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Breast lump removal

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Definition:

Breast lump removal is surgery to remove a lump in the breast .

Alternative Names:

Lumpectomy; Wide local excision; Excisional biopsy

Description:

Tissue from a solid breast mass can be removed by needle biopsy . This procedure places a needle into the lump to take out a piece of tissue. The tissue is then checked for cancer cells.

If the entire lump is surgically removed, the procedure is called a lumpectomy. For a lumpectomy, general or local anesthesia with or without sedatives is used. Once the area is pain-free, an incision is made and the lump is removed, as is the surrounding rim of normal breast tissue. The lump is then sent to a laboratory for examination.

For a fluid-filled lump (cyst), a needle and syringe are used to drain fluid. If the fluid is clear or green and not bloody, and the cyst disappears completely when drained, nothing further needs to be done. If the fluid is bloody, it is sent to the laboratory for analysis. If there is still a lump after the cyst fluid is drained, or if the lump disappears but returns later, surgery is usually done to remove it.

Indications:

If a needle biopsy or a lumpectomy shows that the lump is cancerous, more tests will be required to determine whether the cancer has spread. This is called staging. Staging of a tumor helps your health care provider plan your treatment.

Treatment depends on the type and stage of cancer, your age, menopausal status, and overall health. If the entire lump was not removed in the biopsy, you may need surgery to remove the rest of the lump and some surrounding tissue.

Radiation therapy or chemotherapy may be needed.

• Review Date: 6/7/2006
• Reviewed By: J.A. Lee, M.D., Division of Surgery, UCSF, San Francisco, CA. Review provided by VeriMed Healthcare Network.

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