Breast Cancer Surgery

Breast-conserving surgery, also known as oncoplastic breast surgery, removes cancerous tissue along with a margin of surrounding breast tissue, while preserving as much of the breast as possible. Dr O'Donohue employs oncoplastic techniques where appropriate to help maintain the shape and appearance of the breast following surgery. After breast-conserving surgery, radiotherapy is usually recommended to enhance treatment outcomes, distinguishing it from more extensive mastectomy procedures.

Oncoplastic breast surgery combines breast cancer removal with reconstructive techniques to help preserve or restore the breast's natural shape, making it a valuable option for breast-conserving surgery. In selected patients, Dr O'Donohue may utilize a local perforator flap, which involves moving nearby tissue into the area where the cancer was removed. This method can allow for breast conservation in certain cases where standard mastectomy procedures might otherwise result in a significant change in breast shape.

A mastectomy involves removing breast tissue to treat or lower the risk of breast cancer. Depending on factors such as the extent or location of the cancer, previous treatments, genetic risks, or personal preferences, a mastectomy may be recommended over breast-conserving surgery. Dr O'Donohue will discuss various mastectomy procedures, including oncoplastic breast surgery, as well as whether breast reconstruction is suitable and what options may be available.

A sentinel lymph node biopsy checks the first lymph node or nodes that breast cancer cells are most likely to reach. During breast-conserving surgery, these nodes are identified and removed for examination to help determine whether cancer has spread beyond the breast. Not every patient requires this procedure. Dr O'Donohue will explain whether it is appropriate for your diagnosis and how it relates to mastectomy procedures or oncoplastic breast surgery.

An axillary lymph node dissection involves removing lymph nodes from the armpit when more extensive lymph node surgery is required, especially in the context of breast-conserving surgery or mastectomy procedures. This procedure is generally considered when cancer has spread to the lymph nodes and further surgical treatment, such as oncoplastic breast surgery, is indicated. Dr O'Donohue will discuss the benefits, risks, and possible side effects, including lymphoedema, and how these can be managed.