Breast Surgery is used to remove a breast tumour. Your doctor will look at the size of the breast lump and the stage of the cancer to determine which surgery to perform.
Your doctor will evaluate your condition and suggest the most suitable treatment. Breast Surgery can include Breast-Conserving Surgery, which consists of the removal of the cancer and some of the surrounding tissue (Lumpectomy) or the removal of one-quarter of the breast that contains the lump (Quadrantectomy). In some instances the surgery might involve the removal of the whole breast (Mastectomy). Some of the lymph nodes from the armpit may also be removed during surgery.
Breast-Conserving Surgery and Mastectomy
Women with early-stage cancers can usually choose between having either a Breast-Conserving Surgery (BCS) [removing part of the affected breast via Lumpectomy or Quadrantectomy] or a Mastectomy, which is the total removal of the breast. It is very important that you know all the facts about these 2 procedures before you make your decision, and here are a couple of advantages for Breast-Conserving Surgery over Mastectomy:
- A woman keeps most of her breast
- Mastectomy does not give a better chance in long-term survival and most women will still need radiation therapy following the surgery.
Laparoscopic (keyhole) surgery, a less invasive surgical intervention, uses an instrument called a mammotome which is a vacuum-assisted needle device that allows your surgeon to remove the whole breast lump or to take a biopsy (small tissue sample of the breast lump) for further diagnostic examination. This is a safe procedure that can be performed under local anaesthetic, with minimal discomfort, and without the need for you to stay at the hospital.
Radioisotope Occult Lesion Localisation (ROLL)
Radioisotope Occult Lesion Localisation (ROLL) technique allows non-palpable (too small to be felt by hand) tumours to be precisely located, and it ensures that the entire tumour is removed easily and reliably. This technique places a radioisotope marker in the centre of the tumour, under image guidance, and then a manual gamma probe is used to remove the tumour and any neighbouring cancerous tissues. Breast surgery using the Radioisotope Occult Lesion Localisation technique is a faster surgical procedure and leads to a better clinical outcome.