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Lumpectomy

 

To make an appointment with a Maimonides breast specialist, call 718-765-2520 or request an appointment online.

 

At Maimonides Medical Center, we understand you want to keep as much of your natural breast as you can. Our breast surgeons strive to preserve breast tissue while still treating cancer and protecting your health. We’re the only breast cancer program in Brooklyn using a wire-free system to perform lumpectomies, for a better experience.

 

Wire-Free Lumpectomy: A Maimonides Advantage

Lumpectomy conserves much of the breast, with surgeons removing just the cancerous tumor and a small amount of surrounding tissue. But many centers need a wire-based system to find tumors they can’t feel by hand. Surgeons insert a thin wire through the skin and into the tumor site. The wire then sticks out of the breast until surgery later in the day.

Instead, we use a wireless system called the SAVI SCOUT® for better results and a better experience. This approach provides several benefits:

  • Increased comfort: No wires stick out of your breast. You can’t feel the SCOUT and can go about your daily activities.

  • Reduced wait time: Because the SCOUT is placed days before surgery, you can arrive at the hospital closer to your scheduled surgery time.

  • No risk of dislodging: Wires can shift out of place as you wait in the hospital for surgery. SCOUT is embedded in breast tissue and doesn’t move.

  • Increased accuracy: SCOUT uses real-time audio and visual indicators to direct your surgeon to the target area. This precision may lower your chances of needing a second surgery.

How Wire-free Lumpectomy Works

With the SCOUT wire-free system, your radiologist uses mammography or ultrasound to guide a small needle through your skin to the tumor site. Your radiologist then places a small reflector.  This procedure can take place several days before surgery. For your convenience, our radiologists sometimes place the reflector during your biopsy.

On the day of your surgery, your surgeon uses advanced radar technology to find and remove both the reflector and the targeted cancerous area. Your surgeon may also remove lymph nodes to test for cancer. Learn more about lymph node biopsy.

 

Treatments Following Lumpectomy

Your doctor may recommend one or more of the following services to aid your recovery:

  • Radiation therapy

  • Reconstructive breast surgery

  • Physical rehabilitation services

Radiation therapy after lumpectomy

During your lumpectomy, your breast surgeon may place a marker at the site of the tumor removal. This marker ensures more precise targeting of radiation therapy to destroy any remaining cancer cells after surgery. Our surgeons use a 3D marker called BioZorb. Over time, your body slowly absorbs the marker, which is made of dissolvable suture material. The clips that hold the marker in place remain, helping your doctor monitor the surgical site.

Reconstructive breast surgery

Because a lumpectomy conserves most of your breast, many women don’t need reconstructive breast surgery. If the procedure requires the removal of a large amount of tissue, though, your doctor may recommend a combination lumpectomy and breast reconstruction. This procedure is called oncoplastic surgery.

During this procedure, your breast surgeon and a Maimonides plastic surgeon work as a team. After your breast surgeon removes the cancerous tumor, your plastic surgeon performs a breast reduction or lift. To ensure a natural, symmetrical look, your plastic surgeon reshapes both breasts. Learn more about reconstructive breast surgery.

Rehabilitation services

Physical therapists in our physical rehabilitation medicine program work with you to relieve post-surgical pain and discomfort and improve range of motion in your arms and upper body. If your surgeon removed lymph nodes, you may develop lymphedema, which causes fluid to build up in connective tissue. Your physical therapist can help you manage this condition.