Important Details About Breast Surgery

By Jerri Perry


For women that suffer from breast cancer, the best way to recover is to go for breast surgery. This is the only way in which cancerous tumors can be removed. The options available are numerous, among them mastectomy and breast-conserving surgeries. Surgeons can reconstruct breasts during the surgical procedure, or do it afterwards. Surgeries will also be used to check lymph nodes to ensure there is no spread of the cells. The two options of doing this are axillary dissection and sentinel lymph node biopsy.

Breast conserving surgeries are also known as partial mastectomy. Parts of the breasts that are affected are removed. The size that is removed will depend on location and size of tumors plus various other factors. In the event that radiation therapy is to be given after the procedure, there is placement of small metal clips inside the breasts. These are used for marking areas for radiation treatments. The small metallic clips will always show in x-rays.

During the procedure known as lumpectomy, the lumps in breasts are removed, in addition to the margins in the surroundings. The margins consist of normal tissue. Radiation treatments are scheduled after lumpectomy. If in any case adjuvant chemotherapy is to be given, then surgeons will delay radiation therapy until after chemotherapy.

In quadrantectomy, more tissue is removed than is done in lumpectomy. One quarter of affected breasts are removed, which explains why it is called quadrantectomy. Radiation therapy is done after the procedure is completed. However, just like is the case in lumpectomy, if chemotherapy is to be done then radiation would have to be scheduled after that.

If cancerous cells are present at tissue edges of the removed sections, these are said to have positive margins. Conversely, if no such cells are present then these margins are said to be clear. The presence of positive margins will require that more tissues are removed because it would mean there still are cancerous cells left. This is done in a procedure that is preferred to as re-excision. In case such margins are unable to be properly cleared through removal of tissues, then more advanced procedures come into play. The most used procedure in such cases is mastectomy.

As much as possible, patients will always need to schedule appointments with the surgeon so that they understand the possible side effects of the entire procedure. Among these side effects are pain, development of hard tissue, tenderness and temporary swelling. Moreover, just like in any other surgical procedures, infections and bleeding are possible side effects as well.

In the event that large portions of breasts are removed, their shape is bound to be considerably affected. This will make them look not only different but also unsymmetrical. This will call for reconstructive surgery. Alternatively, there are instances when unaffected breasts get reduced in size so that symmetry is achieved. Such reduction can be done during the first surgical procedure.

Breast surgery will require that the patient holds a meeting beforehand with the surgeon or doctor so that they know what the breasts will look like after the procedure. Options of dealing with shape changes will also be explored. It makes patients to approach the procedure with more confidence.




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