What Is The Procedure?

In this procedure, entire breast tissue, nipple, areola, skin along with lymph nodes under the arm are removed.

Who Is A Candidate For The Procedure?

Patients diagnosed with breast malignancy who have

  • Received prior radiation to chest wall
  • Active connective tissue disease involving skin i.e scleroderma, lupus
  • Radiation therapy contraindicated due to pregnancy 1st& 2nd trimester (3rd trimester patient can receive post parturm)
  • Widespread microcalcification
  • Multicentric multiquadrant tumour
  • BRCA1 & BRCA2 positive
  • Inflammatory breast cancer
  • Patient wishes

How Should I Prepare?

You are admitted a night prior to your surgery or you come early morning for admission. You are expected to be 6 hours fasting for solid food and 4 hours for liquids. No jewellery or metallic No jewellery is to be worn on the day of surgery. All prior reports have to be carried.

How Is The Procedure Performed?

MRM is performed under general anaesthesia. Surgery takes usually 90-120 minutes. Incision is marked such that nipple areola alongwith surrounding skin and breast tissue is removed. Depending on availability of gamma probe and blue dye decision for sentineal lymph node removal or complete axillary clearance is planned. A drain is placed to collect the waste water which is usually removed after 10 days.

What Do I Do After The Procedure?

Depending on your general condition post surgery you would be discharged next day or a day after next day. You would be discharged with a drain. U have to empty the waste water in the drain and inform your doctor daily. Physiotherapist or your breast surgeon would teach you exercises which you would do daily.

What Are The Benefits And Risks?

Benefits :

  • Removal of the cancer
  • Risk reduction surgery

Risks :

  • Bleeding i.e haematoma
  • Infection
  • Seroma
  • Skin necrosis
  • Wound dehiscence

When Will I Get The Results?

Your final histopathology report will take 5-7 days. Depending on the hormonal ( ER/PR) status and Her2neu status your chemotherapy is decided. Depending on tumour spread in axillary lymph node and size of the primary tumour decision for radiation is taken up. If you are hormone positive you are subjected to hormone therapy i.e one tablet a day for 5/10 years.