Breast ectomy with sentinel node biopsy11/30/2023 ![]() Skin preserving (subcutaneous) procedures are used to maximize the cosmetic result if breast reconstruction is planned, and in some cases, the nipple and normal breast skin can be preserved and only the diseased tissue removed from beneath the skin, with an immediate breast reconstruction achieved with a variety of methods. All the breast tissue, and usually the nipple, is removed by mastectomy. Women are encouraged to actively participate in planning the individual procedure that best suits their particular situation. ![]() Breast reconstruction may be performed either simultaneously or delayed, as the clinical situation requires. ![]() MastectomyĪ mastectomy is sometimes the best procedure to manage certain conditions. Occasionally a second surgical procedure is necessary if breast conservation is not successful in removing all of the affected breast tissue. Radiotherapy is usually used to reduce the risk of recurrence in the remaining breast tissue after breast-conserving surgery. A range of surgical approaches are used to maximize the cosmetic result after breast-conserving procedures. All patients with benign disease and the majority of women with breast cancer can be treated safely with breast conservation surgery. Operating Theatre Procedures Breast Conservation SurgeryĪ total mastectomy is no longer always needed for breast cancer treatment. A local anaesthetic may be used if necessary. Palpable cysts are aspirated simply without an ultrasound, but impalpable complex cysts are aspirated with fine needles using bedside ultrasound for accurate targeting. Complex cysts are aspirated in order to obtain material for examination by specialist cytopathologists to exclude breast cancer. Complicated simple cysts may be aspirated to relieve symptoms. ![]() Most simple breast cysts do not need to be aspirated. Core biopsies are obtained of breast lesions in order to make a definitive histological diagnosis so that definitive management can be planned. Some minor bruising and swelling may follow a core biopsy, as it is a minor surgical procedure. A small sample of the breast lesion is removed in the core sample for examination by specialist pathologists. Core BiopsyĬore biopsies are performed in rooms under local anaesthetic. Fine needle biopsy is used to complete the "Triple Test", the gold standard in breast assessment. Small samples of breast tissue are obtained for cytological examination by specialist pathologists, to obtain information about the breast tissue. A local anaesthetic is not usually needed but may be required for some patients. Fine Needle Biopsyįine needle biopsies are performed in rooms either of palpable breast lumps or under ultrasound guidance of impalpable lesions. Bedside ultrasound is used to target fine needle and core biopsies performed in rooms. Bedside ultrasound does not replace formal diagnostic breast ultrasound which is performed by highly trained breast sonographers and interpreted by specialist radiologists with an interest in breast pathology. A targeted ultrasound examination of the region of interest in the breast may reveal more information about the underlying breast tissue than clinical examination alone. Breast & Surgical Oncology, Oncologist, Sydney, North Shore, NSW / Your Treatment / Breast Cancer Treatments & Surgery Breast Cancer Treatments & Surgery In-Room Procedures Bedside Ultrasoundīedside ultrasound is used as an adjunct to clinical breast examination.
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