Treatment Services >Surgery
We offer multi-specialty consultations and innovative treatments for patients with breast disease. For breast cancer patients, the goal of surgery is to remove the cancer and to offer the patient the best possible cosmetic outcome. The Breast Surgical Oncologists and Plastic Surgeons offer Oncoplastic Surgery by working closely together and with the patient to tailor the surgery to the individual. The surgical treatment of breast cancer depends on many factors, including the type and stage of the disease, the patient’s age, menopausal status and overall health. Surgical options are also individual, and the patient’s personal preferences are a primary part of the overall decision regarding surgery. Surgical interventions offered include:
- Breast Conservation – Lumpectomy (also referred to as a partial mastectomy) is the removal of the tumor in the breast with a surrounding rim of normal tissue to assure that the edges are cancer free. If the tumor is too small to be felt by the surgeon, a thin filament wire is placed into the breast pre-operatively using image guidance (mammogram, ultrasound or MRI) to localize the area to be removed. This is called lumpectomy with wire localization. Breast conservation usually involves post-operative radiation treatment to the breast to decrease the risk of the tumor recurring.
- Total or simple mastectomy is the removal of the whole breast. Reconstruction of the breast is an option. For early stage tumors radiation therapy is not necessary after mastectomy.
- Sentinel Lymph Node Biopsy is a way to remove only a few lymph nodes from under the arm (the axilla) by marking them with a small amount of radioactivity and/or blue dye injected into the breast prior to surgery. If no cancer cells are detected in the sentinel lymph nodes, further removal of other lymph nodes in the axilla is not necessary.
- Axillary dissection is a more complete removal of lymph glands from under the arm. This is done for staging purposes when it is determined that the cancer has spread from the breast to these glands.
- Modified radical mastectomy is the total removal of the breast in addition to an axillary dissection. Reconstruction of the breast may still be an option, even if the tumor has spread to the lymph nodes under the arm.
- Breast Reconstruction (making a new breast mound) may be done at the time of the mastectomy (immediate post-operative reconstruction) or sometime in the future (delayed reconstruction). The breast mound may be made of the patient’s own (non-breast) tissue or by using implants to re-create the volume and contour of the breast. Nipple-sparing mastectomy (removing the breast but preserving the nipple and areola) with reconstruction may be an option for certain patients with small, early breast cancers.
Breast conservation with sentinel lymph node biopsy and/or axillary dissection can frequently be done as outpatient through our Same Day Surgery Center. More extensive surgery such as mastectomy with or without reconstruction usually requires an overnight stay in the hospital.
For a surgical consultation, please call 845.348.8507.