When faced with a breast cancer diagnosis, patients have many questions that immediately come to mind. Dr. Gorman is often asked how soon surgery needs to be performed after a breast cancer diagnosis. While each situation is unique, this article will give a basic explanation of the general guidelines for when surgery should be performed after a breast cancer diagnosis. At Texas Breast Center, our goal is to help patients find the most minimally invasive treatment with the best outcome for their particular type of breast cancer. Dr. Gorman is dedicated to offering her patients the most advanced, personalized, and targeted approach to treating breast cancer with breast surgery.
How soon will I need surgery after breast cancer diagnosis?
After being diagnosed with breast cancer it’s best to have surgery between 31 to 90 days after being diagnosed. This gives enough time for all the necessary tests and for patients to make informed decisions about their treatment without impacting their chances of survival.
After finding out you have breast cancer, deciding when to have surgery is a very important first step you’ll make with Dr. Gorman. At Texas Breast Center, Dr. Gorman and her team work closely with patients to determine the best time for your breast cancer surgery.
Upon receiving a medical diagnosis of breast cancer, the pathway to treatment often begins with an assessment of the neoplasm by a physician specializing in oncology, focusing on the intricate relationship between the tumor’s receptor status, such as HER2 and hormone receptor presence, and the disease’s overall pathology. This is vital for tailoring the treatment of cancer to each woman’s unique case.
Surgery is often the first step in treating breast cancer. In some cases, the doctor might suggest starting with chemotherapy first to shrink the cancer before surgery.
The decision-making process is supported by comprehensive diagnostic tools, including mammography and magnetic resonance imaging (MRI), to accurately stage the cancer and evaluate its spread to the lymphatic system, ensuring a targeted surgical approach. The integration of neoadjuvant therapy, which may include radiation therapy or systemic treatments based on the tumor’s biology, such as epidermal growth factor receptor (EGFR) inhibitors for HER2-positive or triple-negative breast cancer, is also considered to optimize outcomes.
There are three main types of surgery for breast cancer: lumpectomy, mastectomy, and lymph node removal. A lumpectomy removes just the part of the breast with cancer, trying to save as much of the breast as possible. A mastectomy removes the whole breast, and sometimes women choose to have both breasts removed as a way to prevent cancer from spreading or coming back.
In the realm of surgical oncology, the choice between breast-conserving surgery and mastectomy, including variations like skin-sparing or simple mastectomy, is informed by a multitude of factors, including tumor size, location, and the patient’s health care preferences, often discussed in detail with the surgeon. The role of genetic testing and biomarkers in guiding these decisions underscores the importance of a personalized treatment plan, incorporating adjuvant therapy as necessary to address microscopic disease or metastasis, thereby enhancing the survival rate.
However, there are valid reasons for sometimes delaying treatment slightly, whether for further consultations, arranging personal affairs, or psychological preparedness. Yet, it’s important to be aware of the risks associated with delaying treatment too long. A study published on March 1, 2023, in JAMA Surgery, found that women who waited longer than eight weeks to have surgery after an early breast cancer diagnosis did not do as well.
In short, choosing when to have surgery after a breast cancer diagnosis involves finding the right balance between acting quickly and taking enough time to be sure about your treatment plan. Dr. Gorman and her team at Texas Breast Center are dedicated to helping patients through this process, offering support and expertise to ensure the best outcome.
How long is too long to wait to have surgery after breast cancer diagnosis?
When navigating the journey from breast cancer diagnosis to surgery, a common concern among patients at Texas Breast Center, under Dr. Gorman’s care, is the length of time they should wait before undergoing surgery. Understanding that the timing of surgery can significantly impact a patient’s prognosis, the goal is to find a balance between acting promptly and allowing sufficient time for necessary preoperative evaluations and thoughtful decision-making.
The medical community’s research on the ideal timing for breast cancer surgery presents varied findings. Some studies, including those conducted in 2017 and 2022, suggest that the prognosis for breast cancer patients does not begin to decline until the time to surgery exceeds 60 days. This insight provides patients and their healthcare teams with a broad window to complete all necessary preparations without rushing the process unduly.
Further examination of this topic was provided by a 2018 review, which analyzed multiple studies to assess how the timing of treatment impacts patient outcomes. The author of this review highlighted that undergoing surgery within 90 days of diagnosis appears to be the best approach to ensure a favorable prognosis. This recommendation aligns with the findings of a 2020 study, which emphasized the benefits of scheduling the first treatment between 31 to 90 days post-diagnosis. This timeframe not only facilitates comprehensive diagnostic testing and deliberate decision-making but also maintains the integrity of the patient’s survival chances.
For patients and the medical team at Texas Breast Center, these insights underline the importance of a measured approach to planning surgery after a breast cancer diagnosis. While it is crucial to proceed without unnecessary delay, allowing for a period that supports thorough testing and informed consent can be equally critical to achieving the best possible outcomes. Dr. Gorman and her team are dedicated to guiding their patients through this process, ensuring that each step is taken with precision and care to optimize the outlook for every individual they treat.
Texas Breast Center’s Target Approach to Treatment
The approach to breast cancer treatment at Texas Breast Center, led by Dr. Gorman, is rooted in personalized care, cutting-edge treatment, and a commitment to finding the most minimally invasive options for our patients. We understand the urgency and the complexities involved in making such a critical decision following a breast cancer diagnosis. Our aim is to ensure that every patient feels supported, informed, and confident in their treatment plan. If you or a loved one is navigating this challenging journey, we encourage you to reach out to us. Let’s work together to determine the best course of action for your specific situation, keeping in mind the importance of timely intervention while also allowing for thorough preparation and peace of mind. Dr. Gorman and her dedicated team are here to offer the expertise and compassionate care you deserve, every step of the way.
More FAQ’s About How Soon Will I Need Surgery After Breast Cancer Diagnosis
What is the typical waiting period for surgery after a breast cancer diagnosis at Texas Breast Center?
At Texas Breast Center, the typical waiting period for surgery after a breast cancer diagnosis ranges between 31 to 90 days. This timeframe allows Dr. Gorman and her team to conduct thorough diagnostic testing and for patients to make informed decisions about their treatment plan without compromising their prognosis.
Can the timing of surgery impact my prognosis?
Yes, the timing of surgery can impact your prognosis. At Texas Breast Center, we strive to schedule surgery within an optimal window that allows for comprehensive evaluation and preparation, while also addressing the cancer in a timely manner to ensure the best possible outcomes for our patients.
How does Dr. Gorman determine the urgency of surgery for breast cancer patients?
Dr. Gorman evaluates the urgency of surgery for breast cancer patients based on several factors, including the type and stage of cancer, the patient’s overall health, and the results of diagnostic tests. This personalized approach ensures that each patient at Texas Breast Center receives care tailored to their specific needs.
Is it possible to delay surgery for breast cancer?
While surgery is typically recommended within a specific timeframe, there are circumstances under which a slight delay might be considered at Texas Breast Center. These can include the need for additional diagnostic tests, the patient’s psychological readiness, or personal reasons. However, Dr. Gorman carefully weighs the potential risks of any delay against the benefits.
What happens if surgery is delayed beyond the recommended timeframe?
Delaying surgery beyond the recommended timeframe can impact the effectiveness of treatment and potentially affect prognosis. At Texas Breast Center, Dr. Gorman and her team work diligently to prevent unnecessary delays and to communicate the importance of timely surgery to our patients, ensuring they understand the risks involved.
How soon after chemotherapy can I have surgery?
If chemotherapy is part of your pre-surgery treatment plan, the timing of surgery after chemotherapy will depend on your response to the treatment and your overall health. Dr. Gorman at Texas Breast Center evaluates each patient’s situation to schedule surgery at the most opportune time, typically allowing for a recovery period after chemotherapy.
What preoperative tests are required before surgery?
Before surgery, patients at Texas Breast Center may undergo a range of preoperative tests, including blood tests, imaging studies like mammograms or MRIs, and possibly a biopsy to evaluate the cancer’s characteristics. These tests help Dr. Gorman plan the most effective surgical approach.
How does the type of breast cancer affect surgery timing?
The type of breast cancer can significantly affect the timing of surgery. At Texas Breast Center, aggressive or rapidly growing cancers may require more immediate intervention, while slower-growing cancers might allow for a slightly longer preparation period. Dr. Gorman tailors the timing based on the cancer’s behavior and patient needs.
What role does my overall health play in surgery timing?
Your overall health is a crucial factor in determining the timing of surgery. At Texas Breast Center, Dr. Gorman assesses each patient’s health status to ensure they are physically ready for surgery and to minimize the risk of complications, adjusting the treatment timeline as necessary.
How can I prepare for surgery once my date is set?
Once your surgery date is set at Texas Breast Center, Dr. Gorman and her team will provide you with detailed instructions on how to prepare, including guidelines on eating, drinking, medication adjustments, and what to bring to the hospital. We also emphasize the importance of mental preparation and offer support resources to help our patients feel ready for the next step in their treatment journey.
How do early detection and clinical trial participation impact breast cancer management and treatment?
Early detection of breast cancer through screening methods like diagnostic mammograms and ultrasounds enables the use of less invasive treatments by identifying the disease at an early stage. Additionally, participating in clinical trials gives patients access to cutting-edge therapies, particularly beneficial for hard-to-treat subtypes like triple-negative or HER2-negative breast cancers, thus contributing to advances in breast cancer management.
How does the evaluation of axillary lymph nodes affect breast cancer treatment?
The evaluation of axillary lymph nodes through methods like fine-needle aspiration or surgical biopsy is essential for staging breast cancer and assessing the disease’s spread. This process informs the decision on systemic therapies to prevent distant recurrence and involves a team of specialists to ensure a treatment approach that maximizes tissue and skin preservation.
How does Texas Breast Center address the anxiety patients feel after a breast cancer diagnosis?
Texas Breast Center provides a supportive environment that offers detailed information and guidance on insurance, treatment options, and the emotional challenges of breast cancer, reflecting Dr. Gorman’s commitment to cancer treatment advancement through personalized, compassionate care.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123282/
https://pubmed.ncbi.nlm.nih.gov/28117507/
https://www.sciencedirect.com/science/article/abs/pii/S1526820921000902
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7131859/
https://www.breastcancer.org/research-news/20130507
https://jamanetwork.com/journals/jamasurgery/article-abstract/2802104
Valerie Gorman, MD, FACS, is a breast cancer surgeon. She is board certified by the American Board of Surgery and serves as Chief of Surgery and Medical Director of Surgical Services at Baylor Scott & White Medical Center – Waxahachie. She is the Clinical Assistant Professor of Medical Education position at the Texas A&M University College of Medicine.
- Certificate, Physician Leadership Program, Southern Methodist University, Dallas, Texas (2010)
- M.D., University of Texas Southwestern Medical School at Dallas, Texas (June 1999)
- B.S., Biola University, LaMirada, California, (1994) Magna Cum Laude
Major: Biochemistry - Residency in General Surgery, University of Texas Southwestern Medical Center at Dallas, Texas (June 2004)