Minimally Invasive Surgery for Superficial Breast Papilloma: Is It Suitable?

Surgical methods for breast papilloma?

A papilloma has developed in the breast, located near the nipple and at a superficial level.
I would like to know if superficial tumors are suitable for minimally invasive surgery?

Si, 30~39 year old female. Ask Date: 2024/04/17

Dr. Yu Mingchang reply Surgery

A physical examination of the tumor in the outpatient clinic is necessary to determine the direction of treatment.

Reply Date: 2024/04/17

More Info

Minimally invasive surgery (MIS) has become an increasingly popular option for various breast conditions, including superficial breast papillomas. These benign tumors are often located near the nipple and can cause discomfort or other symptoms. The suitability of MIS for superficial breast papillomas depends on several factors, including the tumor's size, location, and the patient's overall health.

In general, minimally invasive techniques, such as vacuum-assisted excision or endoscopic approaches, can be effective for superficial lesions. These methods typically involve smaller incisions, which can lead to reduced scarring, shorter recovery times, and less postoperative pain compared to traditional open surgery. For superficial breast papillomas, which are often less than 2 cm in size, MIS can be particularly advantageous because it allows for precise removal of the tumor while preserving surrounding tissue.

However, there are important considerations to keep in mind. First, the surgeon must be confident in the ability to completely excise the papilloma using minimally invasive techniques. This is crucial because incomplete removal could lead to recurrence or complications. Additionally, the proximity of the papilloma to the nipple may pose challenges, as the surgical approach must minimize damage to the surrounding structures, including the ducts and nerves that are essential for breastfeeding and sensation.

Another factor to consider is the patient's anatomy. For individuals with smaller breasts or limited fatty tissue, the feasibility of MIS may be impacted. Surgeons often assess the breast's overall structure and the specific characteristics of the papilloma before determining the best surgical approach. In some cases, if the papilloma is too large or if there are concerns about its nature (e.g., atypical features), traditional open surgery may be recommended instead.

It's also essential to discuss the potential risks and benefits of MIS with your healthcare provider. While the advantages of minimally invasive techniques are appealing, they may not be suitable for every patient or every type of lesion. Your surgeon will consider factors such as your medical history, the size and characteristics of the papilloma, and your personal preferences when recommending a treatment plan.

In conclusion, minimally invasive surgery can be a suitable option for superficial breast papillomas, particularly when the lesions are small and well-defined. However, a thorough evaluation by a qualified breast surgeon is necessary to determine the best approach for your specific situation. If you are considering this option, it is advisable to seek care from a specialized breast center or a surgeon experienced in minimally invasive techniques to ensure optimal outcomes.

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