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By Pierce D. A.

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Many patients describe it as burning or shooting pain. Acute postoperative pain is usually managed well with oral pain medication and resolves after a couple of days. Chronic pain is rare. Major Complications The major risks are development of a large postoperative hematoma or infection. These complications are rare and can be avoided with careful hemostasis. Large 10 R. Rainsbury et al. 1–1 % Wound scarring Skin scarringa 1–5 % (poor cosmesis, dimpling/deformation of the skin) Deep scar formation (residual breast lump) 5–20 % Drain tube(s)a 1–5 % Note: The pathology of the lesion and breast size will largely determine the likelihood of complete clearance and necessity for further procedures or treatment.

Acute postoperative pain is usually controlled with oral pain medication. Chronic pain is rare. The risk of infection after a partial mastectomy is minimal and prophylactic antibiotics are rarely indicated. Mastectomy may be followed by the immediate reconstruction and associated complications of this. Major Complications/Consequences The major complications of modified radical mastectomy include hemorrhage, arm lymphedema, thrombosis, or injury to axillary vein, damage to the brachial plexus, and injury of the long thoracic nerve.

When the patient is systemically unwell or considerable surrounding cellulitis is present, IV antibiotics may be required. If lactating, the breast should be regularly expressed of milk with a breast pump. The patient can usually still breastfeed using the contralateral breast. An incision is made directly over the abscess and drained of pus, irrigated and a small drain placed, or left open, and the cavity packed if the abscess is large. Healing often takes 1–2 months and cosmetic deformity is not uncommon.

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Age-time patterns of cancer to be anticipated from exposure to general mutagens by Pierce D. A.


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