NCCN Guidelines for Patients
Stages I and II Breast Cancer, Version 1.2014
Surgery/reconstruction Breast reconstruction | Review
attached and then are slid over to the breast area and
sewn into place. Women who have diabetes or who
smoke are more likely to have problems with flaps
than other women. Some risks of flaps are tissue
death, lumps from death of fat, and muscle weakness
that may cause a hernia.
Implants and flaps
Some breasts are reconstructed with both
implants and flaps. Using both types may give the
reconstructed breast more volume and help match
its shape to the other breast. However, for any
reconstruction, you may need surgery on your real
breast so that the two breasts match in size and
Like your breast, you can have your nipple remade,
use a fake nipple, or do nothing. To rebuild a nipple,
tissue from your vulva, thigh, or other nipple is used.
You may lose feeling in your real nipple if tissue is
removed. Tissue used from other areas of your body
to make a nipple can be darkened in color with a
• Lumpectomy and total mastectomy are the
two surgeries used for stages I and II breast
• Lumpectomy with radiation therapy is called
• Some women with large breast cancer may be
able to have breast-conserving therapy after
receiving neoadjuvant treatment.
• Sentinel lymph node dissection removes the
lymph nodes to which lymph first travels after
leaving the breast.
• Axillary lymph node dissection removes
sentinel lymph nodes and other lymph nodes
around the armpit.
• All surgeries have a risk for side effects. Ask
your treatment team for a complete list.