Breast lumpectomy

This is a procedure performed to remove a benign breast lesion such as a fibroadenoma, breast cyst or papilloma. The procedure is performed under a general anaesthetic. A surgical cut is made either on the edge of the dark area surrounding the nipple (areola), or over the lump and the lump is removed. The skin is then closed with self-dissolving stitches under the skin. The lump will be tested under the microscope and the results will be discussed with you at your clinic appointment.

Prior to the procedure

No special procedure is required prior to this operation. Smoking cessation is important if you are a smoker as it helps reduce the risk of wound complications.

Recovery

After the procedure you will wake up in a hospital room. After breast lumpectomy you may go home on the same day or spend one night in hospital. You are typically expected to go home once you are eating and drinking and are able to manage the pain. It normally takes about two weeks to fully recover and return back to work but it varies depending on the size of the lump removed and from person to person and depends on their general health and the nature of their work. Once at home it is important to get adequate rest and perform shoulder exercises to reduce the risk of getting a stiff shoulder. For the first four weeks you should avoid any heavy lifting or repetitive movements (ironing, vacuuming), avoid swimming or playing sport, avoid driving until you are confident.

Risks of the procedure

Breast lumpectomy is in general a very safe procedure. Complications common to all surgical procedures include risk of wound infection (2%), bleeding/bruising (1%), blood clots, heart problems, pneumonia and anaesthetic risks. The complications specific to this operation include short term pain, a scar or dimpling of the breast over the area that the lump has been removed, a fluid collection called seroma and skin numbness over the wound.