The surgeon, often oncologist or breast specialist, removes the tumor (lumpectomy) and a large part of healthy tissue around the cancerous area to avoid the risk of recurrence. In addition, it does everything in its power to restore its shape and harmony to the breast.
If, despite this, the histological analysis of the edges of the tumor reveals the presence of malignant cells, a second intervention is proposed which may lead, if necessary, to a mastectomy (total removal of the breast).
In practice, the surgeon makes his incision according to the location and size of the tumor, the shape and size of the breast to obtain the best therapeutic and aesthetic effects. The incision is made opposite the tumor or at a distance.
A spot for small tumors
Microcalcifications and non-palpable tumors should be identified before proceeding with their removal. Thus, the radiologist places a small metal wire in the lesion (s) before the operation under ultrasound control or digital imaging to guide the surgeon.
The tumor is located in the center of the breast
If it is not too large, it is now possible to perform a lumpectomy by also removing the areola and the nipple. The areolo-nipple region is reconstructed in a second step.
If the breast is completely removed
Sometimes essential, this operation is indicated in the event of a large tumor, of several tumors in the same breast, of recurrence or for cosmetic reasons when the volume of the breast is too small compared to the size of the tumor.