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Breast cancer patients may choose to undergo Breast-Conserving Surgery (BCS), commonly referred to as a Lumpectomy or Partial Mastectomy. Breast cancer resection involves removing just the malignant tissue while keeping the surrounding breast tissue intact. The size and location of the tumour determine how much tissue is removed. To evaluate the spread of the malignancy, lymph nodes beneath the arm may also be removed. After BCS, radiation therapy is frequently used to target any cancer cells that may still be present and lower the chance of a recurrence. To improve treatment outcomes, radiation therapy and chemotherapy may occasionally be given after bone marrow transplantation.
Manipal Hospitals, equipped with state-of-the-art technology and a team of skilled oncologists, provide personalised care and ensure optimal outcomes. After the Breast Conservative Surgery in Kolkata, patients receive thorough follow-up care, including radiation therapy and reconstructive options if needed. Manipal Hospitals' commitment to holistic patient care makes it a leading choice for breast cancer treatment.
Adequate margins are crucial, with 2 mm margins recommended for carcinomas to carry out breast-conservative surgery.
Considering the breast-to-tumour size ratio, and postoperative expectations, surgery can be indicated.
Neoadjuvant chemotherapy can shrink large breast tumours, making it possible to perform breast-conserving surgery. For locally advanced tumours that respond well to this treatment, breast-conserving surgery may be a safe option.
Male breast cancer patients, though typically recommended for mastectomy, may opt for breast conservative surgery under specific circumstances, often with adjuvant radiation.
BCS may be used in conjunction with other breast cancer treatments. Among other things, the type and stage of your breast cancer will determine if you qualify for BCS. During your consultation, the surgeon will go through these with you.
Research indicates that long-term survival chances for women undergoing radiation therapy after breast cancer surgery are comparable to those of women undergoing a mastectomy, in which the entire breast is removed. Your surgeon could recommend BCS for various reasons. However, the surgery is not possible for all women. Your surgeon will go over all of the options for surgical therapy in detail with you to address your concerns.
Before Breast Conserving Surgery, ensure you understand the procedure by asking questions and signing a consent form. Together with a physical examination and possible test orders, your healthcare professional will go over your medical history. Observe the instructions for fasting before surgery. Tell your doctor if you are expecting a child or if you have any sensitivities to drugs or anaesthetics. Before the procedure, you can be given a sedative to help you relax. Maintaining open lines of communication with your medical team is essential to a successful and safe operation.
During Breast Conserving Surgery, which can be outpatient or part of a hospital stay, you wear a gown and may receive an IV line. Under local or general anaesthesia, a small incision is made near the tumour. The surgeon removes the abnormality along with some surrounding tissue. If lymph nodes are removed, another incision near the armpit may be made. Vital signs are monitored throughout. Tissue samples are sent to the lab for analysis. A drainage tube might be inserted, and the incision is closed with stitches or adhesive strips. Finally, a sterile bandage is applied. This procedure ensures the removal of the tumour while preserving breast tissue, promoting a quicker recovery.
Breast-conserving surgery carries certain risks, including temporary breast swelling, alterations in breast size and shape, and the development of scar tissue leading to hardness at the incision site. Other potential complications include wound infection, bleeding, and lymphedema (swelling of the arm) if lymph nodes are removed. Additionally, clear fluid accumulation (seroma) may occur post-surgery, typically treatable with drainage and compression. Specific health conditions can pose additional risks, underscoring the importance of discussing concerns with the healthcare team before undergoing the procedure.
Recovering from breast-conserving surgery typically involves outpatient care, with most women returning home the same day. Recovery usually takes a few weeks, during which assistance at home may be necessary depending on the extent of the surgery. Post-operative care instructions include wound and dressing care, drain maintenance if applicable, recognising signs of infection, bathing guidelines, and when to contact medical professionals. Additionally, guidance on resuming arm movement and performing exercises to prevent stiffness, reintroducing bras, managing pain and potential antibiotic use, activity restrictions, and expectations regarding breast and arm sensations are provided.
The majority of women who have breast-conserving surgery require radiation therapy to the breast. Occasionally, tiny metallic-looking clips (visible on X-rays) are inserted into the breast during surgery to indicate the location of the excised malignancy. This makes it simpler to focus the radiation. Following surgery, many women will get hormone treatment to help reduce the chance that their cancer will return. Following surgery, some women may additionally require chemotherapy. If this is the case, hormone treatment, and radiation therapy are often postponed until after chemotherapy is finished.
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