The patient is a perimenopausal woman, with a mammographic abnormality of the left breast. She is otherwise fit and healthy, has little microcalcifications, often times a sign of DCIS. And what we're going to aim to do today, is to take that area out, make sure there isn't an invasive tumor. Because it's a considerable area, there could be an invasive tumor. We're going to take out a sentinel lymph node as well. This lady's area is an unusual sort of shape, and so what we've done is bracketed that area. Put some wires in this morning, she had it numbed up, and the Interventional Radiologist bracketed that area. What we're going to do is excise a little ellipse of skin, because the calcium is fairly anterior, and get all the way around those two wires, send it to our Pathologist. We're going to do a specimen mammogram, make sure we got the right spot. Then we're going to cut this specimen up, make sure the margins are okay, and then we're going to take out a sentinel lymph node. Again, with frozen section analysis, because we change our attitude maybe 20% of the time, new margins or additional lymph nodes. We wanna make sure that we get out the spot that we're looking for. We can't really x-ray the breast right now, but the specimen mammogram gives us that opportunity. Whether there's metal clips, there's wires, or a seed. It's sort of a routine practice here, and we do wide local excision. Try to maximize the chance that we don't have to come back, and do another operation on another day. Learn more about GIBLIB at:
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