mastectomy and reconstruction stats

When I had only a few weeks to decide if I wanted to do reconstruction at the same time as my scheduled mastectomy, I  asked questions: “how many women are going through this?  What percentage of women who have breast cancer end up with a mastectomy, and of those, how many pursue reconstruction?”

I searched, and once again, there were no ready answers.  I got the feeling, when I elected to pass on reconstruction, at least for now, that I was in the minority.  What was I, nuts?  Here I was at one of the top cancer centres in the world, with great doctors and I was passing up this great opportunity?  Was I the only one? Would it have made a difference to my decison if I’d had the numbers?  Probably no, but I may not have anguished so much about it.

Accessing provincial medical data bases for the information did not appear to be a speedy option.  So I asked a group of women that I have been involved with for many years – the Canadian Federation of University Women with close to 10,000 women members across Canada.   While there was no available  data to confirm the ages of these women, one could surmise from various meetings that these are women who are in the  “prime” breast cancer  age range.

Uniboobmom would like to share the online survey results from about 1,200 women,  ages 35+, 93% with a university degree or higher.  This survey in June/July 2011 yielded the following results:

23% of respondents said they have been diagnosed with cancer (any), 10% or almost half of those, with breast cancer (over the last 30 years).

Of those 120 breast cancer respondents:
• Over one third had a mastectomy (47/120, 39%) .
• One third of the women who had a mastectomy also had a lumpectomy (15/47, 32%).
• Over two thirds of the women who had a mastectomy said they were offered breast reconstruction, though not necessarily at the same time (34/47 72%). Some women had to ask for it.
• Almost one quarter of the women who had a mastectomy have had breast reconstruction surgery (11/47, 23%) (or one third or those who were offered it 11/34)

These rates may be high compared to other figures out there – but again, there are not a lot of stats available.  This group is not a representative sample of the population. These may be women with greater access to screening and cancer centres.  There is research to support that breast cancer may actually favour higher income neighbourhoods. Some may argue that mastectomy rates have fallen but these, like the survival rate, are impacted by earlier screening and detection along with a preference by the hospitals towards “breast conserving strategies” including lumpectomies. (lumpectomy + radiation = mastectomy)

Interesting that one third of the women had a lumpectomy AND a mastectomy.  I’m one of those.  If I were told that over one third of women with breast cancer ended up with a mastectomy, would it have altered my decisions?  Probably not.  I wasn’t ready to lop it off. And remember, every woman is different.  Those stats may not apply to you. They are just a guideline/information sharing.  The whole process including the lumpectomy served to prepare me well for the second surgery a few months later.  And I was grateful for a medical system that put priority on breast conservation.  Approximately 23,000 women per year in Canada are expected to be diagnosed with Breast Cancer (source Canadian Cancer Society statistics 2010).  You are not alone.


3 responses to “mastectomy and reconstruction stats

  1. Thank you for the post. Just like my story.
    Question: if oine opt out for reconstruction at mastactomy, are there procedures that can be done later, if decide to do it?
    Also, do you know ant sourse of similar information for women after 60?

    • Hi Bella. Thanks for your comment. To my knowledge, one can certainly pursue reconstruction at a later date. In fact many women feel the need to delay the decision or take some time between surgeries. Having immediate reconstruction can eliminate at least one surgery and have some cosmetic advantages. Depending on where you live, there are a number of good websites with reconstruction information including though i’m not aware of any info specifically for women over 60. If it helps, a friend of a friend had reconstruction surgery this summer, at 76 years of age, because she spent a lot of time in a bathing suit. Good luck to you.

      • Once again, thank you for the info. I already made up my mind and opt-out on re-construction. My appearance for me and people I care is less critical than my productive time. Additional complications may reduce my active time, and it was a decision breaker.

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