Lumpectomy or Mastectomy? Cancer Survivor's Very Personal Decision
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Lumpectomy or Mastectomy? Cancer Survivor's Very Personal Decision |
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This Video Uploaded At 06-10-2021 15:22:36 |
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A Jazzercise instructor for 30 years, Brenda Cavallo is best described as upbeat and energetic. But as cancer began claiming close family members she had a feeling she wasn’t going to escape its clutches. After several scares and breast biopsies, an annual mammogram and ultrasound screening in September of 2020 showed another suspicious lump. This time it was cancer.
Her first words to her breast surgeon were: “I want a double mastectomy,” she recalled. She also remembers the compassion and understanding the doctors had for her request, knowing she had dealt with the worry each previous biopsy had brought. In addition, a certain percentage of atypical cells similar to those discovered in Ms. Cavallo’s biopsies, do, eventually, become cancerous.
Learn about Brenda's journey and her decision.
[Transcript]
(soft music)
[Brenda Cavallo, breast cancer survivor, Lynn Cancer Institute]
[Brenda] My first scare was probably between 2007 and 2009. They found a spot in my left breast. That a biopsy revealed was atypical cells. And so that was my first scare. So they watched me really carefully.
[Rashmi Benda, M.D., chief of breast cancer services, Lynn Cancer Institute]
[Dr. Benda] Brenda had an early stage invasive ductal carcinoma, that was estrogen positive and her her2neu negative.
[Brenda] When they took it to the radiologist, and they said they found something. My first thing I said was, if it's something I'm getting a mastectomy.
[Dr. Benda] If a patient comes in and says, I want a bilateral mastectomy. I want to hear more. Like what is making you make that decision? Sometimes patients may be misinformed. So it's our job to educate them. So the multimodality clinic is where the patients, typically referred by the surgeons. Will see a medical oncologist, radiation oncologist, and genetics, as well as a social worker.
[Brenda] So they would come on screen and speak to me For 10 minutes at a time. And go over the results, over the next steps, go over treatment options. If I would choose this or this.
[Dr. Benda] Medically speaking, she had the option of doing a lumpectomy and radiation. But we can't separate her breast from her as a person.
[Brenda] For me personally, being a fitness instructor. When I heard that I would have to take a cat scan of where the tumor was in conjunction with my heart, and do a whole breast radiation. I tossed and turned and prayed all night and then came to my original decision of a bilateral mastectomy, with reconstruction.
[Dr. Benda] Because of the multiple previous biopsies, she just didn't want to have to go through more biopsies down the road. So I felt that she was making an informed decision.
[Brenda] I was lucky because I'm healthy. The margins were clear. They took one lymph node, it was clean. I just want to thank the team for listening to me and respecting my choice of what my option was. And that makes you feel empowered. That makes you feel whole and human. You know, I can't say enough, honestly. I would refer anybody and everybody.
[logo: Eugene M. & Christine E. Lynn Cancer Institute, Baptist Health South Florida] |
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