What is included in the preoperative care of breast cancer?

Updated: Feb 13, 2019
  • Author: Mary Jo Wright, MD; Chief Editor: James Neal Long, MD, FACS  more...
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Answer

Answer

Preoperative preparation of the patient for breast surgery should include attention to psychosocial as well as surgical issues. Patients may have unexpressed concerns regarding risk of recurrence, need for adjuvant radiation or chemotherapy, surveillance, length of rehabilitation, and particularly cosmesis. In discussing treatment options, it is important not to neglect the options of immediate versus delayed reconstruction and/or augmentation.

From a surgical standpoint, routine preoperative laboratory testing should be performed based on the patient's age, presence of symptoms, and comorbid conditions. Preoperative administration of a first-generation cephalosporin is a common practice, albeit with no proven benefit.


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