霍普金斯手术记录：右乳金属丝定位区段切除

Title of Operation:

Right breast wire-localized lumpectomy.

Indications for Surgery:

Reason for Visit:  This patient has a diagnosis of a right breast abnormal mammogram.  This was an area that was not amenable to biopsy.  Therefore, an excisional biopsy is recommended.福建省立医院基本外科黄东航

Preoperative Diagnosis:

Right breast abnormal mammogram.

Postoperative Diagnosis:

Right breast abnormal mammogram.

Anesthesia:

General by LMA.

Specimen (Bacteriological, Pathological or other):

Right breast wire-localized lumpectomy.

Prosthetic Device/Implant:

None.

Surgeons Narrative:

Estimated Blood Loss:  50 cubic centimeters.

Drains:  None.

Complications:  None.

Findings:  The specimen radiograph indicates that the abnormalities contained within the specimen.

Description of Procedure:  The patient presented to the operating room and placed in the supine position on the operating table where general anesthesia was induced.  The right breast was prepped and draped in the usual sterile manner.  There was a wire in place.  It was traveling into the breast at approximately 7 o"clock position and traveled along the border of the areola. The lateral edge of the areola was anesthetized with 0.25% percent Marcaine.  An incision was then made at the border of the areola and carried down through the subcutaneous tissues using electrocautery.  After passing through that tissue, the wire was brought into the field.  This lesion was very superficial and the thick portion of the wire was directly under the skin.  After bringing the wire into the field, I began excising a segment of tissue around that wire ensuring that the superficial tissue was excised, this segmented tissue was approximately 1 cm in diameter surrounding the wire.  After excising that tissue, it was oriented for pathology with short suture superior, long suture lateral, and then it was sent for specimen radiograph.  In the meantime, the wound was irrigated.  Hemostasis was ensured using clips electrocautery.  The breast tissue was reapproximated using up to 3-0 Vicryl sutures.  The deep dermal layers approximating 3- 0 Vicryl sutures and the skin was closed with running 4-0 subcuticular stitch.  In the meantime, the specimen radiograph came back indicating that the abnormalities contained within the specimen.  Therefore, no additional dissection was performed. The patient was awakened from the operating room and extubated to the recovery room in stable condition.  All needle, instrument, and sponge counts were correct at the conclusion of the procedure.

CLINICAL STAGE OF TUMOR:

Benign.

CC List:

Referring Physician CC List