Common Specialities
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Common Treatments
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Overview

What is Breast Cancer?

Surgery is a common procedure when it comes to treating breast cancer, as the main objective is to remove the cancer cells as much as possible. There are different types of surgery for breast cancer, depending on your medical history and the type and stage of cancer that you are suffering from. The two main types of surgeries are:

  • Lumpectomy, which is also known as partial or segmental mastectomy. This surgery involves removing only that part of the breast where cancer has been detected, along with some normal tissues surrounding it. The portion of breast that is removed depends on factors such as the size and location of the cancerous tumor.
  • Mastectomy, which involves the removal of the entire breast, including all breast tissues and at times even the nearby tissues. In some cases, patients may also undergo double mastectomy, where both the breasts are removed.

Indication

A breast cancer patient may require a surgery in the following conditions:

  • If one is in a locally advanced stage of breast cancer
  • Suffering from Paget’s disease (cancer cells form in/around the nipple)
  • Multiple tumors in different areas of the breast
  • Recurring of the cancer in the breast even after radiation
  • A connective tissue disease such as lupus or scleroderma, where the side effects of radiation cannot be tolerated by the skin
  • The patient is pregnant and radiation may affect the unborn baby

Pre Procedure

Indication

P> A breast cancer patient may require a surgery in the following conditions:

  • If one is in a locally advanced stage of breast cancer
  • Suffering from Paget’s disease (cancer cells form in/around the nipple)
  • Multiple tumors in different areas of the breast
  • Recurring of the cancer in the breast even after radiation
  • A connective tissue disease such as lupus or scleroderma, where the side effects of radiation cannot be tolerated by the skin
  • The patient is pregnant and radiation may affect the unborn baby

Pre Procedure

The following preparations need to be taken before undergoing a surgery for breast cancer:

  • Have a detailed discussion with your surgeon as well as your anaesthetist regarding the complete procedure of the surgery. You can ask questions to your doctor and clear your doubts, if you have any.
  • If you wish to have a breast reconstruction at the same time, you will also have to meet and discuss the same with your plastic surgeon before the surgery
  • Inform your doctor regarding the medicines, supplements and the vitamins that you are taking
  • Discontinue taking medicines that may increase the risk of bleeding in the course of the surgery, like blood thinners and aspirin
  • You have to stop eating or drinking anything 8-12 hours prior to the surgery. Your doctor will instruct you in this matter.

During Procedure

The surgery is normally performed by administering general anaesthesia. An incision is made around the affected breast. The tumor and the surrounding tissues are then removed. There are different procedures by which the surgery can be performed:

  • Axillary node dissection where several lymph nodes are removed from the armpit on the side where the tumor was located
  • Sentinel lymph node biopsy where only one or two lymph nodes are removed and then tested if they have cancerous cells in them
  • Total mastectomy which involves removing of the entire breast
  • Skin-sparing mastectomy where all the breast tissue, nipple and areola are removed but not the breast skin
  • Subcutaneous mastectomy, which is removal of the breast tissue only, and not the skin, nipple and areola

Once the surgery is completed, the incision is stitched back that gets dissolved or has to be removed later. There may be plastic tubes placed in the surgical area for draining any fluid that may accumulate post surgery. The tubes will be sewn in place, with the other ends being attached to a small-sized drainage bag.

Post Procedure

After the completion of the surgery, you will be shifted to the bed and your pulse, breathing and blood pressure will be monitored by your doctors. There will be a dressing over your surgery site. You may feel numb, pain or a pinching sensation in your underarm area. You will be prescribed pain medications for it.

Before you are discharged from the hospital, you will be provided proper instructions regarding care at home, how to take care of your incision and drainage, recognising and informing your doctor if you see any sign of infection. There may also be some restrictions in your daily activities initially. You can also consult your doctors to have a clear knowledge when you can resume wearing a bra or breast prosthesis.

Risk & Complication

A breast cancer surgery can have the following risk or complications:

  • Bleeding from the incision site
  • Infection in the area of surgery
  • Temporary swelling
  • Pain and stiffness of the shoulder
  • Hard scar tissue formation at the surgical site
  • Hematoma, where there is a build-up of blood in the site of the surgery
  • A feeling of numbness, especially under the arm, if the lymph nodes have been removed
  • Change in the appearance and shape of the breast, especially if a large portion has been removed.

More Info

You will have to go for follow-up appointments so that the doctors can monitor your progress of recovery after the surgery. You may have to go for radiation therapy if the tumor was a large one, there were several lymph nodes that were cancerous, if the cancer had spread in the nipple or skin, or there are any cancer cells remaining even after the surgery. In case your cancer is found to be sensitive to chemotherapy, you can discuss other modes of treatment like hormone therapy with your oncologist. Apart from that, involving yourself with a counsellor or support group can help you recover fast emotionally. A healthy lifestyle with good food habits, along with cutting off tobacco and alcohol, will ensure a faster recovery and a healthy life ahead.

The cost of a breast cancer surgery may be approximately Rs. 3, 23,350 – Rs. 4,52,700.

Popular Health Tips

Breast Cancer - Treatment Procedures At Different Stages!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Oncologist, Pune
Breast Cancer - Treatment Procedures At Different Stages!

Breast Cancer can be detected at various stages. Some women might feel a difference in their breast area, with a lump or kind of a skin rash around the nipple or they could see that their nipple has become inverted, so then the treatment procedures would be different. The different stages of cancer and their respective treatment procedures are discussed below:

Stage I Breast Cancer - Treatment
In this case, breast cancers are at their nascent stage, either they have not spread to the lymph nodes or might have spread to only a small area. Treatment options are as follows:

  • Surgery: The main treatment for breast cancer in stage I is surgery. These types of cancers get treatment with either breast-conserving surgery or mastectomy. There are some cases when breast reconstruction can also be done along with the surgery to get rid of cancer.
  • Radiation therapy: When doctors feel the need to do a breast construction surgery, then radiation therapy is normally given after surgery. This helps in lowering the chance of cancer getting relapsed. Older women, aged close to 70 years, should go for breast reconstruction surgery without radiation therapy, provided the following conditions are true:
    • The lump was 2cm or less across and it has been completely removed.
    • None of the lymph nodes removed contained cancer.
    • The cancer is either ER or PR-positive and hormone therapy is conducted.
  • Chemotherapy and other drugs: Women who have either ER or PR-positive hormone receptor, doctors would recommend them to go for hormone therapy. The therapy is given for 5 years. In case the tumor is larger than 1cm across, adjuvant chemotherapy is recommended.

Stage II Breast Cancer-Treatment
This is the stage when cancer has spread to some nearby lymph nodes. The treatment methods followed are:

  • Surgery and radiation therapy: This second stage of cancer gets treated with breast-conserving surgery or mastectomy. The lymph nodes nearby get checked either with a sentinel lymph node biopsy or an axillary lymph node dissection. Women, on whom BCS have been conducted, get treated with radiation therapy after surgery.
  • Neoadjuvant and adjuvant systemic therapy: This is another method followed for treating stage II cancer. It is a good option for women with large tumors as they shrink the tumor before conducting surgery. Chemotherapy, HER2 targeted drugs and Hormone therapy all form part of treatment in this stage II.

Stage III Breast Cancer – Treatment
In stage III breast cancer, the size of a tumor is more than 5 cm, with cancer spreading on to the nearby lymph nodes. The treatment procedures followed are:

  • Neoadjuvant therapy: Generally the stage III cancers are treated with neoadjuvant chemotherapy. Radiation therapy is also given after surgery, followed by breast reconstruction surgery.
  • Starting off with surgery: Another treatment option for this stage is to get started off with surgery. The tumors are quite large and they even grow on to nearby tissues, which means women need to get a mastectomy. Women having large breasts can even go for Breast Reconstruction Surgery, in case cancer has not spread on to the nearby tissues.

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

2822 people found this helpful

Breast Cancer Treatment - What Type Of Nutrition Should You Intake?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Oncologist, Pune
Breast Cancer Treatment - What Type Of Nutrition Should You Intake?

Maintaining a nutritious diet is always a necessity and the need is more so during breast cancer treatment. Cancer being a dreadful disease, the treatment procedures put a lot of stress on any person. As it is, a person affected by cancer tends to become weak and add to that the rigorous methods of treatment. As these aspects make one thing clear from a patient’s perspective, which is to have a balanced, healthy and nutritious diet during treatment. Only then will the body have necessary strength to heal itself completely after getting treated. Good nutrition would help women to stay strong and feel good. Each cancer patient would have unique nutritional needs as per their weight, extent of the disease and their ability to intake food.

Benefits Of Good Nutrition During Breast Cancer Treatment

  • There are quite a number of benefits to maintain good nutrition during cancer treatment. Some of them are detailed below:
  • Cancer makes you weak, hence intake of good nutritious food enables you to combat fatigue.
  • Helps to maintain your body’s store of nutrients and your weight. It ensures that you don’t lose weight due to weakness.
  • Good nutrition would result in decreasing the risk of getting infected and also allow you recover faster.

What type of diet should you follow?
Now we take a look at the nutritious diet, which cancer patients must ensure to take during cancer treatment:

  • Eat less but have frequent meals throughout the day: Avoid eating too much as weight gain would be a menace in this phase. So, eat small meals frequently and that would ensure your body is getting the required protein, calories and nutrients to tolerate treatment. This would also help in reducing the side-effects related to the treatment, such as nausea.
  • Take protein-rich foods: Taking foods which are rich in protein, is a necessity as protein allows the body to repair tissues and cells. Protein also helps in building immunity. So, take items like chicken, fish, eggs, low fat dairy products in the form of milk, cheese, yogurt, nuts, beans, soyabeans. These would give you the strength to bear treatment.
  • Eat a whole lot of fruits and vegetables: Fruits and vegetables should be there in your diet as they provide antioxidants to the body, which can be of great help in fighting cancer. For patients, who are going through treatment and have weak immune system, fresh fruits and vegetables should be cooked and include them in their daily diet.
  • Drink water: It’s important for patients to drink enough water during treatment so that there is no chance of getting dehydrates. Caffeinated beverages should be avoided.
  • Go for sources of healthy fat: Fried, fatty and greasy foods should be completely avoided at all costs. Rather, choose boiled, baked or grilled foods. Healthy fats would include:
  • Intake of sweets should be limited: Sweets should be kept away from the diet of a cancer patient receiving treatment. Along with it, avoid items having high content of added sugar.

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

2747 people found this helpful

Signs and Symptoms You Might Be Suffering From Breast Cancer

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Hyderabad
Signs and Symptoms You Might Be Suffering From Breast Cancer

Breast cancer is characterized by an abnormal multiplication of cells in the tissues of the breast. The disease is the second most common cancer in women, and mostly affects women in the age group 55-65. However, the disease may occur in men as well.

Causes-

The exact cause of breast cancer is not known as of now. Some of the factors that influence multiplication of cells are your genes and the environment. Other factors such as late menopause, being subjected to hormone therapy post-menopause and dense breast tissues can be other triggers for this disease.

Symptoms-

The symptoms of breast cancer are:

  1. Discharge from your nipples
  2. A swelling in the breast
  3. You may have a lump in your armpits
  4. The skin around the breast may become flaky
  5. The skin around the breast may be irritated

Treatments-

The treatment depends on the size, grade and stage of the breast cancer. The sensitivity of the cancerous cells to the hormones in the body is also considered in this regard. The various treatment methods are:

  1. Surgery: There are multiple types of surgeries which may be used to treat breast cancer. In some cases, only a small area of the breast may be removed if the size of the tumor is small. Sometimes, mastectomy is performed where the entire breast tissue has to be removed.
  2. Chemotherapy: Chemotherapy is a type of treatment in which the cancerous cells are targeted by using certain drugs which are injected in to the body. However, chemotherapy has its own share of side effects such as hair loss, sudden and drastic weight loss and persistent fatigue.
  3. Radiation Therapy: This procedure involves using radiations such as x-rays to destroy cancer cells in the body. This procedure is carried out with the help of a machine that focuses radiation on the affected areas of the body. In case you have a concern or query you can always consult an expert & get answers to your questions!
2698 people found this helpful

Breast Cancer - 6 Ways You Can Reduce The Risk!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Breast Cancer - 6 Ways You Can Reduce The Risk!

Of all cancer types that affect the female population, breast cancer is the most common one. Statistics show that above 1 in 8 women in the USA are likely to develop breast cancer (invasive type, which is often severe). Changing lifestyles including prolonged use of birth control, smoking, alcohol abuse, lack of physical activity, dietary changes, etc., have led to an increased incidence. As these are here to stay, the only way is to prevent.

The likelihood of developing breast cancer is determined by risk factors. Some of these risk factors cannot be changed. For instance, age, ethnicity, and history of familial breast cancer. However, there are others, which can be acted upon or modified to reduce the chances of developing breast cancer.

Some of the preventable risk factors are as follows:

  • Nicotine abuse: Quitting smoking has multiple benefits for a woman, and one major benefit is the reduced risk of developing breast cancer. Other benefits include reduced incidence of diabetes, heart disease, and other cancers.
  • Hormone replacement therapy: To the extent possible, avoid prolonged use of birth control pills or hormones for other treatment purposes. In addition to using non-hormonal methods, if not avoidable, constantly monitoring hormone levels is very important. Birth control pills should especially be avoided by women over 35 years of age who smoke. The risk associated with developing cancer reduces as soon as the hormone supplement is stopped.
  • Weight Management: One of the major risk factors is obesity, and in people with other non-alterable risk factors, it is best to work on weight management from an early age. Talk to your doctor about your ideal BMI and ensure this is maintained.
  • Physical Activity: Regular physical activity, at least 30 minutes per day, in addition to strength training will help in keeping the body agile and managing weight. It also reduces the risk of breast cancer.
  • Breastfeeding: Studies have shown that breastfeeding has protective effect against breast cancer; longer a baby is breast fed, greater is the protective benefit.
  • Screening: Even if not completely preventable, early detection of breast cancer is very important. This will help in less severe treatment and better prognosis. Recommended ages for mammography are as follows:
    • In the age of 40 to 44, an annual mammogram is advised along with a discussion with the doctor on the risks.
    • An annual mammogram for all women in the age of 45 – 54 is important as most women enter menopause by this time. This needs to be continued annually, as self-breast exams alone cannot detect cancer, thus it is a good practice and anything abnormal will not go undetected.
    • These will help reduce the risk of developing breast cancer, help in early detection, and improve prognosis.

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

2359 people found this helpful

Breast Cancer - Important Things You Must Be Aware Of!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gorakhpur
Breast Cancer - Important Things You Must Be Aware Of!

Breast cancer begins when cells in the breast start to get out of control. These cells are mostly in the form of a tumor that can be regularly seen on an x-ray or felt as a lump. The tumor is dangerous (malignant) if the cells attack the surrounding tissues or spread to far off zones in the body. Breast cancer happens mostly in women, yet men can get it, as well.

This is how breast cancer can spread:

  • Bosom cancer can spread through the lymph framework
  • The lymph framework includes lymph nodes, lymph vessels, and lymph liquid found all throughout the body
  • Lymph nodes are little, bean-shaped accumulations of immune system cells that are connected by lymph (or lymphatic) vessels. Lymph vessels resemble little veins, with the exception of that they transport a liquid called lymph (rather than blood) far from the breast
  • Lymph contains tissue liquid, waste items, and immune system cells. Breast cancer cells can enter lymph vessels and start to develop into lymph nodes

A large portion of the lymph vessels of the breast deplete into the:

  • Lymph nodes under the arm (axillary hubs)
  • Lymph nodes around the neck bone (supraclavicular and infraclavicular lymph hubs)
  • Lymph nodes inside the neck close to the breast bone (inner mammary lymph hubs)

Following are some of the causes of breast cancer:

  • Hormones play a part in creating breast cancer disease; however exactly how this happens is not completely known
  • Ordinary breast cells get to be distinctly carcinogenic in view of changes (transformations) in DNA
  • Yet, most DNA changes identified with breast cancer are gained in breast cells during a woman’s life as opposed to having been acquired
  • Qualities that accelerate cell division are called oncogenes
  • Tumor silencer qualities are typical qualities that back off cell division, repair DNA oversights, or advise cells when to bite the dust
  • Certain acquired DNA transformations (changes) can drastically increase chances for building up specific growths and are in charge of a large number of tumors that keep running in few families

Some of the treatments of breast cancer include:

  • Health alterations: Body weight, physical action, and eating routine are all connected to breast tumor, so these may be territories where you can make a move.
  • Restorative alternatives for women at expanded hazard: For women who have certain hazard components for breast growth, for example, a family history; various restorative alternatives may counteract breast cancer.
  • Medications to lessen hazard: For women at expanded danger of breast cancer, medications, for example, tamoxifen and raloxifene, can reduce the hazard. However, these medications can have their own dangers and symptoms.
  • Preventive surgeryIn case that you have a solid family history of breast cancer, you can talk with your specialist about hereditary testing. This test addresses changes in qualities that increase the danger of breast cancer; for example, the BRCA qualities. In case you have a hereditary change from a family with a transformation, however, have not been tried, you could consider surgery to bring down your danger of tumor.

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

4570 people found this helpful

Popular Questions & Answers

My mother is diagnosed with breast cancer stage 2 after surgery doctor started chemotherapy with herhope 440 mg injection can you describe her condition and how many chemo necessary for her and is their any other bttr process of treatment.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Herhope is Transtuzumab, which is an anti Her 2 receptor antibody. If the tumor is Her 2 receptor positive, then it is recommended to give 3 weekly Transtuzumab for a year. It is a costly drug (Herceptin, the original brand by rosche costs 55k to 75k per vial of 440 mg) hence biosimilars are used which cost anywhere between 20K to 45K per vial. There are various schedules of chemotherapy which are used. The most common being 4 cycles of dose dense (2weekly) Adriamycin + cyclophosphamide followed by Taxanes (4 cycles of 3 weekly Docetaxel or 12x weekly paclitaxel). Transtuzumab is usually started with the Taxane chemotherapy and continued for a year. If radiation therapy is indicated (all Breast conservation or mastectomies for large tumour or node positives) The it is given after completion of the chemotherapy. Also, after completing the chemotherapy if your tumor was hormone receptor positive (ER/PR), then hormonal therapy would be started. It may be in the form of Tamoxifen or Aromatase inhibitor, for 5 -10 years. Sometimes we consider Adjuvant Bisphosphonate or Denosumab in postmenopausal women (6 monthly for 2 years, but kidney function must be normal and after dental prophylaxis. I would be able to guide you better if you could send the details of the surgery and the histopathology report. If you have any doubts or if you want to discuss this further, feel free to contact me directly.

What are the symptoms for breast cancers? And how to resolve it? 2.is our heart can swell? If it's swell means what should I do?

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
The various symptoms of breast cancer are 1) lump in the breast 2) nipple discharge, especially blood stained 3) Nipple inversion, retraction or ulceration 4) skin dimpling, edema or redness 5) Axillary lump (nodes) 6) rarely it may present with pain 7 sometimes metastasis may be the first sign of the cancer If you have any of those symptoms, better to see abreast surgeon or a surgical oncologist, who would examine you and if need be ask for a mammogram or an ultrasound to rule out cancer. Screening with 2-3 yearly mammogram is recommended from the age of 45-75 in all females. Also being aware about your breasts helps to detect these signs. About the heart, it can swell due to dilated or hypertrophic myopathy. Cardiologist would answer the same If you want to discuss this further, feel free to contact me directly.
1 person found this helpful

Hello Kya breast ultrasound karne se breast cancer ka risk increase hota h kya. Please provide me accurate answer. thanks.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Ultrasound is based on sonic waves generated by piezoelectric effect. There is no radiation involved in ultrasound and hence it does not increase the risk of breast cancer. Mammography has minimal radiation, which would be less than the radiation one receives during a trans Atlantic flight. Hence that too does not in crease the risk of cancer. MRI is based on magnetic resonance imaging, which again has no Radiation hazard CT scan does have radiation risk multiple times that of Xray, but needs repeated scans to be significant enough.

My wife having breast cancer and taken out complete breast through surgery at Visakhapatnam. We are shifting now to kaikalur in krishna district. Is there any hospital close to that village having facility for chemo therapy? Either in Eluru or Bhimavaram? What precautions to be taken by the patient? What will be the cost for one sitting for chemo therapy? Please suggest.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Usually we make a plan for chemotherapy and that can be taken at any local hospital, where the nurses are trained to give chemotherapy and there is a physician or medical oncologist who can manage the side effects. You can enquire at your local district hospital. The chemotherapy for breast usually includes Adriamycin + Cyclophosphamide and most of the times followed by Paclitaxel (4+ 4 cycles). Transtuzumab may be given depending on the Her 2 Status (1 year). The cost of the treatment may vary according to the centre can range from 8k to 25k per cycle. But the transtuzumab can also vary from 50k to 75k Per cycle for 1 year Some patients prefer having a port inserted to avoid the painful chemotherapy through the opposite hand, which causes thrombophlebitis. They will ask to monitor the blood counts and renal function as it can cause anemia and drop in white cell and platelet counts (increasing the risk of infection and bleeding). There would be mild nausea and vomiting for which medications would be given. Hair loss is another side effect for which wigs may be given. Some hospitals have the cooling cap which can decrease the hair loss (50-70%), but the cost and time for chemotherapy increases. Also taxanes can cause neuropathy in some patients leading to muscle weakness. I can clarify the treatment plan better if I can see the histopathology report.
4 people found this helpful

Table of Content

What is Breast Cancer?

Indication

Pre Procedure

During Procedure

Post Procedure

Risk & Complication

More Info

Play video
Breast Cancer: Diagnosis and Treatment
Namaskar,

Mai Dr. Arun Kumar Goel, Max Super Speciality Hospital, Vaishali, Ghaziabad mein Cancer Surgery department ka head hoon, aur breast oncology unit ka director bhi hoon.

Mere main area of interest me breast cancer ka management ek pramukh area hai, breast cancer mahilaon ka sabse common cancer hai jo major cities hai metropolitan Delhi- NCR, Bombay aur aisi cities mein. Aur iska jo incidence hai woh badhta ja raha hai jiske kai karan hai, isme breast cancer ke ilaj mein pichle 30-40 saalon mein bahut tarakki hui hai aur aaj ke din hum dekhte hain ki breast cancer ke marijoo ka survival rate hai woh 90% se upar hai, lekin itna achha survival achieve karne ke liye hame jo hai uski diagnosis bahut jaldi karni padti hai. Toh yeh ek bahut sabse important baat hai, jo sabse common symptom hai breast cancer ka woh hai breast mein ek lump ya ganth ka hona. Ab breast ki ganthe kuch cancerous hoti hai kuch non-cancerous hoti hai, lekin jab bhi koi ganth ho toh yeh possibility zaroor sochna chahiye ki kahi cancer to nahi hai aur turant ek cancer specialist ya breast surgeon se opinion lena chahiye. Cancer ki diagnosis banane ke liye usme kuch janche hoti hai jisme mammography ya ultrasound hota hai, fine needle aspiration cytology ya biopsy hoti hai aur kabhi kabhi breast ka MRI bhi kiya jata hai. Toh agar cancer confirm hota hai toh phir uske baad kuch staging test karte hain yeh dekhne ke liye ki bimari sharir mein kahin faili toh nahi hai, jyadatar cases me bimari localised hoti hai aur uska ilaj jo hai sabse pehle operation ya surgery ke dwara kiya jata hai jo meri main feild hai. Jyadatar logo ko breast cancer surgery mein jo pareshani hoti hai ki pehle ilaj hota tha usme purye breast ko remove kiya jata tha jise hum log mastectomy kehte thye, lekin agar mareez early stage mein aata hai ganth bahut badi nahi hai to pura breast nikalna zaroori nahi hai, hum log breast conservation surgery ke dwara breast ko bchaa sakte hain. Isme aage aur kafi advances huye hai aur aaj kal hum log jo approach follow karte hain jis bolte hain oncoplastic breast conservation surgery, jisme jo cosmetic results pehle se bhi bheter hai. Agar kuch marijoo mein pura breast nikalna zaroori bhi hota hai toh reconstruction bhi kiya ja sakta hai. Aur ek nai approach jo surgery mein aaj kal hum log use kar rahe hai jise kehte hain Sentinel lymph Node Biopsy, yeh armpit ki jo ganthe hoti hain nodes unke management ke liye ek latest approach hai aur iss approach ka istemal karne se jo hathon mein sujan aane ka risk hai Lymphedema wo kafi kam ho jati hai. Toh surgery basically jo ho jati hai uske baad kuch marijoo mein additional treatment ki zaroorat ho sakti hai jaise chemotherapy hai, radiotherapy hai, ya kuch dawaiya hai jo hormonal intervention karti hain. Toh surgery ke baad kafi marijoo mein jo pehela ilaj hoga woh chemotherapy hota hai, jo 4 se 8 cycle tak diya ja sakta hai. Radiotherapy jin marijoo mein hoti hai woh bhi again aaj kal karib 3 hafte mein puri ho jati hai jo ki pehle usme 6 se 7 hafte lagte thye, aur nahi radiation technology ke through jo side effects hai radiation ke wo kafi kam ho gaye hain. Isi prakar hormonal therapy jo hai woh yeh radiation or chemo khatam hone ke baad di jati hai jis mein sirf ek tablet hoti hai jo marijoo ko ghar pe regular istemal karna padta hai aur wo 5 se 10 saal tak use ki ja sakti hai. Ek aur important cheez yeh hai ki jo bhi cancer ke marij hote hain unko ek regular follow up pe chalna padta hai, toh ilaj pura hone ke baad har 3 mahine baad unhe apne surgeon ke pass follow up ke liye jana chahiye, jisme examination jo hai woh ek bahut important part hai. Phir uske baad kuch testing ho sakti hai jaise chhati ka x-ray hai, ultrasound hai, mammography hai, aur agar koi aur takleef hoti hai tu Bol Scan, MRI, CT ya Pet Scan bhi kiya ja sakta hai. Iske alawa breast cancer ke marijoo mein jo ek aur cheez hoti hai hum log ek jo usko promote karte hain woh hai support group ka concept, jisme breast cancer ke survival aapas mein milte hain, ek doosre se cheeze discuss karte hain aur support bhi provide kar sakte hain aur isse unki jo future life hai wo kafi better rehti hai. Toh mein yahi kahunga ke cancer se aapko waise bhi nahi darna chahiye aur breast cancer ke jo aaj ke din success rate hai wo bahut hi acchi hai toh bina darre janch karaye aur apna ilaj pura kare.

Dhanyavad, Thank you.
Play video
Know More About Breast Cancer
Breast cancer - Risk factors and treatment
Play video
Breast Cancer
Symptoms, causes and treatment for Breast Cancer Patients

Hello friends. My name is Dr. Gayatri Juneja. I m a practicing gynecologist in Model Town for the last 20 years. I m a visiting consultant in Apollo Cradle Hospital Moti Nagar, and Fortis Hospital Shalimar Bagh, and Sunder Lal Hospital Ashok Nagar. It s a great pleasure for me to talk to you about certain problems which I think is becoming very important for all of us to know. I am going to talk about Breast Cancer.

Unfortunately, even in India, cancer breast is becoming very common. And it is not that it is a cancer which we cannot pick up at time. The only thing we need is to be aware of it. Only if we know what is happening with our body, is only then we can do what is normal, only then we can see what is not normal, right? It is one of the breast cancer is one of the easiest cancers to pick up. How? My body is my own. I should know what s happening to me. So minimum a lady can do is do a self examination. Teach your daughters how to do a self examination for the breast. If you find any lump, any time, if you feel there is some pain, which was not there, if you see the nipple is not in the normal position, it is retracted inside, if you see there is skin changes on your breast, if you see any size difference. See minor size difference will be there. That is a natural thing. But if you see there is drastic change, and if you are not comfortable with something, do not neglect it. It s not at all a normal thing. Go, see a gynaecologist.

It is a confidential thing between you and your doctor. Let her examine you. Let her guide you. You give her a proper history, if you have taken any contraceptive pills, even I-pill is very dangerous. I ll come to it later how. The thing is your doctor has examined you, then she will guide you what has to be done. There are various ways of diagnosing cancer of breast. First step is, you do a self examination. First step is over. You find the lump, you go to a doctor. Your doctor will ask for a sonography, that is ultrasound of the breast. And another part of it is an x-ray of the breast. Sometimes in younger age group the breast is very dense, and you cannot diagnose anything on mammogram.

You still are suspecting something, then your doctor might ask for an MRI. MRI is very effective in diagnosing, but we do not suggest it as first line treatment, first line of diagnosis. Once it is confirmed that yes, there is a lump, then what we do is, we ask for a biopsy. Now biopsy can be in 2 forms. It can be taken through the needle, which we call FNAC Fine Needle Aspiration Cytology, and other is open biopsy, where we remove the whole lump, and send it for testing. If the test comes negative, good, fine, everything is fine. If it comes positive, then further treatment depends upon the type. Then they will do a special CT scan for you, where the will diagnose if any lymph nodes are involved.

Depending on preliminary staging, your doctor will ask for a surgery. Now the surgery will it is better that the whole breast gets removed. Or what has to be done will be diagnosed, because it is not a single person specialty, it is going to be a multi-specialty treatment then. Now let s come down to who are the people who are at higher risk. Why should I consider that I am at higher risk? What who are those people? First, specially after menopause, obesity. If your lifestyle is not at all healthy, your food habits you eat lot of non-veg and processed food, like pizzas and burgers and frozen food, yes you are at risk. Then comes genetics.

If you have a family history of cancer in your nani, dadi, your bua, maasi, cousin, ya sister ya brother, or even cancer of ovaries, you are at high risk. But that doesn t mean who all have had the history of cancer will also develop this. You are at higher risk, but it is better only to be careful. Then comes very tall ladies it has been seen they are also prone for diabetes. Obesity, and people who have had hormonal replacement therapy with and once you re diagnosed don t get scared. It is a curable cancer, and life expectancy with variable modalities these days is quite good.The quality of life is also good.

So my suggestion would be, to conclude, that please be aware of what is happening with you, and take good care of yourself. If you are healthy, only then you can look after your family. Thank you so much.
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Breast Cancer Treatment
Breast cancer treatment merely depends on the stage of cancer. It may include procedures like surgery , chemotherapy, radiation and hormone therapy. Once breast cancer is diagnosed , the specialist team will discuss treatment options with patients and their possible side effects.
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Why it's Important That Your Child's Diet is Calcium-Rich
Why it's important that your child's diet is calcium-rich

Calcium is an inevitable part of your child's diet. You cannot afford to skip it if you wish to maintain a healthy lifestyle for your child. It is recommended that children between the ages of 9 and 18 should get approximately 1300 milligrams of calcium every day. Calcium-rich diet is important for your child for a number of reasons.

Why calcium?

Calcium helps in building strong bones and teeth for your child.
It is important in order to ensure proper functioning of your child's muscles and nerves.
Calcium plays a vital role in the release of such hormones and enzymes in your child's body that convert the food he eats into energy.
It is also helpful in causing the blood to clot whenever your child gets bruised.
Since your child is continuously growing, a calcium-rich diet ensures an adequate supply of resources that help him to develop new bones that are healthy and strong.
A calcium-rich diet is also essential as far as other bodily functions like muscle contraction, blood vessel constriction and relaxation are concerned.
What does lack of a calcium do to your child's body?

Lack of calcium can cause bone diseases like osteoporosis in your girl child, thus exposing her to a greater risk of weakened bones and possibility of fractures.
If your child is a young kid and his diet lacks calcium or vitamin d, which absorbs calcium, he is exposed to the threats of the bone-softening disease called rickets. It can cause in him bowing of the legs, muscle pain and poor growth.
Bones are living tissues that change constantly, old bones keep getting replaced by newer ones and a calcium-rich diet aids this procedure. Therefore without an adequate supply of calcium, this process would borrow minerals from existing bones, thus weakening them and exposing them to increased risks of fracture.
Lack of calcium also increases risks of cardiovascular diseases, damaged gums, high blood pressure, ovarian and breast cancer and several other infirmities in your child in his later years.
Having issues? Consult a doctor for medical advice