Breast Cancer Center

Modified Radical Mastectomy – MRM

What Is Modified Radical Mastectomy (MRM)?

Modified Radical mastectomy is a procedure in which the whole breast is taken out, including the skin, areola, nipple, and most of the lymph nodes in the armpit, only the pectoralis major muscle is left. In the past, the most common way to treat breast cancer was with a modified radical mastectomy. As ways to treat breast cancer have changed over time, breast conservation has become more common. However, women with breast cancer can still choose to have a mastectomy.

What a modified radical mastectomy is for?

When a person has surgery to treat cancer, the main goal is to get rid of as much cancer as possible. There are options that don’t involve surgery, but they may not work as well. Because of this, doctors may suggest a modified radical mastectomy if you have breast cancer (MRM).

During an MRM, the entire breast, including the skin, breast tissue, areola, and nipple, as well as most of the armpit lymph nodes, are removed. Most of the chest muscles, on the other hand, are still there.

There are two different MRM surgeries:

  • Patey’s surgery (Patey modified radical mastectomy). In this type, the pectoralis major muscle stays, but the pectoralis minor muscle goes away.
  • The operation by Auchincloss (Auchincloss modified radical mastectomy). Both the pectoralis major and the pectoralis minor are still there in this type.

The MRM is a common treatment for breast cancer. The method can be used to treat breast cancer in both men and women.

Modified radical mastectomy procedure:

The main goal of an MRM is to get rid of all or most cancer while keeping as much healthy skin as possible. This means that after you have healed well, you can have a successful breast reconstruction.

Talk to your doctor to find out exactly what you need to do before your surgery. Usually, getting ready means stopping some medications or supplements. You might also be told to use a special soap that kills germs.

You will be given general anaesthesia for an MRM.

Then, your doctor will make marks on your chest to get ready for cuts. Your doctor will make one cut across your chest and carefully pull back your skin far enough to remove your breast tissue. Most of the lymph nodes under your arm will also be taken out.

Usually, the whole process takes between 2 and 3 hours.

Which patients typically undergo an MRM?

When breast cancer is at an advanced stage for example larger tumour size, involvement of nipple or the lymph nodes in the armpit, a patient may be advised to undergo an MRM. To treat breast cancer, MRM can be used in cases when it is advisable to remove the entire breast or when radiation therapy cannot be given after surgery.

Many women with early-stage cancer can choose between breast-conserving surgery (BCS) and mastectomy. You might want a mastectomy to “get rid of all cancer as soon as possible.” But the truth is that most of the time, a mastectomy does not improve your chances of living longer than BCS.

Studies of thousands of women over more than 20 years show that when BCS is done along with radiation, the result is the same as having a mastectomy.

You might be told to get a mastectomy if:

  • Cannot get radiation treatment
  • Instead of radiation therapy, would rather choose to remove entire breast.
  • Have had radiation therapy on the breast before. Have already had BCS with re-excision(s) that didn’t get rid of cancer completely.
  • Have two or more areas of cancer in different parts of the same breast (multicentric) that are not close enough to be removed together without changing the look of the breast too much.
  • Have a tumour that is bigger than 5 cm (2 inches) or that is big for the size of your breast
  • Are pregnant and would need radiation therapy while they are still pregnant (risking harm to the fetus)
  • Have a genetic change like a BRCA mutation, which could make you more likely to get second cancer.
  • Have a serious connective tissue disease like scleroderma or lupus, which may make you more sensitive to the side effects of radiation therapy.
  • Have breast cancer that is inflamed.

For women who are worried about their breast cancer coming back, it is important to know that having a mastectomy instead of breast-conserving surgery plus radiation only lowers the risk of getting a second breast cancer in the same breast. It doesn’t make it less likely that cancer will spread to other parts of the body, like the other breast.

Radical mastectomy vs. modified radical mastectomy

In a radical mastectomy, the whole breast is removed, including the skin, breast tissue, areola, and nipple. This is similar to the MRM. But the chest muscles also have to be cut out during this procedure.

The most invasive surgery for breast cancer is the radical mastectomy. It is only considered if a doctor finds a tumour that has spread into the chest muscles.

Radical mastectomy was once a more common way to treat breast cancer, but now it is rarely done. People who get the radical mastectomy and those who get the MRM have about the same chance of beating cancer. The MRM has shown to be a less invasive method that works just as well.

A simple mastectomy vs. a modified radical mastectomy

Total mastectomy is another name for a simple mastectomy. During this surgery, the whole breast is taken off. In some cases, some lymph nodes in the armpit may also be taken out.

The main difference between an MRM and a regular mastectomy is that lymph nodes are taken out of the armpit during an MRM.

When it comes to Breast-cancer surgery, Dr Mansi is the best to reach.

Dr Mansi Chowhan is a well-known surgical oncologist who has worked in the field for more than 12 years. She is a very good surgeon because she is an expert in breast oncoplastic, head and neck surgery, and reconstructive surgery.

Dr Mansi has been a doctor for more than 12 years and has worked at some of the best hospitals in the Delhi-National Capital Region (NCR), such as Fortis Healthcare (Delhi and Gurgaon), Artemis Hospital (Gurgaon), Paras Hospital (Gurgaon), and the Asian Institute of Medical Sciences (Faridabad).





About
Dr. Mansi Chowhan
Oncoplastic Breast Surgeon-Surgical Oncologist
MS (Gold Medalist), FIAGES, MCh Breast Oncoplasty (UK), Fellow Breast Surgery (Paris), Fellow Head & Neck Surgery, IFHNOS – MSKCC (New York)

Dr. Mansi Chowhan -Breast Cancer Specialist-Surgical Oncology team at CK Birla Hospitals, Gurugram. Breast Cancer Treatment, Axillary surgery , Benign Breast Cancer Diseases , Breast Cancer Genetics , Breast Cancer Management , Breast Cancer Surgery , Breast Cancer Treatment , Breast Examination , Breast Infection or Mastitis , Breast Lump , Breast Cancer Lump Treatment , Breast Oncoplasty , Breast Cancer Pain Treatment , Breast Precancerous lesions , Breast Reduction , Breast Cancer Surgery , Breast Surgery for Benign lesions , Breast Cancer Screening (Preventive) , Breast Cancer Surgery , Breast Cancer Chemotherapy , Comprehensive Breast Cancer Management , Endocrine Surgery , Gynecomastia Treatment / Surgery , Hormone Therapy For Breast Cancer , Breast Cancer Immunotherapy , Male Breast Cancer , Mastectomy , Nipple Discharge , Surgical Oncology , Volume displacement Oncoplasty , Volume replacement Oncoplasty ,Breast Cancer treatment Hereditary breast cancer Breast lumps Benign breast diseases Fibrocysts of breast Nipple discharge Mastalgia Breast conservation Surgery Breast Oncoplasty level Modified Radical Mastectomy Therapeutic Mammoplasty Sentinel Lymph Node Biopsy ICG dye Sentinel LN Biopsy Axillary Dissection Breast Lump Excision Radio-Guided breast Surgery Palliative Mastectomy Breast Reconstruction Bilateral Prophylactic Mastectomy reconstruction Surgery for nipple discharge

Dr. Mansi Chowhan is an expert Oncoplastic Breast Surgeon with experience of more than 14 years and has been awarded with a gold medal during her surgical post-graduation. Dr. Mansi is well-trained from world renowned surgeons and cancer institutions like the Paris Breast Centre, Memorial Sloan Kettering Cancer Centre (New York), University of East Anglia (U.K.) and Tata Memorial Hospital, Mumbai. She is a skilled surgeon with over 14 years of experience in some of the best hospitals in the Delhi- NCR region including Fortis Hospital, Artemis Hospital, Paras Hospital and Asian Institute of Medical Sciences, CK Birla Hospital. She works with utmost dedication and compassion to deliver international standard and personalized cancer care to the patients.



Breast Cancer Patient’s Journey

The best reference

IS A GOOD WORD

First of all, I would like to thank Dr. Mansi Cowhan for the effort she made to remove a tumor and lymph nodes from the breast of the patient Rawaa Abd Abbas from Iraq, and to follow up on the patient’s condition and gave her the right medical instructions after the operation. Now patient is in a very good health. My advice for all patients who are suffering from breast cancer is to visit Dr Mansi Chowhan she has a very good knowledge and experience in her field .Thank you to Dr Mansi.

Ms. Rawaa Abd Abbas & Mr. Muthanna kareem Alobaidi

Iraq

Dr. Mansi Chowhan, my wife’s breast cancer surgeon, empathized with my wife’s condition. She gave us the technical details in understandable language. She made it clear that the approach was primarily redemptive. She was happy with us when the tests came out favorable. She was sad with us for unfavourable pointers. She was caring throughout the process. We wish that she will bring such care and comfort to many more cancer patients.

Mr. Anup Dominic

Mauritius

I was diagnosed with DCIS. My gynaecologist Dr.Anjali Kumar whom I have known for 12 years and trust her completely, recommended Dr Mansi Chowhan to me. I am very happy that I took the decision of getting my breast surgery done from Dr.Mansi. She is very warm, polite and understands the emotional state of a patient. She explained to me in detail what exactly will be her plan of action. I went for other opinions too but Dr. Mansi was the only doctor who didn’t ask for unnecessary tests and procedures like MRI and Biopsy. Luckily, the lump in my breast was benign. I am grateful to her for handling my case so efficiently and would highly recommend her for breast surgery.

Ms Pratishtha Garg

India

Dr Mansi Chowhan Dr. Mansi is one of the finest, sweetest and humble doctor I have ever met! I think she follows the rule to not overcomit and under deliver. During the period of my mother’s breast cancer consultation, treatment and surgery, she was sometimes upfront for few things, which we as Patient’s family took time to digest. But I really admire and appreciate all the support that Dr. Mansi and team extended during the entire period of pre & post surgery. And the kind of tumor removal + breast conservation surgery that she has done with her magical hands is commendable. I had so many negative thoughts before the surgery, but looking at the result and my mother recovering day by day…I can’t thank her enough for doing such wonders in saving her breast and her life! ❤

Ms Kritika Tandon

India

Dr Mansi Chowhan is an excellent Breast Cancer specialist we have in NCR, she is just amazing.
She is my wife’s doctor. She is very caring, understanding & listens to the patients.
In as much as she is a Gold Medalist, she is very knowledgeable and gives the best advice for the treatment.
She is very genuine in her dealings. She is a very kind and soft spoken to her patients. And takes special interest in caring for her patients, My wife feels very comfortable meeting her.
We highly recommend her to everyone with the above said problem.

Ms. Laban Rao

India

My mother Mrs Santosh admitted under Dr Mansi Chowhan for procedure .
She is the outstanding doctor with golden heart , attend us guide us at each & every level of investigations.
A very big thanks for her & Mr Ibrahim & whole team for supportive hands given to us to fight against disease .
God bless you all & achieve success in future.
Regards

Mr. Alka Sammi

India

Our gratitude towards Dr Mansi Chowhan, my wife’s treating doctor cannot be expressed in words. She diagnosed my wife’s breast cancer and took great care throughout her journey from biopsy to breast surgery to chemotherapy now. To our great relief, a breast conservation surgery was done. She is exceptionally efficient and compassionate towards her patients. Highly recommended for any breast lump or cancer.

Mr. Dushyant Jasoria

India

Dr Mansi Chowhan is one of the finest, sweetest and humble doctor I have ever met! I think she follows the rule to not overcomit and under deliver. During the period of my mother’s breast cancer consultation, treatment and surgery, she was sometimes upfront for few things, which we as Patient’s family took time to digest. But I really admire and appreciate all the support that Dr. Mansi and team extended during the entire period of pre & post surgery. And the kind of tumor removal + breast conservation surgery that she has done with her magical hands is commendable. I had so many negative thoughts before the surgery, but looking at the result and my mother recovering day by day…I can’t thank her enough for doing such wonders in saving her breast and her life! ❤.

Ms. Kritika Tandon

India

I was diagnosed with DCIS. My gynaecologist Dr.Anjali Kumar whom I have known for 12 years and trust her completely, recommended Dr Mansi Chowhan to me. I am very happy that I took the decision of getting my breast surgery done from Dr Mansi. She is very warm, polite and understands the emotional state of a patient. She explained to me in detail what exactly will be her plan of action. I went for other opinions too but She was the only doctor who didn’t ask for unnecessary tests and procedures like MRI and Biopsy. Luckily, the lump in my breast was benign. I am grateful to her for handling my case so efficiently and would highly recommend her for breast surgery..

Ms. Pratishtha Garg

India

Dr Mansi Chowhan was really a blessing for us. She was so empathetic. I went to her for Sister In Law. She operated her for carotid body tumor. We were really scared but once we met Dr Mansi. we were at ease. She excellently handled the case. She was patient enough to hear all our worries and problems. I am thankful to her for all that she has done.

Ms. Madhurima Goswami

India

Surgery from Dr Mansi was like MAGIC TOUCH …as Dr Mansi not only done the procedure…successfully…but also support the patient mentaly to bear the pain without any stress…commmunication skills were suppperrb…Thanks to Dr Mansi.

Mr. Kaka Bhardwaj

India



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