BREAST BIOPSY BY INCISION

General Information

DEFINITION--Removal of a lump or cyst from one of the breasts.

BODY PARTS INVOLVED--Female breast; male breast (rare).

REASONS FOR SURGERY--Signs or symptoms that may indicate breast cancer. Laboratory examination of the removed tissue aids in diagnosis.

SURGICAL RISK INCREASES WITH

• Obesity.
• Stress.
• Smoking.
• Poor nutrition.
• Recent or chronic illness.
• Use of drugs such as: antihypertensives; muscle relaxants; tranquilizers; sleep inducers; insulin; sedatives; beta-adrenergic blockers; or cortisone.
• Use of mind-altering drugs, including: narcotics; psychedelics; hallucinogens; marijuana; sedatives; hypnotics; or cocaine.

What To Expect

WHO OPERATES--General surgeon.

WHERE PERFORMED--Hospital or outpatient surgical facility.

DIAGNOSTIC TESTS

• Before surgery: Blood and urine studies; x-rays of chest; mammogram (See Glossary).
• After surgery: Laboratory examination of removed tissue.

ANESTHESIA

• Local anesthesia by injection.
• General anesthesia by injection and inhalation with an airway tube placed in the windpipe.

DESCRIPTION OF OPERATION

• Needles may be inserted into the breast to localize the lump or cyst.
• An incision is made over the cyst or lump to be removed.
• The cyst or lump is cut free of surrounding tissue and removed.
• Bleeding is controlled with ties or electrocautery.
• The skin is closed with sutures or clips, which usually can be removed about 1 week after surgery.

POSSIBLE COMPLICATIONS

• Excessive bleeding.
• Surgical-wound infection.
• Unsightly scar on breast (rare).

AVERAGE HOSPITAL STAY--0 to 1 day.

PROBABLE OUTCOME--Expect complete healing without complications. Allow about 2 weeks for recovery from surgery.

Postoperative Care

GENERAL MEASURES

• A hard ridge should form along the incision. As it heals, the ridge will recede gradually.
• Use an electric heating pad, a heat lamp or a warm compress to relieve incisional pain.
• Bathe and shower as usual. You may wash the incision gently with mild unscented soap.
• Wear a supportive bra. Apply bandages to the surgical wound and change them as directed by your doctor.

† You may use non--prescription drugs, such as acetaminophen, for minor pain.

† To help recovery and aid your well--

being, resume daily activities, including work, as soon as possible.

• Avoid vigorous exercise for 2 weeks after surgery. > Resume driving 3 to 5 days after returning home.

DIET---No special diet.

Call Your Doctor If

† Pain, swelling, redness, drainage or bleeding increases in the surgical area.

• You develop signs of infection: headache, muscle aches, dizziness or a general ill feeling and fever.