Lumpectomy Gold Coast
Lumpectomy Surgery on the Gold Coast
A lumpectomy is the removal of a lump from the breast, along with a small amount of the normal tissue around it.
A lumpectomy is a type of breast-conserving surgery. It is also known by other names, including wide local excision, excision biopsy, partial mastectomy, segmental excision, wedge resection and quadrantectomy. These terms mean slightly different things, but all describe removing an area of breast tissue while keeping the rest of the breast. A quadrantectomy, for example, removes approximately a quarter of the breast tissue.
In most cases, a biopsy before surgery has already shown whether the lump is cancer. After the lump is removed, it is sent to a pathologist, who examines it in detail and checks the edges of the tissue, known as the margins. If there are no cancer cells at the edges, this is called a clear margin, and further surgery is usually not needed. If cancer cells are found at or very close to the edge, a further operation, called a re-excision, may be recommended.
At the same time as the lumpectomy, some of the lymph nodes in the armpit may be removed for testing. This is done with a sentinel lymph node biopsy or an axillary dissection. If cancer cells are found in these lymph nodes, further breast cancer treatment may be recommended.
A wide local excision can be combined with breast reshaping techniques to help remove the cancer completely while preserving the shape and appearance of the breast where appropriate.
Breast-conserving surgery became widely used from the 1970s and 1980s, and is usually followed by radiotherapy. Before this, a mastectomy, the removal of the whole breast, was the standard operation for breast cancer. A lumpectomy is not suitable for everyone. It is generally an option when:
- the cancer is in one area of the breast
- the cancer is small enough compared with the size of the breast to be removed with a good cosmetic result (chemotherapy or hormone therapy before surgery can sometimes shrink a larger cancer)
- the cancer has not grown into the chest wall
- you have not previously had radiotherapy to the same breast
- radiotherapy is safe for you, as some conditions, such as certain connective tissue diseases, can make radiotherapy unsuitable
- the timing of radiotherapy can be planned safely, as radiotherapy is not given during pregnancy
There are many factors to consider when choosing between breast-conserving surgery and a mastectomy. Dr John Gault will talk you through all of your options and the factors involved at a consultation at his rooms on the Gold Coast.
Your questions answered
Frequently Asked Questions About Lumpectomy
Is a lumpectomy the same as breast-conserving surgery?
Yes. A lumpectomy is a type of breast-conserving surgery. It removes the cancer or lump with a margin of healthy tissue while keeping the rest of the breast. You may also hear it called a wide local excision or partial mastectomy.
Is a lumpectomy as effective as a mastectomy?
For many people with early breast cancer, a lumpectomy followed by radiotherapy offers similar long-term survival to a mastectomy. The best option depends on the features of the cancer, your breast size, your health and your own preferences, and Dr Gault will explain which options suit you.
Will I need radiotherapy after a lumpectomy?
Usually, yes. Radiotherapy after a lumpectomy for breast cancer lowers the risk of the cancer coming back in the same breast. In some cases, such as certain low-risk cancers in older women, radiotherapy may not be needed. Your radiation oncologist will advise on what is right for you.
What is a clear margin?
A clear margin means the pathologist has found no cancer cells at the edges of the tissue that was removed. This suggests the cancer has been completely removed, and further surgery to the breast is usually not needed.
What happens if the margins are not clear?
If cancer cells are found at or very close to the edge of the removed tissue, a second operation called a re-excision may be recommended to remove more tissue. Occasionally, a mastectomy may be the better option. Dr Gault will go through your pathology results with you and explain the next steps.
How is a lump that cannot be felt found during surgery?
If a lump cannot be felt, its position is marked before surgery using imaging such as a mammogram or ultrasound. This is called localisation, and it may involve placing a fine wire or a small marker in the breast to guide the surgeon to the exact area.
Will my breast look different after a lumpectomy?
There may be some change in the size or shape of the breast, depending on how much tissue is removed and where the lump is. Breast reshaping techniques can sometimes be used at the same time to help maintain the shape of the breast. Dr Gault has met the BreastSurgANZ training requirements to perform oncoplastic and reconstructive techniques. The appearance of the breast after surgery differs from person to person.
Will my lymph nodes be removed?
It depends on your situation. For invasive breast cancer, a sentinel lymph node biopsy is often performed at the same time as the lumpectomy to check whether the cancer has spread to the lymph nodes in the armpit. See our axilla surgery page for more information.
What is recovery like after a lumpectomy?
A lumpectomy is often performed as day surgery or with a short hospital stay. Dr Gault operates at Pindara Private Hospital, Benowa. Recovery varies from person to person, and it may take longer if lymph nodes are also removed. Dr Gault and our breast care nurse will give you advice for your own recovery.
What are the risks of a lumpectomy?
Like any surgery, a lumpectomy carries risks. These can include infection, bleeding or bruising, a build-up of fluid under the wound (seroma), numbness around the scar, changes in the shape of the breast and the possible need for further surgery if the margins are not clear. There are also risks associated with the anaesthetic. Dr Gault will explain the risks that apply to you before surgery.
What support is available during my treatment?
You will have access to our breast care nurse, Julie, who supports you and your family through surgery and recovery, and can connect you with other support services. Care continues after surgery through survivorship and follow-up.
How much does a lumpectomy cost?
Costs vary depending on the procedure, whether lymph node surgery or breast reshaping is included, the hospital and your level of health insurance cover. Please contact our rooms on (07) 5539 3999 to discuss the likely costs for your situation. You may also wish to check with your private health fund about your cover and any excess.
How do I book a consultation?
You can book by calling (07) 5539 3999 or by sending a message through the Quick Enquiry form on this page. A referral from your GP or another medical practitioner is needed to claim a Medicare rebate for your consultation. Our rooms are at Suite 11, Pindara Place, 13 Carrara Street, Benowa QLD 4217.
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. The information on this page is general in nature and is not a substitute for individual medical advice.