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Targeted Localization, 
Faster Recovery, Surgery for 
Impalpable Breast Lesions at Athenaa

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What is Surgery for Impalpable Breast Lesions 
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Impalpable breast lesions are abnormalities detected on imaging (like mammography, ultrasound, or MRI) that cannot be felt during a physical examination. These may include early cancers, atypical hyperplasia, or high-risk lesions that require surgical removal for diagnosis or treatment.

This is also applicable to those cancers which reduce in size and are not felt or disappear completely after administering chemotherapy/targeted treatment/immunotherapy or a combination. These cancers are marked with a clip/seed under ultrasound guidance prior to being subjected to medical treatment. The clip/seed, in turn, becomes a guide for a radiologist to localize with a wire prior to surgery. Because these lesions are not detectable by touch, the surgical approach must be image-guided and carefully planned to ensure complete and accurate removal.  

At Apollo Athenaa, advanced localization techniques like wire localization or radioactive tracer placement are performed to accurately target and remove the lesion with a margin of healthy tissue, aspiring to maintain breast contour. 

How the Procedure
 is Performed
At Apollo Athenaa, every surgical step is carefully planned and performed by experienced breast surgeons with a focus on safety, precision, and recovery.
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  • The surgery is typically performed under general anesthesia as a day-care or short-stay procedure.
  • Prior to surgery, a wire localization procedure is performed. A thin wire is placed into the lesion using ultrasound or mammography guidance to help the surgeon identify the target area. The radiologist also places a mark on the skin to enable the surgeon to know the shortest distance from the skin to the impalpable lesion or the marker clip.
  • In the operating room, the breast surgeon uses the wire along with the skin mark to guide the excision of the lesion with a surrounding margin of healthy tissue.
  • Specimen mammogram or ultrasound is used to confirm removal of the marker clip if it was inserted earlier, to ensure complete removal. Frozen sections may also be performed for intraoperative margin assessment.
  • The removed tissue is then sent for pathological analysis to confirm diagnosis and margin status.
  • The incision is closed with fine sutures, carefully positioned for cosmesis. 
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Recovery 
Healing at Apollo Athenaa is supported through
structured post-operative care, counselling, and rehabilitation support
Hospital Stay

Most patients go home the same day. Sutures are usually dissolvable or removed within a week.

Pain Management

Mild soreness or swelling near the incision is common and managed with pain relievers.

Resuming Routine

Light activities can resume in 2–3 days; full recovery is expected within 1–2 weeks.

Follow-up

Final pathology results are typically available in 5–7 days, guiding any further treatment.

Key 
Advantages
At Apollo Athenaa, surgery is thoughtfully planned with a personalized approach, ensuring safety, precision, and optimal outcomes.
Precise Removal
Accurate removal of non-palpable or early-stage lesions with minimal disruption to the breast.
Targeted Localization
Highly precise targeting, thanks to advanced localization methods like wire and seed guidance.
Quick Recovery
Short hospital stay and quick recovery, making it suitable for early or diagnostic interventions.
Early Detection
Supports early detection, enabling effective treatment even before the lesion becomes palpable.
Continuum of Care
At Apollo Athenaa, our teams remain involved at every stage, ensuring that recovery is not only physical, but also emotional and empowering. Each woman is supported through:
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Expert oncoplastic closure, which means that breast shape and appearance is preserved

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Post-operative support, including wound care and scar management

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Multidisciplinary review of pathology findings to guide next steps

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Long-term follow-up, with imaging surveillance and psychosocial care

Frequently Asked Questions
What are impalpable breast lesions?
01

Impalpable breast lesions are abnormalities seen on imaging tests such as mammograms, ultrasounds, or MRIs but cannot be felt during a physical examination.

Why is surgery needed if the lump cannot be felt?
02

Surgery is recommended to accurately remove and examine the lesion, especially if imaging suggests a possibility of cancer or if a definitive diagnosis is required.

How is the lesion located during surgery?
03

Before surgery, the lesion is marked using advanced localization techniques such as wire localization or seed localization. This allows the surgeon to precisely target and remove the lesion with minimal impact on surrounding breast tissue.

Is this surgery safe and minimally invasive?
04

Yes. The procedure is designed to be minimally invasive, with small, carefully placed incisions, ensuring accurate removal while preserving breast shape and appearance.

What is the recovery like after surgery?
05

Most patients undergo the procedure as a day-care surgery and can return to normal activities within a few days. Discomfort is usually mild and manageable.

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