Wide local excision: "lumpectomy"

If you have been diagnosed with breast cancer please contact us and we can arrange a consultation at Breast Care Leicester with one of our Consultant Breast Surgeons to discuss your treatment options. Modern breast cancer treatment includes surgery , chemotherapy, radiotherapy and endocrine therapy. Most patients undergo a combination of some or all of these treatments. We will tailor our treatment recommendations to you as an individual, depending on the type of breast cancer, your medical fitness and your wishes and preferences.

Wide local excision is more commonly known as "lumpectomy". This is a breast conserving surgery technique in which the surgeon removes the breast cancer and a safety margin of normal breast tissue around it. Where possible, our surgeons then carry out some reshaping of the breast tissue to create the best possible shape and to minimise any visible dent in the breast. Whether this is the right technique for you depends mainly on the size of the cancer relative to the overall size of the breast. Larger tumours tend to require alternative techniques such as therapeutic mammoplasty or mastectomy . The upper photograph shows a woman who underwent a wide local excision (through a peri-areolar incision running around the edge of the areola between the 9 & 1 o'clock positions) and a sentinel lymph node biopsy through a separate axillary incision. The photograph was taken three weeks after her operation before she went for radiotherapy. The lower photograph shows a woman who had a wide local excision and sentinel lymph node biopsy through a single incision. The photograph was taken three weeks after her operation and shows the residual stain from the blue dye near her right nipple which can take a variable length of time to dissipate.

Following wide local excision for breast cancer, radiotherapy will be necessary to reduce the chance of breast cancer recurring in the same breast in future.

At the same time as your wide local excision, therapeutic mammoplasty or mastectomy , your surgeon may advise sentinel lymph node biopsy or axillary node clearance . Click the links on this page to find out more about the various other types of surgery for breast cancer.
 
Wide local excision is an operation which can have short- and long-term complications which include bleeding; haematoma; infection; seroma; pain; numbness/altered sensation; nerve or blood vessel injury and visible dent or defect and scarring. Scarring can take up to two years to mature fully. Some patients find that massaging a scar once it has healed can help to soften it and reduce discomfort.
Therapeutic mammoplasty
Mastectomy
Sentinel lymph node biopsy
Axillary node clearance
Breast reconstruction