Surgical Management of Breast Lesions

Surgery is the mainstay of the treatment of breast lesions. Diagnostic modalities and clinical examination are being used to identify the type of lesion and plan their surgical management. Management and treatment of patients if done according to guidelines and application of new techniques can provide excellent results. Patients attending surgical out patient door with breast lesions were diagnosed definitely before operative management with fine needle aspiration cytology, core needle biopsy/Excision biopsy. In our experience modified radical mastectomy with axillary lymph node dissection and thoracoabdominal skin flaps wherever needed were applied. Sentinallymphnode dissection was done followed by axillary dissection or breast conservative surgery where indicated. In clinically node negative cases of carcinoma breast, accuracy of ultrasonography guided fine needle aspiration cytology was found to be accurate in more than 80% cases. Preoperatively diagnosed benign cases underwent surgical excision. Incision and drainage were also performed as indicated. In our experience with breast lesions, surgical management that followed the recommendations resulted in a positive outcome. The use of new methods yielded excellent results with high precision.