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Breast Saving Surgery(Lumpectomy or Excisional Biopsy or Partial Breast Removal)


What Is Lumpectomy ?

Lumpectomy is the removal of the breast tumor (the "lump") and some of the normal tissue that surrounds it.

Lumpectomy is a form of “breast-conserving” or "breast preservation" surgery. There are several names used for breast-conserving surgery: biopsy, lumpectomy, partial mastectomy, re-excision, quadrantectomy, or wedge resection. Technically, a lumpectomy is a partial mastectomy, because part of the breast tissue is removed. But the amount of tissue removed can vary greatly. Quadrantectomy, for example, means that roughly a quarter of your breast will be removed.


What happens during lumpectomy surgery

The lumpectomy surgery itself should take about 15-40 minutes.

the surgeon will probably operate with a kind of electric scalpel that uses heat to minimize bleeding (an electrocautery knife). Most surgeons use curved incisions (like a smile or a frown) that follow the natural curve of your breast and allow for better healing. If the tumor can be seen or felt, the surgeon will remove it along with a rim of healthy tissue around it.

Sometimes, but not always, a rubber tube called a drain will be surgically inserted into your breast area or armpit to collect excess fluid that can accumulate in the space where the tumor was. The drain is connected to a plastic bulb that creates suction to help remove fluid. Finally, your surgeon will stitch the incision closed and dress the wound.

After Lumpectomy

You’ll be moved to the recovery room after lumpectomy surgery, where staff will monitor your heart rate, body temperature, and blood pressure. Staying overnight in the hospital is not usually necessary with lumpectomy, unless you're also having lymph nodes removed.

As you start to feel more awake, your surgeon or nurse will give you information about recovering at home:


Weeks and months After Lumpectomy

As nerves regrow, you may feel a weird crawly sensation, you may itch, and you may be very sensitive to touch. Your discomfort may go away by itself, or it may persist but you adapt to it. Acetaminophen or NSAIDs (pronounced EN-seds) such as ibuprofen usually can address the pain related to this type of nerve injury. Opioids (pronounced OH-pee-oydz) also can be used to treat this type of pain.


Lumpectomy: What to Expect


Before Lumpectomy Surgery

In the hospital on the day of surgery, you’ll change into a hospital gown and wait in a preoperative holding area.

If the tumor cannot be seen or felt, the surgeon will use a procedure before surgery to locate and mark the tumor using mammogram or ultrasound.

The surgeon or a nurse may draw markings on your breast that show where the incision will be made. Usually this is done with a felt-tip marker.

You will be taken into the anesthesia room, where a nurse will insert an intravenous infusion (IV) line into your hand or arm and tape it into place. Soon after this, you’ll be given relaxing medication through the IV line. Most people who have lumpectomy choose to have a local anesthetic to numb the surgery area, but some have general anesthesia.


At-Home Recovery from Lumpectomy

You’ll recuperate at home for a few days after lumpectomy surgery. Here are some guidelines to follow: