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Dr. Shilpy Dolas  - Oncologist, Pune

Dr. Shilpy Dolas

89 (159 ratings)
MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellows...

Oncologist, Pune

11 Years Experience  ·  600 - 800 at clinic  ·  ₹350 online
Dr. Shilpy Dolas 89% (159 ratings) MBBS, MS - General Surgery, FBD (Fellowship in Breast Dis... Oncologist, Pune
11 Years Experience  ·  600 - 800 at clinic  ·  ₹350 online
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Shilpy Dolas
Dr. Shilpy Dolas is a trusted LADY BREAST SURGEON & Oncologist in Pimpri Chinchwad, Pune. She specializes in BREAST CANCER SURGERY, BREAST ONCOPLASTY, BREAST AUGUMENTATION & REDUCTION (COSMETIC BREAST SURGERIES). She has had many happy patients in her 10 years of journey as a Breast cancer surgeon & cosmetic breast surgeon. She is a MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases). You can visit her at Heart and Breast Care Clinic in Pimpri Chinchwad, Pune. Save your time and book an appointment online with Dr. Shilpy Dolas on Lybrate.com.

Info

Education
MBBS - Meerut University - 2007
MS - General Surgery - Padmashree Dr. D.Y. Patil Medical College, Hospital and Research Centre - 2010
FBD (Fellowship in Breast Diseases) - Rajiv Gandhi University of Health Sciences, Bangalore - 2012
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UICC Fellowship - Tata Memorial Hospital - 2016
Languages spoken
English
Hindi
Marathi
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Punjabi
Professional Memberships
Maharastra Medical Council

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Heart and Breast Care Clinic

5/34, Near Vallabh nagar, S.T. Stand, Vallabh nagar, PunePune Get Directions
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600 at clinic
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Ruby Hall Clinic

40, Sassoon Road, Landmark : Near Pune StationPune Get Directions
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800 at clinic
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Ruby Hall Clinic

Plot Number P33, Rajeev Gandhi Infotech Park, MIDC, Phase 1, Landmark : Behind KPIT TechnologyPune Get Directions
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Breast Cancer - Signs & Symptoms You Must Consider!

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Breast Cancer - Signs & Symptoms You Must Consider!

Breast cancer is an abnormal growth of cells in the tissues of the breast. Mainly it occurs in females but less than 1% of all the breast cancer cases develop in males. The majority of breast cancers start in the milk ducts. A small number start in the milk sacs or lobules. It can spread to the lymph nodes and to the other parts of the body such as bones, liver, lungs and to the brain.

With more reliable early detection methods as well as the trend towards less invasive surgery, there is hope that even more women with breast cancer will be treated successfully and will go on to resume their normal lives.

Signs & Symptoms 
It is painless, especially, during the early stage. Watch out for the following changes in the breast:

  1. A persistent lump or thickening in the breast or in the axilla. 
  2. A change in the size or shape of the breast. 
  3. A change in the colour or appearance of the skin of the breast such as redness, puckering or dimpling. 
  4. Bloody discharge from the nipple. 
  5. A change in the nipple or areola such as scaliness, persistent rash or nipple retraction (nipple pulled into the breast).

Consult a doctor immediately if you notice any of these changes.

Risk Factors 
Being a woman puts you at risk of getting breast cancer. There are certain factors that increase the risk of breast cancer. Some of them have been listed below:

  1. The risk increases with age; most cases of breast cancer develop after the age of 50 
  2. Genetic alterations in certain genes such as BRCA1 and BRCA2 
  3. Family history of breast cancer 
  4. Being overweight 
  5. Early menarche (onset of menstruation before the age of 12) 
  6. Late menopause (after the age of 55) 
  7. Never had children 
  8. Late childbearing 
  9. No breast feeding 
  10. Excessive consumption of alcohol 
  11. Use of hormonal replacement therapy (HRT) for a long period of time

However, most women who have breast cancer have none of the above risk factors. Likewise, not having any of these risk factors does not mean that you will not get breast cancer.

Early Detection and Screening

More treatment options are available when breast cancer is diagnosed at an early stage and hence the chances of recovery is also higher. So regular breast screening is important for early detection even if there are no symptoms. Following are the ways of screening:

  1. Breast Self-Examination (BSE): Perform BSE once a month about a week after your menses are over. If you no longer menstruate, choose a date each month which is easy to remember e.g. your date of birth or anniversary.
  2. Clinical Breast Examination: Get a breast specialist to examine your breast once a year if you are 40 years and above.
  3. Mammogram: Go for a screening mammogram once a year if you are 40 to 49 years old and once every two years if you are 50 years and above even if you do not have any symptom. It is not recommended for younger women (less than 40 years of age) as they have dense breasts, making it difficult for small changes to be detected on a mammogram. So ultrasonography of the breasts is advisable to them.

Types of Breast cancer

  1. Non-Invasive Breast cancer: These are confined to the ducts within the breasts. They are known as Ductal carcinoma in-situ (DCIS).
  2. Invasive Breast cancer: It occurs when cancer cells spread beyond the ducts or lobules. Cancer cells first spread to the surrounding breast tissue and subsequently to the lymph nodes in the armpit (Axillary lymph nodes). These cells can also travel to the other parts of the body such as bones, liver, lungs or brain and hence known as metastatic breast cancer.

Making A Diagnosis 

If you notice any unusual changes in your breasts, you should see a doctor immediately. He will examine you clinically and may ask you to undergo some tests so that a definitive diagnosis can be made. Further, the staging work up is done to find out the stage of the disease and management accordingly.

Treatment options 
Treatment of breast cancer may include various methods such as surgery with or without breast reconstruction, chemotherapy, radiation therapy, hormonal therapy and targeted therapy. Treatment options offered, depend upon the number of factors such as the stage of cancer and likelihood of cure, your general health and your preference.

3402 people found this helpful

In metastatic breast cancer kha hum extra immune tablet kha skye hai Agar ihc reports mei her neu positive ho.

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Her-2 positivity of 3+ will require a different treatment in all breast cancers Early stage or LABC or Metastatic breast cancer which is TARGATED THERAPY with trastuzumab or herceptin or hertraz.
1 person found this helpful
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Breast Reduction - How To Go About It?

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Breast Reduction - How To Go About It?

While some women feel their breasts are too small, others have heavy breasts that they feel are too large for their frame. Large breasts not only affect the silhouette of a woman but can also lead to health problems such as backaches, posture problems and can restrict a woman’s participation in sporting events. Thankfully, with cosmetic breast surgery, a woman can choose to reduce the size of her breasts if need be

Breast reduction surgery involves the removal of skin and tissue from the breasts to resize and reshape the breasts. The darkened area around the areola may also be made smaller. This surgery is usually performed as an inpatient procedure and the person is put under general anesthesia for the duration of the surgery.

Once the patient is under anesthesia, the surgeon will make one or more incisions in the breast. Skin and tissue will then be removed and mobilised from these incisions before stitching the incision cut mainly in a keyhole manner. The nipples and areola may also be cut and repositioned to suit the new contours of the breast. In some cases, liposuction may also be performed. In cases where there is no excess skin and most of the breast comprises of fatty tissue, liposuction alone may be able to reduce the size of the breasts. 

The first step to undergoing breast reduction surgery is to find a cosmetic breast surgeon who agrees with your sense of aesthetics and whose work you have confidence in. Ask to see before and after photographs of your doctor’s earlier patients and be open and honest with him or her about how you would like your breasts to look. Discuss any emotional and physical conditions you may have felt as a result of your breast size as well as your medical history and surgical history if any. 

Steps taken during the procedure of breast reduction

  • During your consultation, your doctor may photograph and measure your breasts.
  • A mammography and breast exam may also be conducted.
  • Once you and your doctor have decided how much tissue needs to be removed and a surgery date is set, it is important for you to start preparing your body for the surgery.
  • Have nutritious, well-balanced meals and quit smoking and alcohol for some time.
  • If you take any blood-thinning medicines such as aspirin, you will also need to stop taking these for some time.
  • In case you are overweight, you may be asked to reduce weight before the surgery so as to reduce chances of complications. It would also be a good idea to take a week or two off work while you recover. 

The surgery itself should not take more than 3-5 hours for one breast and you should be able to notice the results of the surgery quite soon. In case you have a concern or query you can always consult an expert & get answers to your questions!

3274 people found this helpful

Breast Cancer - Know The Risk Factors Associated With It!

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Breast Cancer - Know The Risk Factors Associated With It!

Detecting a lump on your breasts can be stressful for any women. Breast cancer is a common type of cancer and is said to affect primarily affect women though 1% of breast cancer cases affect men. Breast cancer can be categorized into different types based on their capability to affect surrounding tissues.

The most common amongst these are:

  • Ductal carcinoma in situ
  • Invasive ductal carcinoma
  • Invasive lobular carcinoma

Breast cancer is caused by mutations of a person’s DNA cells. This could be inherited from one’s parents or acquired by an unhealthy lifestyle. These DNA mutations cause cells in the breast tissue to multiply rapidly and turn cancerous. The risk factors for breast cancer can be categorized as modifiable and non-modifiable.

Modifiable risk factors:

  • Excessive alcohol consumption
  • Obesity
  • Use of combined hormone therapy after menopause
  • Lack of exercise

Non-modifiable risk factors:

  1. Age
  2. Family Medical History
  3. Personal Medical History
  4. Atypical hyperplasia
  5. Early start of menstruation cycle
  6. Presence of dense breast tissue
  7. Inherited genetic mutations

As with any other type of cancer, the earlier it is diagnosed, the easier it is to treat. In its early stages, breast cancer is not painful and has negligible symptoms. In most cases, it is detected only by finding a lump on the breast or through a mammography. This lump may also be present in the armpit or above the collar bone. Some of the other symptoms of breast cancer include:

  • Nipple inversion
  • Discharge from the nipples
  • Changes in the colour and texture of skin covering the breast

Breast cancer has five stages beginning from 0 and going up to 4. This is based on the size of the tumour, involvement of lymph nodes and whether or not metastasis has occurred.

  • Stage 0: At this stage, the tumour does not affect the lymph nodes and has not metastasized. Thus at this stage, it is noninvasive.
  • Stage I:  In this case the tumour is smaller than 2 cm in diameter and has not spread to any of the surrounding tissues.
  • Stage II: In this stage, the cancerous tumours are still fairly small in size but also affect the surrounding lymph nodes.
  • Stage III: These tumours are larger than 5 cm in diameter and involve the lymph nodes to a greater extent.
  • Stage IV: This is also known as metastatic breast cancer. In this stage, the cancer cells metastasize to other parts of the body.

Surgery is the most preferred form of treatment for breast cancer. This may be combined with radiation, chemotherapy, targeted therapy or hormone therapy depending on the stage and type of cancer, the patient's overall health, age and personal preferences. In case you have a concern or query you can always consult an expert & get answers to your questions!

3322 people found this helpful

Breast Lift Surgery - Understanding The Benefits It Has To Offer!

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Breast Lift Surgery - Understanding The Benefits It Has To Offer!

Breast lift surgery or Mastopexy is a form of plastic surgery used for lifting or raising sagging breasts in women. The size, contour and elevation of the breasts are modified or corrected using this procedure.
The position and shape of the breasts in women change after pregnancy, breastfeeding, suffering weight loss or with age. A breast lift surgery is effective in treating sagging breasts.

During a breast lift surgery, extra skin is removed from the breasts, and the surrounding tissues are tightened for reshaping of the breasts. The nipples and areola are also reshaped to a better location. A breast lift surgery may involve the procedures of liposuction and abdominoplasty for an even better rejuvenation. Breast lift surgery is undertaken by many women for different reasons. Some women do not like their breast shape or volume after pregnancy and have this surgery done. 

A breast lift surgery offers various benefits, such as 

  • A breast lift surgery improves the body image of a woman and also boosts her self-esteem. Women feel their breasts have been affected negatively after pregnancy and undergoing this surgery enables them to have satisfactory breasts again. A breast lift surgery does not cause the breasts to increase in size. They appear bigger because they are higher in position and firmer than before.
  • Having a breast lift surgery can push you to make better and healthier choices about your lifestyle. For undergoing any form of surgery, it is recommended that you stay as healthy as possible. This includes proper diet and eating habits along with regular exercise.
  • A breast lift surgery improves the quality of life in women. Body image is improved, and the woman feels good about her breasts and body as a whole. According to studies, 92% of women having a breast lift surgery had improved self-esteem and a better, healthier life than before. Women become less conscious about their breasts after the surgery, as the breasts become satisfactory.
  • As a result of this surgery, some clothes may fit better, and a woman can experiment with trendier outfits, and may also not wear a bra at times.
  • A breast lift surgery gives women a better proportion between their breasts and buttocks. The contrast is better and makes a woman more attractive. More cleavage is created, and the breasts get more projected.
  • A breast lift surgery is an efficient procedure to improve the breasts of women. Sagging breasts are corrected by a surgery which gives certain benefits to women.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3262 people found this helpful

My wife found some red spot like a rash in her left breast. Is it any symptoms of breast cancer? What to do now? Need doctors name in Rajkot for checkup.

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Red rashes should not be neglected. She needs to get examined by a breast Oncosurgeon or specialist. If required further investigations should be done.
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Hi Sir, My aunt is 50 years old. She had suffered from breast cancer 15 years back which was successfully treated with surgery, radiation and chemotherapy. 2 years back she was again treated for uterine cancer. Now one month back she is diagnosed with Lung cancer. Doctors are still conducting tests and not yet started with treatment. She is experiencing cough and pain in chest area. Can we go ahead with Chemotherapy again? She is scared of the side effects? Why it is re occurring again and again? What is the prognosis now? What is the way ahead please suggest.

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Lung cancer will give more symptoms as compared to uterine and breast cancer. Check her receptors as lung cancers have got another treatment called immunotherapy. Lesion of lung needs to be biopsied and send for pathology as well as receptors than only treatment can be finalised.
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Sir my mother got operated for breast cancer and her right breast has been removed. We have done pet scan and now the reports says: Non FDG avid non enhancing lesion in left parietal cortex. And faint FDG avidity in right anterior chest wall and mild FDG avid mediastinal lymph nodes.

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Your mother will require chemotherapy and radiotherapy depending on her pathology report. PET-CT is not the final call.
1 person found this helpful
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Hi, I am a male teenager and I have a lump right under my nipple. Is it breast cancer?

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Don’t reach to the conclusion. Breast cancer needs to be proved on imaging and biopsy. Normally in your age it could be a gynaecomastia.
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I am 66 years old lady. I was operated upon for BREAST CANCER in left side about 50 days back in which some glands were removed. Chemo is on at an interval ois 21 days. 2 cycles of chemo is complete. Now my left hand is getting swollen up. I do not know what to do.

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Hello Lybrate user. Lymphoedema (swelling of arm and hand) is a common complication after breast cancer surgery. It is common in first 2 years after surgery. Try to Avoid any pin prick, blood collection, bp measurements and wearing glass bangles on operated site. Physiotherapy of the arm will help in initial phases of this problem. They will give you therapy and exercises. Compression garments (arm sleeve) will also help in this condition. If you have high blood pressure problem than meet your doctor to get it under control.
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