Lumpectomy (Wide Local Excision)
The cancer is removed with a clear margin while preserving the rest of the breast — the standard breast-conserving approach for early-stage breast cancer.
What is Lumpectomy (Wide Local Excision)?
Lumpectomy, also called wide local excision, is the standard breast-conserving operation for early-stage breast cancer. The tumour is removed with a surrounding margin of healthy tissue while the remainder of the breast is preserved. Combined with post-operative radiotherapy, it achieves long-term survival outcomes equivalent to mastectomy for suitable patients. Dr. Abhishek performs lumpectomy at Lux Hospitals with careful attention to oncological margins and breast shape, often combined with sentinel lymph node biopsy for staging.
How the Procedure Works
Anaesthesia & Marking
General anaesthesia is given; the tumour is localised by palpation, wire, or clip under imaging guidance.
Incision Planning
A cosmetically placed incision is made over or near the tumour — considering nipple position and breast shape.
Wide Excision
The tumour is removed with a clear margin (usually 1 cm) of healthy breast tissue; margins are orientated for pathology.
Cavity Clip Placement
Radio-opaque clips are placed in the cavity to guide post-operative radiotherapy planning.
Closure
The cavity is reshaped where appropriate; skin is closed cosmetically; drains are rarely needed.
Outcomes
Who Needs This Treatment?
- →Preserves the breast, equivalent survival to mastectomy when combined with radiotherapy
- →Day-care or short-stay procedure with rapid recovery
- →Cosmetically planned incisions protect breast appearance
- →Can be combined with sentinel node biopsy in one sitting
- →Lower psychological and physical impact than mastectomy
- →Standard of care for early breast cancer worldwide
For early breast cancer, lumpectomy with radiotherapy gives the same survival as mastectomy — with the breast preserved. Our goal is always clear margins and a breast the patient is happy to look at in the mirror.
— Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Lumpectomy (Wide Local Excision) Cost in Hyderabad
The cost of lumpectomy, also called wide local excision, in Hyderabad depends on the size and location of the breast lesion, confirmed diagnosis, extent of tissue removal required, pre-operative investigations, anesthesia, and hospital care. Lumpectomy is a breast-conserving surgical procedure used to remove a breast tumor along with a surrounding margin of healthy tissue while preserving most of the breast. It may be considered for selected patients with early breast cancer when breast-conserving surgery is clinically appropriate. The estimated cost ranges from ₹45,000 to ₹90,000, with an average cost of approximately ₹67,500.
| Procedure | Approximate Cost Range |
|---|---|
| Early breast cancer, breast conservation | ₹45,000 ₹90,000 |
The actual cost may vary depending on the size, location, and characteristics of the breast lesion, the amount of tissue that needs to be removed, and whether additional axillary or breast procedures are required. The final expense may include consultation, breast imaging, biopsy or pathology review, blood tests, anesthesia, operating-room charges, hospital or day-care admission, medicines, wound care, and histopathological examination.
For patients diagnosed with breast cancer, lumpectomy is usually part of a broader treatment plan. Depending on the pathology and stage of disease, additional procedures such as sentinel lymph node biopsy or axillary surgery may be recommended. These procedures, along with subsequent treatments such as radiotherapy or systemic therapy, may involve separate costs and should not be assumed to be included in the basic lumpectomy estimate.
Factors Affecting Lumpectomy Cost
The cost of lumpectomy can vary between patients because breast tumors differ in size, location, type, and extent. The need for lymph node assessment, additional breast surgery, and pathology evaluation can also influence the overall treatment expense.
- →
Tumor size: Larger lesions may require a wider excision and more extensive surgical work.
- →
Tumor location: The position of the lesion within the breast can influence the surgical approach and complexity.
- →
Cancer characteristics: Biopsy and pathology findings help determine whether breast-conserving surgery is appropriate.
- →
Breast conservation planning: The surgical plan aims to remove the cancer with an appropriate margin while preserving as much normal breast tissue as clinically feasible.
- →
Pre-operative imaging: Mammography, breast ultrasound, MRI in selected cases, and other investigations may be required before surgery.
- →
Biopsy and pathology review: Previous biopsy results are important for treatment planning and may involve separate pathology charges.
- →
Lymph node assessment: Sentinel lymph node biopsy or axillary surgery may be recommended in selected patients and can add to the total treatment cost.
- →
Surgical complexity: Lesions that are difficult to locate or close to important structures may require additional operative planning.
- →
Anesthesia and hospital care: Anesthesia, operating-room charges, day-care or inpatient admission, monitoring, and recovery services contribute to the overall cost.
- →
Histopathology: The excised tumor and surrounding margins are examined to assess the diagnosis and adequacy of excision, and pathology charges may be separate.
- →
Additional breast procedures: Margin re-excision or another breast procedure may be required based on the final pathology findings.
- →
Post-operative care: Medicines, dressing and wound care, follow-up consultations, and pathology review may also contribute to the final expense.
Insurance Coverage for Lumpectomy
Lumpectomy may be covered by health insurance when it is medically necessary treatment for a diagnosed breast cancer or other covered breast condition. Coverage depends on the diagnosis, treatment plan, policy terms, waiting periods, exclusions, insurer guidelines, applicable limits, and pre-authorization requirements. Patients should confirm whether the policy covers the lumpectomy, pathology, lymph node procedures, hospitalization, anesthesia, imaging, and subsequent cancer treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Abhishek Katha
Consultant General & Laparoscopic Surgeon
Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon at Lux Hospitals, Hyderabad, evaluates patients with breast lumps and other surgical conditions requiring assessment. During consultation, he reviews the breast lump's duration, size, changes over time, pain or other symptoms, previous treatment, medical and surgical history, and available mammography, ultrasound, biopsy, and pathology reports. A clinical breast examination helps assess the location and characteristics of the lesion and whether further diagnostic evaluation or surgical treatment is required. When lumpectomy or wide local excision is being considered, Dr. Abhishek Katha reviews the available pathology and imaging findings and discusses whether breast-conserving surgery is appropriate for the individual patient. The consultation may include discussion of the extent of tissue removal, margin assessment, whether sentinel lymph node biopsy or another axillary procedure may be required, expected hospital stay, recovery and wound care, and the possibility of additional surgery depending on the final pathology. Patients can also discuss the broader treatment pathway, possible additional oncology care, follow-up requirements, and estimated treatment cost.
Consultation with Dr. Abhishek Katha Consultation with Dr. Abhishek KathaCommon Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Abhishek Katha and get a personalised treatment plan.