19126 Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure)

Name of the Procedure:

Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker

Summary

This procedure involves the surgical removal of additional breast lesions that have been marked with radiological markers before surgery. It is done to ensure precise excision of each lesion.

Purpose

The procedure addresses the presence of multiple breast lesions that need to be evaluated for potential malignancy. The goal is to remove these lesions accurately to prevent the spread of cancer and to allow for thorough pathological examination.

Indications

• Presence of multiple suspicious breast lesions detected through imaging.
• Lesions identified as potentially malignant by radiological means.

• The necessity for a thorough examination of additional breast tissue.

  Preparation

• Patients may need to fast several hours before the procedure.
• Adjustments to current medications may be required.
• Preoperative imaging tests such as mammograms or ultrasounds will guide the placement of radiological markers.
• A physical examination and medical history review will be conducted.

Procedure Description

1. Preoperative Marking: Radiological markers are placed in each lesion preoperatively using imaging guidance.
2. Anesthesia: General or local anesthesia is administered depending on the case.
3. Incision: An incision is made over the area of the radiologically marked lesion.
4. Excision: The marked lesions are surgically removed with precision.
5. Closure: The incision is sutured closed and bandaged.
6. Pathological Examination: The excised tissue is sent for laboratory analysis.

Duration

The procedure typically takes between 1 to 3 hours, depending on the number and complexity of the lesions.

Setting

This procedure is performed in a hospital operating room or a specialized surgical center.

Personnel

• Surgeon
• Surgical Nurse
• Anesthesiologist
• Radiologist (for marker placement)
• Pathologist (for tissue examination)

Risks and Complications

• Infection at the incision site
• Bleeding or hematoma
• Scarring
• Adverse reactions to anesthesia
• Incomplete excision requiring additional surgery
• Damage to surrounding tissues

Benefits

• Accurate removal of suspicious lesions
• Precise pathological analysis to determine the presence of malignancy
• Reduced risk of leaving malignant tissues untreated
• Early intervention increases the chance for successful treatment if cancerous

Recovery

• Post-procedure care includes wound care and pain management.
• Recovery time generally ranges from a few days to a week.
• Avoid strenuous activities for a specified period.
• Follow-up appointments for wound assessment and pathology results discussion.

Alternatives

• Needle or core biopsy (less invasive but might not remove entire lesion)
• Regular monitoring and imaging follow-ups
• Chemotherapy or radiation in case of confirmed malignancy (depends on pathology results)

Patient Experience

• Patients may experience discomfort during radiological marker placement.
• Post-surgery, there will be some pain and swelling at the incision site managed with prescribed pain relief.
• Most patients can return to normal activities within a few days to a week, following specific guidelines from their healthcare provider.