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[Answered]: operative diagnosis: Localized fibrocystic…

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operative diagnosis: Localized fibrocystic mastitis, upper outer quadrant, right breast Localized fibrocystic mastitis, upper outer quadrant, left breast Postoperative diagnosis: Same as above Procedure: Partial mastectomy (quadrectomy) of right breast and left breast. Patient complains of chronic breast pain from her mastitis. She presents for partial mastectomy of right and left breasts. Patient was prepped and draped in the usual manner after general anesthesia had been achieved. Local anesthesia with Xylocaine and Marcaine with Epinephrine had been added was infiltrated around the right breast to lessen post-op pain. We began with an infra-areolar incision around the upper outer quadrant of the right breast then undermined the skin to the upper outer quadrant. We then performed a wedge excision on the right breast with full thickness of the breast in a traditional quadrectomy/partial mastectomy. The same procedure performed on the left breast. All tissue specimens sent for histology, which reported back as benign fibrocystic mastitis. No neoplasm or malignancy noted within the frozen section. Hemostasis with electrocoagulation. Breast parenchyma reconstructed on both breasts with 2-0 dexom followed by 4-0 chromic and finally with 4-0 subcuticular prolene. Careful attention was paid to the reconstructive area to achieve optimal cosmetic result. A large compression dressing was applied for support.

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