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Breast Cancer Treatment Services

Over the last ten years Breast Cancer has been rising steadily and now it is the most common cancer in women in India. Age adjusted rate is as high as 25.8 per 100,000 women and mortality 12.7 per 100,000 women. With the advent of effective screening modalities it is now possible to detect breast cancer at an earlier stage. Five year survival rate of breast cancer detected at the earliest stage is more than 90%.

The Breast Cancer treatment team at Rajiv Gandhi Cancer Institute & Research Centre offers leading-edge, personalized care, from effective screening through diagnosis, treatment and survivorship. Till date more than 20,000 breast surgeries have been done.

We consider every woman and man diagnosed with breast cancer to be a unique individual who deserves a carefully thought-out, personalized treatment plan offering advanced care. With this objective each case is being discussed in detail in tumor board for better outcomes. To provide the best treatment options to meet each patient’s goals, our specialists work as a united team, carefully evaluating patient and the specifics of breast cancer.

Our specialists are experts in breast cancer care and research, providing patients the latest and the most effective treatments with the greatest chance of cure. Our center is one of the few centers in the world providing latest cutting edge diagnostic technologies and targeted treatments, minimal invasive surgery, molecular pathology and more-effective chemotherapies, radiotherapy and prevention.

Diagnostic Facilities for Breast Cancer treatment

DIAGNOSTIC FACILITIES listed below are all available under one roof. They range from:

  • Digital Mammography
  • Digital Tomosynthesis
  • MR Mammography
  • Scintimammography
  • PET MRI.

INTERVENTIONAL advancements are used for establishing diagnosis wherever indicated. They are as of:

  • Stereotactic wire localization and guided biopsy
  • MRI Guided biopsy
  • Ultrasound Guided wire localization
  • Sentinel node biopsy and
  • Vacuum assisted biopsy – Scarless surgery of breast lump.

Our center excels in Mastectomy as well as lesser Invasive treatment options as of:

  • Breast Conservative Surgery along with various forms of Breast Oncoplasty
  • Volume Replacement and Displacements including Implants and free flaps.

Most effective chemotherapy and radiotherapy including Accelerated partial breast irradiation are also available.

  • The newer minimal invasive treatment such as ROBOTIC MASTECTOMY has been started recently with the most advanced da vinci Xi system and institute has the credit of performing it for the first time in India.
  • As a part of Comprehensive Breast Cancer Care we also have cancer survivorship and the rehabilitation meet known as ”The Maitree”.

FACTS ABOUT BREAST CANCER

Breast Cancer is a malignant tumour specific to the human breast. It is the result of an atypical growth of cells in the breast that can metastasize to other body parts, causing a systematic breakdown of body processes and fatality. Lately, we have seen a surge in breast cancer cases in India and worldwide. As per National Cancer Registry Programme, 25% to 32% of all female cancers in the leading Indian urban centres are related to breast cancer. Though females are the prime victim of breast cancer, males can also develop the malignancy. The origin of breast cancer is shrouded in mystery. However, there are certain risk factors specific to the condition, such as ageing, heredity, genes, radiation exposure, obesity, delayed pregnancy and alcohol.

BREAST CANCER SYMPTOMS AND SIGNS:

The prominent symptoms and signs of breast cancer may include, but not limited to:

  • Formation of a thick piece of mass (lump) in the infected breast or just below the armpit
  • Constant pain in the infected region, ranging from mild to severe
  • The breast skin developing pits and redness
  • The infected nipple(s) carrying rashes
  • Blood discharge from the nipple of the infected breast
  • A deep-set or upturned nipple
  • A drastic anomaly in the breast shape or size
  • The skin of the nipple with effects like peeling, flaking or scaling

It is worth mentioning that the majority of lumps are benign. However, a regular check-up is always advised, as the chances of successful breast cancer treatment amplify with an early detection.

BREAST CANCER STAGES :

Though a variety of staging methods are in use, generally breast cancer is spread out in five stages, each of which is characterised by the size and outreach of the tumour. The oncologist often determines the stages by subjecting the patient to a series of specialised physical exams, X-rays, biopsies, bone scans and blood tests.

Initial stage: The primary stage of breast cancer is also medically referred to as Ductal Carcinoma in Situ (DCIS). Here, the malignant cells are restricted within the duct and yet to come in contact with the surrounding tissues.

Stage 1: This stage is characterised by the abnormal growth of malignant cells. The tumour size is about 2 cm and the lymph nodes are not infected as yet.

Stage 2: Herein, the tumour gains size and outreach. The surrounding lymph nodes come in contact with the infected cells.

Stage 3: In the onset of this stage, the tumour gains mass and may become as big as 5 cm across. The threat of infected lymph nodes is maximized.

Stage 4: The final stage is characterised by the metastasis of malignant tissues. Cancer spreads to distant organs, among which the prime recipients are brain, liver, bones and lungs.

BREAST CANCER TREATMENT:

Surgery is the initial modality of treatment in early stages followed by chemotherapy / Radiotherapy depending on the final histopathology report. In advanced cases initial chemotherapy may be given to decrease the size of the tumor followed by surgery / radiation. Patient may also require to take a tablet daily for minimum of 5 years based on the final report.

Surgical options include modified radical mastectomy (complete removal of breast + removing nodes from arm pit), Breast conservation surgery(BCS) {removal of tumor + removing nodes from arm pit}. Both surgeries have comparable cure rates and is decided on the size of the tumor and patients personal choice. Sentinel lymph node biopsy can be used in patients with no nodes in the arm pit at diagnosis.

For patients who desire reconstruction of breast options are available like silicon prosthesis, flaps which will help to restore the contour of breast.

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