Operation:

Partial mastectomy, upper outer quadrant, right breast

Procedure:

The patient was prepped and draped in the usual manner after general anesthesia had been achieved. Local anesthesia with Xylocaine and Marcaine, to which Epinephrine had been added, was infiltrated around the breast to lessen the postoperative pain.

This patient had a localized area of extensive fibrocystic mastitis in the upper outer quadrant of the right breast, which was persistently tender and painful, and required removal.

We made an infra-areolar incision around the upper outer quadrant of the right breast and then undermined the skin to the upper outer quadrant.

We were able then to carry out a wedge excision of the right breast, removing the full thickness of the breast in a traditional quadrectomy and partial mastectomy type. The specimen was then sent to the laboratory for histological frozen section.

This revealed it to be a benign fibrocystic mastitis without any evidence of malignancy. Hemostasis was secured with electrocoagulation, and then the breast parenchyma was secured with electrocoagulation. The breast parenchyma was then reconstructed with 2-0 Dexon suture, followed by 4-0 chromic, and finally 4-0 subcuticular Prolene.

Case Study 5

0HBT0ZZ Excision, Breast, Right (0HBT)

Rationale: The procedure performed is a partial mastectomy. Partial mastectomy is considered an excisional procedure and not a resection as only a portion of the breast tissue is being removed.