Our Summary

The purpose of a type of breast cancer surgery called a lumpectomy is to completely remove the tumor and ensure that there are no cancerous cells left in the surrounding tissue, or “margins”. This can help lower the chances of the cancer coming back. The MarginProbe® System is a new tool that can find tiny cancer cells at or near the margin during the operation itself. This allows the surgeon to remove more tissue during the same surgery if needed, lowering the possibility of needing a second operation to get rid of remaining cancer cells.

FAQs

  1. What is the goal of lumpectomy surgery for breast cancer?
  2. What is the MarginProbe® System and how does it assist in lumpectomy procedures?
  3. How does the MarginProbe® System reduce the need for a second surgery after a lumpectomy?

Doctor’s Tip

A doctor may tell a patient undergoing lumpectomy surgery to ensure they follow all post-operative care instructions, including keeping the surgical site clean and dry, taking prescribed medications as directed, and attending follow-up appointments to monitor recovery and ensure the tumor was completely removed. They may also advise the patient to maintain a healthy lifestyle, including regular exercise and a balanced diet, to promote overall health and reduce the risk of cancer recurrence.

Suitable For

Patients who are typically recommended lumpectomy for breast cancer are those with early-stage, small tumors that have not spread to the surrounding lymph nodes. Lumpectomy may also be recommended for patients who have multiple tumors in the same breast or for those who have a genetic predisposition to breast cancer. Additionally, lumpectomy may be recommended for patients who wish to preserve their breast tissue and avoid a full mastectomy.

Timeline

Before lumpectomy:

  • Patient undergoes imaging tests such as mammograms, ultrasounds, and MRIs to locate and evaluate the tumor.
  • Patient meets with their surgeon to discuss the procedure, risks, and benefits of lumpectomy.
  • Patient may undergo a biopsy to confirm the presence of cancerous cells.
  • Patient may undergo pre-operative tests such as blood work and ECG.
  • Patient may be instructed to stop taking certain medications before surgery.

After lumpectomy:

  • Patient is monitored in the recovery room immediately after surgery.
  • Patient may stay in the hospital for a day or two for observation.
  • Patient may experience pain, swelling, and bruising in the surgical area.
  • Patient is instructed on how to care for the surgical site and manage pain.
  • Patient may need to follow up with their surgeon for suture removal and pathology results.
  • Patient may undergo additional treatments such as radiation therapy or chemotherapy depending on the stage of the cancer.
  • Patient will be monitored closely for any signs of complications or recurrence of the cancer.

What to Ask Your Doctor

  1. How will the MarginProbe® System be used during my lumpectomy surgery?
  2. What are the benefits of using the MarginProbe® System in terms of reducing the need for a second surgery?
  3. Are there any risks or complications associated with using the MarginProbe® System?
  4. How will the results of the MarginProbe® System impact my post-operative treatment plan?
  5. Will the use of the MarginProbe® System affect my recovery time or overall prognosis?
  6. What is the success rate of obtaining clear margins with the MarginProbe® System compared to traditional methods?
  7. Are there any additional costs associated with using the MarginProbe® System?
  8. How experienced are you in using the MarginProbe® System for lumpectomy surgeries?
  9. Are there any alternative techniques or technologies that could be used instead of the MarginProbe® System?
  10. What follow-up care will be needed after the lumpectomy surgery, especially in relation to the use of the MarginProbe® System?

Reference

Authors: Gola S, Doyle-Lindrud S. Journal: Clin J Oncol Nurs. 2016 Dec 1;20(6):598-599. doi: 10.1188/16.CJON.598-599. PMID: 27857263