Lumpetomy
Lumpectomy is a surgical procedure where a lump or abnormal portion of breast tissue is removed while sparing most of the surrounding healthy tissue. Commonly utilized in the treatment of breast cancer, a lumpectomy is a form of breast-conserving surgery. Compared to mastectomy, which involves the removal of the entire breast, lumpectomy is less invasive and retains the overall appearance and shape of the breast, making it a popular option for many women.
Indications[edit | edit source]
Lumpectomies are typically recommended for:
- Early-stage breast cancer.
- Tumors that are less than 4 cm or about 25% of the breast.
- Patients opting for radiation therapy post-surgery.
- In some cases, for larger tumors after chemotherapy has reduced the size.
Procedure[edit | edit source]
The process involves:
- Local or general anesthesia, depending on the tumor's size and location.
- A small incision in the breast, typically around the tumor's edge.
- Removal of the tumor along with a margin of healthy tissue.
- Pathological examination of the margins to ensure no cancer cells remain.
Advantages over Mastectomy[edit | edit source]
Lumpectomy offers several advantages:
- Conservation of the breast's natural appearance.
- Faster recovery and less pain post-surgery.
- Preservation of breast sensation.
- Reduced psychological trauma associated with losing a breast.
Risks and Complications[edit | edit source]
- Infection or bleeding at the surgical site.
- Scarring or changes in breast shape.
- Incomplete removal of cancer cells, necessitating another surgery.
- Possibility of radiation therapy post-surgery.
Post-Surgical Care[edit | edit source]
- Regular follow-up with mammograms.
- Radiation therapy to kill any remaining cancer cells.
- Physical therapy to maintain arm movement.
- Awareness of changes or lumps in the breast.
Comparisons with Other Treatments[edit | edit source]
Mastectomy involves removing the entire breast and is often chosen for larger tumors or if the patient wishes to avoid radiation therapy. Breast-conserving surgery is a category that includes lumpectomy and refers to surgeries that remove cancer but not the entire breast.
References[edit | edit source]
- Fisher, B., Anderson, S., Bryant, J., Margolese, R. G., Deutsch, M., Fisher, E. R., ... & Wolmark, N. (2002). Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. *New England Journal of Medicine*, 347(16), 1233-1241.
- Veronesi, U., Cascinelli, N., Mariani, L., Greco, M., Saccozzi, R., Luini, A., ... & Salvadori, B. (2002). Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. *New England Journal of Medicine*, 347(16), 1227-1232.
- Moran, M. S., Schnitt, S. J., Giuliano, A. E., Harris, J. R., Khan, S. A., Horton, J., ... & Morrow, M. (2014). Society of Surgical Oncology–American Society for Radiation Oncology consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in stages I and II invasive breast cancer. *Journal of Clinical Oncology*, 32(14), 1507.
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Contributors: Prab R. Tumpati, MD