Tag Archives: Lumpectomy

PUBLISHED: Partial Mastectomy (Lumpectomy) Utilizing Savi Scout for a Nonpalpable Papilloma

Partial Mastectomy (Lumpectomy) Utilizing Savi Scout for a Nonpalpable Papilloma
Olivia D. Flessland, DOLibby A. Moberg, MDThais A. Fortes, MD
University of Michigan Health – Sparrow

Partial mastectomy of the breast, also known as lumpectomy, is a breast-conserving procedure performed to remove many different types of masses and irregularities in the breast tissue. This involves a small incision concealed at the nipple borders or along the natural breast contours, followed by dissection of the area of concern. The excised tissue is then sent to pathology for final tissue diagnosis and, if applicable, to determine if appropriate margins have been achieved. Furthermore, Savi Scout utilization may help to localize the mass when it otherwise would be difficult to identify or locate. Many different breast pathologies can be removed in this fashion, both benign and malignant, depending on both biological and patient-specific details. In the case presented, a nonpalpable papilloma—typically found to be a benign breast lesion with an increased risk of harboring occult premalignant ductal carcinoma in situ (DCIS)—is surgically excised due to the presence of associated concerning symptoms in the patient.

PUBLISHED: Lumpectomy and Sentinel Lymph Node Biopsy Using Lumicell System for Intraoperative Detection of Residual Cancer

Lumpectomy and Sentinel Lymph Node Biopsy Using Lumicell System for Intraoperative Detection of Residual Cancer
Barbara Smith, MD, PhD
Massachusetts General Hospital

This case presentation involved a female patient with breast cancer who underwent a lumpectomy and sentinel lymph node biopsy using the Lumicell system for intraoperative detection of residual cancer. The aim was to detect residual tumor cells during the initial operation and avoid subsequent surgeries. This video provides a thorough presentation of lumpectomy and sentinel lymph node biopsy utilizing the Lumicell system to detect any remaining cancer during surgery. The video covers the entire process, from preoperative preparation to the final step of skin closure.

PUBLISHED: Left Lumpectomy with Wireless Seed Localization for Ductal Carcinoma In Situ

Left Lumpectomy with Wireless Seed Localization for Ductal Carcinoma In Situ
Massachusetts General Hospital

Bridget N. Kelly
MGH

Carson L. Brown
MGH

Michelle C. Specht, MD
Operating Surgeon, MGH

The patient in this case is a 58-year-old postmenopausal woman who was seen for consultation regarding the management of newly-diagnosed ductal carcinoma in situ (DCIS) of the left breast detected on routine screening mammogram with no clinical or radiological evidence of lymph node involvement.

Breast-conserving surgery with radiation for early-stage breast cancers provides equivalent survival rates to mastectomy when all surgical margins are clear of residual cancer. For patients whose tumors are not palpable upon physical examination, preoperative localization of the malignant tissue to be removed is necessary.

In this video, Dr. Specht at MGH performs and narrates a lumpectomy using wireless seed localization to target the lesion and taking shave margins to reduce the risk of recurrence.


PREPRINT RELEASE: Left Lumpectomy with Wireless Seed Localization


Left Lumpectomy with Wireless Seed Localization
Massachusetts General Hospital

Michelle C. Specht, MD
Assistant Professor of Surgery
Harvard Medical School

On screening mammogram, the patient in this case was found to have ductal carcinoma in situ with calcifications and an area of concern measuring around 2.5 cm. In this video, Dr. Specht performs and narrates a left lumpectomy and explains how to use wireless seed localization in order to more accurately excise the affected area and reduce the risk of recurrence.

PREPRINT RELEASE: Lumpectomy with Sentinel Node Biopsy

Lumpectomy with Sentinel Node Biopsy
Massachusetts General Hospital

Barbara Smith, MD, PhD
Professor of Surgery
Harvard Medical School

Dr. Barbara Smith at MGH performs a lumpectomy and sentinel lymph node biopsy on a female patient who had palpable breast cancer. This case was part of a study featuring Lumicell technology, which looks for residual tumor following the lumpectomy with the goal of reducing rates of recurrence.