WIDE LOCAL EXCISION (LUMPECTOMY) WITH SENTINEL NODE BIOPSY
Indication: Early invasive breast carcinoma (DCIS or invasive carcinoma suitable for breast-conserving surgery — tumour typically <4 cm, single lesion, adequate breast-to-tumour ratio). Sentinel node biopsy for staging in clinically node-negative axilla.
Patient Position: Supine, arm extended on arm board. Ipsilateral shoulder elevated with a sandbag.
Anaesthesia: General.
Prophylactic Antibiotics: Per local protocol.