Surgical oncology at Lake Charles Memorial involves the surgical removal
of tumors and masses in the breast, lung and colon. Surgery is used to
diagnose, stage and treat cancer, and certain cancer-related symptoms.
At Lake Charles Memorial, our experienced surgeons have performed thousands
of procedures and will discuss the surgical options that are best suited
to your individual needs.
We also have state-of-the-art techniques to biopsy, analyze and remove
any masses detected in the breast and lung.
Intact Breast Biopsy
Intact Breast Lesion Excision System is a minimally invasive excision performed
at the time of biopsy on high-risk breast lesions using ultrasound and
stereotactic guidance in place of conventional surgery. High-risk breast
lesions are labeled as such because they have an elevated chance of becoming
cancerous, prompting many patients to opt for their swift removal. The
intact biopsy uses local anesthesia and a small incision to completely
remove all suspect tissue. Recovery time is quicker with far less physical
Stereotactic Breast Biopsy
This surgery is used to assess breast abnormalities, as well as execute
sentinel node biopsies. These biopsies use cutting-edge, pinpoint accuracy
to remove samples of abnormalities in breast tissue. They are used for
both breast diagnostics and treatment.
Sentinel Node Biopsy
This surgery evaluates nearby lymph nodes for cancer cells by injecting
a dye and/or a radioactive tracer into the area of the cancer which travels
to the lymph nodes, arriving at the sentinel nodes first. The surgeon
removes the sentinel lymph nodes (usually about one to three nodes) The
pathologist examines them for cancer cells. If the sentinel lymph nodes
are cancer-free, there is a good possibility that the remaining lymph
nodes will also be free of cancer and no further surgery will be needed.
If the sentinel lymph nodes show evidence of cancer, then the surgeon
may perform an axillary lymph node dissection.
Most surgeries to remove a breast tumor use a “wire localization”
procedure where a wire is inserted into the tumor serving as a road map
for the breast surgeon to remove the diseased tissue. A new option called
Magseed is smaller than a grain of rice and can be placed into a tumor
up to 30 days before the patient’s surgery. It produces no discomfort,
rarely moves and stays within the breast. During surgery, a magnetic probe
detects the Magseed, guiding the surgeon to the tumor. The outcome is
a better cosmetic result and a more accurate removal of cancerous tissue.
Breast-Conserving Lumpectomy removes the tumor as well as a small, clear
(cancer-free) margin of healthy tissue around it while leaving as much
normal breast as possible. Some surrounding healthy tissue and lymph nodes
may be removed. How much of the breast is removed depends on the size
and location of the tumor and other factors. Most of the breast remains.
For those with early stage breast cancer this may be an option. Follow-up
radiation therapy to the remaining breast tissue is generally recommended.
Minimally-invasive Lung Surgery
Today, with better technology, thoracic surgeons often can use minimally
invasive techniques.If you have early-stage lung cancer you may want to
talk to your doctor about minimally invasive thoracic surgery. During
minimally invasive thoracic surgery, a thin tube with a camera gives the
surgeon a view into the chest without having to make a large incision
or spread the ribs. He or she inserts specialized tools through other
small incisions to perform the operation.
With other cancers, whether a patient is a candidate for surgery depends
on factors such as the type, size, location, grade and stage of the tumor,
as well as general health factors such as age, physical fitness and other
medical co-morbidities. For many patients, surgery will be combined with
other cancer treatments such as chemotherapy, radiation therapy or hormone therapy.
Early in the treatment planning process, we plan for and proactively manage
any side effects from surgery. Our cancer navigator, nutritionists, rehabilitation
therapists and clinicians work together with your surgical oncologist
to support your healing and quality of life.