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SURGERY FOR BREAST CANCER IS NOT ABOUT REMOVING BREASTS, ALWAYS… While all this continued as the standard of care for the first 65 years of the 20th century, some smart minds in the medical field started questioning the necessity of performing such radical surgeries to get optimum results. Trials got underway to compare mastectomy versus breast conservation surgery in the 1970s. A pathologist turned surgeon, Dr Umberto Veronesi, pioneered the most convincing trial in Milan. He was able to show that breast conservation surgery (removal of the lump with a surrounding 1 cm margin of normal breast tissue) followed by radiation therapy to the rest of the breast in properly selected patients yielded the same results as a complete removal of the breast. I am quite convinced that it is the pathologist in this surgeon who urged him to go for this trial. He had probably seen while looking at the breast as a pathologist that far too much was being done to address small cancers in the breast. Finally, women with breast cancer had a choice…. For more information on breast cancer, please contact Dr Geeta Kadayaprath, Breast Surgeon, Max Cancer Centre, Delhi, India
Never too old to make choices Last week, I met this lovely lady, pushing 80 years. I’m reluctant to call her old for her lively demeanour would put the chronologically young to shame. How I met her was because she had been diagnosed with breast cancer. Fortunately for her, she had early breast cancer. This is a delight for a breast surgeon like me, who is used to seeing advanced breast cancer. After going through the investigations, it was decided that she should have surgery. I started discussing the surgical options and just as I would do with all my patients amenable to all the options, I discussed breast conservation surgery, mastectomy ( surgical removal of the breast)and mastectomy with reconstruction. She was quick in making her decision and said she wanted to have a breast conservation surgery. I liked her firmness but her daughter was not so sure. When the time came for her to be admitted, the daughter came up to me and said that she and her brother thought it would be better if she went ahead with mastectomy. It was surely concern for their mother. They wanted her to be disease free and also thought that at her age, it did not matter if she lost her breast. At the same time, they were not sure that breast conservation and mastectomy yielded the same results. I spoke to her again and said that her mother had made a choice, which was scientifically tenable .Ten years ago, my warped mind might have encouraged her to go for mastectomy. Now I know, choice has nothing to do with age.The instances when husbands, brothers, parents, relatives and anyone else( read neighbors!) influencing surgical decisions have been too many and every time, my heart has gone out, especially, to the young ladies who have had no say in the choices imposed on them.Losing a breast is a self esteem, body image issue- the loss and its impact is borne only by the one who loses it.The lovely dame stood by her choice and it was executed. Choices are not about being right or wrong. Choices are about the freedom to make a decision and stick by it. The comfort of having made one’s choice is a confidence booster and can bring about unexpected results. I do know that, for a fact!
WHO TREATS BREAST CANCER? It is not unusual to see patients visiting their gynecologists/obstetricians with a breast complaint before they are guided to a breast surgeon or specialist.While Germany is one of very few countries where gynecologists deal with breast diseases as well as gynecological diseases, breast diseases are treated by surgeons in India. Breast cancer needs to be detected early to get the best of results and any suspicious lump should be brought to the notice of a breast cancer specialist at the earliest. For further details, please contact Dr Geeta Kadayaprath, Head, Breast Cancer Services, Max Hospital, Patparganj.
Being breast aware is the key to picking up abnormalities earlier.It is quite obvious then, that early detection of breast cancer results in better outcomes.Screening facilities and consult with Breast Surgeon available in Max Cancer Centre, Max Hospital, Patparganj, Delhi.
Bliss Foundation launches its unique ‘Touch Feel and Do’ Workshop to create breast and cervical cancer awareness! All things, big and small, begin with an idea. Touch Feel and Do workshop was conceived as we sat across a table. It started with the questions Are we doing enough? Are we doing right? Do the ladies we talk to understand what we are trying to tell them? Do they know what to look for? What should alert them? And then the realisation dawned, that when we talked to them, they absorbed a few things here and there. They surely could not piece it together. We had do something different to create a lasting impression....while the thoughts flew back and forth, the idea of a dummy with all possible presentations of breast cancer came up. The dummy was acquired by the tireless efforts of Reva and what started as a thought began to take shape.We wanted the ladies to touch the dummy breasts, to feel what cancer may be like and to do it on their own selves. A pre lecture questionnaire followed by the lecture, a post lecture questionnaire and then a Touch Feel demo completed the workshop The results quite amazing... from ignorance to empowerment in a matter of an hour and a half- the duration of the workshop. We are on a roll after the stupendous success of yesterday’s program where the Touch Feel and Do Workshop was formally launched with the blessings of BK Sister Shivani. We have done 10 and with more doctors and volunteers joining us, we hope to complete 30 this year. With the kind of love and support we are receiving, there is no stopping us now! A big hug to the Crusaders who made this happen- Nidhi Agarwal, Reva Kumar, Meenu Madan, Dr Swasti, Dr Neerja Gupta, Dr Mallika Agarwal, Dr Smriti Neha, Ms Payal, Vijayaji, Ruby, Saloni, Anju, Kalpana, Shivani, Smita, and the young Turks Navya, Ansh and all the volunteers .....you have every reason to be proud of yourself!💖 Jaadoo ki jhappi for the unsung heroes who work selflessly for the cause- Karuna, Esther, Deepta, Rituparna, Archanaji and Mrs Solanki. You help us dream bigger!💖 A big thank you to all those who attended the program and believed in us!
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