Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Breast Cancer Surgery: Procedure, Recovery, Cost, Risk & Complication

What is Breast Cancer Surgery?

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

What Procedure is followed :

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

What You Need To Know About Breast Cancer Surgery?

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
What You Need To Know About Breast Cancer Surgery?

With the recent number of breast cancer cases on the rise, it is important that we should get the examination done on a regular basis as a preventive measure. Even if someone is suffering from it, it is important that we should make an effort and learn about.

If you have breast cancer then a surgery will be part of your treatment. Based on the condition, surgery will be carried out due to any of the following reasons:
1. To remove the cancerous tissues from the breast
2. To reconstruct the breast once the cancer is removed
3. To check whether the cancer has spread to the lymph nodes below the arm
4. To treat symptoms of cancer that has progressed to an advanced stage

Breast cancer surgery may be classified into two types
1. Mastectomy: Mastectomy involves removing the entire breast; tissues in the adjoining region may also be removed. A double mastectomy is a procedure where both the breasts are removed.
2. Breast-conserving surgery: In this surgery, only parts of the breast affected by cancer are removed. The area of the breast that is to be removed will depend on the severity of the cancer. Some healthy tissues may also be removed in this surgery.

Usually, if a woman is in the initial stages of cancer then she may opt for the latter as it entails removing parts of the breast. They may also undergo radiation therapy along with these surgeries.
For checking if the cancer has spread to the lymph nodes below the arm, the lymph nodes are removed from the body. Once they are removed, they are studied under a microscope to check if it has spread, if yes then the extent of their damage. This procedure is carried out along with the surgery to remove the cancer.

Once the mastectomy procedure is completed, you can opt for a breast reconstruction surgery to rebuild the area. You may opt for this procedure at the time of breast cancer removal or at a later stage. If you are considering breast reconstruction surgery then you should discuss it with your surgeon.

Surgery is sometimes not used to treat cancer, but in slowing the progression of cancer or even reducing its symptoms.It is important you talk to your surgeon before the procedure to understand the goal of the surgery.

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

2569 people found this helpful

Breast Cancer - How Surgery Can Be Of Help?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Ludhiana
Breast Cancer - How Surgery Can Be Of Help?

With the recent rise in number of breast cancer cases, it is important that we should get the examination done on a regular basis as a preventive measure. Even if someone is suffering from it, it is important that we should make an effort and learn about it. 

Screening for Breast Cancer: 

Screening can be done in 3 ways 

  1. Self Breast Examination: Done every month after menstrual periods are over 
  2. Clinical Breast Examination: If you have a doubt on self breast examination, you should go to a surgeon for further checkup. 
  3. Mammography, Ultrasound or MRI of breast: Surgeon may order any of these If you have breast cancer then a surgery will be part of your treatment. 

Based on the condition, surgery will be carried out due to any of the following reasons: 

  1. To remove the cancerous tissues from the breast 
  2. To check whether the cancer has spread to the lymph nodes below the arm 
  3. To reconstruct the breast once the cancer is removed 
  4. To treat symptoms of cancer that has progressed to an advanced stage 

Breast cancer surgery may be classified into two types:

  1. Mastectomy: Mastectomy involves removing the entire breast; tissues in the adjoining region may also be removed. Arm pit nodes if involved are also removed. A double mastectomy is a rare procedure where both the breasts are removed for cancer in both breasts. 
  2. Breast-conserving surgery: In this surgery, only part of the breast affected by cancer are removed. The area of the breast that is to be removed will depend on the severity of the cancer. Some healthy tissues surrounding the cancer is also removed in this surgery. Usually, if a woman is in the initial stages of cancer then she may opt for the latter as it entails removing parts of the breast. She may also need medical treatment and/ or radiation therapy along with surgery. 
  3. Breast Reconstruction: This is nowadays important aspect of breast cancer treatment. Once the mastectomy procedure is completed, you can opt for a breast reconstruction surgery to rebuild the area. You may opt for this procedure at the time of breast cancer removal or at a later stage. If you are considering breast reconstruction surgery then you should discuss it with your surgeon. Surgery is sometimes not used to treat cancer, but in slowing the progression of cancer or even reducing its symptoms.

It is important you talk to your surgeon before the procedure to understand the goal of the surgery. One important thing is that early treatment and recent advances in breast cancer treatment can definitely make your life normal or extend it by many years. In case you have a concern or query you can always consult an expert & get answers to your questions!

1859 people found this helpful

Know More About Breast Cancer Surgery!

MBBS, Ms - General Surgery, DNB - General Surgery
General Surgeon, Panchkula
Know More About Breast Cancer Surgery!

With the recent number of breast cancer cases on the rise, it is important that we should get the examination done on a regular basis as a preventive measure. Even if someone is suffering from it, it is important that we should make an effort and learn about.

If you have breast cancer then a surgery will be part of your treatment. Based on the condition, surgery will be carried out due to any of the following reasons:
1. To remove the cancerous tissues from the breast
2. To reconstruct the breast once the cancer is removed
3. To check whether the cancer has spread to the lymph nodes below the arm
4. To treat symptoms of cancer that has progressed to an advanced stage

Breast cancer surgery may be classified into two types-
1. Mastectomy: Mastectomy involves removing the entire breast; tissues in the adjoining region may also be removed. A double mastectomy is a procedure where both the breasts are removed.
2. Breast-conserving surgery: In this surgery, only parts of the breast affected by cancer are removed. The area of the breast that is to be removed will depend on the severity of the cancer. Some healthy tissues may also be removed in this surgery.

Usually, if a woman is in the initial stages of cancer then she may opt for the latter as it entails removing parts of the breast. They may also undergo radiation therapy along with these surgeries.
For checking if the cancer has spread to the lymph nodes below the arm, the lymph nodes are removed from the body. Once they are removed, they are studied under a microscope to check if it has spread, if yes then the extent of their damage. This procedure is carried out along with the surgery to remove the cancer.

Once the mastectomy procedure is completed, you can opt for a breast reconstruction surgery to rebuild the area. You may opt for this procedure at the time of breast cancer removal or at a later stage. If you are considering breast reconstruction surgery then you should discuss it with your surgeon.

Surgery is sometimes not used to treat cancer, but in slowing the progression of cancer or even reducing its symptoms.It is important you talk to your surgeon before the procedure to understand the goal of the surgery.

All About Breast Cancer

MS, MBBS
Gynaecologist, Delhi
All About Breast Cancer

Breast cancer is a type of cancer, which occurs due to the development of cancerous cells in breasts. Women are usually affected by breast cancer and breast cancer is one of the most common forms of cancer after skin cancer. Usually fatal if not diagnosed in its early stage, breast cancer is a very serious medical ailment. Read on more to find all about the different symptoms, causes, preventive measures and treatment of breast cancer.

Symptoms: Breast cancer has few distinct characteristics and if you have a few or all the following symptoms you could be more likely to suffer from breast cancer. 

  • The formation of a lump in your breast, which is different from the surrounding tissue and usually more thickened.
  • The discharge of bloody fluid  material from the nipples.
  • Sudden change of the size, shape and appearance of the breast.
  • Certain distinct changes to the skin over the breast for example an indentation in the skin similar to that of a dimple.
  • Appearance of an extra nipple which is inverted.
  • If the darkened area around the nipples known as the areola is flaking or peeling off. 

Causes: Studies and researches remain inconclusive on what causes breast cancer. Breast cancer occurs due to abnormal division of the cells located in the breast, which over time accumulate and form lumps. They

might spread to other parts of the body. Breast cancer is caused mainly due to a complex interaction of personal genetics, environment and lifestyle choices. Breast cancer can also be caused due to genetics as about 5% to 10% of cases are due to gene mutations which pass onto generations.

Risk factors: There are certain factors, which increase the probability of contracting breast cancer. Increasing age, personal and family history of breast cancer, obesity, radiation exposure, pregnancy at an older age, postmenopausal hormone therapy are some of the factors that increase the chances of breast cancer.

Treatment: Several forms of surgical methods exist to treat breast cancer. Depending on the condition and spread of the disease a suitable surgery is performed. These include mastectomy, lumpectomy, axillary lymph node dissection and removal of both breasts. Other forms of treatment include chemotherapy or the use of high doses of drugs to destroy cancerous cells. Radiation therapy where X-rays are used to destroy the cancer cells is also effective.

3360 people found this helpful

Is Surgery The Best Option For Treating Breast Cancer?

MBBS, MS- General Surgery
General Surgeon, Ambala
Is Surgery The Best Option For Treating Breast Cancer?

Breast cancer is the most common cancer that affects women. It is also deemed to be one of the major reason of death among women, though lung cancer is the leading cause of this. The chances that a woman may die of breast cancer is about 2.7% of the women who are suffering. Breast cancer is known to affect men as well, in certain cases. Breast cancer may be genetic but, in certain cases, it is caused due to excess intake of alcohol. Surgery is an option, but treatments also include therapies like radiation and chemo.

Treatment for breast cancer
Breast cancer can be treated in several ways; however, the treatment depends upon many factors. These factors include the type of breast cancer, its stage, sensitivity of a person to the hormones, age of the patient, health of the patient and most importantly, preferences of the patient. The most common treatment options for breast cancer are radiation therapy, biological therapy, chemotherapy, hormone therapy, and surgery.

Chemotherapy
Cytotoxic drugs are important medications that are used to eliminate cancer cells. This medication is used if the chances of the cancer cells spreading are high. This process is known as the adjuvant chemotherapy.
Many a time, the tumor increases in size and surgery becomes essential. This is when the chemotherapy is administered to reduce the tumor size and make it easier for the surgeons to remove the tumor. This process is referred to as neoadjuvant chemotherapy. Chemotherapy can treat metastasized cancer or cancer that has affected other body parts, thereby reducing the symptoms, mostly in the advanced stages.

Radiation Therapy
Radiation is targeted towards the tumor in controlled doses so that the cancer cells are destroyed. Radiation therapy is mostly advised to the patients after they go through surgery, to eliminate the cancer cells that may still be there.

Hormone blocking therapy
Most people go through breast cancer that is hormone sensitive. The hormone blocking therapy helps in preventing the recurrence in this type of breast cancer. The hormone blocking therapy is also used to reduce the size of the tumor, but this method is also suggested after a person goes through surgery.

Biological treatment
There are some drugs that fall under this category that is used for destroying the various types of the breast cancer.

Surgery
If at all the patient requires surgery, it depends on his or her diagnosis reports and his or her will to undergo surgery. The types of surgery include Lumpectomy, Sentinel node biopsy, Mastectomy, Axillary lymph node dissection, and Reconstruction. Reconstruction is the method which the doctors make use of to make both the breasts look similar after the surgery is complete. There are several treatment options available to treat breast cancer, and it depends on the choice of the patient to opt for surgery. Surgery helps in eliminating the risk of the spreading of the cancer cells, and it is one of the most effective treatments for breast cancer.

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

2918 people found this helpful

Popular Questions & Answers

How safe the breast augmentation surgery is? Is it increases the chances of cancer? Please tell.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
complication after augmentation are fat necrosis, calcification, and sclerotic nodules—which directly influence the technical efficacy of the procedure, and of achieving a successful outcome.some female get chance for cancer only one in seven cases.

Sir recently doctors have done surgery of breast cancer (mastectomy. Which precaution I should take after surgery.

MD - Radiothrapy
Oncologist, Mumbai
Do arm exercise regularly. Avoid lifting heavy objects from affected limb. Follow treatment as advised by treating Oncologist.
5 people found this helpful

My mother suffering from breast cancer I want know about breast cancer what should I do for my mother.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
The primary treatment of breast cancer is surgery. Depending on postoperative histopathology report adjuvant chemotherapy and radiotherapy also given (if indicated) after surgery. Hormone therapy is added based on ihc report of er and pr.
9 people found this helpful

My mother have a breast cancer I am very worry about it tell me abnouy the cancer and its 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
Breast cancer is a very broad topic. The treatment depends on the stage of the cancer. And the receptor status of the tumor. The clinical examination will be followed by imaging with mammogram, ultrasound and rarely MRI and a core biopsy. If locally advanced then a pet scan or a ct scan with bone scan may be advised to rule out spread of cancer. If early stage breast cancer, the patient undergoes surgery for the breast (mastectomy or lumpectomy with or without reconstruction by implant, oncoplasty or autologous tissue transfer) and armpit (sentinel lymph node Biopsy, or sampling or Axillary lymph node clearance). Depending on the pathology report, the further treatment may consist of chemotherapy, radiation therapy and hormonal therapy (if ER/PR +ve). Radiation therapy is essential after a lumpectomy. After mastectomy, it depends upon the pathology report. If locally advanced then chemotherapy may be given first followed by surgery. If you want to share reports and discuss in detail the treatment for your mother, feel free to contact me directly.
2 people found this helpful

Sir doctors have done recently breast cancer surgery. My question is, can cancer can be completely cured by chemotherapy. Or only stops growing cancer cells?

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
Hello Mr. lybrate-user, The cure is based on the stage and their molecular profile and patients profile etc. So talking about cure without much information is misleading. I Understand with your question is that probably she is having early stage disease and underwent surgery already. Now the Oncologist is advising for Chemoth. This form of chemotherapy is given with the intention to address the microscopic cancer cells in the body and chemo drugs will kill cancer cells. I hope it should help you understand the matter. But please provide complete details than only one can talk in depth. Good luck.
4 people found this helpful

Table of Content

What is Breast Cancer Surgery?

Indication

What Procedure is followed :

Risk & Complication

More Info

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.
Play video
Breast Surgery
Hello friends, I am Dr. Anubhav Gupta. I am a consultant of plastic and cosmetic surgeon. Today I am going to talk about breast surgery.

Breast surgery is a fast growing field, and a sub speciality of plastic and cosmetic surgery. Basically, breast surgery is a field that involves any surgery related to the breast, whether it is male or female. And basically, we can broadly divide breast surgery into two broad compartments.

Aesthetic or cosmetic breast surgery
Reconstructive breast surgery.
Reconstructive surgery is basically involving swelling, lumps in the breasts, then post-cancer, when the breast is removed in the cancer, and then the reconstruction, making the breast new, a new breast in a post cancer patient. These all come under reconstructive breast surgery.

But the field which is fast growing these days, is the Cosmetic breast surgery. In the cosmetic breast surgery, there are many surgeries.

In females, there is:

Breast lift
Breast augmentation. Augmentation means enhancing.
Breast reduction
These are the common surgeries. And in male, gynaecomastia surgery is coming up, and it is becoming more demanding these days. Males, young boys between 20 to 30 years are now the bigger number of patients coming to us and operating now, has increased manifolds in the past couple of years. Because people are now more aware. Now we have techniques which give very good aesthetic results. So this is about aesthetic breast surgery. And among this, one type of breast surgery, which is augmentation mammoplasty or enhancement is becoming very popular.

Females with small sized breasts come to us and we enhance the breasts by two basic techniques:

One is by implants
The other is by fat grafting
In case of fat grafting, we take the fat of the patient itself, like, we take it from parts which are more bulgy like their abdomen or the buttocks and then we put it in the breast to enhance them. So that is also a popular surgery which is being done.

Then there is breast reduction. In many females, rather young females, there is an abnormally large growth of breasts tissue leading to embarrassment of these patients, pain in the neck and back, and they come to us for correction. So this is also possible now by the technique called breast reduction.

To conclude, breast surgery has now become a very safe and predictable surgery, with a reasonable good outcome.

And to know more about it, and to contact me, you can get in touch with me on Lybrate. Thank You.
Play video
Breast Cancer Treatment
I am dr Veda. The breast cancer surgeon surgical oncologist who specialises in breast cancer treatment.

Today we just want to give a message on breast cancer treatment is as of today in India. So breast cancer is one of the most common cancer amongst women. All over the world it is a number one can amongst Indian all over the world and even in India initially 10 years back it used to be survival cancer. But nowadays we have a lot of breast cancer is coming up and it has replaced cervical cancer to take the number one position in the above sentence even in the rural centres.

For an exception of few sentences for cervical cancer does more than the rest of the centre breast cancer has topped the charts as of 2018. The recent WHO on ICMR surveys that have come up the state that breast cancers the most common one and one of the square 25 to 30 women in India are at risk of developing breast cancer in the west such as US the numbers of Huge it's about 1 and 8 women are at risk of developing breast cancer. But that does not that should not make us more satisfactory or complacent because a population is huge so for a population as huge as Indian population number of breast cancer 8 March 5 so per year we see about 1.5 Lakh cases of new cases of breast cancer.

What is more worrisome is that is one population is large second is the population of people with breast cancer come at an advanced stage as compared to be used in the West president stage 1 and stage 2 where is in India breast cancer stage 3 and 4 in which it is less advanced. Second thing women in India the great of for tomorrow's find the Biology is not so good and much more aggressive treatment so that makes it different the scenario is different as of the west.

The second thing because of the highest age of presentation to cure rates of survival rates also slightly lower when compared to the west that means out of 1.5 Lakh woman who been duly diagnose breast cancer every year only 50% of the episode 75000 make it be cure in five years of diagnosis only one and two women diagnosed with breast cancer come to the come to Healthcare get proper treatment and get cured. So what we have to understand this we need to know the symptoms of breast cancer treatment of breast cancer to cast an early to make effect cost-effective treatment and to improve the survival rates the second message that I want to pass whatever treatment.

Whatever standard of care of breast cancer treatment is available all over the world is very much available in India is very much available in Delhi and it is very much available in the affordable cost and acceptable for everyone 10 years back treatment for breast cancer would be the removal of entire breast to mastectomy but now mastectomy is for very old people one simple surgery could take care of the rest of it 12 simple surgery to take care of the rest of its population surgery to take care of the rest of us even less population reconstruction plastic breast surgery cost of breast cancer treatment we come along way and with the recent advances in technology parsley second major advancements in interprocess of breast cancer management.

In the West a number of people are picked up even before they have the lump that is because of the screening mammography their lesion are picked up lump is leas than 1cm in India we also have a section of people who come very early they get picked up in a Mammogram even before patient is able to feel the lump in the asymptomatic face pedicure rates are very high the second major advance is genetic testing all of you and Angelina Jolie story and so we do have about 10% of people of hereditary breast cancer in home the bracket genes are involved and Bracket genetic testing is very much available in India at an affordable rate and if it is present then prophylactic surgeries may be option which certain people might opt for so the message for today's breast cancer is one of the very much curable cancers of all most of the cancers and of all the character of amongst women so the message for today is breast.

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
Having issues? Consult a doctor for medical advice