Breast Tumor

Location does matter. Firstly, it can affect how the biopsy is done. Generally, image-guided needle biopsy is the method of choice, however, if the lesion is too superficial, near the skin, needle biopsy may not be possible. In that case excisional biopsy may be preferred. Similarly, in patients who have had augmentation mammoplasty, if the lesion is too close to the implant, excisional biopsy may be less likely to damage the implant.
With regard to lumpectomy for breast cancer, location of the tumor will influence incision placement. Oncoplastic techniques should be employed such as placing incisions along lines of skin tension (marked with the patient sitting up or standing), mobilizing breast tissue to close the dead space, and using cosmetic skin closure.
When tumors are behind the areola, resection of the nipple and areolar complex may be necessary to obtain clear margins. The breast will lose some projection, but the majority of the breast mound can be preserved.