Q. What are the different types of mastectomy?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

There are several different types of mastectomy, each with its specific approach to breast tissue removal. The choice of mastectomy type depends on factors like the extent of the disease, cancer stage, personal preferences, and the potential need for breast reconstruction. Here are the most common types of mastectomy:

1. Total or Simple Mastectomy: In this type of mastectomy, the entire breast is removed, including the breast tissue, nipple, and areola. The underlying chest muscles are typically left intact. This is often chosen when the cancer is confined to the breast and has not spread to the lymph nodes.

2. Modified Radical Mastectomy: In addition to the removal of the entire breast, a modified radical mastectomy includes the removal of some lymph nodes in the armpit (axillary lymph nodes). This is done to check for the presence of cancer cells and determine the extent of cancer spread to the lymph nodes.

3. Double or Bilateral Mastectomy: A double mastectomy involves the removal of both breasts. This may be recommended when an individual has cancer in both breasts or as a preventive measure for someone at high risk of developing breast cancer in the other breast.

4. Skin-Sparing Mastectomy: During a skin-sparing mastectomy, the surgeon preserves most of the breast skin, which can be important for breast reconstruction. The breast tissue underneath the skin is removed, including the nipple and areola.

5. Nipple-Sparing Mastectomy: In this approach, the breast tissue is removed while preserving the breast skin, nipple, and areola. It is often used when immediate breast reconstruction is planned to maintain a natural appearance.

6. Subcutaneous Mastectomy: This type of mastectomy involves the removal of breast tissue, nipple, and areola, but most of the breast skin is retained. Subcutaneous mastectomies are often performed on transgender individuals as part of gender-affirming chest surgery.

7. Radical Mastectomy: While rarely performed today, a radical mastectomy involves the removal of the entire breast, chest muscles, and lymph nodes in the armpit. It was once a standard treatment for breast cancer but has largely been replaced by less extensive procedures.

8. Partial Mastectomy (Lumpectomy): A partial mastectomy, often called a lumpectomy, involves the removal of only the cancerous tumor and a small margin of surrounding healthy tissue. It is considered breast-conserving surgery and is followed by radiation therapy to reduce the risk of cancer recurrence.

The choice of mastectomy type is determined by the individual's specific medical condition, the extent of the disease, personal preferences, and the recommendations of their healthcare team. Breast reconstruction may also be part of the treatment plan, either immediately following the mastectomy or at a later time, depending on the patient's preferences and medical considerations.

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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