Case 2: A 43-year old female consults because of a rapidly growing L breast. Axilla is negative for clinically palpable nodes. . A 43-year old female consults because of a rapidly growing L breast. Axilla is negative for clinically palpable nodes.
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Wide Local Excision
Complete removal of breast lesion with a margin of normal appearing breast tissue
4cm in diameter
Circumareolar incisions through subareolar and centrally located breast lesion
Radial incisions in the upper half of the breast are not recommended
After excision – sent for histopath.
Additional margins (superior, inferior, medial, lateral, superficial, and deep)
Electrocautery or absorbable ligatures
Wound drainage is avoided
Excisional biopsy with needle localization
Mammography for placement of wire