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Home» Breast Cancer Surgery » Do I need surgery?

Do I need surgery?

Posted by Dr. Aaron G. Margulies - April 17, 2013 - Breast Cancer Surgery
0
Live to See Cancer Cured

Yes.

The best chance to cure breast cancer is surgery. In a world with great advances in science and great progress in medicine, surgery remains the most effective treatment for breast cancer. When breast cancer remains in the breast, surgery can be curative. When breast cancer leaves the breast, surgery remains as the best means to rid the body of the breast cancer nest. Other, or adjuvant, therapies are then used to seek out and destroy those breast cancer cells that flew from the nest.

The goal of mammography and breast imaging is to find cancers before they spread beyond the breast. But how do we know if a cancer has spread beyond the breast? The first place we look is in the lymph nodes under the arm (the axilla), because if cancer has spread to these lymph nodes, then there is a reasonable chance that there is more cancer elsewhere in the body and medical therapies are needed. By the same token, though, if there is no cancer in the lymph nodes under the arm , then there is a much lower chance of cancer having spread elsewhere in the body and a less toxic medical treatment may be necessary.

Radiation therapy makes surgery stronger. Just as cleaning the kitchen counter with a wet rag is very effective, adding soap to the wet rag can make the cleaning process much better. Radiation helps surgery in the same way in that radiation therapy will further reduce the risk of a local recurrence compared to surgery alone. Breast cancer can be like a paint splatter. Small, microscopic deposits of cancer, which we cannot see, may remain in the breast after surgery. That is why in surgery we try to get a margin of healthy tissue around the breast cancer, and why we need to add radiation to the breast: to treat the little spots not removed by surgery.

So, yes, if you have breast cancer you need surgery. We know that surgery will cut out that tumor and place it in the proverbial garbage can, where it belongs. Surgery is the primary and most effective treatment for breast cancer, but the successful treatment of breast cancer requires a team approach to coordinate surgery, radiation, chemotherapy and endocrine treatment. I participate in the KCBC Breast Cancer Team, where every cancer that we treat gets presented and discussed prior to treatment and after surgical treatment.

As the surgeon, I am the Captain of your ship, and in coordination with your whole team of physicians, nurses, allied health professionals, family and friends, we will sail your ship through the turbulence of treatment with the goal to arrive on the distant shores where breast cancer is no more.

 

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Breast, Breast cancer, Cancer, Health, Lymph node, Medicine, Radiation therapy, Surgery

Dr. Margulies practices sees patients in West Knoxville at Turkey Creek Medical Center, in Powell just off of Emory Road​ adjacent to North Knoxville Medical Center in Powell, at Jefferson Memorial Hospital and Newport Medical Center.

Dr. Margulies performs surgeries at Tennova’s Turkey Creek Medical Center and North Knoxville Medical Center, at Jefferson Memorial Hospital, at Newport Medical Center and at Parkwest Medical Center.

Learn more about Dr. Margulies here.

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Patient Testimonials

“I find it very comforting to have my surgeon pray with me and for me and call me himself to give reports on my condition. Thank you!”

Mary
Thanks so much for your help with my cancer, thank God I am well. You are a special person and may God bless you and your staff.
Mary


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During my cancer journey you and Lisa traveled it with me. Words cannot express my appreciation for all that both of you have done. You both have always encouraged, loved and shown compassion with understanding for me.
Rebecca

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Emily

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