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Breast Conservative Surgery Health Feed

I am suffering from gynecomastia from the last 3 years on right side of my chest. For it, surgery would be better option or I should opt conservative treatment?

To the best of our knowledge no medicines or creams work to decrease the breast size. Male breast or gynecomastia reduction. Gynecomastia is treatable by surgery. There is no medical treatment. It is a one day out patient surgery with very gratifying results. It boosts self esteem also. It is a 1 day hospital stay surgery. It takes 1 day for consultation and investigation and 2nd day surgery and discharge in 3-4 hours. The Dr. Can examine and tell you what is the problem, gynacomastia has a breast tissue and a fat component. No one wants surgery unless it is necessary. There is no medication which can give the results. Surgery is the only answer. The surgery is almost painless because there are enough medications to keep the pain under control.
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Good Cosmesis In Breast Cancer Surgery!

Good Cosmesis In Breast Cancer Surgery!

Cosmesis refers to the preservation, restoration of a body part in it’s original form. Breast cosmesis is an important aspect and an endpoint of breast conserving therapy. The surgeons who carry out surgeries related to breast removal or upliftment, need to be precise in getting the other breast in exact shape to maintain symmetry. Their next priority is to make everything look good in the process.
Cosmesis plays a critical role in a woman’s physical and emotional recovery. Being fully treated and getting themselves out of danger is always the first priority but once women are out of danger, they would obviously be concerned about their looks, hence good cosmesis is a necessity.

Factors Affecting Good Cosmetic Outcome
Cosmetic outcome which follows the breast-conserving surgery is dependent on various factors like:

  • Location of the lump or tumor
  • Weight of the specimen excised upon,
  • Number of surgical procedures followed,
  • Volume of breast operated upon,
  • Length of scar
  • Adjuvant treatment in the form of chemo or radiotherapy followed after the surgery

Though the best method to assess good cosmesis in breast cancer surgery is still not clear but there are certain objective and subjective methods in combination, known to give a fairly good assessment of cosmesis.

Methods and materials involved to determine good cosmetic outcome
The general methods followed to ensure good cosmesis are Breast Retraction Assessment (BRA) and percentage Breast Retraction Assessment (pBRA). These are the objective measurements of the amount of breast retraction, determined primarily by comparing positions of nipple in relation to the sterna notch between the treated breast and contralateral breast.

The pBRA technique has been proved to have low intra and interobserver variability. Lower values of percentage Breast Retraction Assessment have been shown to correlate with improved cosmetic outcomes, hence making percentage Breast Retraction Assessment a reliable and an objective measure of cosmesis.

How is cosmetic assessment generally done?
In a particular case, evaluation of cosmesis was done before treatment, around 6-8 weeks post-treatment, 3-4 months post treatment, 6-8 months post-treatment, then every 6 months period for next 4-5 years and finally the assessment was down to yearly basis. The qualitative evaluation of cosmesis involved comparing treated breast with the untreated breast using the rating system.

The global cosmetic result, appearance of the scar made due to surgery, breast size, breast shape, colour of the skin, location of the areola and nipple and shape of the nipple and areola. All these were scored on a 4-point scale,

  • Excellent result with no difference
  • Good result with slight difference
  • Fair result with moderate difference
  • Poor result with huge difference


Physical measurements to calculate Breast Retraction Assessment and percentage

Breast Retraction Assessment were taken in a live example, while patients were in a seated position with both arms at the side of the body. Both the assessments were determined prior to the treatment as well as at the follow-up. As Percentage Breast Retraction reports retraction in terms of percentage, so it was used for analysis. On each occasion both the patients and physician reported the perceived cause of cosmesis as mainly because of radiation, surgery, unknown or no significant change.

3274 people found this helpful

Breast Cancer - How Surgery Can Be Of Help?

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

What You Need To Know About Breast Cancer Surgery?

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!

2570 people found this helpful

Know More About Breast Cancer Surgery!

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.

1903 people found this helpful

All About Conservative Cardiology

All About Conservative Cardiology

The heart is the most important among the vital organs within the human body. The functioning of all the other vital organs also depends on this and thus cardiology is a mightily important subject as it deals in all the problems and abnormalities of the heart.

What is conservative cardiology?
Cardiology is classified primarily into two disciplines, namely invasive and conservative. As the name implies, conservative cardiology is about taking the minimum steps to get the most out of this discipline without the involvement of major surgeries or other procedures. This is done to minimize risks, quicken healing time and be less painful to the patient.

How conservative cardiology works?
Conservative cardiology isn't just a procedure to resolve a certain issue, but a whole type of approach towards resolving cardiac problems. All parts, from diagnostic to therapy have a different approach compared to invasive cardiology. Let's take a look at those parts.

Diagnostic methods
Some of the diagnostic methods may be similar to invasive cardiology as this is usually the first step in finding the problems with your heart. These are mostly non invasive body and heart examinations. Most of these exams will use:

  • A high resolution, state-of-the-art 4D ultrasound scanner
  • A CAT scanner with contrast agent to find blockages.

Although invasive cardiology uses the same technology now in most cases, there are other invasive methods to detect blockages. One example of this is the cardiac catheter, which has to be physically inserted into the body for detection of problems.

Therapy for conservative cardiology
Therapy is the actual area where invasive and conservative methods stand out from each other. Conservative cardiology espouses the approach of minimum surgery. It doesn't even follow surgeries like angioplasty which is minimally invasive. Some of the techniques that Conservative cardiology relies upon are:

  1. Medications
  2. Lifestyle changes
  3. Physiotherapy and exercising
  4. Constant maintenance
  5. Changes in nutrition to control and lessen risks
  6. Reducing stress and other contributing factors of heart disease.

Conservative cardiology takes a more of a preventative approach, the moment a problem is diagnosed. It tries to minimize or at least keep the problem in check by instituting smaller changes. Exercise regimens, relaxation routines, diet changes are all a part of this. However the most important weapons are medications which reduce the imminent danger of cardiac arrests or other cardiac problems. These smaller changes along with medications ensure that the larger problems, for which surgeries may be required, never arise in the first place. If you wish to discuss about any specific problem, you can ask a free question.

8618 people found this helpful

Conservative Cardiology - How Does It Work?

Conservative Cardiology - How Does It Work?

The heart is the most important among the vital organs within the human body. The functioning of all the other vital organs also depends on this and thus cardiology is a mightily important subject as it deals in all the problems and abnormalities of the heart.

What is conservative cardiology?
Cardiology is classified primarily into two disciplines, namely invasive and conservative. As the name implies, conservative cardiology is about taking the minimum steps to get the most out of this discipline without the involvement of major surgeries or other procedures. This is done to minimize risks, quicken healing time and be less painful to the patient.

How conservative cardiology works?
Conservative cardiology isn't just a procedure to resolve a certain issue, but a whole type of approach towards resolving cardiac problems. All parts, from diagnostic to therapy have a different approach compared to invasive cardiology. Let's take a look at those parts.

Diagnostic methods
Some of the diagnostic methods may be similar to invasive cardiology as this is usually the first step in finding the problems with your heart. These are mostly non invasive body and heart examinations. Most of these exams will use:

  • A high resolution, state-of-the-art 4D ultrasound scanner
  • A CAT scanner with contrast agent to find blockages.

Although invasive cardiology uses the same technology now in most cases, there are other invasive methods to detect blockages. One example of this is the cardiac catheter, which has to be physically inserted into the body for detection of problems.

Therapy for conservative cardiology
Therapy is the actual area where invasive and conservative methods stand out from each other. Conservative cardiology espouses the approach of minimum surgery. It doesn't even follow surgeries like angioplasty which is minimally invasive. Some of the techniques that Conservative cardiology relies upon are:

  1. Medications
  2. Lifestyle changes
  3. Physiotherapy and exercising
  4. Constant maintenance
  5. Changes in nutrition to control and lessen risks
  6. Reducing stress and other contributing factors of heart disease.

Conservative cardiology takes a more of a preventative approach, the moment a problem is diagnosed. It tries to minimize or at least keep the problem in check by instituting smaller changes. Exercise regimens, relaxation routines, diet changes are all a part of this. However the most important weapons are medications which reduce the imminent danger of cardiac arrests or other cardiac problems. These smaller changes along with medications ensure that the larger problems, for which surgeries may be required, never arise in the first place.

5220 people found this helpful

Conservative Cardiology - Know Procedure Of It!

Conservative Cardiology - Know Procedure Of It!

The heart is the most important among the vital organs within the human body. The functioning of all the other vital organs also depends on this and thus cardiology is a mightily important subject as it deals in all the problems and abnormalities of the heart.

What is conservative cardiology?
Cardiology is classified primarily into two disciplines, namely invasive and conservative. As the name implies, conservative cardiology is about taking the minimum steps to get the most out of this discipline without the involvement of major surgeries or other procedures. This is done to minimize risks, quicken healing time and be less painful to the patient.

How conservative cardiology works?
Conservative cardiology isn't just a procedure to resolve a certain issue, but a whole type of approach towards resolving cardiac problems. All parts, from diagnostic to therapy have a different approach compared to invasive cardiology. Let's take a look at those parts.

Diagnostic methods
Some of the diagnostic methods may be similar to invasive cardiology as this is usually the first step in finding the problems with your heart. These are mostly non-invasive body and heart examinations. Most of these exams will use:

  • A high resolution, state-of-the-art 4D ultrasound scanner
  • A CAT scanner with contrast agent to find blockages.

Although invasive cardiology uses the same technology now in most cases, there are other invasive methods to detect blockages. One example of this is the cardiac catheter, which has to be physically inserted into the body for detection of problems.

Therapy for conservative cardiology
Therapy is the actual area where invasive and conservative methods stand out from each other. Conservative cardiology espouses the approach of minimum surgery. It doesn't even follow surgeries like angioplasty which is minimally invasive. Some of the techniques that Conservative cardiology relies upon are:

  1. Medications
  2. Lifestyle changes
  3. Physiotherapy and exercising
  4. Constant maintenance
  5. Changes in nutrition to control and lessen risks
  6. Reducing stress and other contributing factors of heart disease.

Conservative cardiology takes a more of a preventative approach, the moment a problem is diagnosed. It tries to minimize or at least keep the problem in check by instituting smaller changes. Exercise regimens, relaxation routines, diet changes are all a part of this. However, the most important weapons are medications which reduce the imminent danger of cardiac arrests or other cardiac problems. These smaller changes along with medications ensure that the larger problems, for which surgeries may be required, never arise in the first place.

5118 people found this helpful

Waht do we do for the conservative management of hillsach or benkart lesion? Other than surgery would I go physiotherapy?

If you have bankart and hillsachs, best treatment is surgery. Other treatments are not useful. You have to avoid position which cause pain or dislocation. You must visit shoulder Arthroscopy surgeon.
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I got fibroadenoma in both my breast kindly suggest any medicine for curable I do not want to have surgery already I had 3 years before surgery but I got again now is there any permanent solution pls suggest.

Fibro adenoma breast is a benign condition. If it is fibroadenoma, nothing needs to be done. Transformation from fibroadenoma to cancer is rare; regression or resolution is frequent, supporting conservative approaches to follow-up and management. Follow-up every 6 months is recommended with you doctor/surgeon. Thanks.
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