Printer Friendly VersionEmail A FriendAdd ThisIncrease Text SizeDecrease Text Size

Breast lump removal - series

 

Normal anatomy

The female breast is composed mainly of fatty tissue interspersed with fibrous or connective tissue. The circular region around the nipple is often a different color or pigmented. This region is called the areola.

Normal anatomy
Indications

Early detection of a breast lump is very important to a patient's prognosis (probable outcome). Most breast lumps are not diagnosed at the doctor's office, they are detected by women who give themselves breast self-examinations at home. Any breast lump that persists beyond a few days must be reported to a physician.

In some cases, a needle aspiration of a breast lump can be performed. If the tissue obtained is clearly not cancerous, if no blood was seen on the aspirate, and if the lump disappears after aspiration and does not recur, physicians will often simply observe patients.

Otherwise, the breast lump must be removed surgically to determine if cancer is present.

Indications
Procedure

A breast lump may either be a cyst filled with fluid or a solid mass of tissue. A sample of the breast tissue (biopsy) must be made to determine whether malignant (cancerous) cells are present. Almost two-thirds of all breast lumps are benign but the chance of a malignant lump is greatly increased if the woman is past menopause.

While the patient is awake and pain-free (using local anesthesia) or asleep and pain-free (using general anesthesia), an incision is made over the lump.

The incision for a lumpectomy is usually around 3 to 4 centimeters long. The incision will also depend on the size of the lump that needs to be removed. After the lump is removed in one piece, it is sent to the laboratory for immediate examination. If the lump is found to be cancerous nearby lymph nodes will be removed to check for the extent of the cancer spreading.

Procedure
Aftercare

The outcome of the lumpectomy depends on the type of lump found. If the lump is benign (whether it is needle aspirated or excised), no further treatment is required.

If the lump is malignant, the outcome depends on the degree to which the tumor has spread. Radiation therapy may be used in addition to surgery. In certain cases of malignant lumps, lumpectomy followed by radiation therapy is as effective as a radical mastectomy. Typically, lumpectomy does not require a breast replacement (prosthesis).

Aftercare

Review Date: 12/27/2009
Reviewed By: David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2009 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
MAIMONIDES
MEDICAL CENTER


Home Page
Why Choose Us
Donations
Website Terms of Use
PATIENT
INFORMATION


Visitor & Patient Info
Patient Portal
We Speak Your Language
Patient Privacy
Contact Us
KEY
INFORMATION


Find a Physician
Medical Services
Maimonides In the News
Directions & Parking
FOR HEALTH
PROFESSIONALS


Medical Education
Career Opportunities
Nurses & Physicians
Staff Intranet Access
Maimonides Medical Center    |    4802 Tenth Avenue    |    Brooklyn, NY 11219    |    718.283.6000    |