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Saturday, July 30, 2011 debbie mullen asks

Q: Ok i'm back with a question: do i need mammograms after double mastectomy? my gyn thinks so my masectomy surgeon assistant thinks not.

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Answers (1)
PJ Hamel, Health Guide
7/30/11 9:29pm

Well, Debbie, I'd be a bit puzzled about just how you'd get a mammogram, with your breasts gone. It's true that a mastectomy leaves a bit of breast tissue - perhaps 10%. But it would seem difficult to find enough to physically be pressed between the two plates of the mammogram machine, wouldn't it? I'd rely more on the advice of your surgeon and oncologist to make the call on this one; your surgeon knows a lot more about breast tissue than your gynecologist, and your oncologist is directing any treatment going forward. So if both of them thnk you can go without mastectomies, while being aware of how to check for any changes around your scar tissue or on your chest, then I'd listen to them. Take care- PJH

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7/31/11 8:10pm

Thank you. i thought it would be hard to see anything with implants and i'd rather not have anymore xrays since they did so many in 2009. I'll see the surgeon this coming friday to get more details of my follow up appointments. My oncologist said i didnt need to see her again since i had double mastectomies. does that sound right?.. thanks again, deb

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PJ Hamel, Health Guide
8/ 1/11 5:31am

No, actually that doesn't sound right. Generally speaking, you'd continue to see your oncologist for followup treatment for several years after your treatment. Unless possibly you had a very early cancer, and are having nothing beyond the mastectomy - no chemo, no radiation? Still... I'd clarify with your oncologist if/when you'll see him/her again, OK? PJH

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By debbie mullen— Last Modified: 08/01/11, First Published: 07/30/11