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

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

After Surgery and Cost :

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 - Know The Signs & Symptoms!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Oncologist, Pune
Breast Cancer - Know The Signs & Symptoms!

The cancer which forms in the cells of the breasts is breast cancer. It is one of the most common forms of cancer to affect women after skin cancer. Support for breast cancer awareness and proper funding for research on the issue has ensured that proper awareness is created for getting it diagnosed properly and then carry out the treatment in an appropriate manner. Fortunately, due to the fact that people all around have become aware of how cancer occurs, what are symptoms which they should be aware of and then for the doctors, what should be the ideal way for exact diagnosis, so that they can treat patients and help them recover, survival rates have increased dramatically and thus number of deaths associated with it is on the decline.

Types of breast cancer
There are different types of Breast Cancer, some are more common than others. Some of the most common types are detailed below:

  1. Invasive ductal carcinoma: This type of breast cancer starts in a duct of the breast and grows into the tissue surrounding it. It is one of the most common forms of breast cancer. Around 80% of invasive breast cancers are invasive ductal carcinoma.
  2. Invasive lobular carcinoma: Invasive lobular carcinoma begins in the milk producing glands of the breast and spreads all around with time.

Now let’s take a look at some of the less common types of breast cancer:

  1. Mucinous carcinoma: The mucus producing cancer cells generally give rise to mucinous carcinoma.
  2. Inflammatory breast cancer: When a woman suffers from inflammatory breast cancer, the skin of the breast would appear red and she would feel warm. The changes occur because the cancer cells block the lymph vessels.
  3. Paget’s disease of the nipple: This type of cancer begins in the ducts of the breast, getting spread to the nipple and the region surrounding the nipple. Women affected by this type of cancer can easily notice crusting and reddish tinge around the nipple.

Signs & symptoms of breast cancer
After having looked at the different types of breast cancer, let us now come to the main topic of discussion, the signs and symptoms of breast cancer.

  1. The different signs and symptoms of breast cancer are discussed below:
  2. A change in size or shape of the breast
  3. A lump or if an area feels thicker in comparison to the rest of the breast, then it’s a clear indication of cancer.
  4. A woman could feel that there is chance of breast cancer, if the texture of the skin changes.
  5. There will be a reddish tinge or rash on the skin or the area around the nipple, to suggest that breast cancer is a possibility.
  6. If you realize that liquid is oozing out from the nipple, even without getting it squeezed, then that is also a clear symptom for cancer.
  7. If you feel that area either in the armpit or around the collarbone, is swollen, it’s a signal for breast cancer.
1 person found this helpful

Breast Cancer Survivor Stories - Get Inspired!

MBBS, MD-Radio Therapy
Oncologist, Ghaziabad
Breast Cancer Survivor Stories - Get Inspired!

Though breast cancer has become very common, the good news is that more women than ever are living a healthy life to tell their survival stories. They have not just survived, but are thriving. Let us take you through a couple of survivor stories which not just gives strength and hope, but also the immense courage to stand up and fight it. The names are, however, changed to prevent identity.

Help yourself and others too: For most women, getting diagnosed with blood cancer can mean the end of life. While for the medical person, it is just another individual, for the individual, there is an entire world to think of, her world. What will happen to her family, her job, her life in total. Each person is different, and so the approach has to be different. It should not be a routine combo of surgery, chemo, and radiation. While some hospitals do it, giving a personalized touch helps. That is what happened Susan, who had a complete set of people including dietitian and psychiatrist to help her. The change that she saw with this approach led her to give a helping hand to others. She presently helps people fight and overcome breast cancer and has an extremely fulfilling life.

Shrink the tumor, not your life: For a person with two kids, Tina was aghast when she was diagnosed with breast cancer. She was just 31, and her second daughter was just turning 1, she was extremely distraught. But, her family stood with her through those testing times when she would not have time to run with her daughter or walk along with her mother. With immense support from her family, she is now free of cancer and is a Zumba instructor and now spends quality time with her daughter.

An experiment that worked: At 46 years of age, Maya was diagnosed with stage 3 breast cancer. She found a lump in her breast, which turned out to be breast cancer. The doctor said she would need it removed, and she also opted for surgery. What worked for her, though, is the fact that she was advised to try tamoxifen, which was not so strongly recommended during the initial times. She went ahead and tried, and even after 30 years down the line, is still free of cancer.

Two lives saved: At 23, Sonia was diagnosed not just with stage 4 breast cancer, but also with pregnancy. Re-testing yielded negative results. So she went ahead with chemo and radiation, but the abdominal fullness continued, and when tested again, the tests confirmed her pregnancy. She carried it through, and delivered 4 weeks prematurely but is very healthy and cancer-free now. In case you have a concern or query you can always consult an expert & get answers to your questions!

3802 people found this helpful

Breast Cancer - Know The Causes Behind It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Oncologist, Pune
Breast Cancer - Know The Causes Behind It!

Breast Cancer is a type of cancer which develops in the cells of the breasts. It is second most common form of cancer after skin cancer, among women in the United States of America. As there has been an increase in the support for breast cancer awareness and proper funding for research has helped to make advancement in the diagnosis of the disease and also in the treatment options. As people and doctors have become more aware of what leads to breast cancer, the precautions which women should consider taking so that they can prevent themselves from getting affected by the diseases and the types of treatment to be followed by the doctors, so that they can put women on the path to recovery, the deaths associated with the disease have come down.

So, even if somebody is diagnosed with cancer, their chances of survival are extremely high nowadays. Before going into the causes of breast cancer, let’s take a look at some of the symptoms which act as indications to suggest that there is a possibility of women getting affected by breast cancer.

Causes
Medical science, technology has advanced to a great extent and there has been campaigns on breast cancer awareness. Despite all the progress, still doctors are not clear as to why do cancerous cells in the breast begin to multiply at abnormal rates from time to time. There are certain factors due to which this happens. Let’s discuss in detail:

  1. Age: Age is a big factor behind breast cancer. As women grow older, chances of them becoming prone to developing cancerous cells in the breasts grow. Unfortunately, age is something beyond anyone’s control.
  2. Medical history: Medical history plays a big role in breast cancer occurring in women. If a woman has had cancer in one breast, chances are high that she would develop cancerous cells in her other breast as well.
  3. Family history: Another big factor behind a woman getting plagued by the dreadful disease of breast cancer, is the history of her mother, sister or daughter have already been engulfed by the disease.
  4. Being exposed to radiation: Exposing yourself to radiation treatments would always increase the chances of getting affected by breast cancer.
  5. Obesity: Being overweight is never a good thing. A whole lot of problems occur due to this, cancer being one of them.

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

3135 people found this helpful

Breast Cancer - Preventive Measures That Can Help!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Oncologist, Pune
Breast Cancer - Preventive Measures That Can Help!

Breast Cancer is cancer that develops in the cells of the breasts. In the United States, breast cancer happens to be the second most common cancer diagnosed in women. General signs and symptoms of breast cancer include, a lump in the breast, noticeable change in breast shape, liquid oozing out from the nipple, there might be a newly inverted nipple or a red patch of skin. Before going into the treatment and most importantly see how can this be prevented from affecting women, we will look closely into the causes, which lead to breast cancer.

Prevention of breast cancer
Doctors do not guarantee that breast cancer can be prevented. Still, women can be cautious and through reviewing the risk factors, that lead to development of cancerous cells or increase the chances of them getting affected, can go a long way in minimizing the risk.

Some of the preventive measures are:

  • Keeping a good body weight is a must. Being overweight increases the risk of breast cancer.
  • Risk of breast cancer can be reduced through medicines like tamoxifen and raloxifene. Both these medicines block the effects of estrogen on breast tissue.
  • Aromase inhibitors, as medications, can be used to prevent the production of small amounts of estrogen, which are usually produced in women during post menopause period.
  • Group of patients, who have a very high risk of breast cancer, removal of breasts through surgery is an options which doctors consider to prevent this from happening.
  • Having healthy diet is a must. Taking more of fruits, vegetables, whole grains, legumes, nuts is desirable if you want to keep yourself away from this dreaded disease.

Breast Cancer - New Advancements That Can Help!

MBBS, DM - Oncology, MD - General Medicine
Oncologist, Nashik
Breast Cancer - New Advancements That Can Help!

Chemotherapy has been the remedy for cancer since the late 90s. But in today’s world the medical field has been improved so much that new methods have been invented. One of them is Hormonal therapy. It is used to cure some types of breast cancer that are affected by hormones. Receptor proteins in the breast cancer cells attach to estrogen and help the cells grow. This therapy stops the receptors attaching to estrogen in various ways.

When it is used?
Hormonal breast cancer therapy is performed after surgery to prevent the cancer from coming back. It is also applied to treat the cancer that has come back or to prevent the cancer from spreading to other parts of the body. Sometimes, if needed, it starts before the surgery. It takes five years, generally.

How it works?
Hormonal therapy mainly stops estrogen from acting on the cancer cells or lowers the estrogen level. There are different ways to do that.

  1. Blocking Estrogen Receptors: These drugs stop estrogen from helping breast cancer cells.
    • Tamoxifen: It acts as anti-estrogen in the breast cells, but acts like estrogen in other cells. It lowers the risk of breast cancer and also stops cancer from coming back.
    • Toremifene: It works in a similar way, but it is only used in metastatic breast cancer. It also decreases the pain and swelling in the muscles and bones.
    • Fulvestrant: It blocks and damages estrogen receptors. It is given by injections after other drugs stop working.
  2. Lowering Estrogen Levels: These drugs slow the growth of cancer by lowering estrogen levels.

    • Aromatase Inhibitors: These drugs stop estrogen production in women whose ovaries are not working due to menopause or other treatments. There are three types of this drug- Letrozole, Anastrozole and Exemestane.
    • Ovarian Suppression: In this method, ovaries are removed or shut down to turn pre-menopausal women to post-menopausal. There are several ways to do this, and they are- Oophorectomy or surgery, LHRH analogs and applying chemotherapy drugs.

There are some other types of hormone therapy that are less common. They were used more in the past. They are:

  1. Megestrol acetate
  2. Androgens
  3. High doses of estrogen

Side Effects:
Unfortunately, Hormonal breast cancer therapy has lots of side effects. They are-

  1. Hot flashes
  2. Mood swings
  3. Vagina discharge or dryness
  4. Developing uterine cancer
  5. Blood clots
  6. Stroke
  7. Night sweat
  8. Headache
  9. Mild nausea
  10. Bone pain
  11. Injection site pain
  12. Muscle pain and joint stiffness and pain
  13. Bone thinning
  14. Menopause

Although hormonal therapy has lots of side effects, they are limited to different kinds of hormonal therapies and it is not necessary that they will surely happen. But it is best to undergo any kind of treatment with a doctor’s advice. So patients should consult the doctor first. In case you have a concern or query you can always consult an expert & get answers to your questions!

3772 people found this helpful

Popular Questions & Answers

My mother is 60 age she has detected breast cancer before 2 years that time we done surgery and remove complete left breast also only chemotherapy done as per doctor no radiation is given now after 2 year again found infection near neck now doctor suggested only chemotherapy and radiotherapy, no need to surgery .he gives chemo of vivitra 440 mg injection please suggest we go with this or need to change treatment.

MD
Oncologist, Nagpur
Hello, First we need to know that infection you are calling is cancer recurrence or not by taking biopsy. If it's cancer recurrence need to know has it spread elsewhere, if not then if feasible surgical excision followed by radiotherapy can be given. You can consult in our hospital in nagpur.
7 people found this helpful

Hi Team, my mother has diagnosed with breast cancer. Report says it's C/W Ductal carcinoma grade 2 to 3. Need your suggestions on it.

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
FNAC consistent with ductal carcinoma means cancer. She needs a proper evaluation by a breast surgeon, which entails a history and clinical examination with a mammography and an ultrasound if not done already. Mammography gives an idea about the whole breast and Opposite Breast. I prefer a core Biopsy, which gives an idea about the grade, type and immunohistochemistry of cancer, which is important for getting an idea about the prognosis and deciding the line of treatment. (I am not comfortable operating based on FNAC as it has false negatives as well as false positives) If Cancer is locally advanced or some times in large operable wanting breast conservation surgery or some early Breast cancers which are Triple negative or Her 2 +ve, then upfront chemotherapy is preferred before surgery. If locally advanced or > 5 cms then we prefer doing a pet scan or a CECT abdomen and pelvis with a bone scan to rule out spread of cancer. Surgery for the breast may be lumpectomy or a mastectomy. Axillary surgery may be sentinel node biopsy or an Axillary nodal clearance. If conservation then the reconstruction could be with oncoplasty which approximates the Breast tissue to prevent deformity (but leads to smaller breast if large lump excised and needs mammoplasty of that breast as well as reduction of Opposite Breast), or using the latest chest wall perforator flaps (new technique to avoid deformity or reduction of breast size especially after a large lumpectomy in a small Breast, which I have learnt in UK and is becoming quite popular there as the size of both breasts remains same) After the surgery, chemotherapy is given (if not given before or courses not completed) the type of chemotherapy or targeted therapy varies according to the report. All lumpectomy and mastectomy for large and node positive cancers need radiation therapy too, which is given after the chemotherapy. Also depending upon the immunohistochemistry, targeted therapy (transtuzumab) May be advised for 1 year and hormonal therapy for 5-10 years. The follow up would be with annual mammogram, clinical examination with some blood tests. If found to be metastatic then treatment would be mainly chemotherapy and hormonal therapy, with surgery for good responders or in cases of bleeding, where radiation is the other option. Feel free to contact me directly if you want to share the reports or discuss this further.
1 person found this helpful

My friend who is 52 years old, is a breast cancer DCIS survivor. She was diagnosed with cancer DCIS in 2016. She had lumpectamy and radiation. Now she is on anastrozole. She is also suffering from hypothyroidism. My question is, can ginger tea help her? If so how to prepare and when to consume it? Kindly reply.

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
No idea about ginger tea. What was the size and grade of DCIS? What were the markers? Hopefully she is menopausal and on annual mammogram I would be able to opine better if you send me the detailed report. Feel free to contact me directly if you want to discuss this further.

My mother got breast cancer surgery left one and we didn't go for chemo or radiation therapy. After 6 months we took pet CT scan and doctor said it has spread to bones. And he gave medicine ostcal and tamtero 20 mg. We stopped using it after 15 days. Now my mother got joint pain and back pain. Can we use these medicines now? Please help me.

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
Please send me all the reports so that I can opine better. Breast cancer is almost 80-95% curable in early stage if all the proper treatment is taken. But you have defaulted at every stage. We advise Bisphosphonates or Denosumab for the bony mets. Tamoxifen or AI to be given if hormone receptor positive. I would have a better idea if you send the reports. Feel free to contact me directly if you want to discuss this further.
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Hlo Dr. meri grandma. Ko.metastatic breast cancer h To. Unke guilty shown hoti bahar or. Vaha kbh kahi. Wound.bh ho jata jisse vha pain hoti or. Pus bhi ati Or you ki. Breat bh heavy mehsus rehta To ky kre hum.

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
If the tumor is fungating the a mastectomy would be advisable despite tumour being metastatic Feel free to contact me directly if you want to discuss this further.

Table of Content

What is Breast Cancer?

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

After Surgery and Cost :

Play video
Breast Cancer
There are many types of breast cancer that differ in their capability of spreading to other body tissues. Breast cancer symptoms and signs include : a lump in breast,breast sore or nipple and so on. Its important to consult the doctor in case of any such symptoms.
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.
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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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