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Breast Conservation Surgery in Mukundapur

Breast Conservative Surgery

Breast Conservative Surgery Procedure in Mukundapur

Breast conservative Surgery, also known as Breast-sparing Surgery, aims to remove breast cancer without the need for a Mastectomy. This procedure has several variations, including Quadrantectomy, Segmental Resection, Broad Local Excision, and Lumpectomy (also called Tylectomy). Due to its ability to remove tumours while maintaining a pleasing appearance, Breast-conserving Surgery is gaining popularity as an alternative to Mastectomy for certain patients. 

During procedure: 

BCS involves removing only the cancerous portion of the breast. The breast is preserved in its entirety. The abnormal tissue or cancerous lump, together with a small margin of normal breast tissue surrounding the tumour, is removed. The size and location of the lump will determine how much of the breast is removed. To determine whether the cancer has spread beneath your arm, the surgeon could additionally remove a few lymph nodes. Often, the lymph nodes are the first place breast cancer spreads. From there, it can further metastasise to other parts of the body. 

Manipal Hospitals, Mukundapur, offers personalised breast cancer treatment and care, such as Breast Conservative Surgery, enhancing patients' quality of life.
 

FAQ's

BCS can be combined with other methods of treating breast cancer. Your eligibility for BCS will depend on factors such as the type and severity of your breast cancer. Research indicates that long-term survival chances for women undergoing Radiation Therapy after Breast Conserving Surgery (BCS) are comparable to those of women undergoing a Mastectomy, in which the entire breast is removed. Your surgeon might recommend BCS for various reasons. However, BCS may not be suitable for all women. Your surgeon will go over all of the options for surgical therapy in detail with you during your consultation to address your concerns. 
 

Relative Contraindications:

  • Active connective tissue diseases affecting the skin, such as scleroderma

  • Previous Radiation Therapy to the chest wall or breasts

  • Widespread positive margins of disease

  • More than 5 cm of tumours 

  • Large tumour size in comparison to breast size

  • Li-Fraumeni syndrome (p53 mutation), whether confirmed or suspected

  • A known or suspected hereditary propensity (BRCA1, BRCA2, etc.) to breast cancer

  • Absolute Contraindicated:

  • First-trimester pregnancy, as Radiation Therapy is contraindicated during pregnancy (BCS may be possible in certain people in the second and third trimesters who can have post-delivery radiation) 

  • Disease with several facets

  • Dispose of any unknown or harmful microcalcifications

  • An individual with two copies of the ATM mutation 

  • Severe DCIS 

  • Inflammatory breast cancer 

  • Tumours that cannot be completely removed through a Lumpectomy but still have a satisfactory appearance

Whether lymph nodes beneath your arm were removed concurrently with Breast-Conserving Surgery or not can often determine how long it takes you to heal. There is no need for lymph node surgery if the procedure is done for DCIS. To lower your risk of bleeding after surgery, you should refrain from heavy lifting and drive only if your motions are pain-free. You can ask your surgeon for advice about taking time off work.

During the recovery period, it is recommended to wear a gentle and supportive bra without an underwire. Wearing this type of bra at night during the initial days after surgery may increase comfort. 
 

  • The treatment after surgery depends on the type of procedure. Some patients go home the same day or the next day. Others, like those who had Breast Reconstruction, might stay a few days.

  • After coming back home, make sure to focus on getting enough rest and maintaining a healthy diet to fight against fatigue, which can last for a few weeks.

  • Don't do any heavy lifting, driving, or strenuous activities until your scars heal. This usually takes about 2 weeks for Breast-conserving Surgery and longer for Mastectomy.

  • Seek advice from medical experts regarding resuming strenuous activities and maintaining the recommended arm exercises and gentle physical movements.

  • It is essential to have emotional support; don't hesitate to discuss any feelings of worry or uneasiness with your family members or breast care nurses.

Bleeding and infection at the surgical site are possible outcomes, as with any procedure. Additional consequences of Breast-Conserving Surgery may consist of:

  • Breast pain, discomfort, or a "tugging" feeling.

  • Transient breast swelling.

  • An indentation that appears at the surgery site, as well as hard scar tissue.

  • Breast enlargement brought on by a seroma, which may need to be drained

  • Change in the breast's form.

  • Neuropathic pain, also known as nerve pain, is a persistent ache that can be felt in the arm, armpit, or chest wall. It can also be called searing or shooting pain.

  • This condition is known as post-mastectomy pain syndrome, and it can also occur in Mastectomy patients.

  • Other adverse consequences, such as lymphoedema, may arise if axillary lymph nodes are also removed.

Following Breast-conserving Surgery (BCS), Radiation Therapy is typically necessary to lower the chance of recurrence by eradicating any leftover cancer cells. Depending on the kind and stage of their cancer, some patients may also require Targeted Therapy, Hormone Therapy, or Chemotherapy. Our medical staff tailors treatment regimens to the unique requirements of each patient. 
 

BCS is most effective for early-stage cancers. It may not be suitable for larger tumours, multiple areas of cancer in the breast, or certain aggressive types of breast cancer.
 

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