In the past, mastectomy was the mainstay of therapy. Today, biopsy serves as the preliminary method of diagnosis before treatment may be turned over to others. The medical oncologist is the one who may deliver systemic therapy, if indicated. Life seems more complex for those with breast cancer than in previous years. There are more treatment options than in the past when mastectomy was most common.
Prevention is a major cause of concern.
Of course, some women need mastectomy, but these are few in proportion to those who have had mastectomy in the past. However, women with such extensive cancer are seen infrequently today. Additionally, physician examination is crucial. Self and physician examinations are crucial. No one should rest assured that a mammogram is adequate.