Oncoplastic Lumpectomy
Breast cancer is removed while simultaneously reshaping the breast using plastic surgery techniques — combining oncological safety with superior cosmetic outcome.
What is Oncoplastic Lumpectomy?
Oncoplastic lumpectomy combines oncological breast cancer surgery with plastic surgery techniques to simultaneously remove the tumour with wide margins and reshape the breast for the best cosmetic result. It is particularly valuable when the tumour is large relative to breast size, when standard lumpectomy would leave significant deformity, or when the patient wishes to improve breast shape or symmetry. Dr. Abhishek performs oncoplastic lumpectomy at Lux Hospitals, often incorporating volume displacement or volume replacement techniques, and contralateral symmetrising where indicated.
How the Procedure Works
Anaesthesia & Planning
General anaesthesia is given; incision design and reshaping plan are marked pre-operatively.
Tumour Excision
The cancer is widely excised with clear margins; specimen is orientated for pathology assessment.
Tissue Rearrangement
Remaining breast tissue is mobilised using volume displacement techniques to fill the cavity.
Reshaping & Nipple Repositioning
The breast is reshaped with layered sutures; the nipple is repositioned for symmetry if required.
Closure & Contralateral Symmetry
Skin is closed with layered absorbable sutures; contralateral symmetrising surgery is performed if planned.
Outcomes
Who Needs This Treatment?
- →Combines oncological safety with plastic surgery cosmetic techniques
- →Enables breast conservation for larger tumours
- →Avoids the contour deformity of standard lumpectomy in larger resections
- →Allows contralateral symmetrising surgery for better overall balance
- →Higher patient satisfaction with post-operative breast appearance
- →Often done in a single operation combining cancer and reconstruction
Oncoplastic surgery is where oncology and aesthetics meet. Done well, it gives patients both — cancer control and a breast they feel good about. The planning before we pick up a scalpel is everything.
— Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Oncoplastic Lumpectomy Cost in Hyderabad
The cost of oncoplastic lumpectomy in Hyderabad depends on the size and location of the breast tumor, amount of tissue that needs to be removed, breast size and shape, extent of reconstruction required, lymph node assessment, pre-operative investigations, anesthesia, and hospital care. Oncoplastic lumpectomy combines cancer surgery with breast reshaping techniques to remove the tumor while aiming to maintain the natural appearance and contour of the breast. It may be considered for selected patients when breast-conserving surgery is appropriate and sufficient cancer clearance can be achieved. The estimated cost ranges from ₹90,000 to ₹2,00,000, with an average cost of approximately ₹1,45,000.
| Procedure | Approximate Cost Range |
|---|---|
| Oncoplastic Lumpectomy Cosmesis-preserving cancer surgery | ₹90,000 ₹2,00,000 |
The actual cost may vary depending on the tumor size, location, extent of tissue removal, breast anatomy, and complexity of the reshaping procedure. The overall expense may also depend on whether sentinel lymph node biopsy or another axillary procedure is performed at the same time.
The total treatment cost may include breast imaging, biopsy and pathology review, pre-operative blood tests, anesthesia, operating-room charges, surgical and reconstruction materials, hospital or day-care admission, medicines, histopathological examination, and follow-up care. Additional cancer treatment such as radiotherapy, chemotherapy, hormone therapy, targeted therapy, or further surgery may be recommended based on the final pathology and treatment plan and generally involves separate costs.
The actual cost may vary depending on the tumor size, location, extent of tissue removal, breast anatomy, and complexity of the reshaping procedure. The overall expense may also depend on whether sentinel lymph node biopsy or another axillary procedure is performed at the same time. The total treatment cost may include breast imaging, biopsy and pathology review, pre-operative blood tests, anesthesia, operating-room charges, surgical and reconstruction materials, hospital or day-care admission, medicines, histopathological examination, and follow-up care. Additional cancer treatment such as radiotherapy, chemotherapy, hormone therapy, targeted therapy, or further surgery may be recommended based on the final pathology and treatment plan and generally involves separate costs.
The cost of oncoplastic lumpectomy can vary between patients because both the cancer surgery and the breast reshaping component must be planned according to the individual anatomy and tumor characteristics. The need for lymph node assessment and additional breast procedures can also influence the final treatment expense.
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Tumor size: Larger tumors may require removal of more breast tissue and a more complex reshaping procedure.
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Tumor location: Lesions in certain areas of the breast may require specialized oncoplastic techniques to maintain breast contour.
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Breast anatomy: Breast size, shape, tissue distribution, and asymmetry can influence the reconstruction or reshaping approach.
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Cancer characteristics: Biopsy and pathology findings help determine whether breast-conserving and oncoplastic surgery are appropriate.
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Margin requirements: Adequate removal of the tumor with an appropriate margin is essential and may influence the amount of tissue removed.
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Lymph node assessment: Sentinel lymph node biopsy or axillary surgery may be recommended in selected patients and can add to the overall cost.
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Pre-operative evaluation: Mammography, ultrasound, MRI in selected cases, biopsy review, blood tests, and other assessments may be required.
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Oncoplastic technique: The type and extent of breast reshaping performed after tumor removal can affect surgical time and cost.
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Anesthesia and hospital care: Anesthesia, operating-room charges, admission or day-care services, nursing, monitoring, and recovery contribute to the total expense.
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Histopathology: The excised tumor and margins require pathological examination, and pathology charges may be billed separately.
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Re-excision: Additional surgery may occasionally be required if the final pathology shows that the margins are not adequate.
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Additional cancer treatment: Radiotherapy and other oncology treatments may be advised after breast-conserving surgery and involve separate expenses.
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Post-operative care: Medicines, wound care, follow-up consultations, pathology review, and recovery monitoring may also contribute to the final cost.
Insurance Coverage for Oncoplastic Lumpectomy
Oncoplastic lumpectomy may be covered by health insurance when it is medically necessary treatment for a diagnosed breast cancer and forms part of an appropriate breast-conserving treatment plan. Coverage for the reconstructive or cosmetic component can vary between policies. The extent of coverage depends on the diagnosis, medical indication, policy terms, waiting periods, exclusions, insurer guidelines, applicable limits, and pre-authorization requirements. Patients should confirm coverage for the tumor excision, oncoplastic reconstruction, lymph node procedures, pathology, hospitalization, anesthesia, and subsequent cancer treatment with their insurance provider.
- 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 duration and progression of the breast lump, changes in size or appearance, pain or other symptoms, previous investigations or treatment, medical and surgical history, and available mammography, ultrasound, biopsy, and pathology reports. A clinical examination and review of imaging help assess the location and extent of the lesion and determine whether further evaluation, tissue diagnosis, or surgical treatment is required. When breast-conserving surgery such as oncoplastic lumpectomy is being considered, Dr. Abhishek Katha reviews the clinical and pathology findings and discusses the appropriate surgical plan according to the individual patient's diagnosis and breast anatomy. The consultation may include discussion of tumor removal and margin assessment, the role of sentinel lymph node biopsy or axillary surgery where indicated, breast reshaping requirements, possible need for additional surgery based on final pathology, pre-operative preparation, expected hospital stay, recovery and wound care, possible subsequent oncology treatment, follow-up requirements, and factors that may influence the final treatment cost.
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