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Swelling on the same arm( lymphedema) as the operated breast is a real possibility in patients of breast cancer who have had lymph nodes removed from the armpit. To learn all that is there to know about lymphedema......preventive measures, exercises, hands on bandaging techniques etc will be discussed with the expert in an interactive workshop on 7th Feb 2015 from 11am to 4pm at Max Cancer Centre, Max Hospital, Patparganj. Please do not miss this opportunity! For further details, please contact Dr Geeta Kadayaprath, Head, Breast Surgical Oncology, Max Cancer Centre, Max Hospital, Patparganj
Today, I got a call from one of my erstwhile patients. I treated her for breast cancer about 10 years ago. She had two young children at that time, a daughter aged 10 and a son aged 7. She would come on follow up, regularly. However, five years down the line, her husband got transferred to Guwahati.On her last visit to me, she was tearful. She hugged me and said, ‘Doc, I have one wish. I want my daughter to become a Doctor like you! And at that moment, I choked. No words were spoken and she quietly left my room. I thought I had received the best compliment ever. Returning to the excited voice over the phone. It was her. She told me how she had misplaced my number and how she had found my number through a friend’s friend, who I had treated. I asked her if she was ok and she said she never felt better. I was relieved.She had called me to just tell me that her dream was on its way to being realised.Her daughter was studying medicine and wanted to pursue surgical oncology as her career. I mumbled my congratulations and did not realise that tears were running down my cheeks as I put the phone down. Noble profession, indeed! #Health#Doctor#BreastCancer#Surgeon#Max Hospital#Patparganj
SURGERY FOR BREAST CANCER IS NOT ABOUT REMOVING BREASTS, ALWAYS… When 32 year old Neena, an HR consultant in an MNC, walked into my clinic, accompanied by her husband and parents, I could sense an air of hopelessness surrounding this good looking young lady. The papers that were laid in front of me carried a needle biopsy report, which confirmed the diagnosis of breast cancer. Fortunately, for her, the size of the lump was about 2cms and there were no lymph nodes that I could feel in the armpit. There was no evidence of spread to the other organs on imaging. I soon realized she had been through the discussion of surgery and she had come to me for a second opinion. I soon found out why she had decided to come for a second opinion. She had been advised a modified radical mastectomy (complete removal of the breast along with the lymph nodes in the armpit). She was a successful career woman with everything going for her till yesterday and today she was grappling with this tough predicament- losing an organ, an integral part of her feminity to cancer- it was almost cruel!.......... ....To be continued.....watch this space for more.......
SURGERY FOR BREAST CANCER IS NOT ABOUT REMOVING BREASTS, ALWAYS… In the 1960’s, the conviction that breast cancer was a systemic disease at inception and not a local disease, prompted trials to address one question- ‘Are we doing too much?’ Radical mastectomy was replaced by modified radical mastectomy- a procedure not as mutilating as radical mastectomy ( the chest muscles were preserved)but still one, which involved loss of an organ. Moreover, to a woman, it meant much more than the loss of an organ. It probably entailed a huge psychological blow besides casting a shadow on her feminity. She, being the woman she was, in those days, came to terms with this loss, in the best manner possible. All that mattered to her was her getting well, on her feet and ready to discharge the duties of a wife, mother, daughter and more. And there was really no choice then because the doctors treating her were also convinced that sacrificing the breast was the only chance of getting well. More tomorrow.....on Evolution of treatment
SURGERY FOR BREAST CANCER IS NOT ABOUT REMOVING BREASTS, ALWAYS… With improvements in chemotherapy, radiation therapy, hormonal treatment and targeted therapy, breast conservation surgery has now become the treatment of choice in select patients. While it is possible to conserve the breast in early breast cancer, it is possible to offer this treatment in patients with locally advanced breast cancer also, where chemotherapy is administered first to shrink the tumor. If the tumor shrinks towards the centre and is marked while the patient is on chemotherapy, it may be possible to conserve the breast when surgery is performed after completion of chemotherapy. The philosophy behind this paradigm shift is quite obvious- that long term outcomes in terms of disease free survival and overall survival is not different with either surgical procedures. The choice is real and scientific… For more information on breast cancer, please contact Dr Geeta Kadayaprath, Breast Surgeon, Max Cancer Centre, Delhi, India
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