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Modern Breast Surgical Services



Breast Cyst Aspiration

Cyst aspiration removes fluid from a cyst (fluid-filled nodule). The skin is sterilized but local anesthesia is typically unnecessary. During this procedure, a needle is inserted into the breast using ultrasound guidance. The tip of the needle is then placed in the cyst and fluid is withdrawn until the cyst is emptied and collapses.

If the cyst was seen on a mammogram, an x-ray may be taken after the procedure to confirm that it has disappeared. No bandages are required after this procedure, and there should be no side effects. The procedure takes less than 5 minutes. The fluid removed during aspiration is sent to pathology to confirm that it is benign. 

 

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Fine Needle Aspiration

During fine needle aspiration, a small needle (22g) is used to sample an abnormality, eliminating the need for anesthesia. Fine needle aspiration biopsy is recommended for sampling very small masses (3-5mm) and for determining whether an abnormality is a cyst or a solid mass when ultrasound results are inconclusive. Because such small tissue samples can lead to inaccurate test results, the procedure is being used less often today.

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Nipple, Areola and Skin Sparing Surgery With Reconstruction

A nipple, areola and skin sparing breast reconstruction removes the breast for thorough treatment of all cancerous tissue, but leaves the nipple and areola intact so that they will not need to be created during the reconstruction procedure. During this procedure, an incision is made around the areola and the breast tissue is taken out around this area. Candidates for this procedure should have cancerous tissue that is a minimum of two centimeters away from the areola. Reconstruction may be performed during the same procedure or at a later time, and can involve the use of implants, fat transfer or skin grafts, depending on each patient's individual needs.

In order to leave the nipple and areola, a small amount of breast tissue must be left behind as well, which may be at risk for developing cancer. Patients who undergo this procedure should still be screened for breast cancer on a regular basis. It is important for patients to realize that they may lose sensation in the nipple after surgery, but will still be able to maintain a natural-looking appearance.

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Venous Port Insertion for Chemotherapy

Many breast cancer patients undergo chemotherapy after surgery to ensure a thorough eradication of all cancerous tissue. Chemotherapy uses medication to kill rapidly dividing cancerous cells and is administered on a regular basis for a designated period of time, depending on each patient’s individual condition.

For more convenient administration of regular chemotherapy treatments, patients may have a venous access port placed in the chest area that allows for more direct access over a long period of time. These devices are inserted under the skin and attached to a catheter that delivers medication specifically to the breast. After treatment is completed, the device can be removed by Dr. Benowitz during a similar procedure.

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Oncoplastic Surgery

Oncoplastic surgery of the breast is performed to provide effective medical and cosmetic results for breast cancer patients without the need for additional procedures. New technology has allowed for the development of advanced skin-sparing mastectomy procedures that remove the cancerous tissue while leaving the overlying skin intact.

Other oncoplastic procedures include breast conserving surgery that removes the entire tumor and advances nearby breast tissue into the affected area for an improved aesthetic outcome. Patients can benefit from less invasive cancer treatments and a wider range of reconstruction options, as well as less scarring from surgery.

This multidisciplinary surgical approach is most efficiently carried out by breast experts such as Dr. Benowitz, who is well-versed in the latest surgical techniques and can perform breast cancer procedures with exceptional medical and cosmetic results.

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Simple Mastectomy

A mastectomy is a surgical procedure performed to remove the diseased breast tissue in patients with breast cancer. This is one of the most commonly used and most effective treatment options for breast cancer, as it removes all traces of cancer and reduces the patient’s risk of recurrence. There are several different mastectomy procedures available to thoroughly treat breast cancer with the least amount of damage to the breast and the patient's self-esteem. The best procedure for you depends on your individual condition, including the stage and severity of your cancer and your age and overall health.

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Modified Radical Mastectomy

The most common type of mastectomy performed today, modified radical mastectomy involves the surgical removal of the breast, nipple/areola, lining over the chest muscles, and some or all of the axiliary lymph nodes. Sometimes, part of the chest wall muscle will also be removed. Modified radical mastectomy ensures that the original cancerous tumor in the breast has been excised as well as the breast and lymph tissue malignant cells may have spread to. It also reduces the risk of cancer recurrence in the breast.

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Breast Conservation Surgery

Less radical than a mastectomy, breast conservation surgery aims to remove all cancerous tissue within the breast, while leaving healthy tissue intact to reduce the need for reconstruction after treatment. This procedure may include a lumpectomy, which removes only the breast lump and a small margin of surrounding tissue; or a partial mastectomy or quadrantectomy, which removes one-quarter of the breast.

These procedures are often performed in conjunction with radiation therapy that is delivered only to targeted areas of the breast. Breast conservation surgery is often recommended for women with small and/or localized cancers.

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MammoSite® Balloon Placement for Partial Breast Radiation

MammoSite® is an FDA-approved radiation treatment for breast cancer that effectively destroys any remaining cancer cells after a tumor has been removed through a breast-conserving procedure called a lumpectomy. This treatment allows patients to have all traces of cancer removed from the body in five days, instead of the several weeks that are usually involved with radiation therapy.

MammoSite radiation therapy involves placing a catheter with a small balloon inside the affected area through a small incision made in the breast. The balloon is then inflated with a saline solution and left in the breast during the entire treatment. Computer imaging helps determine how much radiation is needed. Once the five day treatment is completed, the balloon catheter is removed through the same incision. Most patients achieve effective treatment cancer treatment with little to no risk of recurrence.

 

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Services

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  • Surgical Consultations
  • Breast Sonography
  • Mammographic Evaluation
  • Image-Guided Breast Biopsy
  • Breast Conservation Surgery
  • Oncoplastic Surgery
  • Mastectomy
  • Reconstruction