If you are diagnosed with breast cancer and you are advised to have surgery you will want to know that you are in the very best of hands. If a breast cancer is detected there are a variety of surgical options including breast conserving surgery (lumpectomy), pre-surgical chemotherapy to shrink lesions and mastectomy with reconstruction.
Surgery will be an integral part of your care, however other treatments such as radiotherapy, chemotherapy, herceptin and hormore tablets may be required also. Our patients can also access the latest appropriate drugs for their treatment and can be offered entry into relevant clinical trials, if she/he wishes. We have had several years' experience of using the new Oncotype DX breast cancer genetic test which tells you about your tumour in order to optimise your specific cancer treatment.
About 75% of women end up having the cancer removed safely by lumpectomy alone. Only approximately 25% of women require a mastectomy. If you require a mastectomy you will be offered reconstructive surgery. Sometimes this takes place at the same time as the treatment surgery, in other cases it can be delayed, depending on the individual case, and the wishes of the patient.
In some cases, lumpectomy surgery can be performed in conjunction with re-shaping of the affected breast to provide a better cosmetic result and reduce the problems associated with radiotherapy given to women with larger breasts. This procedure is called a 'therapeutic mammoplasty'. Matching surgery to the other normal breast can also be performed, sometimes at the same time.
Your breast surgeon will be able to offer you breast reconstruction. All the surgical and treatment options will be discussed with by your consultant. Our breast care nurses will take time to meet with you to talk through the options as well as discuss the physical effect of each operation as well as showing you a selection of photographs to aid your understanding and help you to be fully informed about what lies ahead. They can also arrange for you to meet women who have been through the various operations, so you can gain a first hand, personal understanding of the experience. An essential role of our breast care nurse is having the ability to guide you to breast cancer support groups and local support organisations like Breast Cancer Care Cymru (https://www.breastcancercare.org.uk). This ensures ongoing support for you as our patient, and rest assured that if you need to see our breast care nurse at any time we will be happy to accommodate you.
Your surgeons will also discuss surgery to the lymph glands in your armpit (axilla) to check for spread of the cancer to the glands. Recently there have been many articles about a new technique called 'sentinel node biopsy', which is a much less invasive operation. Our surgeons have used this technique for many years and offer it routinely to patients with breast cancer.
|Aspiration of cyst under ultrasound|
|Biopsy breast under ultrasound|
|Block dissection of axillary lymph nodes (axillary clearance) levels 1-3|
|Excision biopsy of breast lesion after localisation|
|Excision biopsy of breast lesion after localisation bilateral|
|Excision of breast lump/fibroadenoma|
|Excision of mammary fistula|
|Local mobilisation of glandular breast tissue to fill surgical cavity|
|Lymph node biopsy|
|Lymph node clearance|
|Mastectomy - radical|
|Mastectomy - simple|
|Mastectomy and immediate reconstruction of breast using extended latissimus dorsi flap|
|Mastectomy and immediate reconstruction of breast using latissimus dorsi|
|Mastectomy for gynaecomastia bilateral|
|Mastectomy for gynaecomastia unilateral|
|Microdocchectomy or mammodochectomy (Hadfields procedure)|
|Modified radical mastectomy|
|Modified radical mastectomy (including lymph node clearance)|
|Modified radical mastectomy (including lymph node sampling)|
|Plastic procedures on nipple|
|Prophylactic mastectomy - bilateral|
|Prophylactic mastectomy - unilateral|
|Radical mastectomy (including block dissection)|
|Re-excision of lesion of breast if resection margins are not clear|
|Reconstruction of the breast using extended latissimus dorsi flap (including delayed reconstruction)|
|Sampling of axillary lymph nodes|
|Sentinel node biopsy|
|Sentinel node mapping and sampling with blue dye and radioactive probe for breast cancer|
|Subcutaneous mastectomy with immediate implant|
|Wide excision of lesion of the breast|
|Wide local excision of breast +/- mobilisation of glandular breast|
|Wire localisation under x-ray control|