Lumpectomy
A lumpectomy is the removal of a malignant lump in the breast, leaving the breast itself intact. A lumpectomy with node dissection is the removal of the malignant lump along with nearby lymph nodes. Patients with early, small, well-defined lesions less than 5 cm in size and staged as 0, I, or II are candidates for lumpectomy. Unfortunately, fewer than 20% of breast cancer patients have this type of lesion. Following lumpectomy, most patients will undergo radiation therapy.
Lumpectomy has 5- and 10-year survival and local recurrence rates at least equivalent to those of the modified radical mastectomy. In addition, the psychological benefits of avoiding breast removal are significant, making this an especially appealing option for many females with breast cancer.
Procedure
After the patient has received anesthesia, the surgeon makes a small incision near the nipple. He then removes the tumor, a narrow margin of normal tissue surrounding the tumor and, possibly, nearby lymph nodes. The wound is closed, and a small sterile dressing is applied.
Complications
Complications, although uncommon, include wound infection and delayed healing.
Key nursing diagnoses and patient outcomes
Anxiety related to potential change in breast appearance.