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Overview

Breast-conserving surgery is a surgical procedure that involves removing the tumor along with some surrounding healthy breast tissue in the early stages of breast cancer. In this method, not the entire breast, but only the cancerous area and a small amount of healthy tissue around it are removed. Breast-conserving surgery is usually performed in conjunction with radiotherapy and is a good alternative to mastectomy, which requires removal of the entire breast, in suitable patients. However, it cannot be applied to some patients.

Patient group to which it cannot be applied:

• Those with extensive tumors in their breasts.
• Patients with multicentric breast cancer where the foci are far from each other.
• Patients who cannot receive radiotherapy (such as early pregnancy, collagen tissue disease, having received radiotherapy before).
• Patients who, when the removed tissue is examined, are found to have not had the tumor completely removed.
• Patients diagnosed with advanced or inflammatory breast cancer.
• Patients with genetic mutations.

Procedure Details

• Procedure: Breast-Conserving Surgery (Lumpectomy, partial mastectomy)
• Duration: 1-2 hours (depending on the size and location of the tumor)
• Anesthesia: General anesthesia or local anesthesia with sedation
• Location: [Hospital or Clinic Name] – Istanbul
• Possible Side Effects: Pain, swelling, bleeding, infection, breast deformity, loss of nipple sensation (temporary).
• Recovery Time: Varies depending on the extent of the surgery and the person’s overall health, usually a few weeks.
• Expected Outcomes: Complete removal of cancerous tissue, preservation of the breast, preservation of aesthetic appearance, continuation of quality of life.

Daily Plan

• Day 1:
  • Arrival in Istanbul and transfer to the hospital.
  • Pre-operative consultation and detailed examination with your surgeon.
  • Evaluation of breast tissue with imaging methods such as mammography, ultrasonography, MRI.
  • Determining the location and size of the tumor. Marking if necessary.
  • Surgical planning and discussion of expectations.
• Day 2:
  • Breast-conserving surgery and/or intervention to the axillary lymph nodes (SLNB/ALND).
  • Post-operative pain control and drain monitoring.
  • Hospital stay is usually 1 day.
• Day 3:
  • Post-operative check-up by the surgeon.
  • Changing of dressings.
  • Starting arm exercises.
  • Discharge from the hospital and transfer to the hotel.
• Day 4-5:
  • Rest at the hotel.
  • Continue arm exercises.
  • Gradual return to daily activities according to your doctor’s recommendations.
  • Receiving pathology results and evaluation by the oncology department.
• Day 6:
  • Return to your country.

Post-Operative Care

• Use antibiotics and pain medications as recommended by your doctor.
• Do arm exercises regularly.
• Dress the surgical area as instructed, keep it clean and dry.
• Avoid heavy lifting and strenuous activities.
• Follow your doctor’s instructions and schedule a follow-up appointment with a local doctor after returning to your country.

FAQ

• Q: Is breast-conserving surgery painful?
  • A: Post-operative pain is expected, but it can be managed with pain medications.
• Q: Will there be a deformity in the breast after breast-conserving surgery?
  • A: There may be a slight deformity in the breast depending on the amount of tissue removed.
• Q: What are the risks of breast-conserving surgery?
  • A: There are risks such as bleeding, infection, loss of sensation, and skin problems. Your doctor will explain the risks in detail.
• Q: Who is suitable for breast-conserving surgery?
  • A: Breast-conserving surgery may be performed in the early stages of breast cancer, depending on the size and location of the tumor. Your doctor will evaluate the characteristics of the tumor, your breast tissue, and your overall health to determine if it is right for you.