The usual scenario is a patient that comes to my office with a lump or mass. Sometimes they come with a diagnosis of cancer after a biopsy. Other times the pt has had only an abnormal mammogram and needs a biopsy.
Regardless of the situation, we handle the entire process from diagnosis to treatment.
Usually breast cancer is a condtition that requires a team approach. The surgeon works with a medical oncologist, radiation oncologist and at times with a breast radiologist.
Each patient and type of cancer has their own specific needs and options of treatment.
Our goal is to cure the patient and minimize the risk of surgery, and try to eliminate the risk of recurrence all together.
Breast surgery can be as invasive as a mastectomy, which is the removal of the entire breast tissue, to a lumpectomy or excision of part of the breast or the lump in question.
The removal of lymph nodes is a second component of surgery of the breast.
Now a days this is done selectively and that way we minimize risk and complictions associated to node removal.
The removal of nodes selectively or complete is done to stage the cancer and determine the need for chemotherapy.
We divide the surgical approach in three main groups.
Mastectomy - removal of the entire breast tissue with or without the removal of the axillary nodes.
Breast conservtion - this is the removal of part of the breast that may be done by palpation of the abnormal area or by guidance using a wire or radioactive marker to remove the area in question if it is not palpable.
Mastectomy and reconstruction - this involves the removal of the entire breast tissue and then having a plastic surgeon rebuild and reconstruct.
Usually after the breast resection, we place a drain in the cavity where the breast tissue was removed and also in the axilla, where the nodes were removed. These drains are usually removed 7-10 days afte the procedures during a follow up visit.
When we perform a mastectomy, the patient spends 24 hours in the hospital.
When we preserve the breast, we send the patient home the same day.
Even though these are general guidelines, we make decisions like these along with the patient and customize the care of each patient. 


1. Bleeding - This may happen in any operation and we make sure that we control and prevent this from happening.
2. Infection - this can happen any time that we violate the skin barrier. We prevent this by having a sterile environment and giving preoperative antibiotics if needed and instructing the patient good wound care.
3. Recurrence - any cancer that we remove carries the risk of recurring or coming back. To minimize this we make sure that there is a margin of normal tissue far from the cancer and at times radiation therapy is given to the patient.
4. Arm swelling - this was a bigger problem when we used to remove most lymph nodes from the axilla. Now that we selectively remove only those nodes that we identify using a radioactive and blue dye. the arm swelling still can happen, but it is much less common.

For more information regarding breast cancer click on the link below.

Lugo Surgical Group

150 Pine Forest Dr,,

Shenandoah, TX 77384

Phone. 832-377-5846