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Conditions

Lumpectomy: What Can I Expect?

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what is a lumpectomy and what can I expect during surgery?

 

If you are scheduled for a breast lumpectomy, this may cause concerns for your future health. Beebe Healthcare's oncology team is here for you every step of the way. If you have questions are reading the following resource, please reach out to the Breast Health Nurse Navigator here.

Source: Learn more on Oncolink.

 

What is a lumpectomy?

A lumpectomy is the surgical removal of a breast mass and not the whole breast. A surgical oncologist will remove the mass and a small area of surrounding normal breast tissue. The borders of the tissue removed are called surgical margins. If cancer is found, these “margins” should not contain any cancer. This reduces the risk of cancer growing back in that breast.

Will I stay overnight?
In most cases a lumpectomy is done as an outpatient or same day surgery.

Could I need more surgery?
If the lab report or pathology report says that cancer is seen at or close to the surgical margin, more surgery may be needed to obtain "clear margins."

What is recovery like?
Your surgeon will talk to you about specific recovery issues. In general, you will be up and moving the day after surgery. You will have some limitations to your normal schedule and exercise routine in the first week or so. After surgery, you could have any of the following issues, which will resolve over time:

  • Pain, swelling, or sensitivity at surgical site
  • Bruising
  • Lump or firmness at the surgical site

Can I prevent infections?
It is not common that patients get an infection of the surgical site after a lumpectomy. You can prevent an infection by:

  • Taking a shower the night before surgery and wash your body with soap and water.
  • Do not immerse the incision site in water (soaking in a tub or swimming).
  • Always wash your hands before and after touching the incision or changing the dressing. 

What will I need at home?

  • A supportive, cotton bra or sports bra to wear the days and weeks after surgery. 
  • Gauze pads (4x4) to place inside your bra for comfort and protection (no need to use any tape). Gauze pads can be found at your supermarket or pharmacy.
  • Clean, supportive pillow(s) to put under your arm while sitting or to help with positioning at night.
  • You may have constipation after surgery. Over-the-counter medications, adding fiber to your diet, exercise (as simple as walking) and fluids may ease constipation. Ask your healthcare team about over-the-counter medications that may work for you.

 

General Care After Lumpectomy

If you have a post-surgical bandage, remove per your surgeon's instructions (often within 48 hours). Once the bandage is removed, you may shower, but do not scrub the incision. To dry, carefully pat the incision with a clean towel. Avoid lotions, powders or deodorant on or near the incision during the first 1-2 weeks until it is fully closed.

Most surgeons use dissolvable sutures inside your body which will go away on their own. On the outside, your surgeon may use surgical glue, paper tape called "steri-strips" or nothing at all. Both glue and steri-strips can get wet in the shower.

How can I care for myself?
You will want to have a family member or friend come with you the day of surgery. Following surgery, you may want this person to stay with you for up to 48 hours until you are able to complete your daily tasks and feel better. It may take some time before your team tells you that it is ok to go back to your normal activity.

Be sure to take your prescribed medications as directed to prevent pain, infection, or constipation. Call your team with any new or worsening symptoms.

There are ways to manage constipation after your surgery. You can change your diet, drink more fluids, and take over-the-counter medications. Talk with your care team before taking any medications for constipation. 

Taking deep breaths and resting can help manage pain, keep your lungs healthy after anesthesia, and promote good drainage of lymphatic fluid. Try to do deep breathing and relaxation exercises a few times a day in the first week, or when you notice you are extra tense.

Example of a relaxation exercise: While sitting, close your eyes and take 5-10 slow deep breaths. Relax your muscles. Slowly roll your head and shoulders.
This article contains general information. Please be sure to talk to your care team about your specific plan and recovery.

References and Sources:
American Cancer Society. Breast-Conserving Surgery. 2019. Found at https://www.cancer.org/cancer/breast-cancer/treatment/surgery-for-breast-cancer/breast-conserving-surgery-lumpectomy.html

MedLine Plus. Breast lump removal. 2018. Found at https://medlineplus.gov/ency/article/002918.htm

The American Society of Breast Surgeons. Performance and practice guidelines for breast-conserving surgery/partial mastectomy. Found at www.breastsurgeons.org/docs/statements/Performance-and-Practice-Guidelines-for-Breast-Conserving-Surgery-Partial-Mastectomy.pdf