WIDE LOCAL EXCISION OF BREAST LUMP AND EXCISION OF GLUTEAL LIPOMA

Abstract

Author(s): Masyitah Binti Ishak, Amer Hayat Khan*, Andee Dzulkarnaen Zakaria, Syed Hassan, Syed Azhar Syed Sulaiman, Ali Akhtar

Wide local excision (WLE) is an operation to remove a lump in patient’s breast cancerous tissues with a small amount of surrounding normal tissues and is done under general anaesthetic. Excision biopsy (EB) is an operation done to remove entire area of suspicious tissue/lipoma from an area of concern in the body under a local anaesthetic. A 38 year old Malay female was admitted to Hospital Universiti Sains Malaysia (HUSM) due to breast lump operation. This patient is in moderate risk of bacterial infection patient due to mitral valve prolapsed, nulliparious and have family history of cardiac diseases. Previous studies showed that physician should employ a patient-specific strategy for preoperative aspirin management due to aspirin withdrawal syndrome may significantly increase the risk of major thrombo embolic complication while bleeding complication is minimum. This patient was given SBE prophylaxis before surgery to avoid complications. WLE and EB are the better choices for treatment of lump in the body. Surgery may be either proceeded with or followed by radiotherapy or chemotherapy when needed if cancer tissue detected. Several drug treatments such as antibiotics prophylaxis need to be taken into consideration to prevent these complications