过程
当需要本地化过程时, it's typically done sometime in the 30 days before the lumpectomy. Guided by imaging (either mammography or ultrasound), 放射科十大赌博平台排行榜定位你的肿瘤, 用局部麻醉剂麻痹你的乳房, and places either a wire or a Magseed in the tumor. 定位过程大约需要一个小时.
The lumpectomy itself usually requires general anesthesia, meaning you will be completely asleep. The surgeon makes an incision in your breast to remove the tumor and some of the surrounding tissue, which will be analyzed for the presence of cancer cells. 后删除, the surgeon closes the incision and places sutures (stitches) that will either dissolve on their own or be removed later by your doctor.
If you're having breast reconstruction, it may be done at the same time.
手术后, you'll be moved to a recovery room and monitored while you wake up from the anesthesia. 大多数人可以在同一天回家.
If cancer cells are found in the tissue surrounding your tumor, 你可能需要再做一次手术, 或re-excision, 切除剩余的癌细胞.
乳房重建
When a lumpectomy will cause cosmetic concerns, some women choose to have breast reconstruction. Three types of reconstruction are commonly paired with a lumpectomy:
- 乳房缩小术.
In this approach, your surgeon decreases the size of both breasts to make them look similar. The procedure is done immediately following the lumpectomy while you're still in the operating room. (If you have large breasts or a large amount of tissue removed during your lumpectomy, 你也可以做隆胸手术, 或乳房固定术, 为了更好的美观.) This type of reconstruction causes more scarring because it requires additional incisions, but the scars generally become less noticeable over time.
- 复杂的关闭.
用这种方法, 也是在乳房肿瘤切除术后立即进行的, your surgeon rearranges the tissues near the incision to improve the contour of your breast.
- 脂肪移植.
This is an option for lumpectomy patients after completing radiation therapy, since radiation can increase the risk of scarring if performed before reconstructive surgery. 不像其他重建方法, 脂肪移植不需要额外的切口, 所以没有多余的疤痕.
The surgeon uses liposuction to remove fat from the abdomen, lower back or thighs and then injects it into the breast. Additional fat transfer procedures may be necessary to achieve the desired result.
