Treatment Options
Surgery
At Columbus Regional Health, our breast surgeons offer a full range of surgical options, tailored to each patient’s diagnosis and personal preferences. Your care team will help determine which approach is best for you.
Breast Conservation
Also known as a lumpectomy, breast conservation surgery removes the tumor along with a small margin of surrounding healthy tissue, while preserving the rest of the breast. This option is typically available when the cancer is localized to a smaller area.
To maintain the natural shape of the breast, surgeons may use oncoplastic techniques, which combine cancer removal with cosmetic reshaping. Breast conservation is usually followed by radiation therapy to help prevent recurrence.
Learn more about Breast Conservation
Mastectomy
A mastectomy involves the removal of the entire breast and may be recommended when the cancer is large, occurs in multiple areas of the breast, or when a patient chooses this option for personal or medical reasons.
Our surgeons offer skin-sparing and nipple-sparing mastectomies when appropriate, helping to preserve as much of the breast’s appearance as possible—especially when paired with reconstruction. Radiation is not always required after a mastectomy, depending on individual risk factors.
Learn more about Mastectomy
Breast Reconstruction
For patients undergoing a mastectomy, breast reconstruction can restore the shape and appearance of the breast. This can be done immediately, during the same surgery as the mastectomy, or delayed until after other treatments such as chemotherapy or radiation are complete.
Your surgeon will review your options and help you choose the approach that best fits your goals and overall treatment plan.
Radiation Oncology
Our board-certified radiation oncologists use advanced external-beam radiation systems to destroy residual cancer cells and reduce recurrence risk:
- Whole-breast radiation – standard for many lumpectomy patients.
- Partial-breast therapy (APBI) – targets only the tissue around the lumpectomy cavity, sparing healthy areas.
- Hypofractionated schedules – higher daily dose, typically about 15 treatments instead of the traditional 30–35, providing equal cancer control with greater convenience.
Medical Oncology
Some breast cancers need systemic (whole-body) treatment in addition to, or instead of, surgery and radiation. Our medical oncologists design a regimen based on your tumor’s genetics and stage:
- Chemotherapy – given before surgery (neoadjuvant) to shrink tumors or after (adjuvant) to destroy microscopic disease.
- Hormone (endocrine) therapy – pills or injections that block estrogen/progesterone in hormone-receptor–positive cancers.
- Targeted therapies – drugs that home in on specific tumor markers such as HER2.
- Immunotherapy – bolsters your immune system to recognize and attack cancer cells, used for select subtypes.
Your care team meets regularly to fine-tune the sequence and combination of these therapies so that you receive the most effective, least disruptive treatment plan possible.