Indications for LumpectomyWhen it comes to early stage breast cancer, a breast surgeon in Singapore can offer a lumpectomy in order to preserve the woman’s breast. The specific indications for lumpectomy include the following…
- Tumour size is less than 5 cm in diameter AND is small relative to size of breast
- Tumour is located away from the nipple
- Women with two or more tumours within the same breast
- Pregnant women
- Women with Systemic Lupus Erythematosus (SLE) and other connective tissue diseases, due to the risk posed by radiotherapy
- Women below 30 years of age, a detailed discussion with your breast surgeon is required because of the high rate of recurrence following this surgery
Types of LumpectomyThere are several types of lumpectomy and medical procedure approaches that are dependent on the patient’s condition. In situations where the breast cancer cannot be felt by the surgeon. Special techniques may be used to identify the location for the cancer to aid in its removal: Radioguided Occult Lesion Localization On the day of surgery, a radiologist takes mammogram or ultrasound scans of the breast in order to locate the cancer. After applying local anesthetic to the breast skin, a very tiny bit of radioactive dye is injected into the cancer. The cancer is located by the surgeon during the surgery with a special detector. Wire-Guided Lumpectomy On the day of surgery , a radiologist takes mammogram or ultrasound scans of the breast in order to locate the lump cancer. After applying local anesthetic to the breast skin, a very thin wire is inserted into the cancer through the skin. The breast surgeon uses the wire as a guide to locate the cancer and remove it. Both the lump and wire are removed.
Currently, Dr Evan is one of a handful of surgeons in Singapore able to offer both the full range of options in breast cancer removal (lumpectomy / breast conservation surgery / oncoplastic breast surgery), and the full gamut of reconstructive options after both breast removal or breast conservation surgery (including use of perforator flap-free tissue transfer). This ensures a truly integrated and comprehensive breast surgery practice.