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Lumpectomy surgery, also referred to as Breast conserving surgery, involves the removal of only the tumor along with margin of neighbouring normal breast tissue. Breast is preserved in this surgery.
Breast Cancer, if caught in its early stages, has significantly high chances of recovery. Therefore, it is imperative that women regularly check their breast for any changes and seek professional help to confirm the presence of breast cancer.
You need to look for the following signs and symptoms associated with breast cancer:
Presence of lump or thick breast tissue
Any changes in the size or shape of the breasts
Any lump or swelling in the armpits
Dimpling of the skin overlying breasts
Discharge from the nipples
Modified appearance of the nipple/s
Presence of rash around nipples
Q1 Who is the right candidate for Breast conserving surgery?
A1 Breast cancer patients, in early stage of the cancer,are advised to undergo Lumpectomy or Breast Conserving Surgery. However, most likely the patient will also need the radiation treatment to deal with the cancer effectively.The benefit of Lumpectomy surgery is that the appearance of the breast is preserved. However, your surgeon is certainly the best person to decide the best course of treatment for you keeping in mind your medical condition.
Lumpectomy surgery can be considered in the following scenarios:
You are very concerned about losing your breast.
The cancer area is small and well defined.
You are fine with undergoing radiation therapy, if needed.
Q2. Do I need radiation treatment even after the Breast conserving surgery or Lumpectomy?
A2 Yes, most patients are likely to receive 5 to 7 weeks of radiation treatment after the surgery.The surgery and the radiation treatment combined are referred to as Breast conservation therapy. The purpose of radiation therapy is to kill the cancer cells that have remained after surgery. It not only diminishes the possibility of breast cancer recurrence but also prevents mortality related to breast cancer.
Q3 What are the contraindications for Lumpectomy surgery followed by radiation treatment?
A3 Breast cancer patient is advised against Lumpectomy surgery followed by Radiation treatment under the following conditions:
History of Scleroderma
Patient suffering from Systemic Lupus Erythematosus
Presence of 2 or more tumors in different regions of the breast which cannot be taken out with a single broad excision and therefore may adversely affect the appearance of the breast eventually.
Prior administration of radiation treatment to the breast rendering further radiation treatment immensely harmful for the patient.
Spread of the cancer to whole breast and the skin over it. Lumpectomy will not get the patient rid of the cancer.
Relatively large size of the tumor in comparison to the overall size of the breast making is aesthetically unwelcome.
There is no provision of radiation therapy
Q4 How is the Diagnosis of Breast cancer made?
A4 Firstly, you need to regularly check your breasts (self examination) to look for any signs and symptoms of breast cancer. If you notice something suspicious, please seek professional help. Visit your physician. Your general physician, if suspect possible presence of breast cancer, may refer you to the breast cancer specialist, who inturn will order certain investigations to confirm Breast cancer.
TESTS TO DETECT AND CONFIRM PRESENCE OF BREAST CANCER
The following examination and investigations are usually done to detect and confirm the diagnosis of
Breast Examination: Initial specific examination of your breasts along with the examination of the lymph nodes in the armpits to look for any abnormalities pointing towards possible presence of breast cancer.
Mammogram: An X ray of the breast. Mammogram is the most commony used investigation to screen for breast cancer. If breast cancer screening results are not okay, your docotr may suggest diagnostic mammogram to study the breast cancer further.
Ultrasound scan of the breasts: A younger woman may only be advised an Ultrasound of the breasts in contrast to the mammogram. Mammogram is not a preferrable investigation for detecting breast cancer in women who are less than 35 years old since they have dense breasts and it is hard to detect breast cancer through only mammogram. USG uses high energy sound waves to see inside of the breasts. It also makes it easy to differentiate a solid lump from fluid filled cyst.
Biopsy: Biposy involves extraction of tissue sample from the breast and studying it to look for presence of cancerous cells.
TESTS TO CONFIRM SPREAD OF CANCER BEYOND BREASTS
Once the presence of breast cancer is confirmed, then further advanced tests are carried out to know its extent of spread, the intensity and aggressiveness of the cancer which will eventually help the surgeon to chalk out the best treatment plan for the patient and also determine the prognosis or clinical outcome for the patient.
These tests can be summed up as the following:
Chest X ray
MRI scan of the breast
TESTS TO LOOK FOR RESPONSIVENESS OF THE BREAST CANCER TO CERTAIN TREATMENTS
There are some more tests done on the patient to look for the best treatment to treat that particular type of breast cancer based on the result of those tests. These tests determine the responsiveness of the breast cancer to that particular treatment.
Hormone therapy in particular works on this principle in the treatment of breast cancer. There are certain types of breast cancer that grow and respond well to the hormones Oestrogen and progesterone, the hormones that are generally present in our bodies. Hormone therapy either blocks the effect of the hormones on the breast cancer or reduce the level of the hormones in your body in order to combat breast cancer.
Team approach- Holistic approach is taken with multidisciplinary team of specialists contributing their expertise right from the screening,diagnosis,treatment and follow up.
Most affordable cost coupled with high quality treatment.
World class hospitals with state of the art infrastructure.
Most advanced diagnostic and treatment methods are employed for optimal results.
Globally trained doctors with decades of experience in carrying out the surgery with competence and ease.
Compassionate staff to look after
Hospitals accredited with international organizations such as JCI(Joint commission International) for quality standards.
Language no barrier. English speaking people and if required, translators are available for your convenience
Most economical accommodation available at a walking distance from the hospital. Wide range of options starting from guest house, service appartments to five star hotels, best suited to your budget and choice.
Good flight connectivity
India has a diverse and rich cultural heritage. You can witness its beauty and uniqueness. It offers most conducive environment for recuperation.
Dr Rajeev Agarwal
Fellowship Tata Memorial Hospital, Mumbai (Surgical Oncology)
Membership:European Society of Medical Oncology
Indian Association of Surgical Oncology
Director and Breast Cancer Surgeon
Medanta Breast Service
Medanta The Medicity, Gurugram, Delhi-NCR
Top Breast Cancer Surgeon|Surgical Oncologist|Delhi-NCR, Gurugram,
Dr Harit Chaturvedi
MBBS,MS,MCh (Surgical Oncology)
Chairman,Cancercare, Director and Chief Consultant Surgical Oncology
Max Super Specialty Hospital Saket,New Delhi
Top Breast Cancer Surgeon|Surgical Oncologist|Delhi
Dr Pawan Gupta
MBBS,MS (Surgery),MCh (Surgical Oncology)
Fellowship from Royal College of Surgeons, Glasgow, UK
Active Member,International Society of Surgery (ISS/SIC).
Additional Director,Institute of Cancer Care
Jaypee Hospital, Noida, Delhi-NCR
Top Breast Cancer Surgeon|Surgical Oncologist|Delhi-NCR, Noida
Dr(Mrs) Ramesh Sarin
Breast Cancer Surgeon
Senior Consultant, Surgical Oncology
Indraprastha Apollo Hospital, New Delhi
Top Breast Cancer Surgeon|Surgical Oncologist|Delhi
Saket, New Delhi
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Mrs Elizabeth (Nigeria)
15 Jun , 2016
Breast cancer treatment, Age 54 Yrs
I was diagnosed with breast cancer 6 months ago. HealthcaretripIndia team was very proactive and gave me prompt response. I was impressed by their efficiency. They got me the medical opinion from one of the best cancer hospital in India in the shortest span of time. The opinion that I got was detailed and in depth involving the integrated opinion of a team of specialists. Beginning from my first i