If you’re considering breast cancer treatment options, you might have come across the term ‘lumpectomy’. This procedure, also known as a partial mastectomy, is a breast-conserving surgery aimed at removing cancerous tumours while preserving as much healthy breast tissue as possible. Here’s all you should know about lumpectomies.
What is a lumpectomy?
A lumpectomy or mastectomy is the most common surgical treatment for breast cancer. A mastectomy removes the entire breast, whereas a lumpectomy removes the cancerous tumour and some surrounding tissue. Following the procedure, we often recommend radiation therapy, which can reduce the risk of cancer recurrence in the breast tissue.
Why do women have lumpectomies?
You may be advised to have a lumpectomy if:
- You have a cancer which is confined to a single area of the breast.
- The size of the tumour relative to your breast allows for the preservation of breast tissue.
- Your doctor believes sufficient tissue remains to reshape the breast after tumour removal.
- You are willing and able to undergo follow-up radiation therapy.
How is a lumpectomy performed?
Lumpectomy surgery is typically performed as an outpatient procedure. This means you can return home on the same day. The surgery usually takes around one hour to complete. Since breast cancer is often indistinguishable from the surrounding breast tissue, we may need guidance to locate the tumour. This is usually achieved by placing a small marker or wire in the tumour site shortly before surgery, guided by imaging techniques.
What to expect after a lumpectomy?
Following lumpectomy surgery, you will be monitored in a recovery room until you are fit to return home. Pain medication may able be administered to reduce discomfort. Additionally, you will receive instructions on wound care, pain management, shoulder exercises to reduce stiffness, and when to resume normal activities, showering, and wearing a bra.
Potential risks and complications
Lumpectomies are generally considered safe and effective; however – as with any surgical procedure – there are risks. Common risks include bruising, infection, and swelling (lymphedema). This can be in the arm or hand nearest to the affected breast. These risks are typically minimal compared to more invasive procedures like mastectomy.
A lumpectomy offers a breast-conserving treatment option for women with breast cancer, allowing for tumour removal while preserving much of the natural breast tissue. Contact a breast surgeon specialist if you have further questions about a lumpectomy and get guidance and support.