WIDE LOCAL EXCISION OF BREAST LUMP AND EXCISION OF GLUTEAL LIPOMA

Wide local excision (WLE) is an operation to remove a lu mp in patient's breast cancer ous tissues with a small amount of surrounding normal tissue s and is done under general anaesthetic. Excision biopsy (EB) is an operation done to remove entire area of suspicious tissue/lipom a from an area of concern in the body under a local anaesthetic . A 38 year old Malay female was admitted to Hospital Universiti Sains Malaysia (HUSM) due to breast lump operation. This patient is in moderate risk of bacterial infection patient due to mitra l valve prolapsed, nulliparious and have family history of cardiac diseases. Previous s tudies showed that physician should employ a patient - specific strategy for preoperative aspirin management due to aspirin withdrawal syndrome may significantly increase the risk of major thrombo embolic complication while bleeding complication is minimum . This patient was given SBE prophylaxis before surgery to avoid complications. WLE and EB are the better choices for treatment of lump in the body . Surgery may be either proceeded with or followed by radiotherapy or chemotherapy when ne eded if cancer tissue detected. Several drug treatments such as antibiotics prophylaxis need to be taken into consideration to prevent these complications.