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Breast Surgery - Medical Animation
 
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

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Breast Surgery - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: Surgical removal of the tumor is part of the treatment for the majority of breast cancers. There are a number of surgical options. Your doctor will help you decide which is best for your situation. In addition to surgery on the breast, it may be necessary to remove some or all of the lymph nodes under your arm. There are two main surgical procedures for breast cancer. The first is breast conserving surgery, or a lumpectomy, which is always coupled with radiation treatment. The second is mastectomy, which is removal of the entire breast. It may be combined with breast reconstruction surgery. In both procedures, it may be necessary to remove some lymph nodes. A lumpectomy preserves the appearance of the breast. The tumor, along with a margin of surrounding normal breast tissue, is removed. In this procedure, your surgeon will make an incision in the skin, and remove the tumor with a margin of healthy tissue. It will be sent to a pathologist for examination to make sure there is no cancer in the surrounding margin of tissue. The wound will be closed with sutures. In a mastectomy, the entire breast is removed. In a simple mastectomy, only the breast tissue is removed. Your surgeon will begin by making an incision to remove an oval of skin, including the nipple. The breast tissue will be separated from the skin, as well as the underlying muscle, and removed for examination. Finally, your surgeon will insert drains to prevent fluid collection. A modified radical mastectomy is a procedure where your breast tissue is removed, along with some or all of the lymph nodes under your arm. A sentinel lymph node biopsy is typically performed in addition to a lumpectomy or a mastectomy. It may be done if a clinical exam or imaging study shows no evidence that cancer has spread to the lymph nodes. The purpose of the biopsy is to identify and check the first draining lymph nodes from the breast to make sure cancer hasn't spread there. To do this, dye will be injected into your breast, to determine which lymph nodes are the sentinel lymph nodes. Your surgeon will remove one to three sentinel lymph nodes for examination. If these nodes have no cancer, it is unlikely other lymph nodes have cancer. If these lymph nodes have cancer, the rest of the lymph nodes under your arm, called axillary lymph nodes, may also have cancer. In this case, a complete axillary lymph node dissection may be recommended to remove most of the nodes in this area. An additional option in the case of a mastectomy is reconstruction of the removed breast. Breast reconstruction makes use of implants or tissue from other parts of the body, such as the abdomen or buttocks, to create a new breast. In some cases, the surgeon is able to also preserve the nipple. The reconstruction can be performed right after a mastectomy, known as immediate reconstruction, or at a later date, called delayed reconstruction. If you are considering reconstructive surgery, your doctor can help you decide what approach is best for your situation.

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What attorneys say about MLA and The Doe Report:
"Medical illustrations are essential evidence in personal injury litigation and MLA is simply the best I've found at producing high-quality illustrations. Your illustrators are not only first-class artists, but creative and responsive. Your turn around time is as good as it gets. My clients have won over $60 million in jury verdicts and I can't recall a case which did not include one of your exhibits. On behalf of those clients, thanks and keep up the great work!"

Kenneth J. Allen
Allen Law Firm
Valparaiso, IN
www.kenallenlaw.com

"I wanted to thank you for the terrific job you did illustrating my client's injuries. The case was settled at the pre-suit mediation, and I believe a good part of the success we had was due to the medical legal art you prepared.

Your work received the ultimate compliment at the conclusion of the mediation. The hospital risk manager took the exhibit with them at the conclusion of mediation, and will be using it to train nurses on how to prevent bed sores..."

Steven G. Koeppel
Troy, Yeslow & Koeppel, P.A.
Fort Myers, FL

"I have a medical illustration created by Medical Legal Art at the beginning of every case to tell the client's story, usually before I depose the defendant doctor. The work product and cost-efficiency are outstanding. It is a situation where, as a trial lawyer, I don't leave home without it."

Rockne Onstad
Attorney at Law
Austin, TX

"I wanted to take some time out to let you know what a wonderful job you did with the 'collapsed lung/fractured rib' illustrations. They were both detailed and accurate. My medical expert was comfortable working with them and he spent at least an hour explaining to the jury the anatomy of the lungs, the ribs and the injuries depicted in the illustrations. Needless to say, the jury was riveted to the doctor during his testimony.

The jury returned a verdict for $800,000.00 and I'm sure we would not have done so well if not for the visualizations we were able to put forth with your assistance. Lastly, my special thanks to Alice [Senior Medical Illustrator] who stayed late on Friday night and patiently dealt with my last minute revisions."

Daniel J. Costello
Proner & Proner
New York, NY













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