About Your Surgery
This guide will help you prepare for your lumpectomy and axillary surgery at Memorial Sloan Kettering (MSK). It will also help you understand what to expect during your recovery. Read through this guide at least once before your surgery and use it as a reference in the days leading up to your surgery. Bring this guide with you every time you come to MSK, including the day of your surgery. You and your healthcare team will refer to it throughout your care.
Lumpectomy is a surgery that removes a malignant (cancerous) tumor from your breast. It removes only the tumor and a small area of normal tissue around it. A lumpectomy is a breast conserving surgery that allows you to keep your breast shape and, usually, your nipple.
This guide contains information about several types of breast surgeries. The surgery you are having is called a:
- Lumpectomy and sentinel lymph node biopsy
- Lumpectomy and sentinel lymph node biopsy; possible axillary lymph node dissection
- Lumpectomy and axillary node dissection
- Other _______________________________________________________________________
Understanding how your lymphatic system works can be helpful, especially if you are having a sentinel lymph node biopsy or an axillary node dissection. Your lymphatic system is made up of:
- Lymph nodes, which are small, bean-shaped structures located along your lymphatic vessels (see Figure 1). Your lymph nodes filter out bacteria, viruses, cancer cells, and other waste products.
- Lymphatic vessels, which are tiny tubes, similar to blood vessels, which carry fluid to and from your lymph nodes.
- Lymphatic fluid, which is the clear fluid that travels though your lymphatic system. It carries cells that help fight infections and other diseases.
The lymph nodes in your armpit may be examined during your surgery to determine if the cancer has spread. In most cases, lymph nodes are examined by performing a sentinel lymph node biopsy.
A sentinel lymph node biopsy is the removal of the first node(s) in your armpit that receives drainage from the breast tumor. This node(s) is identified by injecting a special dye into your breast. If you are having a sentinel lymph node biopsy, you may have lymphatic mapping as part of your surgery. More information about this procedure is included later in this guide.
After the sentinel lymph node(s) is removed, it may be examined by the pathologist during your surgery. If any cancer cells are found in the sentinel node(s), an axillary lymph node dissection may then be performed. An axillary lymph node dissection is the removal of most or all of the nodes found in your armpit. The number of nodes varies from person to person.
Some people may also need to have a breast seed localization. This is a procedure in which a tiny metal seed is placed into abnormal breast tissue to help your surgeon find the tissue during your surgery. If you are having a breast seed localization, your nurse will give you more information about it.Back to top
Before Your Surgery
The information in this section will help you prepare for your surgery. Read through this section when your surgery is scheduled and refer to it as your surgery date gets closer. It contains important information about what you need to do before your surgery. Write down any questions you have and be sure to ask your doctor or nurse.
You and your healthcare team will work together to prepare you for surgery.
Help us keep you safe during your surgery by telling us if any of the following statements apply to you, even if you aren’t sure.
- I take a blood thinner. Some examples are heparin, warfarin (Coumadin®), clopidogrel (Plavix®), enoxaparin (Lovenox®), and tinzaparin (Innohep®). There are others, so be sure your doctor knows all the medications you’re taking.
- I take prescription medications, including patches and creams.
- I take any over-the-counter medications, herbs, vitamins, minerals, or natural or home remedies.
- I have a pacemaker, automatic implantable cardioverter-defibrillator (AICD), or other heart device.
- I have sleep apnea.
- I have had a problem with anesthesia in the past.
- I am allergic to certain medication(s) or materials, including latex.
- I am not willing to receive a blood transfusion.
- I drink alcohol.
- I smoke.
- I use recreational drugs.
If there is any chance that you could become pregnant before your surgery, be sure to use a form of birth control that does not have hormones. For example you may use a male condom, a diaphragm, or a Copper T IUD. If you have any questions about birth control, or for help deciding the type of birth control that’s right for you, talk with your healthcare provider.
Many women should avoid becoming pregnant during their treatment. If your doctor has told you to avoid pregnancy for some time and you want to have children in the future, you may want to consider banking your eggs. For more information, ask your nurse for the resource Fertility Preservation: Options for Women Who Are Starting Cancer Treatment.
About Drinking Alcohol
The amount of alcohol you drink can affect you during and after your surgery. It is important that you talk with your healthcare providers about your alcohol intake so that we can plan your care.
- Stopping alcohol suddenly can cause seizures, delirium, and death. If we know you are at risk for these complications, we can prescribe medication to help prevent them.
- If you use alcohol regularly, you may be at risk for other complications during and after surgery. These include bleeding, infections, heart problems, and a longer hospital stay.
Here are things you can do to prevent problems before your surgery:
- Be honest with your healthcare provider about how much alcohol you drink.
- Try to stop drinking alcohol once your surgery is planned. If you develop a headache, nausea, increased anxiety, or cannot sleep after you stop drinking, tell your doctor right away. These are early signs of alcohol withdrawal and can be treated.
- Tell your healthcare provider if you cannot stop drinking.
- Ask us any questions you have about drinking and surgery. As always, all of your medical information will be kept confidential.
People who smoke can have breathing problems when they have surgery. Stopping even for a few days before surgery can help. If you smoke, your nurse will refer you to our Tobacco Treatment Program. You can also reach the program at 212-610-0507.
About Sleep Apnea
Sleep apnea is a common breathing disorder that causes a person to stop breathing for short periods while sleeping. The most common type is obstructive sleep apnea (OSA). This means that the airway becomes completely blocked during sleep. It can cause serious problems during and after surgery.
Please tell us if you have sleep apnea or if you think you might have it. If you use a breathing machine (CPAP) for sleep apnea, bring it with you the day of your surgery.
Presurgical Testing (PST)
Before your surgery, you will have an appointment for presurgical testing (PST). The date, time, and location of your PST appointment will be printed on the appointment reminder from your surgeon’s office. You can eat and take your usual medications the day of your PST appointment.
During your appointment, you will meet with a nurse practitioner who works closely with anesthesiology staff (doctors and specialized nurses who will be giving you medication to put you to sleep during your surgery). Your nurse practitioner will review your medical and surgical history with you. You may have tests, including an electrocardiogram (EKG) to check your heart rhythm, blood tests, and any other tests necessary to plan your care. Your nurse practitioner may also recommend you see other healthcare providers.
Tell your nurse practitioner if you are breastfeeding or pumping your breastmilk for your child.
Your nurse practitioner will talk with you about which medications you should take the morning of your surgery.
It is very helpful if you bring the following with you to your PST appointment:
- A list of all the medications you are taking.
- Results of any tests done outside of MSK, such as a cardiac stress test, echocardiogram, or carotid doppler study.
- The name(s) and telephone number(s) of your doctor(s).
Complete a Health Care Proxy Form
If you haven’t already completed a Health Care Proxy form, we recommend you complete one now. A health care proxy is a legal document that identifies the person who will speak for you if you are unable to communicate for yourself. The person you identify is called your health care agent.
If you are interested in completing a Health Care Proxy form, talk with your nurse. If you have completed one already, or if you have any other advance directive, bring it with you to your next appointment.
Identify Your Caregiver
Your caregiver plays an important role in your care. They will learn about your surgery with you from your healthcare provider. Your caregiver will need to be present after your surgery for the discharge instructions so that they are able to help you care for yourself at home. Your caregiver will also need to take you home after your surgery.
Arrange for a Ride Home
You must have someone 18 years or older take you home after your surgery. If you don’t have a caregiver, we recommend you call one of the agencies below. They will send someone to go home with you. However, there’s usually a charge for this service, and you’ll need to provide a means of transportation.
In New York:
Partners in Care: 888-735-8913
Prime Care: 212-944-0244
In New York or New Jersey:
Caring People: 877-227-4649
Try to do aerobic exercise every day, such as walking at least 1 mile, swimming, or biking. If it is cold outside, use stairs in your home or go to a mall or shopping market. Walking will help your body get into its best condition for your surgery and make your recovery faster and easier.
Eat a Healthy Diet
Eat a well-balanced, healthy diet before your surgery. If you need help with your diet, talk with your doctor or nurse about meeting with a dietitian.
Stop Taking Vitamin E
If you take vitamin E, stop taking it 10 days before your surgery because it can cause bleeding. For more information, read Common Medications Containing Aspirin and Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs).
Purchase Hibiclens® Skin Cleanser
Hibiclens is a skin cleanser that kills germs for 24 hours after using it (see Figure 2). Showering with Hibiclens before your surgery will help reduce your risk of infection after surgery.You can pick up Hibiclens before leaving the Evelyn H. Lauder Breast Center (BAIC), or from your local pharmacy without a prescription.
Stop Taking Certain Medications
If you take aspirin, ask your surgeon if you should continue. Aspirin and medications that contain aspirin can cause bleeding. For more information, read Common Medications Containing Aspirin and Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs).
Stop Taking Herbal Remedies and Other Supplements
Stop taking herbal remedies and other supplements 7 days before your surgery. If you take a multivitamin, talk with your doctor or nurse about whether you should continue. For more information, read Herbal Remedies and Cancer Treatment.
Stop Taking Certain Medications
Stop taking nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (e.g., Advil®, Motrin®), and naproxen (e.g., Aleve®). These medications can cause bleeding. For more information, read Common Medications Containing Aspirin and Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs).
Note the Time of Your Surgery
A clerk from the Admitting Office will call you after 2:00 pm the day before your surgery. They will tell you what time you should arrive for your surgery. If you are scheduled for surgery on Monday you will be called on the Friday before. If you do not receive a call by 7:00 pm, please call 212-639-5014.
Lymphatic Mapping with Sentinel Lymph Node Biopsy
If you are having a sentinel lymph node biopsy, you may have lymphatic mapping as part of your surgery. The mapping will be performed the day before or the morning of your surgery. If you are also having breast seed localization, it may be scheduled before your lymphatic mapping.
During your lymphatic mapping, you will lie on an exam table while you receive an injection of a small amount of a radioactive liquid near the site of the cancer. During the injection, you may feel a stinging or burning sensation. The radioactive liquid will travel to the sentinel node(s) so they can be seen later during your nuclear medicine scan. While you wait for your scan, you can either stay in the hospital or leave for a while. However, you must return on time for your scan, so be sure to note the time you’re told to return.
When it’s time for your scan, your technologist will take you to the scanning room. You will lie on a narrow table while they takes a series of pictures. Each picture takes 5 minutes, and you must lie very still during this time. If you feel uncomfortable staying in any position for 5 minutes, ask your technologist to count down the time for you. The scan will take 10 to 15 minutes.
The pictures taken during your scan will show the flow of the radioactive liquid and which lymph nodes absorb the radioactive dye. This information will be used by your surgeon as a guide (or map) to determine the location of the sentinel node(s).
If you are having surgery the same day as your mapping, you will be escorted from the scanning room to the operating room. In most other cases, you will go home after the mapping.
Sentinel Node Biopsy
Your sentinel lymph node biopsy will take place during surgery. After you are asleep from the anesthesia, your surgeon will inject a small amount of blue dye underneath your nipple or near the site of the cancer. This dye will travel in your lymphatic fluid to the sentinel node(s), staining them blue.
If you had lymphatic mapping, your surgeon will also use a small device that measures radioactivity from the liquid that was injected. Once the sentinel node(s) are located, your surgeon will make a small incision. The sentinel nodes will be blue from the blue dye, allowing your surgeon to see them. They will remove the sentinel node(s) and they will be examined by the Pathology department to see if they contain cancer cells.
If the sentinel nodes do contain cancer cells, you may need to have additional lymph nodes removed. This is called an axillary lymph node dissection.
Because blue dye was used during your procedure, your skin, urine, and stool may be a bluish-green color for 24 to 48 hours.
Shower With Hibiclens
The night before your surgery, shower using Hibiclens.
1. Use your normal shampoo to wash your hair. Rinse your head well.
2. Use your normal soap to wash your face and genital area. Rinse your body well.
3. Open the Hibiclens bottle. Pour some solution into your hand or a washcloth.
4. Move away from the shower stream to avoid rinsing off the Hibiclens too soon.
5. Rub the Hibiclens gently over your body from your neck to your feet. Don’t put the Hibiclens on your face or genital area.
6. Move back into the shower stream to rinse off the Hibiclens.
7. Dry yourself off with a clean towel after your shower.
8. Don’t put on any lotion, cream, deodorant, makeup, powder, or perfume after your shower.
Go to bed early and get a full night’s sleep.
- Do not eat anything after midnight the night before your surgery. This includes hard candy and gum.
- Between midnight and up until 2 hours before your scheduled arrival time, you may drink a total of 12 ounces of water (see figure).
- Starting 2 hours before your scheduled arrival time, do not eat or drink anything. This includes water.
Shower With Hibiclens
Shower using Hibiclens just before you leave for the hospital. Use the Hibiclens the same way you did the night before.
Don’t put on any lotion, cream, powder, deodorant, makeup, or perfume after your shower.
Take Your Medications as Instructed
If your doctor or nurse practitioner instructed you to take certain medications the morning of your surgery, take only those medications with a small sip of water. Depending on what medications you take and the surgery you’re having, this may be all, some, or none of your usual morning medications.
Things to Remember
- Don’t put on any lotion, cream, deodorant, make-up, powder, or perfume.
- Don’t wear any metal objects. Remove all jewelry, including body piercings. The equipment used during your surgery can cause burns if it touches metal.
- Leave valuables, such as credit cards, jewelry, or your checkbook, at home.
- Before you are taken into the operating room, you will need to remove your eyeglasses, hearing aids, dentures, prosthetic device(s), wig, and religious articles, such as a rosary.
- If you wear contact lenses, wear your glasses instead.
- A button-down or loose fitting top
- A supportive bra, such as a sports bra, to wear after your surgery.
- Only the money you may need for a newspaper, bus, taxi, or parking.
- Your portable music player if you choose. However someone will need to hold it for you when you go into surgery.
- Your breathing machine for sleep apnea (such as your CPAP), if you have one.
- A case for your personal items, such as eyeglasses, hearing aid(s), dentures, prosthetic device(s), wig, and religious articles.
- Your Health Care Proxy form, if you have completed one.
- This guide. Your healthcare team will use this guide to teach you how to care for yourself after your surgery.
Once You’ve Arrived for Your Surgery
You will be asked to state and spell your name and birth date many times. This is for your safety. People with the same or similar names may be having surgery on the same day.
Get Dressed for Your Surgery
When it is time to change for surgery, you will get a hospital gown, robe, and nonskid socks to wear.
Meet With Your Nurse
You will meet with your nurse before your surgery. Tell your nurse the dose of any medications (including patches and creams) you took after midnight and the time you took them.
Meet With Your Anesthesiologist
Your anesthesiologist will:
- Review your medical history with you.
- Talk with you about your comfort and safety during your surgery.
- Talk with you about the kind of anesthesia you will receive.
- Answer any questions you may have about your anesthesia.
Marking Your Surgical Site
In addition to being asked your name and birth date, you may also be asked the name of your surgeon, what operation you are having, and which side is being operated on. Your surgeon or another member of the surgical team will use a marker to initial the site on your body that will be operated on. This is for your safety and ensures that all members of your surgical team understand the plan for your surgery.
Prepare for Surgery
Once your nurse has seen you, 1 or 2 visitors can keep you company as you wait for your surgery to begin. When it is time for your surgery, your visitor(s) will be shown to the waiting area.
You will either walk into the operating room or be taken in on a stretcher. A member of the operating room team will help you onto the operating bed. Compression boots may be placed on your lower legs. These gently inflate and deflate to help circulation in your legs.
Once you’re comfortable, your anesthesiologist will give you anesthesia through your IV line and you will fall asleep. You will also get fluids through your IV line during and after your surgery.Back to top
After Your Surgery
The information in this section will tell you what to expect after your surgery, both during your hospital stay and after you leave the hospital. You will learn how to safely recover from your surgery. Write down any questions you have and be sure to ask your doctor or nurse.
When you wake up after your surgery, you will be in the Post-Anesthesia Care Unit (PACU) or your recovery room. You will stay there until you are awake and your pain is under control.
You will receive oxygen through a thin tube called a nasal cannula that rests below your nose. A nurse will be monitoring your body temperature, pulse, blood pressure, and oxygen levels.
After your stay in the PACU or your recovery room, you can go home with your caregiver.
How do I care for my incision?
You and your caregiver should look at your incision(s) daily. Call your doctor if you see any redness or drainage from your incision(s).
Your incision(s) will be closed with sutures (stitches) under your skin. These sutures dissolve on their own, so they do not need to be removed.
- If you go home with small pieces of surgical tape (Steri-StripsTM) on your incision(s), they will usually loosen and fall off by themselves. If not, your surgeon or nurse may remove them when they see you at your follow-up appointment. If they haven’t fallen off within 14 days, you may remove them.
- If you go home with glue over your incision, it will also loosen and peel off, similarly to the Steri-Strips.
When can I shower?
You can shower 24 hours after your surgery. Taking a warm shower is relaxing and can help decrease discomfort.
When you are ready to shower, remove your bra and any gauze pads that are covering the incision(s). If you have Steri-Strips on your incision(s), do not remove them. Gently wash your incision(s) with soap and water, letting the shower water run over them. Pat the areas dry with a clean towel.
You can leave your incision(s) uncovered, unless you have drainage. If you have drainage, call your doctor’s office. If it feels more comfortable, you can place a clean gauze pad over your incision(s).
Do not take tub baths, swim, or use hot tubs or saunas until you discuss it with your doctor at the first appointment after your surgery. Also, speak with your doctor or nurse before you use deodorant, lotion, powder, or perfume anywhere near your surgery site.
Will I be able to eat?
You can resume eating when you go home after surgery. Eating a balanced diet high in protein will help you heal after surgery. Your diet should include a healthy protein source at each meal, as well as fruits, vegetables, and whole grains. If you have questions about your diet, ask to see a dietitian.
Will I have pain when I am home?
The length of time each person has pain or discomfort varies. You will be given a prescription for pain medication before you go home. Follow the guidelines below to manage your pain.
- Take your medication as directed and as needed.
- Call your doctor if the pain medication prescribed for you doesn’t relieve your pain.
- Do not drive or drink alcohol while you are taking prescription pain medication.
- As your incision heals, you will have less pain and need less pain medication. A mild pain reliever such as acetaminophen (Tylenol) or ibuprofen (Advil) will relieve aches and discomfort. However, large quantities of acetaminophen may be harmful to your liver. Do not take more acetaminophen than the amount directed on the bottle or as instructed by your doctor or nurse.
- Pain medication should help you as you resume your normal activities. Pain medication is most effective 30 to 45 minutes after taking it.
- Keep track of when you take your pain medication. Taking it when your pain first begins is more effective than waiting for the pain to get worse.
Pain medication may cause constipation (having fewer bowel movements than what is normal for you).
How can I prevent constipation?
- Go to the bathroom at the same time every day. Your body will get used to going at that time.
- If you feel the urge to go, do not put it off. Try to use the bathroom 5 to 15 minutes after meals.
- After breakfast is a good time to move your bowels because the reflexes in your colon are strongest then.
- Exercise if you can; walking is an excellent form of exercise.
- Drink 8 (8-ounce) glasses (2 liters) of liquids daily, if you can. Drink water, juices, soups, ice cream shakes, and other drinks that do not have caffeine. Beverages with caffeine, such as coffee and soda, pull fluid out of the body.
- Slowly increase the fiber in your diet to 25 to 35 grams per day. Fruits, vegetables, whole grains, and cereals contain fiber. If you have an ostomy or have had recent bowel surgery, check with your doctor or nurse before making any changes in your diet.
- Both over-the-counter and prescription medications are available to treat constipation. Start with 1 of the following over-the-counter medications first:
- Docusate sodium (Colace®) 100 mg. This is a stool softener that causes few side effects. Do not take it with mineral oil.
- Polyethylene glycol (MiraLAX®) 17 grams daily.
- Senna (Senokot®) 2 tablets at bedtime. This is a stimulant laxative, which can cause cramping.
- If you haven’t had a bowel movement in 2 days, call your doctor or nurse.
Is it normal to feel new sensations?
As you are healing, you may feel a several different sensations in your breast or arm. Tenderness, numbness, and twinges are common examples.
These sensations usually come and go, and will lessen over time, usually within the first few months after surgery. However, some may last months, even 5 years or longer. This is because the nerves are the slowest part of your body to heal. Most people report that the sensations are not severe or distressing.
As you continue to heal, you may feel scar tissue along your incision site. It will feel hard. This is common and will soften over the next several months.
Will I have a drain when I go home?
A drain will be placed only if you have an axillary lymph node dissection. The drain is a soft catheter that is inserted near the incision in your armpit to drain extra fluid. If you have a drain placed during your surgery, your nurse will give you additional information to help you take care of it at home.
When can I resume my normal routine?
You can resume most activities right away. It is best to pace yourself as you return to your daily routine.
Should I perform any exercises after surgery?
The scar tissue that forms around your surgical site can limit the range of motion of your arm and shoulder. Review the resource Exercises after your Sentinel Lymph Node Biopsy or Lumpectomy. It has exercises that you can do to help you regain motion in your arm and shoulder.
If you have had an axillary lymph node dissection, your nurse will give you additional information on what exercises to do.
Before starting strenuous exercises, such as running, jogging or lifting weights, speak with your surgeon.
When is it safe for me to drive?
You may resume driving after surgery as long as you are not taking prescription pain medication that may make you drowsy. You should also have full range of motion of your arm and be able to comfortably turn the steering wheel.
Am I at risk for lymphedema?
If you have had your axillary lymph nodes removed, the way fluid circulates in your arm may have changed. This means you are at risk for lymphedema. Lymphedema is an abnormal swelling that can occur in your arm, hand, breast, or torso on the side where your lymph nodes were removed.
Most women will not develop lymphedema, but some will. It’s difficult to determine the risk of developing lymphedema because:
- There is no standard test for diagnosing lymphedema.
- Disruption of lymph nodes affects people differently.
- Lymphedema can develop soon after surgery, or years later.
- Current cases of lymphedema can be caused by older treatment methods.
During a sentinel lymph node biopsy, between one and a few lymph nodes are removed to check for cancer. With a sentinel lymph node biopsy, studies show the risk of developing lymphedema is very low. Out of 100 people who have a sentinel lymph node biopsy, between 0 and 7 people will develop lymphedema.
During an axillary lymph node dissection, a wider incision is made and more lymph nodes are removed from the armpit. This is done to remove additional lymph nodes that may have cancer. The risk of getting lymphedema after this procedure is higher. Out of 100 people who have a axillary lymph node dissection, between 15 and 25 people will develop lymphedema.
How can I reduce my risk of developing lymphedema?
There is no way to know who will develop lymphedema, but there are things you can do to reduce your risk:
- Try to maintain your normal weight, or safely work towards a more ideal body weight.
- Exercise and stretch your muscles on a regular basis. When you resume exercise and activity, make sure to build up slowly and gradually. If you feel discomfort, stop and take a break. Talk with your surgeon, nurse, or physical therapist about which exercises are right for you.
- Try to minimize your risk of infection to your hand and arm. Ask your doctor or nurse how best to care for cuts, scratches, and burns.
If you have had an axillary dissection, you will receive additional information in the resource called Hand and Arm Guidelines After Your Axillary Lymph Node Dissection.
What are the signs of lymphedema?
Some mild swelling after surgery is normal and will go away with time. You may also feel pain or other sensations, such as twinges and tingling, after surgery. These feelings are common and are not necessarily signs of lymphedema.
If you’re at risk of developing lymphedema, it’s a good idea to watch for signs of it developing. For example:
- A feeling of heaviness or aching in your breast, arm, hand, or fingers.
- The skin of your arm, hand, or breast feels tight.
- Decreased flexibility in your arm, hand, or fingers.
- Swelling or changes in your skin, such as tightness or pitting (skin that stays indented after being pressed).
If you have any signs of lymphedema, or you’re not sure, it’s important you talk with your doctor or nurse so that a correct diagnosis can be made.
When can I resume sexual activity?
You can resume sexual activity when you feel ready. Having sexual relations will not harm your surgical area.
It may be helpful to let your partner see your incision soon after surgery. This may decrease any anxiety you both may feel. Your partner might worry that touching the incision(s) will hurt you. Let your partner know what is and is not comfortable. Avoid putting pressure on the surgical site in the first weeks after surgery. Try placing a small pillow or towel over the surgical area. If you have any questions, talk to your nurse.
You may have concerns about the effects of cancer and your treatment on how you look or on your sexuality. Our Female Sexual Medicine and Women’s Health Program is available to help you. For more information or to make an appointment, call 646-888-5076.
If there is any chance you can become pregnant, be sure to use contraception (birth control). However, you cannot use any form of hormonal birth control. Instead, use a male condom or a diaphragm each time you have sex. You can also have your gynecologist place a Copper T intrauterine device (IUD) in your uterus. This type of IUD can be kept in place for a long as 10 years, or it can be removed earlier.
Continue to use birth control throughout your treatment and until your doctor tells you it is safe to attempt pregnancy. Additional information can be found in the resource Sexual Activity During Cancer Treatment: Information for Women.
How can I cope with my feelings?
After surgery for a serious illness, you may have new and upsetting feelings. Many people say they felt weepy, sad, worried, nervous, irritable, and angry at one time or another. You may find that you cannot control some of these feelings. If this happens, it’s a good idea to seek emotional support.
The first step in coping is to talk about how you feel. Family and friends can help. Your nurse, doctor, and social worker can reassure, support, and guide you. It is always a good idea to let these professionals know how you, your family, and your friends are feeling emotionally. Many resources are available to patients and their families. Whether you are in the hospital or at home, the nurses, doctors, and social workers are here to help you and your family and friends handle the emotional aspects of your illness.
Please see the “Resources” section of this guide for a list of additional support services.
How long until I have the pathology results?
The pathology report usually takes to 7 to 10 business days.
When is my first appointment after my surgery?
Your follow-up appointment will be 1 to 2 weeks after your surgery.
What if I have other questions?
If you have any questions or concerns, please talk with your doctor or nurse. You can reach them Monday through Friday from 9:00 am to 5:00 pm.
After 5:00 pm, during the weekend, and on holidays, please call (212) 639-2000 and ask for the doctor on call.
- A temperature of 101° F (38.3° C) or higher
- Shortness of breath
- Warmer than normal skin around your incision
- Increased discomfort in your surgical area
- Increased redness around your incision
- New or increased swelling around your incision
- Discharge from your incision
Call with any questions about anesthesia.
Call for more information if you are interested in donating blood or platelets.
MSK welcomes patients from around the world. If you are an international patient, call for help coordinating your care.
At MSK, our chaplains are available to listen, help support family members, pray, contact community clergy or faith groups, or simply be a comforting companion and a spiritual presence. Anyone can request spiritual support, regardless of formal religious affiliation. The interfaith chapel is located near the main lobby of Memorial Hospital, and is open 24 hours a day. If you have an emergency, please call the hospital operator and ask for the chaplain on call.
Many people find that counseling helps them. We provide counseling for individuals, couples, families, and groups, as well as medications to help if you feel anxious or depressed.
Integrative Medicine Service offers patients many services to complement traditional medical care, including music therapy, mind/body therapies, dance and movement therapy, yoga, and touch therapy.
Learn techniques to help you feel better about your appearance by taking a workshop or visiting the program online at www.lookgoodfeelbetter.org.
You may find it comforting to speak with a cancer survivor or caregiver who has been through a similar treatment. Through our Patient-to-Patient Support Program, we are able to offer you a chance to speak with former patients and caregivers.
Call Patient Billing with any questions regarding preauthorization with your insurance company. This is also called preapproval.
Call if you have any questions about the Health Care Proxy Form or if you have any concerns about your care.
Call if you have any questions about MSK releasing any information while you are having surgery.
Patients may request private nurses or companions. Call for more information.
At MSK, care doesn’t end after active treatment. The RLAC Program is for patients and their families who have finished treatment. This program has many services, including seminars, workshops, support groups, counseling on life after treatment, and help with insurance and employment issues.
Social workers help patients, family, and friends deal with issues that are common for cancer patients. They provide individual counseling and support groups throughout the course of treatment, and can help you communicate with children and other family members. Our social workers can also help referring you to community agencies and programs, as well as financial resources if you’re eligible.
If you want to quit smoking, MSK has specialists who can help. Call for more information.
For additional online information, visit LIBGUIDES on MSK’s library website at http://library.mskcc.org or the breast cancer section of mskcc.org. You can also contact the library reference staff at 212-639-7439 for help.Back to top
In New York City, the MTA offers a shared ride, door-to-door service for people with disabilities who are unable to take the public bus or subway.
Provides travel to treatment centers.
Offers a variety of information and services, including Hope Lodge, a free place for patients and caregivers to stay during cancer treatment.
A comprehensive resource for education, tools, and events for employees with cancer.
Provides counseling, support groups, educational workshops, publications, and financial assistance.
New York, NY 10001
Provides support and education to people affected by cancer.
Provides education and support for those who care for loved ones with a chronic illness or disability.
Free travel to treatment across the country using empty seats on corporate jets.
A place where men, women, and children living with cancer find social and emotional support through networking, workshops, lectures, and social activities.
Offers financial assistance to pay for copayments during treatment. Patients must have medical insurance,meet the income criteria, and be prescribed medication that is part of the Good Days formulary.
Provides financial assistance to cover copayments, health care premiums, and deductibles for certain medications and therapies.
Provides a list of places to stay near treatment centers for people with cancer and their families.
Provides support and advocacy for the LGBT community, including a online support groups and a database of LGBT friendly clinical trials.
Provides reproductive information and support to cancer patients and survivors whose medical treatments have risks associated with infertility.
Free cancer legal advocacy program.
Provides education, training, and advocacy for LGBT cancer survivors and those at risk.
Lists Patient Assistance Programs for brand and generic name medications.
Provides prescription benefits to eligible employees and retirees of public sector employers in New York State.
Helps qualifying patients without prescription drug coverage get free or low-cost medications.
Provides assistance with copayments for patients with insurance.
Provides access to care, financial assistance, insurance assistance, job retention assistance, and access to the national underinsured resource directory.
Provides assistance to help people obtain medications that they have trouble affording.
Offers support groups for survivors of breast, metastatic breast, and ovarian cancer in Manhattan, Queens, Brooklyn, and Staten Island.Back to top
- Common Medications Containing Aspirin and Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
- Herbal Remedies and Cancer Treatment
- Exercises after your Sentinel Lymph Node Biopsy or Lumpectomy
- Sexual Activity During Cancer Treatment: Information for Women
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