Understanding the Procedure
When diagnosed with early-stage breast cancer, many women face questions about treatment options. A common and effective approach is a lumpectomy—a surgery that removes the breast lump while preserving the rest of the breast. To further evaluate the spread of cancer, this procedure is often combined with a sentinel lymph node biopsy (SLNB), a minimally invasive method to check if cancer cells have moved to the lymph nodes.
Together, these procedures offer a powerful and breast-conserving way to treat cancer while accurately staging the disease. Dr. Kanmani Govindrao Telkar, a trusted general and breast surgeon, performs lumpectomy with SLNB using the latest surgical techniques, ensuring both safety and excellent cosmetic outcomes.
What is a Lumpectomy?
A lumpectomy, also called breast-conserving surgery or wide local excision, involves the removal of a tumor or abnormal lump from the breast. Unlike a mastectomy, which removes the entire breast, a lumpectomy aims to remove the cancer while preserving as much healthy tissue as possible.
The goal is to achieve clear margins, meaning no cancer cells are left around the removed tumor. This allows for effective treatment while maintaining the natural shape and appearance of the breast. Most women undergoing lumpectomy will also require radiation therapy afterward to reduce the risk of recurrence.
What is Sentinel Lymph Node Biopsy?
Sentinel lymph nodes are the first few lymph nodes that drain fluid from the area around a breast tumor. These nodes are the most likely place where breast cancer may spread first. During a sentinel lymph node biopsy, a small amount of dye or radioactive tracer is injected near the tumor to identify the first nodes.
Once identified, 1–3 sentinel nodes are removed and sent for testing. If no cancer is found in these nodes, it usually means the cancer hasn’t spread, avoiding the need for more extensive lymph node removal. If cancer is present, further treatment options will be discussed.
This approach is less invasive than traditional lymph node dissection and has a lower risk of complications like lymphedema (swelling in the arm).
Who Needs a Lumpectomy with SLNB?
This combination is recommended for women with:
- Early-stage breast cancer
- Invasive ductal carcinoma or invasive lobular carcinoma
- Ductal carcinoma in situ (DCIS) with high-risk features
- Clinically negative axilla (no enlarged lymph nodes on exam or imaging)
SLNB is typically performed at the same time as the lumpectomy to avoid a second surgery and to determine whether additional treatments are needed.
How is the Surgery Performed?
The procedure is done under general anesthesia and usually takes around 1.5 to 2 hours. Dr. Kanmani Govindrao Telkar begins by injecting a dye or radioactive tracer into the breast to identify the sentinel lymph nodes. Once identified, these nodes are carefully removed through a small incision in the underarm.
Next, a lumpectomy is performed by making a small incision near or over the tumor. The lump is excised along with a rim of healthy tissue. After removing the lump, Dr. Kanmani Govindrao Telkar uses oncoplastic techniques to preserve the breast’s natural shape before closing the incision with fine sutures.
All removed tissue is sent to the laboratory for pathology testing, including margin status and lymph node analysis. These results are key in planning the next steps of treatment, including whether chemotherapy or radiation is required.
Recovery and Aftercare
Recovery from a lumpectomy with SLNB is typically smooth. Most patients can return home the same day. There may be mild swelling, soreness, or bruising around the breast and underarm, which usually resolves within a week. Dr. Kanmani provides detailed instructions on wound care, pain management, and arm exercises to maintain mobility.
While most women return to light activity within 3–5 days, strenuous movements and heavy lifting should be avoided for 2–3 weeks. A follow-up visit is scheduled within a week to review pathology results and plan additional treatment if needed.
Benefits of Combining Lumpectomy and SLNB
This combined approach offers multiple benefits:
- Breast preservation with a natural cosmetic result
- Accurate cancer staging without full lymph node dissection
- Shorter recovery and lower complication risk
- Minimally invasive with fewer long-term side effects
- Personalized treatment planning based on pathology
When performed by an experienced breast surgeon like Dr. Kanmani Govindrao Telkar, the focus is not only on treating the disease but also on preserving the patient’s comfort, dignity, and long-term well-being.
Why Choose Dr. Kanmani Govindrao Telkar?
Dr. Kanmani Govindrao Telkar is known for her surgical precision, empathetic patient care, and commitment to achieving the best clinical and cosmetic outcomes. With an Mch and Fellowship and FEBS, and a strong focus on breast surgery, she has helped hundreds of women navigate breast cancer treatment with clarity and confidence.
Her patients trust her for:
- Clear and supportive communication
- Minimal scarring techniques
- Post-operative guidance and long-term follow-up
- A holistic approach that includes emotional support and recovery
From diagnosis to full recovery, Dr. Kanmani Govindrao Telkar ensures that each patient feels informed, empowered, and cared for every step of the way.
Take a Confident Step Forward
A diagnosis of breast cancer or a suspicious lump doesn’t mean you have to give up your breast or face complex surgeries. With a lumpectomy combined with sentinel lymph node biopsy, you can treat the disease effectively, preserve your appearance, and reduce your recovery time.
If you’ve been advised to undergo surgery or need a second opinion, Dr. Kanmani Govindrao Telkar is here to provide skilled and compassionate care tailored to your needs.
Book your consultation today and begin your journey toward healing with expert hands and a caring heart.
