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
2
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
4
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
Resources American Cancer Society's Reach to Recovery University of Michigan - Personal TouchTM University of Michigan Comprehensive Cancer Center's Patient & Family Support Services Web Sites
126 128
129 130
BREAST CANCER SURGERY PATIENT HANDBOOK
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