Lumpectomy is surgery to remove cancer. It's a breast-conserving surgery, which means most of your breast remains intact. There will be 1 cut (incision) on the breast for the lumpectomy procedure. You may also have a second incision under the arm for a sentinel lymph node biopsy, or for removal of the lymph nodes. If you're having a lumpectomy, you'll likely also need radiation therapy later, after you heal.
A week or more before the procedure, you will have an exam and routine tests. Before surgery:
Sign any consent forms.
Tell your healthcare provider about any medicines, herbs, or supplements that you are taking.
Follow any directions you are given for not eating or drinking before your surgery.
Arrange for a trusted adult to drive you home after surgery.
Bring a soft shirt that buttons in front to wear home.
Talk with the anesthesia care provider. He or she will explain how you will be kept free of pain during surgery.
Your surgeon will make an incision near the tumor. The tumor and a surrounding margin of normal tissue will be removed. A second incision may also be made under the arm to remove some of the nearby axillary lymph nodes. These are checked to see if the cancer has spread to them. When the surgery is finished, the incisions will be closed using stitches. A gauze dressing will cover the incisions.
Right after surgery
You will wake up in the recovery room. You may have an IV (intravenous) line for fluids and medicines. Pain medicines will be given to you as needed. A nurse will check your temperature, pulse, and blood pressure. You'll likely go home the same day.
You will be given instructions on how to care for the incisions, what kind of pain medicines you should use, and how to take care of yourself as you recover. Make sure you understand all the instructions and know when you need to next see your healthcare provider.
When to call your healthcare provider
Call your healthcare provider right away if you have any of the following after surgery:
Increased pain, warmth, drainage, swelling, or redness at the incision
Cough or shortness of breath
Pain in the chest or calf
Bleeding that soaks the dressing
Any other problems your healthcare providers told you to watch for and report
Talk with your healthcare provider about what problems to look for and when to call them. Make sure you know what number to call with questions or problems, including after office hours, on weekends, and on holidays.
June 02, 2018
Breast Conserving Surgery. UpToDate
Gersten, Todd, MD,Stump-Sutliff, Kim, RN, MSN, AOCNS