Surgery

We provide comprehensive management for patients with all types of breast disease, especially breast cancer.
We work closely with your other physicians to develop a personalized treatment plan, tailored to your individual needs.

Dr. Strickland performs surgery at several local facilities, including:

  • Baptist Medical Center South
  • Montgomery Surgical Center
  • Jackson Hospital
  • Jackson Surgical Center

 

Services Offered

Comprehensive Breast Cancer Surgery

Services Include:

  • Lumpectomy is the surgical removal of a tumor, along with a portion of the normal tissue surrounding it. This is also known as “breast conservation” surgery or partial mastectomy. Radiation is used after lumpectomy to lower the risk of recurrence in the breast/lymph nodes.
  • Mastectomy is removal of the entire breast. No muscles are removed. The nipple and areola are generally removed, although some patients may be candidates for a nipple-sparing procedure. Patients who choose to have reconstruction will be referred to a plastic surgeon to discuss their options. Reconstruction may be performed at the time of mastectomy (immediate) or at a later date (delayed).
  • Sentinel node biopsy. When breast cancer spreads, the first place it usually goes is to the lymph nodes under the arm on that side. Lymph node evaluation, therefore, is an important aspect of breast cancer surgery. Sentinel node biopsy is used in patients with early stage breast cancer. A low dose of a radioactive tracer and/or blue dye is injected into the breast tissue on the day of surgery. The tracer travels through the breast tissue and is filtered by the lymph nodes. This helps identify the first few nodes to which cancer cells may have spread. These nodes are then removed and analyzed to determine whether or not the cancer has spread.
  • Oncoplastic and Hidden Scar procedures are designed to provide improved cosmetic results. Incision(s) are placed in a location that is hard to see, resulting in little to no visible reminder of the surgery/cancer.
  • Multidisciplinary care uses a team approach to coordinate care with medical oncologists, radiation oncologists, radiologists and pathologists.
  • Follow-up and surveillance. Breast cancer patients are monitored closely for signs of recurrence or complications related to cancer treatment. Routine follow up visits are scheduled every 3-6 months for the first year after surgery then every 6 months for years 2 through 5. These visits include a brief head-to-toe physical exam, a more thorough breast/chest wall exam, and scheduling of mammograms and other indicated tests.
  • MammoSite balloon catheter placement. Patients who choose lumpectomy generally require radiation, which can be performed in different ways. Whole breast radiation is given daily (Monday through Friday) for 4-7 weeks. Some patients may be candidates for partial breast radiation, where the radiation is only delivered to the breast tissue right around the tumor location. In this type of radiation, a balloon catheter is placed in the cavity left behind after the lumpectomy. Seeds of radiation are then placed into the catheter to treat the breast tissue around the balloon. These treatments are given twice daily for 5 days.
Excision of Breast Masses

A non-cancerous lump may be removed if it is enlarging or painful, or if the results of a needle biopsy are not in keeping with the findings on mammogram or ultrasound.

Infusion Port Placement

An infusion port is a small metal disc about the size of a nickel with a slightly raised rubber injection site. Since the injection site is raised, it is easily identified/felt from the surface of the skin. This makes injections quick and easy. The port can be used for infusing medications and injecting contrast for tests such as CT scans, etc. It can also be used for drawing blood at times. Attached to the port is a narrow, flexible IV catheter that is inserted into a large vein in order to deliver medications or fluids from the port directly into the bloodstream. The port is temporary and will be removed when the treatments are complete. It allows easy, repeated access to the bloodstream and causes less damage/scarring to the blood vessels in the hands and arms.

Wire-Localized Excision of Mammographic Abnormalities

At times, an abnormality may appear on mammogram that cannot be felt or seen on ultrasound. In this case, the radiologist may use the mammogram to place a thin wire through the skin to mark the abnormal spot. The tissue around the wire is removed surgically and sent for microscopic analysis.

Problems Not Covered:

  • Breast Augmentation
  • Breast Reduction
  • Gynecomastia (Development of Breast Tissue in Males)