I am Dr. Vikas Goswami, oncologist, practicing in Noida and Delhi. Today I will talk about breast cancer. What are the symptoms, when should you suspect, what one should do while going to the hospital and what are the treatment modalities. Breast cancer occurs as a lump in breast. Sometimes lumpy feeling with the axilla in breast. Sometimes breast discharge can be the problem. Few Indian women hides these symptoms and breast cancer detected at the later stage. As soon as you feel the symptoms, you should go to see a doctor. Clinical examination of the breast is required. If it looks suspicious, we usually do a test called efficacy. Sometimes if it is superficial, we do the biopsy.
If we have doubt, we do mammography. If the breast is tensed, then it is associated with an MRI of the breast. After combining all these tests, we get to know whether we are dealing with malignant tumor lump or non-malignant tumor lump. Then we do tumor staging. It is done by doing x-ray chest, CT chest, CT abdomen and pet scan. Sometimes the only choice left is surgery. This is followed by other modalities like chemotherapy or radiotherapy. The surgery is done in which whole breast is removed which is called as mastectomy or removal of lump which is called as lumpectomy. Few tests like ER, PR are also done to understand the biology of the tumor. What are the causes of the tumor and driving factor of the tumor?
What kind of treatment can be given so that cannot happen? We have some newer modalities in which we can understand whether we can skip chemotherapy all together or not. These types of tests are onco type DNA test. Maximum therapy is given in daycare and the patient can go back to home on the same day. After the treatment is over usually the patient is kept under followups for 2-5 years to prevent a recurrence. This is a broad overview of the limited disease. We have another ancillary test like next-generation sequencing test which helps us in finding the treatment for breast cancer. So, by any chance, if you are suffering from this disease, you can ask your doctor about anything about your problem. You may ask about the test that helps you in getting rid of this problem.