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Radiotherapy or axillary surgery can extend this."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any early complication (seroma, hematoma, infection, wound problems) within 30 days; serious ones under 2%."},"contraindications":["Clear margins unachievable with acceptable cosmesis (large tumor, multicentric disease)","Diffuse suspicious or malignant-appearing microcalcifications","Prior breast radiotherapy precluding further radiation (relative or absolute)","Pregnancy requiring radiotherapy in first or second trimester (relative)","Active scleroderma or lupus making radiotherapy unsafe (relative)","Unfitness for anesthesia or surgery"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasionally one night for comorbidities or combined axillary procedures."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":6,"unit":"weeks","qualifier":"Gentle activity and walking earlier; strenuous upper-body exercise once wound has healed and surgeon allows."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Final scar and breast contour maturation; radiotherapy changes may continue to evolve."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After first wound check; depends on surgeon clearance, drain or seroma presence, and whether axillary surgery was added."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":10,"unit":"days","qualifier":"First postoperative visit, usually about one week"}},{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Pathology review, margin status and adjuvant treatment planning; often combined with first visit"}}],"indications":["Early-stage invasive breast cancer suitable for breast-conserving therapy","Ductal carcinoma in situ of limited extent","Symptomatic or suspicious benign lesions (large fibroadenoma, phyllodes tumor)","Excision of lesions with indeterminate core biopsy results"],"main_risks":["Bleeding, hematoma or seroma","Infection","Positive margins requiring re-excision or mastectomy","Breast asymmetry, contour deformity or scarring","Altered nipple or breast sensation, persistent pain","Lymphedema or shoulder stiffness if axillary surgery is added","Anesthesia-related risks"],"pain":"Mild to moderate pain for several days, usually controlled with simple oral analgesics; breast tenderness may persist for weeks.","preparation":["Imaging and confirmed tissue diagnosis","Preoperative localization (wire, seed or marker) for non-palpable lesions","Medical assessment and anesthesia review","Medication review with surgical team","Fasting as instructed by anesthesia team","Supportive surgical bra and arrangements for transport home"],"recovery_timeline":[{"phase":"First days","description":"Rest at home, dressing care, mild to moderate soreness and bruising.","restrictions":["Avoid heavy lifting","Keep dressing dry as instructed"]},{"phase":"Weeks 1-2","description":"Return to light daily activities; pathology results reviewed and adjuvant treatment planned.","restrictions":["Avoid strenuous arm activity"]},{"phase":"Weeks 2-6","description":"Wound healing, swelling settles; gradual return to exercise.","restrictions":["Avoid vigorous upper-body exercise until cleared"]},{"phase":"Months 3-12","description":"Scar maturation and breast contour stabilization, influenced by any radiotherapy.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated lumpectomy without axillary dissection."},"result_longevity":"Scar and breast contour are permanent once matured at 3-12 months. Oncologic benefit depends on clear margins, adjuvant radiotherapy and tumor biology; benign lesion excision is usually definitive.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Re-excision for positive or close margins after initial lumpectomy; some proceed to mastectomy."},"scars":"Short curved or periareolar scar on the breast, usually fading over months; may be firmer or retracted, especially after radiotherapy.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation; re-excision is conditional and not typical."},"stages":[{"code":"lumpectomy","label":"Wide local excision of the lesion with margin","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Standalone lumpectomy; adjuvant radiotherapy and sentinel node biopsy are separate."},"success":{"metric":"Complete tumor excision with clear margins at first operation","value":80,"unit":"percent","horizon":"At final pathology after surgery","population":"Adults with early-stage breast cancer or DCIS suitable for breast-conserving surgery","evidence_status":"limited"},"techniques":[{"name":"Standard lumpectomy (wide local excision) with or without localization","suits_whom":"Patients with a localized lesion where breast conservation is feasible.","recovery":"Usually same-day discharge, return to light activity within days."},{"name":"Oncoplastic breast-conserving surgery","suits_whom":"Larger excisions where tissue rearrangement helps preserve shape.","recovery":"Somewhat longer recovery than standard lumpectomy."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operative time for standard lumpectomy; sentinel node biopsy or oncoplastic techniques add time."},"initial_assessment_documents":["Breast biopsy pathology report","Mammogram and breast ultrasound reports","Breast MRI report (if available)","Imaging discs or DICOM files","Recent coagulation and blood count results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-10 days for surgery and first wound check. Pathology and adjuvant planning can be done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you have been 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travel","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Discuss with your home doctor how medical notes will move to the overseas team","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"As the doctor could be involved in your aftercare, discuss with them how to transfer medical notes to the overseas team.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Confirm that the facility is accredited by a recognized international accrediting 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