Saturday, 23 August 2014

Breast Cancer Treatment at World Best Cancer Hospitals in India : Surgery, Chemotherapy, Radiation Therapy and Hormonal Therapy



Breast cancer is not one single disease. There are several types of breast cancer. It can be diagnosed at different stages of development and can grow at different rates. . You may need help to get the facts straight and to ask the questions that are important to you.If you have any questions, please remember that we offer a range of services for people affected by breast cancer. 

From diagnosis, through treatment and beyond, our services are here every step of the way. The most common sign of breast cancer is a new lump or a mass. A lump that is painless hard and has uneven edges is likely to be cancer. But some cancer are soft, tender and rounded. All Breast lump are not cancerous, in fact most are benign. However each has to be analyzed and tested as some benign lumps can increase your risk. So its important to have anything unusual checked by your doctor.

Other Signs of Breast Cancer:
  • A Swelling of a part of a breast
  • Skin irritation or dimpling in the breast area
  • Unusual Nipple pain or the nipple turning inward
  • Redness or scaliness of the nipples or breast skin
  • A Nipple discharge other than breast milk

There are several modalities of the treatment-these include Surgery, Chemotherapy, Radiation Therapy and Hormonal Therapy. These are usually used in a combination.

1) Surgery

A) Breast Conservation Surgery: Wide excision of only the Breast Lump (saving the normal breast) with removal of axillary nodes. At the end of the procedure ,you have a near normal breast.

B) Modified Radical Mastectomy (MRM): This surgery involves the removal of entire breast and axillary lymph nodes. This surgery is recommended in the following circumstances:-
  • Cancer is found in more than one part of the breast
  • Breast is so small that wide excision of the lump can severely deform the breast
Following the surgery a drain is placed in the axilla and another drain is placed under the flaps after the Mastectomy. This will be removed in another 7-14 days depending on the amount of the fluid that is draining out. Stitches are removed two weeks after the surgery.
C) Modified Radical Mastectomy with Reconstruction: For those women who are unhappy with the idea of losing their breast and are suitable for immediate breast reconstruction can choose this option. A plastic surgeon is involved in this surgery and utilizes patient's own tissues to create a breast which closely matches the opposite breast, if required an artificial implant may also be use.
2) Chemotherapy
Many Patients may require Chemotherapy after the Breast Cancer Surgery. In Chemotherapy a combination of the drugs is used to kill the cancer cells. The medical oncologist will plan the therapy according to the individual case. Chemotherapy may be administered as Neoadjuvant,Adjuvant and Palliative chemotherapy.

3) Radiation Therapy
Breast Conservation Surgery is always followed by Radiation Therapy. It may also be used after Mastectomy surgery if required. The radiation therapy uses very high energy X-rays to destroy the cancer cells that still may be present in the affected breast or nearby lymph node. This procedure is painless and the patient does not feel anything when the treatment is going on.


4) Hormonal Therapy
Hormonal therapy medicines are whole-body (systemic) treatment for hormone-receptor-positive breast cancers. Hormone receptors are like ears on breast cells that listen to signals from hormones. These signals "turn on" growth in cells that have receptors. Hormonal therapy medicines can be used to lower the risk of early-stage hormone-receptor-positive breast cancer coming back, lower the risk of hormone-receptor-positive breast cancer in women who are at high risk but haven't been diagnosed with breast cancer and help shrink or slow the growth of advanced-stage or metastatic hormone-receptor-positive breast cancers

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