You usually have a biopsy of any lymph nodes that look abnormal. You have an ultrasound scan of the lymph nodes under your arm (axilla) at the same time as having other tests to diagnose breast cancer. Removing lymph nodesĬancer cells can sometimes spread into the lymph nodes close to the breast. Once they find the cancer the surgeon can remove it along with the marker. The probe lets the surgeon know when they are near the cancer. You go to the radiology department to have this put in.ĭuring surgery the surgeon uses a sensing machine called a probe that gives off sound at different pitches or tones. You have this put in with a mammogram or ultrasound scan with a local anaesthetic. The marker is about the size of a grain of rice and is 5mm in length. You might hear this called Magseed guided wide local excision. Magseed is the name of one of the magnetic markers in use. This is to help the surgeon find a cancer that is too small to feel. You may have a magnetic marker put in a few days or weeks before your breast conserving surgery.
This means putting a thin wire into the breast tissue to show the surgeon the exact area to remove. You may also hear this called a wire guided wide local excision. You may have a wire guided localisation before your surgery. They might be able to show you photos of what your breast is likely to look like afterwards. Your surgeon can tell you what to expect.
The surgeon may need to operate on your other breast so that they look similar. But in some women the breast might be smaller. This type of surgery may not change the look of your breast too much. Sometimes the surgeon can carry out the surgery using a cut (incision) around the dark area surrounding the nipple (areolar). You have another scar under your armpit if you have lymph nodes taken away. You can’t usually see this when you wear a bra or swimming costume. You might need more surgery if the margin around the cancer is not clear. It means that you are unlikely to need more surgery and the risk of cancer coming back in the future is lower. It is important to have clear margins with any surgery to remove a cancer. If there are no cancer cells, your report will say that there is a clear margin.
They send these to the laboratory.Ī pathologist checks the border around the tumour for cancer cells. They might also remove some or all of the lymph nodes in your armpit (axilla). The operationĭuring the operation, the surgeon removes the cancer and a border (margin) of normal breast tissue all around it. This type of surgery may not be suitable if you are unable to have radiotherapy afterwards. This is to destroy any cancer cells that may still be in the breast. You usually have radiotherapy after this surgery. Your surgeon may recommend this operation if the cancer is: They leave behind as much normal breast tissue as possible. The surgeon removes the area of cancer and some of the surrounding breast tissue. Doctors also call this type of surgery a wide local excision or lumpectomy. Breast conserving surgery is treatment to remove an area of cancer from the breast.
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