What is Central Duct Excision Surgery
Central Duct Excision (CDE) is a surgical procedure primarily utilised in cases of non-invasive breast lesions or abnormal nipple discharge.
The aim of a Central Duct Excision is to remove abnormal breast tissue present in the milk ducts of the breast while preserving the surrounding healthy tissue resulting in improved cosmetic outcomes.
Why have Central Duct Excision Surgery
A Central Duct Excision may be required for patients who:
Nipple discharge may require surgery to remove the ducts behind the nipple to stop the discharge and to provide tissue to the pathologist to identify the cause of the discharge.
During the surgery – A central duct excision procedure, is usually performed under a general anaesthetic. Dr Rice makes an incision near the nipple-areolar complex to access the affected duct or ducts.
The objective is to remove the ductal tissue containing the abnormal cells while preserving as much healthy breast tissue as possible. After the tissue has been removed Dr Rice will close the surgical site with absorbable sutures and a small waterproof dressing will be placed over the incision.
In cases where abnormal cells are confined to the ducts and have not invaded surrounding breast tissue, a central duct excision may be a potential surgical option as it is less invasive, making it an attractive option for patients seeking breast conservation.
Following the surgery – Patients typically experience some discomfort, swelling, and bruising in the surgical site. Pain medication may be prescribed to help manage these symptoms. Recovery time varies depending on the individual and the extent of the surgery but usually involves a few weeks of rest and limited activity.
A Central Duct Excision may not be suitable for all cases of nipple discharge or breast abnormalities. The decision to undergo this procedure depends on various factors, including the size and location of the lesion, the presence of multiple lesions, and the patient’s overall health and preferences.
A Central Duct Excision may offer favourable cosmetic outcomes and may be a suitable option for select patients with certain benign breast conditions.
Central Duct Excision – Potential risks and complications
All surgeries carry risks and potential complications. Breast surgery risks may include but not limited to:
| Potential Risk | Description | Chance of Occurring |
|---|---|---|
| Post-operative bleeding | This may occur round the surgical site. | Less than 5% |
| Wound infection | Wound infection is rare after surgery. If an infection does occur, consult nursing staff and Dr Rice for evaluation immediately. | Less than 5% |
| Need for Further Surgery | Further surgery may be needed in some cases depending on your circumstances and further test results. | 5% |
Post Operative Care
What to expect after the operation
Dr Rice will see you after your surgery to discuss your results and to check your recovery is going to plan.
After the procedure – After surgery, you’re moved to a recovery room where the health care team monitors your recovery from the surgery and the anesthesia. Once you’re fully conscious, you’ll be moved to a hospital ward room.
Whilst not common, drain may be placed under the incision area. It is usually removed a few days after surgery.
After surgery, you may experience some pain near the surgical area. Dr Rice will discuss a pain management plan with you and hospital staff are on hand to ensure you are comfortable and to help monitor your pain levels.
You’ll be able to eat and drink as usual after surgery. Depending on the type of surgery you had, you may be able to go home the day of your procedure or Dr Rice may recommend that you stay overnight in the hospital.
Dr Rice will discuss with you a pain management plan, showering and wound cleaning and when you can return to your regular activities. Wait at least two weeks before doing any heavy lifting or vigorous activity.
It may take up to a year or more for the scar from surgery to fade. A follow up appointment with Dr Rice will be organised to discuss test results and follow up appointments and tests.
Dr Rice is a proud member of Breast Surgeons of Australia and New Zealand.
Central Duct Excision Adelaide
Dr Rice consults with patients from all over Adelaide in relation to Breast Surgery including Central Duct Excision surgery. Dr Rice is supported by a dedicated team who provide information and care in a sensitive and supportive manner to address the needs of patients attending the hospital and undertaking surgery and recovery. Dr Rice consults from three locations including Calvary North Adelaide Hospital, Calvary Central Districts Hospital and 480 Specialist Centre.