Breast lump removal is
the surgical removal of a cancerous lump inside the breast. It is also known
as a lumpectomy.
It’s done when biopsy results show that a lump in the breast
is cancerous. The goal of the surgery is to remove the lump and some healthy
tissue around the tumor. Removing healthy tissue along with the lump helps
ensure that all cancer cells are gone.
Evidence shows that a lumpectomy is just as effective as a
mastectomy in the early stages of breast cancer, according to Mayo Clinic. A mastectomy
is a complete surgical removal of the breast.
Why a Breast Lump Removal Is Performed
Breast lump removal is performed to prevent a cancerous
tumor from spreading to other parts of your body. The ability to perform a
lumpectomy depends on the size and stage of the tumor.
Many doctors prefer this method over a mastectomy. Contrary
to a mastectomy, which removes the entire breast, a lumpectomy is less
invasive. In a lumpectomy, your doctor takes a part of the breast, which leaves
much of your breast’s appearance and sensations intact. This allows for a
better chance to maintain breast symmetry. However, radiation or chemotherapy
may need to follow a lumpectomy to ensure all cancer cells are destroyed.
The Risks of a Breast Lump Removal
All surgeries carry the risks of allergic reaction,
bleeding, and infection.
After breast lump removal surgery, your breast may be numb
if the nerves were affected. The shape of your breast may also change. It may
take some time for you to be comfortable with your breast’s appearance.
There may be tenderness and temporary swelling after
If you choose to have a lumpectomy instead of a mastectomy, you
may have radiation therapy five times a week for five to seven weeks after
surgery. The side effects of radiation include fatigue, nausea, and vomiting.
How to Prepare for a Breast Lump Removal
Prior to surgery, you’ll have several appointments with your
doctor. These will include physical examinations and imaging with X-rays or
mammography. The goal is to determine the size and shape of the tumor.
A few days before the surgery, you’ll meet with your
surgeon. During this meeting, tell your surgeon about any allergies and
medications you take, including over-the-counter drugs and supplements. You
should also mention if you’re pregnant or you think you may be pregnant.
Your doctor may advise you to stop taking any blood thinners
up to a week before your surgery. This cuts down your risk of bleeding. You’ll
also need to fast and avoid drinking liquids for up to 8 to 12 hours before surgery.
Bring a list of questions you have to your doctor. You may
want to bring a friend or family member with you to take notes.
It can be helpful to bring someone with you on the day of
your surgery. A companion can provide support, listen to any instructions after
surgery, and give you a ride home. If no one is available to stay with you,
talk to your doctor about alternative ways to get help.
How a Breast Lump Removal Is Performed
Prior to surgery, you’ll change into a hospital gown and be
given anesthesia. If local anesthesia is used, you may be given a sedative to
relax during the breast lump removal. If you’re given general anesthesia,
you’ll be in a painless sleep during the entire procedure.
Your surgeon will begin by locating the tumor. During your
biopsy, your surgeon may have placed a metal marker, or clip, near the site. If
that’s the case, a thin wire will be used to locate the clip. This wire helps
guide your surgeon to the right spot for the incision.
Your surgeon will remove the tumor and some healthy cells
around the tumor. This ensures that the entire tumor is removed. The lump is
then sent to a laboratory for testing.
During the surgery, your doctor may remove lymph nodes from
under your arm on the side of your breast. They will be tested to see if the
cancer has spread.
Following the successful removal of the tumor and any lymph
nodes, the incision will be closed with stitches and bandaged.
After a Breast Lump Removal
After the procedure, you’ll go to the recovery room. Your
vital signs will be monitored while you wake up from the anesthesia. When you
wake up, you can expect some pain in the incision area. You’ll be given
medication for the pain.
In the weeks following surgery, you’ll need to restrict your
activities. It takes time to heal. It’s important to follow your doctor’s
instructions for care after surgery.
You will need to take care of the incision at home. The
stitches may dissolve on their own or your doctor will remove them during a
follow-up appointment. If radiation therapy is necessary, it typically starts
within a few weeks of a lumpectomy procedure.
Depending on the size of the lump removed, you may choose to
have breast reconstruction surgery. This is done after any radiation therapy is
complete. However, most women don’t need reconstruction after this type of
surgery. That is one of the advantages of lumpectomy.
If you have a large tumor and are very concerned about
having matching breasts, talk to your doctor about options before surgery. Your
surgeon may recommend a mastectomy. A mastectomy may also be recommended if you’re
very worried about the cancer returning or if you don’t want radiation.
You might need additional surgeries if the whole tumor
wasn’t fully removed during the initial surgery.