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Exclusive breast surgical oncologists are far and few.It is happening in India. Subspecialisation is the way to go to offer the best to the patient. At Max Cancer Centre, Patparganj, Breast Surgical Oncology is an important subspeciality.
...SURGERY FOR BREAST CANCER IS NOT ABOUT REMOVING BREASTS, ALWAYS…(contd.) The treatment of breast cancer has undergone major improvements and this has been reflected in how the outcomes have changed dramatically for the better. While curing the disease is a priority, maintaining quality of life is as important. The journey that has been covered before us is no less fascinating and the constant endeavor to make it better for the patient has driven the change. Mutilating surgeries in the form of amputation of the breast and then radical mastectomy (removal of the breast, muscles of the chest and the lymph nodes in the armpit ) or the extended radical mastectomy( same as radical mastectomy but with the additional removal of lymph nodes inside the chest) remained in vogue for a larger part of the 20th century. ...to be continued.....More history in the next update
Another year comes to an end.... a year full of challenges, some met ....some transferred to the next year.Professionally, I made an important decision ... of focussing my energies at one centre instead of hopping between two. Now, I head the breast services at Max Cancer Centre, Patparganj, alone. I am able to be involved in the entire process of entry to exit of my patients with breast cancer.The Support Group meetings, the academic meetings, the surgical work, the post operative care, the process of auditing my own work to constantly improve the care, have taken off and I believe these are a few steps in the right direction.The endeavour to excel continues...... The new year beckons.....It will be 2015 in a few hours. Tomorrow will be the first Breast support group meeting of the year. The enthusiasm of my champions is all pervasive and we will, together, celebrate life with renewed vigor and new hopes.Breast cancer will be a forgotten word....smiles, chatter, dancing, eating, sharing and a sense of camaradarie will dominate proceedings. I am looking forward to it..All are welcome to join!!! For further details, please contact Dr Geeta Kadayaprath, Head, Breast Services, Max Cancer Centre, Patparganj, Delhi
I am a big fan of Angelina Jolie. So what is the big deal about it? Half of the human race is possibly her fan..her looks and her acting prowess has had the world swooning. I am her fan for a different reason. I haven’t followed her movies, her drop dead gorgeous looks or her personal life but I admire her for her courage. Some years ago, this remarkable lady announced to the world that she is having both her breasts removed. She knew that she was carrying a genetic mutation which made her susceptible to breast and ovarian cancer. Her family history was strong for both breast and ovarian cancer and once she tested positive for the mutation, she knew she carried a 60-80% risk of developing either of these cancers. She was faced with the prospect of prophylactic breast and ovarian surgeries. I can only imagine the sleepless nights, the battle within-to do or not to do, several rounds of long discussions with her doctors, family and friends, the impact on her career which relied heavily on glamour, her children... and so much more. And then she made that decision to have both her breasts removed and subsequently her ovaries. She shocked the world but at the same time catapulted herself to that realm of courage and fortitude that rarely people of her standing dare to tread. I joined her fan club and her story of courage became the benchmark for women caught in a similar situation. Why I recalled this story was when I encountered my own Angelina Jolie. This young lady of 35 had a very strong family history of breast, ovarian and colon cancer on her maternal side.Her husband was gutted when she was diagnosed with breast cancer. I advised her for a genetic consult while planning for her surgery. The genetic consultant had barely advised her gene testing and was discussing the possible implications, when she said that she had made up her mind. She very calmly told the consultant that irrespective of what the test says she was going ahead with bilateral prophylactic mastectomies and bilateral ovarian surgeries in the same sitting. She came to be and conveyed the same to me. It shook me inwardly and took me a while to gain my composure as her husband stood by her, rock solid in his support of her decision. ‘COURAGE’ as a word probably does not do justice to the tenacity with which one arrives at this supremely difficult decision. I have done these surgeries before and this one was certainly not the last. Such decisions are rationalised within the multidisciplinary board, the molecular oncologists, the psychologists, the family and most importantly, the patients!! While I see more of these Angeina Jolie clones, I will always hope and pray that these amazing ladies’ decision translates into long, meaningful and inspiring lives!
ATTITUDE IS TRULY EVERYTHING The picture one would conjure up on seeing this beautiful old lady is that of a loving ‘dadi’ or ‘nani’ full of stories, weaving magic with her deft fingers as spools of thread became exquisite pieces of crochet art.She is all of 86 years old and continues to do all her chores without any help. She does not believe in stopping. And believe me she is quite extraordinary! I have known her for the last 8 years and every meeting with her is inspiring. At the age of 78 years, when many would will themselves to die at the simple pretext of a minor illness, this lady was diagnosed with pancreatic cancer. She had deep jaundice and she needed a Whipple’s procedure to get rid of the cancer. This surgery is one of the most challenging to even an experienced surgeon. She and her family were explained the pros and cons in view of her age and frail self. She was determined to see this through. The surgery went to plan but the postoperative period was stormy. She had a bloated abdomen, for which she was re-explored and found to have a twisted bit of intestine. It took her a month to recover and finally, she walked out of hospital, recovered fully.She refused any further treatment and said she felt fine. She would meet me every 3 months for a year and then she stopped coming. I had almost forgotten all about her, when she resurfaced again after almost 1 year. This time she came with an ulcerated mass in the right breast. She was 80 now. She did not want any other treatment except surgery. She had a surgery to remove the breast and the lymph nodes in the armpit. Fortunately, the disease was hormone sensitive. She said no to Radiation and accepted hormonal treatment. What does one say to this except that I was fortunate to witness this most wondrous display of an old lady’s grit and determination, willing herself to live on, in the face of not one but two cancers! She came to meet me five days ago. She is disease free. Her smile lit up her wrinkled face and her eyes sparkled as she said she had come to bless me. I, honestly had nothing to offer her. Did she even realise how inspiring she is? She wanted me to share her story with everyone and so here I am! Important lesson learnt..Attitude is truly everything!!!!
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