Breast Cancer Treatment & Surgery in India to fight Cancer with you. Contact Surgery Tours India to know Cost of Breast Cancer Treatment in India, Benefits of Cancer India & more.
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Overview
Breast cancer is the most leading and life threatening cancer originating in breast tissue that affects most women worldwide. It is the principle cause of mortality in the women across the world. Breast cancer in its early stage is very difficult to diagnose as it does not cause any symptoms and usually the pain and discomfort in breast is absent.
Any of the following changes in the breast may indicate the risk of presence of breast cancer:
- Changes in the skin over the breast or skin dimpling
- Change in size and shape of the breast
- Lump in the breast or axilla
- Nipple abnormalities like nipple inversion and skin changes
- Blood stained single duct discharge
- Breast cancer like other cancers can spread and invade in the adjacent breast and it also has a tendency to spread and grow in other different parts of the body through metastasis. Breast cancer is considered as the second leading cause of death in women in their 30s and 50s.
What is Breast Cancer?
The term breast cancer refers to a malignant tumor that has developed from cells in the breast. The breast is composed of two main types of tissues: glandular tissues and stromal (supporting) tissues. Glandular tissues house the milk-producing glands (lobules) and the ducts (the milk passages) while stromal tissues include fatty and fibrous connective tissues of the breast. The breast is also made up of lymphatic tissue-immune system tissue that removes cellular fluids and waste.
There are several types of tumors that may develop within different areas of the breast. Most tumors are the result of benign (non-cancerous) changes within the breast. For example, fibrocystic change is a non-cancerous condition in which women develop cysts (accumulated packets of fluid), fibrosis (formation of scar-like connective tissue), lumpiness, areas of thickening, tenderness, or breast pain.
There are several types of tumors that may develop within different areas of the breast. Most tumors are the result of benign (non-cancerous) changes within the breast. For example, fibrocystic change is a non-cancerous condition in which women develop cysts (accumulated packets of fluid), fibrosis (formation of scar-like connective tissue), lumpiness, areas of thickening, tenderness, or breast pain.
Stages of Breast Cancer:
Stage 0: disease is localised to milk ducts
Stage 1: cancer is less than 2 inches in size and is not spread anywhere with no involvement of lymph nodes
Stage 2: cancer is;
- Less than 2 cm and spread to the axillary lymph nodes.
- Between 2-5 cm with or without spreading to lymph node.
- Larger than 5 cm and has not spread to axillary lymph nodes.
Stage 3: cancer at this stage is called as locally advanced breast cancer. Tumour is of any size and has spread to lymph nodes (stage 3A), spread to skin, chest wall or internal mammary lymph nodes that are located beneath the breast (stage 3B)
Stage 4: cancer is defined as tumour irrespective of size that has spread to other areas away from breast like bones, liver, lungs or brain.
Breast Cancer Risk factors
A risk factor is anything that makes it more likely you'll get a particular disease. Some risk factors, such as your age, sex and family history, can't be changed, whereas others, including weight, smoking and a poor diet, are under your control.
Other factors that may make you more susceptible to breast cancer include : -
Age: Your chances of developing breast cancer increase with age. Close to 80 percent of breast cancers occur in women older than age 50. In your 30s, you have a one in 233 chance of developing breast cancer. By age 85, your chance is one in eight.
A personal history of breast cancer: If you've had breast cancer in one breast, you have an increased risk of developing cancer in the other breast.
Family history: If you have a mother, sister or daughter with breast or ovarian cancer or both, or a male relative with breast cancer, you have a greater chance of also developing breast cancer.
Genetic predisposition: Between 5 percent and 10 percent of breast cancers are inherited.
Radiation exposure: If you received radiation treatments to your chest as a child or young adult, you're more likely to develop breast cancer later in life. Your risk is greatest if you received radiation as an adolescent during breast development.
Excess weight: The relationship between excess weight and breast cancer is complex. In general, weighing more than is healthy increases your risk, particularly if you gained the weight as an adolescent. But risk is even greater if you put the weight on after menopause. Your risk also is greater if you have more body fat in the upper part of your body.
Early onset of menstrual cycles: If you got your period at a young age, especially before age 12, you may have a greater likelihood of developing breast cancer. Experts attribute this risk to the early exposure of the breast tissue to estrogen.
Late menopause: If you enter menopause after age 55, you're more likely to develop breast cancer. Experts attribute this to the prolonged exposure of the breast tissue to estrogen.
First pregnancy at older age: If your first full-term pregnancy occurs after age 30, or you never become pregnant, you have a greater chance of developing breast cancer. Although it's not entirely clear why, an early first pregnancy may protect breast tissue from developing genetic mutations that result from estrogen exposure.
Race: White women are more likely to develop breast cancer than black.
Hormone therapy: Treating menopausal symptoms with the hormone combination of estrogen and progesterone for four or more years increases your risk of breast cancer.
Birth control pills: Use of birth control pills is associated with an increased risk of breast cancer in premenopausal women. The risk seems to be greater for women who use birth control pills for four or more years before their first full-term pregnancy.
Smoking: Evidence is mixed on the relationship between smoking and breast cancer risk. Some studies show no link between cigarette smoking and exposure to secondhand smoke and breast cancer.
Excessive use of alcohol: Women who drink more than one alcoholic beverage a day have about a 20 percent greater risk of breast cancer than do women who don't drink. To reduce your breast cancer risk, limit alcohol to no more than one drink daily.
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Diagnosis of Breast Cancer
Treatment decisions depend on these findings. The first step in the work-up of breast disease is usually a physical exam by a doctor or nurse practitioner. Mammography and ultrasound may be important additions to the physical examination. On the basis of these evaluations, the decision may be made to confirm a clinical impression with a tissue biopsy.
Imaging for Breast Cancer: Imaging is an important component used to diagnose breast cancer and to evaluate the stage and extent of disease in breast cancer patients
Screening Mammography: A mammogram is a low-dose X-ray of the breast. This is the best test we have to screen women for breast cancer. A Screening Mammogram consists of two "pictures" of each breast. If an area on the mammogram looks suspicious or is not clear, additional mammograms with different views may be needed. Annual screening mammography is recommended for all women over 40 years old.
Diagnostic Mammography: This is a mammogram used for problem-solving, rather than for screening. For instance, if a patient has a lump in her breast, a directed investigation of that area is performed. This is also done when a particular finding in the breast is being followed over time. A diagnostic mammogram is tailored to the patient's case and is carefully monitored by a radiologist, who interprets the images and determines whether there is any need for further tests.
Ultrasonography: Using high-frequency sound waves, ultrasonography can often show whether a lump is solid or filled with fluid. This exam may be used along with Diagnostic Mammography or MRI to answer questions about a specific area of the breast. Because it uses sound waves instead of X-Rays, ultrasound provides information that is different and often complementary to the mammogram.
Breast MRI: Magnetic resonance imaging (MRI) can be used to look specifically at the breast. Each exam produces hundreds of images of the breast, cross-sectional in all three directions (side-to-side, top-to-bottom, front-to-back), which are then read by a radiologist. It is non-invasive and no radioactivity is involved. The technique is believed to have no health hazards in general.
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Treatment Options for Breast Cancer
In recent years, there has been an explosion of life-saving treatment advances against breast cancer, bringing new hope and excitement. Instead of only one or two options, today there's an overwhelming menu of treatment choices that fight the complex mix of cells in each individual cancer. Your doctor determines your breast cancer treatment options based on your type of breast cancer, its stage, whether the cancer cells are sensitive to hormones, your overall health and your own preferences.
Six types of standard breast cancer treatment used are:
- Surgery
- Radiation Therapy
- Chemotherapy
- Hormone Therapy
- Targeted Therapy
- Sentinel lymph node biopsy followed by surgery
Biopsy for Breast Cancer
One way to find out if a breast lump or abnormal tissue is cancer is by having a biopsy. During a biopsy, a surgeon, a pathologist or a radiologist removes a portion or all of the suspicious tissue. The suspicious tissue is examined under a microscope by a pathologist who checks for cancer cells and makes the diagnosis. The following are different types of biopsies as well as how you can best prepare yourself for each of them. The following are different types of biopsies.
Fine Needle Aspiration (FNA) Biopsy: FNA samples a woman's lump using a thin small needle that leaves a mark no bigger than a needle stick from a blood test. FNA often allows us to diagnose a lump within two to three days
Stereotactic Core Biopsy: This procedure was developed as a less invasive way to obtain tissue samples for diagnosis. It involves removing tissue with a biopsy needle while your breast is compressed in a way similar to a mammogram. This biopsy requires less recovery time than surgery and causes no significant scarring
Needle (Wire) Localization Biopsy: This type of biopsy involves the use of a needle and wire to locate the abnormal tissue and surgery to remove it. Needle localization is performed when you have an abnormality on a mammogram that cannot be felt. It is an outpatient biopsy that is done in two steps on the same day.
Preparation for Breast Cancer Surgery
Preparing for surgery can be an immensely stressful time. You can try the following tips given as under:
- Meet with your surgeon to discuss how the surgery will be performed, how long it will take to heal and what treatment may be required after surgery. Obtain a second opinion. It is not unusual to seek a second opinion, and may be necessary for your insurance carrier. The second surgeon may confirm the advice you have already received, or you may be given a different option.
- Ask questions. Learn as much as you can about breast cancer in general and your particular situation. Ask the stage of your cancer and what that means in terms of treatment options, side effects and recurrence of the cancer. Discuss the benefits and risk of breast-sparing surgery (lumpectomy) or total removal of the breast (mastectomy). Ask your surgeon's advice on removing your unaffected breast in anticipation of a second tumor.
- Explore your options for breast reconstruction before your surgery, if you choose to have a mastectomy. It may be difficult to think beyond removal of the tumor, but reconstruction is an important component of emotional healing for some women. Ask how the breast reconstruction will be performed and the expected length of the recovery period.
Candidates
If you have been suffering mentioned symptoms, and if the reports of your laboratory tests are indicating the signs of breast cancer or if you are diagnosed with the breast cancer, then you should undergo the treatment at the earliest.
Procedure
- Breast removal surgery or mastectomy is commonly performed surgery for treating breast cancer which is followed either by radiation therapy or chemotherapy depending upon the type and extent of the disease. The patient may opt for breast reconstruction surgery immediately after mastectomy or can do it after few weeks or months.
- Mastectomy is performed under general anaesthesia. The duration of the surgery depends on the type of mastectomy to be done, but usually takes 2-3 hours.
- The surgery is done under general anesthesia. As soon as the anaesthesia starts taking its effect, with all aseptic precautions, surgeon will make an incision in shape of ellipse around the breast. The breast tissue with or without the lymph nodes is removed which depending on the type of procedure. But irrespective of the type of mastectomy being performed, small part of the removed breast tissue and nodes are sent to the laboratory for analysis.
- The incisions are sutured and the draining tube is placed in the chest area to drain the fluids accumulated after the surgery. The patient is moved to recovery room for observation. The tubes are removed once the fluids are drained completely and then the patient is discharged.
Recovery
After the surgery, the patient is shifted to recovery room where she will be under observation until awake. 1-2 days of hospitalization is required after the surgery. However, less extensive surgeries like breast conserving surgery needs a short stay. There might be some pain and pinching sensation in the axillary region which will go off gradually. The patient is given instructions on self-care from the health care team.
One can resume daily activities within a period of 2 weeks after breast conservation surgery. However, following total mastectomy, complete recovery takes around 4 weeks. Recovery time is further extended if the patient choose reconstruction surgery as well.
Most women feel the skin of chest or axilla little tight and stiff for some time, but these things improve as the time passes.
Expected Results
The results of breast cancer surgery depend upon the stage of the disease. If detected early, breast cancer can be completely treated and one can lead a normal life after breast cancer treatment in India.
Time
The time required for breast cancer treatment in India depends on the stage and type of surgery chosen. If only surgery is required, about 2 weeks stay in India is enough. However, for chemotherapy and radiotherapy several weeks are required.
Cost of Breast Cancer Treatment in India
At Surgery Tours India we recognize the significance of excellent health and well-being of our guests and hence our objective is to provide best treatment for breast cancer in India at honest affordable prices. A preferred association with best hospital for breast cancer treatment in India and top surgeons in India helps us advise
- Best treatment for breast cancer in India
- Most affordable cost of breast cancer surgery in India
The cost of breast cancer surgery in India varies with the type of procedure chosen, your medical condition, surgeon, city and the facility where you choose to get the treatment done.
An individually allocated case manager takes personalized interest to design a tailor made treatment plan for every guest and will provide with a specific time and cost of breast cancer treatment in India.
Medical history and diagnostic reports may be sent to care@surgerytoursindia.com for an early response from the case managers.
Surgery Tours India Cares
We encourage you to educate yourself about breast cancer surgery in India, benefits from the right kind of procedure and then make an informed decision.
Surgery Tours India thus invites you for a free consultation with chosen best hospital for breast cancer treatment in India and top surgeons for breast cancer in India and assures you hassle free arrangements for examinations, procedures, recovery, travel and stay in India.
You can be rest assured that with Surgery Tours India's expertise, we bring in a wonderful experience of medical tourism in India, which we have been doing so for almost a decade now.
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Thanks for such a helpful details. If you are looking for breast cancer specialist in mumbai, india then i would recommend Dr. Nikhilesh Borkar who is the best doctor for breast cancer in india.
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