lumpectomy

Type
Essay
Pages
4
Word Count
747
School
State College of Florida
Course
surgical
Lumpectomy 1
Lumpectomy Case Study
Brittany Meier
Southern Technical College
Lisa Graham
11/06/2018
Lumpectomy 1
A lumpectomy is performed to treat a malignancy of the breast tissue. A lumpectomy is a more
common approach to treating breast cancer presently because it is a way to conserve some of the breast
tissue and the nipple. A radical mastectomy used to be the only treatment available for any malignancy
in the breast; however, during a radical mastectomy, the entire breast, all axillary nodes, and the chest
wall muscles are removed. Research indicates that a lumpectomy followed by radiation is shown to be
as effective as a mastectomy in which one tumor mass under 4 centimeters is present (Breastcancer.org,
September 2018).
During a lumpectomy, the patient will be in a supine position with arm board on affected side.
Instruments that are needed for a lumpectomy will be a basic set, rake retractors, small Deaver
retractors, vessel loops, allis clamps, surgical clips and appliers, monopolar ESU, skin marker,
laporotomy sponges, Metzenbaum, and possibly penrose drains. Medications that are used during this
procedure would be general anesthesia, radiation therapy, chemotherapy, post-op pain medications, and
post-op antibiotics. The anatomy that is involved in this procedure would be axillary lymph nodes,
axillary vein, pectoralis muscles, breast tissue, nipple and areola (not removed), thoracic nerves, and
intercostobrachial nerves.
Before the procedure begins the patient is draped accordingly, leaving the thorax and affected
arm exposed. Following the prep of the patient, once they enter the operating room, they are put under
general anesthesia. The margins are marked preoperatively to determine where the skin incision is