. They work closely with our plastic and reconstructive surgeons to give women the best cosmetic results and options. Our specialists have a greater than 90 percent rate of performing successful breast conservation surgery for patients who meet the criteria for lumpectomy—which saves a woman’s breast(s) and gives her an equal survival rate when compared to women who chose a mastectomy. We also offer nipple sparing and skin sparing mastectomy for patients who meet specific pathology criteria.
Our breast surgical oncologists and anesthesiologists have pioneered improvements in surgical and anesthesia management along with other post-surgical care to minimize the nausea and vomiting rate for breast cancer patients. The nausea rate at some breast centers is as high as 85 percent. We have reduced our nausea rate to 1 percent for patients having lumpectomy or mastectomy without simultaneous reconstruction or lumpectomy surgery. This fosters a quicker recovery; the majority of our patients who have breast cancer surgery without reconstruction feel so physically well after surgery that they choose to go home that same day.
Patients and their family members are instructed in post-treatment wound care. There are special circumstances when arrangements are made for a home health care nurse to visit the patient’s home that evening and the next morning, although this is rarely needed. A nurse practitioner from the Breast Center is in constant contact with the patient for updates. It is the patient’s decision whether to return home the day of surgery. If she does, her pain will be well controlled with oral medications so she’s nausea-free and able to concentrate on her emotional well-being. Any time a patient can avoid hospitalization, risk of infection is reduced and faster healing is possible. She can also return to normal daily activities sooner.
Women having lumpectomy surgery may be ready to go home after being in the recovery room for one to two hours. We have studied how well our patients feel post-operatively and more than 50 percent feel well enough to go out to lunch or dinner that evening to celebrate completing the treatment. This is a testament that they are nausea-free and ready to embrace life again.