Treatment Handbook

Treatment Handbook

Breast Surgery

Surgery and Recovery

Patient & Family Support Services

Breast Cancer Surgery Patient Handbook

Faculty, staff, patients and family members provided information for this handbook: Comprehensive Cancer Center Breast Care Center, Hematology, Medical Oncology, Occupational Therapy, Patient Education, Patient and Family Advisory Board, Physical Medicine and Rehabilitation, Physical Therapy, Plastic and Reconstructive Surgery,

Radiation Oncology, and Surgical Oncology

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BREAST CANCER SURGERY PATIENT HANDBOOK

Breast Cancer Surgery Patient Handbook

Table of Contents

Introduction

7

How to Call Your Health Care Provider

8

Important Phone Numbers

8

Who to Call/When to Call

9

What to do Before Your Appointment

10

Multidisciplinary Clinic and Tumor Board Conference

11

General Information - Breast Surgery at University of Michigan

13

Breast Anatomy, Breast Biopsy and Breast Cancer

15

Male Breast Cancer and Treatment Options

19

Treatment of Breast Cancer ? Local and Systemic Therapy

21

Clinical Trials

26

Types of Breast Surgery

General Surgery Information

28

Lumpectomy/Breast Conserving/Wire Localization

29

Sentinel Lymph Node Biopsy and Mapping

37

Total/Simple Mastectomy

46

Modified Radical Mastectomy

48

Skin Sparing Mastectomy

49

Nipple Sparing Mastectomy

50

Axillary Lymph Node Dissection

56

Breast Reconstruction

General Information on Breast Reconstruction

63

Immediate or Delayed

64

Implant

64

Natural Tissue

65

Nipple/Areola Reconstruction

69

BREAST CANCER SURGERY PATIENT HANDBOOK

3

Preparing for Surgery General Information Medications/Supplements to Avoid Advance Directives Preoperative Appointment Preoperative Tips

Day of Surgery Hospitalization Outpatient

Postoperative Instructions and Care Dressings Drains Drain Removal

Exercises after Surgery Deep Breathing Posture Arm and Shoulder Shoulder Mobility Increasing Activity Swelling and Infection

Lymphatic System Lymphedema Risk Reduction Skin Care Signs of Lymphedema Treatment for Lymphedema Psychosocial Concerns

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BREAST CANCER SURGERY PATIENT HANDBOOK

71 73 78 79 83

88 89

91 93 97

99 100 103 108 116 117

118 120 123 124 124 125

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