Removal of benign breast lesions

Removal of benign breast lesions is a surgical procedure used to remove non-cancerous (benign) fatty, connective, or cystic growths in the breast. These formations are usually detected during a mammogram or breast ultrasound and can cause pain or discomfort, which may be a reason for their removal. The procedure is usually performed under general anesthesia, and the surgeon may choose one of several removal methods, including:

• Lumpectomy: removal of only the tumor and a small portion of healthy surrounding tissue
• Excision: removal of the entire formation and surrounding healthy tissue
• Aspiration biopsy: removal of fluid from the cyst in the breast using a biopsy needle.

After removal, the tissue is sent for pathological analysis to confirm that the formation is benign. Most women recover quickly from the procedure and can return to their daily activities within a few days to weeks.

When is it indicated?

Removal of benign breast lesions is usually recommended when the formation causes pain, discomfort, swelling, or is detected during a routine breast examination, mammogram, or breast ultrasound. Other reasons a woman may be referred for surgical removal of benign breast tumors include:

• Increase in tumor size
• Changes in the shape or texture of the breast
• Detection of atypical cells during biopsy
• Increased risk of developing breast cancer due to family history or personal history of breast cancer.

In any case, the decision to remove benign breast tumors should be individualized and made in collaboration between the woman and her physician.

How is it performed?

Removal of benign breast tumors can be performed in several ways, depending on the size, location, and type of tumor. Common methods include:

1. Lumpectomy: This is a procedure where only the tumor and a small portion of healthy surrounding tissue are removed. It is often used for smaller tumors. After lumpectomy, the tissue is sent for pathological analysis to confirm that the tumor is benign.
2. Excision: This is a procedure where the entire formation and surrounding healthy tissue are removed. This is usually used for larger tumors or if there is suspicion of malignancy in the tumor. After excision, the tissue is also sent for pathological analysis.
3. Aspiration biopsy: This is a procedure where fluid is removed from the cyst in the breast using a biopsy needle. This procedure is only used for cystic tumors filled with fluid.

These procedures are usually performed under local or general anesthesia, depending on tumor size and other factors. The duration of the procedure depends on the type and size of the tumor but usually lasts between 30 minutes and an hour. After the procedure, the woman can usually go home the same day, but it may take a few days for complete recovery.

How to prepare?

Preparation for the removal of benign breast tumors includes several steps:

1. Talk to your doctor: Discuss the procedure, possible risks and benefits with your doctor, and ask any questions you may have.
2. Check medications: Before the procedure, inform your doctor about all medications and dietary supplements you are taking. Some of these substances may affect your blood clotting ability, which can increase the risk of bleeding during the procedure.
3. Quit smoking: If you smoke, you should stop at least 2 weeks before the procedure. Smoking can slow down the healing process and increase the risk of infection.
4. Diet: In case of general anesthesia, you need to refrain from eating or drinking for at least 8 hours before the procedure.
5. Clothing: Bring comfortable clothing and a bra that will fit you after the procedure.
6. Recovery preparation: Prepare for recovery after the procedure by arranging for help around the house and scheduling time for rest and recovery. Also, ensure you have all prescribed medications and know how to use them properly.

Your doctor will explain in detail all the steps you need to take in preparation for the removal of benign breast tumors.