Excisional Biopsy (Excision Biopsy / Wide Local Excision)
Complete surgical removal of a breast lump with a margin of normal tissue — for both diagnosis and treatment of suspicious or confirmed breast lesions.
What is Excisional Biopsy (Excision Biopsy / Wide Local Excision)?
Excisional biopsy, also known as wide local excision when performed for cancer, involves complete surgical removal of a breast lump along with a surrounding margin of normal tissue. It serves both diagnostic and therapeutic purposes — providing definitive histopathology for suspicious lesions and achieving local disease control for confirmed cancer. Dr. Abhishek performs this at Lux Hospitals through carefully planned incisions that prioritise both oncological clearance and cosmetic outcome, sending the specimen for detailed pathology.
How the Procedure Works
Anaesthesia & Marking
Local or general anaesthesia is given; the lesion is marked — often with imaging guidance or a wire.
Planned Incision
An incision is made considering Langer's lines, cosmetic zones, and potential future surgery requirements.
Lesion Identification
The lump is identified by palpation, wire guidance, or intra-operative ultrasound for precise localisation.
Wide Excision
The lesion is excised with a clear rim of normal tissue; margins are marked for orientation by the pathologist.
Haemostasis & Closure
Bleeding is controlled; the cavity is approximated where appropriate; skin is closed with subcuticular sutures.
Outcomes
Who Needs This Treatment?
- →Provides definitive tissue diagnosis for suspicious lesions
- →Serves as treatment for early breast cancer (breast-conserving surgery)
- →Carefully planned incisions prioritise cosmetic outcome
- →Day care or short stay procedure in most cases
- →Low complication rate with rapid recovery
- →Can be combined with sentinel lymph node biopsy for cancer cases
A breast excision is never just about removing the lump — it is about planning the incision, achieving clear margins, and protecting the shape of the breast. Good technique sets the foundation for everything that follows.
— Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
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