Breast cancer has risen to become the most common malignancy among women in major cities. Cases are quickly increasing, with 1 in every 25-30 urban women developing breast cancer during their lifetime. This is significantly lower than in the United States (1 in 8 women) or the United Kingdom (1 in 12 women). However, it is far higher than in rural India (1 in 70 women). Another concerning point is that it is increasing in the younger age group (35-45 years).
Every woman has a probability of acquiring breast cancer at some point in her life. The risk rises with age, with around 77% of women over 50 at the time of diagnosis. It more than doubles if you have first or second-degree relatives who have breast cancer. However, only 5-10% of breast cancers are caused by family history.
Breast cancer is no longer a death sentence, especially with early detection methods available; however, any tumor in the breast should never be ignored. The earlier breast cancer is detected, the better the treatment options and outcome.
Other breast cancer risk factors include:
Periods begin early
Menopause in its later stages
Infertility or late births
Replacement hormone therapy
Previous radiation exposure
Previous breast surgery history
Our Breast Cancer Treatment Knowledge
Breast problems are many and range from benign disorders to malignancy. The Rohilkhand Cancer Institute Breast DMG Clinics in Rohilkhand Medical Collage And Hospitals Cancer Care is a close-knit unit that provides world-class care by the best specialists in surgery, radiation oncology, and medical oncology, backed up by an efficient Nuclear Medicine and Radiology Department and a dedicated team of pathologists.
The Breast DMG’s Surgical Unit specializes in breast conservation surgeries with Type 1 and II oncoplastic, mastectomies (simple, skin-sparing, nipple-sparing), sentinel lymph node biopsies, axillary dissections, and other procedures. The doctors use MRI mammography and X-Ray mammograms to detect breast abnormalities at an early stage, as well as Breast Biopsy to determine not only the type of tumor but also the receptor status.
They are experts in Breast-Conserving Surgery, Whole Breast Reconstruction for patients who have had a mastectomy, and Conservative Axillary Dissection to prevent the onset of lymphedema. For treating breast cancer tumors, they use cutting-edge radiation treatments such as Accelerated Partial Breast Radiation (APBI), IGRT, and Brachytherapy.
The Max Breast Clinics offers a world of comprehensive breast care, treating anything from benign disorders like mastalgia, nipple discharge, infectious conditions, and benign tumors to breast cancer. The clinics are run by the Max Institute of Cancer Care’s Department of Surgical Oncology, which has extensive experience with various types of breast cancer surgical operations.
Our Breast Cancer Treatment Strategy
The Tumour Board
In the Tumour Board meetings at Rohilkhand Cancer Institute, a team of experts from surgical oncology, India oncology, medical oncology, pathology, imaging, and related disciplines analyse individual cases and form a customised/joint decision and treatment plan.
We think that each patient and his or her cancer is unique, thus our team of oncology professionals creates a ‘personalised treatment plan’ based on Tumour Board talks. We are always reviewing and improving our protocols, and we encourage our patients and carers to participate in order to better understand the condition and its treatment process.
We are committed to rehabilitating our patients as quickly as possible at Rohilkhand Cancer Institute, Care. We are committed to providing our patients with high-quality care, support, and reassurance. Our devoted team of renowned Breast Cancer Oncologists uses cutting-edge technology to give the most advanced cancer treatments based on International Standards. Breast cancer care necessitates the collaboration of medical practitioners from many specialities to implement an individualised patient care plan for the best overall results.
Breast Cancer Detection
A multifaceted approach is required for an accurate diagnosis:
Mammogram Mammogram Screening
Regular mammograms beyond the age of 40 lower the risk of dying from breast cancer by detecting the disease early. A low-dose X-ray of the breast can be used to evaluate both palpable and non-palpable lumps.
Self-Examination of the Breast:
It is best done once a month, 4-5 days after your cycles, or on a set day if you are postmenopausal. It is best done once a month, 4-5 days after your cycles, or on a set day if you are postmenopausal.
Breast Examination at the Clinic
After the age of 40, a yearly visit to a breast surgeon for a complete breast check is recommended.
Ultrasound of the Breast
- Pathological Assessment
Cytology via Fine Needle Aspiration (FNAC)
A small needle is introduced into the lump to aspirate a few cells, which are then spread on a glass slide and examined under a microscope to get a diagnosis. FNAC is required for all breast lumps, regardless of the patient’s age. A small needle is introduced into the lump to aspirate a few cells, which are then spread on a glass slide and examined under a microscope to get a diagnosis. FNAC is required for all breast lumps, regardless of the patient’s age.
If FNAC is negative against a background of heightened distrust. Tissue cores provide a more reliable pathological diagnosis than an FNAC.
Now that we have an exact diagnosis and adequate staging of your disease, it is time to arrange your treatment.v
Procedure for Treating Breast Cancer
We are committed to rehabilitating our patients as quickly as possible at Rohilkhand Cancer Institute. Our devoted team of expert oncologists provides the most advanced cancer therapies based on worldwide standards, employing cutting-edge technology. To achieve the best results in cancer care, medical specialists from various specialities must collaborate to implement an individualised patient care plan. The following are the numerous treatments available:
A) Surgical procedure
To remove breast cancer, there are four basic forms of surgery:
Breast-conserving surgery (also known as a lumpectomy, quadrantectomy, partial mastectomy, or segmental mastectomy) is a type of breast-conserving surgery.
Prophylactic Double Mastectomy / Mastectomy
Biopsy of a sentinel lymph node
Reconstruction after a modified radical mastectomy
B) Radiation therapy: Your treatment will be planned by a radiation oncologist, and your chest/breast area will be designated with ink or markers. A CT scan is then performed in the treatment position to arrange radiotherapy. This CT scan is subsequently uploaded to computers specialised in radiation planning. The radiation oncologist defines and identifies the target volume to be treated (breast/chest wall and lymph glands) and normal body organs to be saved (lung, heart, etc.). After that, a treatment plan is created and optimised.
C) Rohilkhand Cancer Institute: This technique has considerably contributed to the reduction of radiation therapy problems. In many cases, this enables a larger dose of radiation to be given to the cancer, boosting the likelihood of cure.
D) Image Guided Radiation Therapy (IGRT): Because the breast/chest wall changes with breathing, the setup position can change from day to day. Because the radiation dose is increasingly limited to the tumor, the change in tumor position can be observed by a CT picture (called Cone beam CT) right before treatment delivery, and the Modified Radical Mastectomy (MRM) is advised when:
Cancer can be found in multiple areas of the breast.
Because the breast is so tiny, a large excision of a mass might badly distort it.
MRM is preferred by a woman over breast-conserving.
Following either surgery, a drain will be inserted in the axilla and another under the flaps after mastectomy. This will be removed in the outpatient setting in 7-14 days, depending on the amount of fluid draining. After two weeks, the stitches are removed.
If lymph nodes in the armpit (axilla) are found to be positive in the final histopathology report, radiation therapy may be advised.If lymph nodes in the armpit (axilla) are found to be positive in the final histopathology report, radiation therapy may be advised.
E) Chemotherapy: Following breast cancer surgery, many women may require chemotherapy. Typically, a combination of medicines is employed. The medical oncologist will tailor your treatment to your specific needs. Chemotherapy can be given in the following ways:
Neoadjuvant Chemotherapy is used before receiving definitive treatment (surgery).
Adjuvant Chemotherapy is used after surgery.
In a metastatic scenario, palliative chemotherapy is used.
F) Targeted therapy: It aims to target only cancer cells. The Her-2-neu oncoprotein is over-expressed on cancer cells in breast cancer. Drugs are currently utilised to target these receptors and prevent cell multiplication.
G) Hormonal therapy: Hormonal therapy is advised for patients whose tumours express oestrogen and progesterone receptors. This therapy is available as a pill that should be taken once a day.