Breast Cancer Surgery Without Removing the Entire Breast at Mandaya Royal Puri

Lumpectomy is one of the treatment options for breast tumors or breast cancer that does not require removal of the entire breast. During the procedure, the doctor removes the tumor along with a small amount of surrounding healthy breast tissue, while preserving most of the remaining breast tissue. For this reason, lumpectomy is often described as breast cancer surgery without removing the entire breast, unlike mastectomy, which removes the entire breast.

In addition to being used to treat breast cancer in appropriately selected patients, lumpectomy may also be considered for treating benign breast tumors in certain conditions. At Mandaya Royal Puri, one patient underwent lumpectomy to remove a benign tumor in her left breast. Following the procedure, patients may be discharged the next day if their condition is assessed as stable and suitable for discharge by the doctor.

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A Patient’s Experience Undergoing Breast Tumor Surgery at Mandaya Royal Puri

One of the patients who underwent breast tumor surgery at Mandaya Royal Puri is Fitri, 30. She initially noticed a lump in her left breast around March 2023. The lump appeared to be getting larger and was accompanied by pain, including outside of her menstrual period.

After noticing these changes in her breast, Fitri decided to have the condition examined. After researching several hospitals and watching patient experiences, she chose to undergo an examination at Mandaya Breast Advanced Cancer Center.

She then underwent a breast ultrasound and physical examination with a doctor. Based on the initial examination, the lump was considered likely to be benign. However, the doctor still recommended surgery to remove the lump and confirm the diagnosis through a pathology examination.

The surgery went smoothly. Following the procedure, Fitri did not experience significant pain around the wound and recovered relatively quickly. If the patient’s condition is assessed as stable after surgery, they may be allowed to go home the following day. Fitri was then scheduled for a follow-up appointment approximately one week after the procedure.

Understanding Minimally Invasive Endoscopic Lumpectomy at Mandaya Royal Puri

Minimally invasive lumpectomy using an endoscopic technique is one approach to breast surgery that allows doctors to remove breast cancer tissue through small incisions without making a direct incision on the breast. Access to the tumor can be made through the armpit area, allowing the resulting scar to be placed in a more concealed location.

This technique focuses not only on removing cancerous tissue but also on the appearance of the breast after surgery. With smaller incisions and an access point located in the armpit area, scars on the breast may be less noticeable. This approach may also help preserve the shape of the breast after the tumor is removed.

Endoscopic lumpectomy is part of the development of endoscopic oncoplastic breast surgery, which combines the principles of cancer removal with efforts to preserve or improve the shape of the breast. For patients who meet the appropriate criteria, this technique may be an option for achieving good cosmetic outcomes with less noticeable scars after surgery.

Benefits of Endoscopic Lumpectomy

As a minimally invasive approach to breast cancer surgery, the endoscopic technique offers several potential benefits, particularly in terms of the size and location of the incision and the appearance of the breast after surgery. Some of the potential benefits include:

Less noticeable scars, as surgical access can be made through an area that is not directly located on the breast.
Smaller incisions, which may help preserve the surrounding tissue.
Less postoperative discomfort for some patients due to the smaller incision size.
Targeted tumor removal, while taking the surrounding healthy breast tissue into consideration.
Potentially faster recovery in some patients, depending on their condition and individual response to the procedure.
Tumor removal and breast reconstruction can be performed during the same procedure in appropriately selected patients.
Simpler wound care, due to the relatively small incision size.
Support for patient confidence, particularly for patients who are concerned about changes in the shape and appearance of the breast after surgery.

In breast cancer treatment, successful cancer control is not the only consideration. Quality of life and cosmetic outcomes after surgery are also increasingly taken into account, particularly for patients who are concerned about changes in breast shape or surgical scars.

With an endoscopic approach, cancerous breast tissue can be removed while also taking the aesthetic aspects of the breast into consideration. This means that in addition to focusing on cancer treatment, doctors can also consider ways to preserve the appearance of the breast according to the patient’s condition and individual needs.

When Is Lumpectomy an Option for Breast Cancer?

Lumpectomy may be an option when the tumor can be completely removed while preserving most of the breast tissue and the expected treatment outcome is considered appropriate for the patient’s condition. Doctors will consider various factors before determining whether lumpectomy is the right option.

In general, a patient may be considered a candidate for lumpectomy when:

The cancer is located in only one area of the breast.
The tumor is relatively small compared with the size of the breast.
There is sufficient remaining breast tissue to preserve or reshape the breast contour after the tumor is removed.
The patient’s health allows them to undergo radiation therapy after lumpectomy if this treatment is recommended by the doctor.

Breast Cancer Surgery and Breast Reconstruction Specialists

1. dr. Abdul Rachman, Sp.B (K) Onk

dr. Abdul Rachman is a surgical oncologist who completed his medical education at Trisakti University before pursuing Specialist Training in General Surgery and Surgical Oncology at the University of Indonesia. To further develop his expertise, he has also participated in various courses, training programs, and workshops in surgery and oncology, including Workshop Minimal Invasive Surgery, RFA and VABB, Workshop Oncoplasty, Microsurgery in Management of Cancer, as well as training in Laparoscopic in Breast Cancer and Reconstruction with Implant at National Cheng Kung University Hospital.

With his experience and expertise in surgical oncology, dr. Abdul Rachman treats various tumors and cancers requiring surgical intervention, including breast cancer. At Mandaya Royal Puri, he helps evaluate patients and determine appropriate breast cancer treatment options based on their individual conditions, including lumpectomy, mastectomy, and other surgical approaches as appropriate.

dr. Abdul Rachman, Sp.B (K) Onk is available at Mandaya Royal Puri on:

Tuesday: 06:00–18:00 WIB
Thursday: 06:00–18:00 WIB
Saturday: 09:00–12:00 WIB.

2. dr. Enos H. Siburian, Sp.B (K) Onk

dr. Enos H. Siburian is a surgical oncologist who completed his medical education at Universitas Kristen Indonesia before pursuing Specialist Training in Surgery at Sam Ratulangi University, Manado. He has experience treating various types of cancer that require surgical management, including breast cancer, colorectal cancer, thyroid cancer, stomach cancer, lung cancer, melanoma and skin cancer, pancreatic cancer, as well as other types of cancer.

In addition to conventional surgery, dr. Enos is also experienced in minimally invasive surgical procedures, including laparoscopy. In breast cancer treatment, examination and evaluation by a surgical oncologist are important in determining the most appropriate treatment approach. Based on the condition and characteristics of the tumor, doctors may consider different surgical options, including lumpectomy or mastectomy.

dr. Enos H. Siburian, Sp.B (K) Onk is available at Mandaya Royal Puri on:

Wednesday: 13:00–15:00 WIB
Thursday: 09:00–11:00 WIB
Friday: 13:00–15:00 WIB.

3. dr. Sara Ester Triatmoko, Sp.B.P.R.E., Subsp.M.O. (K)

dr. Sara Ester Triatmoko, Sp.B.P.R.E., Subsp.M.O. (K) is a specialist in Plastic, Reconstructive, and Aesthetic Surgery who completed her medical and specialist training at the University of Indonesia. She subsequently further developed her expertise in microsurgery and oncoplastic surgery, supporting her management of various complex reconstructive cases, including breast reconstruction for cancer patients.

dr. Sara’s expertise in reconstructive and oncoplastic surgery can play a role in helping preserve or improve breast shape following the removal of cancerous tissue. In patients undergoing lumpectomy, an oncoplastic approach may be considered to help maintain the contour of the breast after the tumor is removed. Meanwhile, for patients undergoing mastectomy, breast reconstruction may be an option to help recreate the breast following removal of breast tissue.

Each reconstructive method needs to be tailored to the patient’s tissue condition, the type of cancer surgery performed or planned, and the patient’s individual needs. Therefore, consultation with a doctor is important to discuss the most appropriate options, including the expected functional and aesthetic outcomes.

dr. Sara Ester Triatmoko, Sp.B.P.R.E., Subsp.M.O. (K) is available at Mandaya Royal Puri on:

Tuesday: 17:00–19:30 WIB
Thursday: 17:00–19:30 WIB.

Facilities for Out-of-Town and International Patients at Mandaya Royal Puri

Mandaya Royal Hospital Puri provides various supporting facilities to offer additional comfort and convenience for patients traveling from other cities or countries:

VIP transport: Pickup service from Soekarno-Hatta Airport, train stations, or ports to the hospital using comfortable vehicles accompanied by the Patient Experience Officer (PEO) team.
Medical ambulance pickup: Specialized pickup service for patients with certain medical conditions from their arrival point (airport/train station/port), equipped with medical equipment and accompanied by professional healthcare personnel.
Accommodation (Sleep Hub & apartments): Comfortable accommodation facilities for accompanying family members, located directly on the 8th floor of the Mandaya Royal Puri building, as well as nearby apartment options.
International Patient Relation: Dedicated assistance for international patients, including medical coordination, interpreter services, and administrative support. For information and assistance from International Patient Relation, you can contact 021 5092 8888 or email [email protected].

To make your visit to Mandaya Royal Hospital Puri more convenient, use the Chat via WhatsApp feature, Book Appointment, or the Care Dokter application, which can be downloaded from Google Play and the App Store. The application can help make your visit more convenient, check queue numbers, and access other information about our services.

*The information provided on this page is intended for educational purposes and general information only and does not represent all medical services that may be provided by each doctor. To ensure appropriate treatment based on your health condition, consultation with the relevant doctor is recommended.

If you have any questions, suggestions, or require further information, please contact our call center at 0811-1900-2000.

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