Breast surgery (benign and malignant tumors)

Breast surgery (benign and malignant tumors)

Surgical management of breast lumps and tumors, benign or malignant, with a conservative approach whenever possible.

What is it?

Breast surgery covers all breast lesions requiring an operation: benign tumors such as fibroadenomas when they are large or troublesome, lesions requiring analysis, and breast cancers detected by mammography or discovered as a lump. For benign lesions, the procedure consists of removing the lesion through a discreet incision, preserving the shape of the breast. For cancers, the approach is conservative whenever possible: lumpectomy removes the tumor while preserving the breast, combined if necessary with analysis of the lymph nodes in the armpit. When more extensive removal is necessary, it is explained in detail and may be accompanied by a reconstruction plan, discussed from the outset with the clinic's plastic surgeons. Each cancer case is reviewed within a multidisciplinary meeting bringing together the surgeon, the oncologist and the radiologist, in order to define the most appropriate strategy. The patient is informed at every stage and supported, including psychologically, throughout her care pathway. At Clinique Pasteur Tunis, breast surgery benefits from the establishment's complete facilities: dedicated imaging (mammography, ultrasound, MRI), intra-operative frozen-section analysis available during the procedure and experienced surgeons, for care that is both rigorous and deeply human.
Breast surgery (benign and malignant tumors)

When is it indicated?

Breast lump or mass requiring excision

When a lump is discovered in the breast, removing it allows it to be fully analyzed and the problem to be treated at its source.

Large or troublesome benign tumor (fibroadenoma)

Even when benign, a tumor that grows or causes daily discomfort can be removed through a discreet incision that preserves the shape of the breast.

Suspicious lesion on mammography or ultrasound

When imaging reveals an unusual finding, the procedure provides certainty and allows prompt action if necessary.

Breast cancer confirmed by biopsy

Surgical treatment removes the tumor, preserving the breast whenever possible, within a coordinated and supported care pathway.

Nipple discharge requiring surgical investigation

Unusual discharge from the nipple may require a small procedure to identify its precise cause and treat it.

Preparation

1Complete imaging work-up (mammography, ultrasound, MRI if necessary)
2Prior biopsy to characterize the lesion
3Multidisciplinary meeting for malignant lesions
4Pre-operative consultations with the surgeon and the anesthesiologist
5Fast for 6 hours before the procedure

Procedure

1

Admission on the day of the procedure or the day before

2

Imaging-guided localization of the lesion if necessary

3

General anesthesia

4

Excision of the lesion through a discreet incision, preserving the appearance of the breast

5

Frozen-section analysis during the procedure if indicated

6

Lymph node sampling if necessary for malignant lesions

7

Careful closure and monitoring in the recovery room

Duration

30 minutes to 2 hours depending on the procedure

Aftercare & Recovery

Recovery is generally straightforward: moderate pain controlled by painkillers, a short stay and a gradual return to normal activities within one to two weeks. The definitive result of the analysis is explained at a consultation; for cancers, it helps determine any additional treatments, coordinated with the oncologist. Attentive support is provided throughout the care pathway.

Risks and side effects

Well-standardized surgery, performed by experienced teams
A hematoma or temporary discomfort around the scar is possible
Temporarily altered sensation in the operated area, improving over time
The conservative approach and meticulous techniques preserve the appearance of the breast as much as possible

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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At a glance

Duration: 30 minutes to 2 hours depending on the procedure
Preparation: Required
Dedicated specialist team