CME on Best Practices in the management of Breast Cancer

The Breast Cancer Department of CK Birla headed by Dr. Rohan Khandelwal recently organised a CME on best practices in the management of Breast Cancer and Breast Lumps.

Dr. Rohan Khandelwal and his team discussed the latest surgeries in the management of breast cancer including breast Onco-plastic surgery and skin/ nipple sparing mastectomies with reconstruction.

Dr. Rohan Khandelwal

Breast Cancer/ Lump Surgeon is available at CK Birla Hospital, Gurugram everyday.

Lifestyle changes to manage cyclical breast pain (Mastalgia)

Breast pain is a common symptom with which patients come to the Breast Clinic. Although there are various causes of breast pain, the most common is fibrocystic diseases or fibroadenosis.

Fibroadenosis or fibrocystic disease leads to cyclical breast pain, which means that pain is maximum before the menstrual periods but reduces when the periods start. The intensity of pain can vary from patient to patient. In some patients the pain is so severe, that they need to take pain killers.

There are certain lifestyle changes and natural therapies which ladies can use to reduce their cyclical breast pain but they should only be tried once the doctor has confirmed the diagnosis and ruled out more serious conditions like inflammation and breast cancer. One should also maintain a pain diary to evaluate if the pain is reducing or increasing with time.

1. Weight reduction – this is specially useful for patients who have a high body mass index (BMI). A reduction or even 2-3 kg’s can lead to a dramatic improvement in breast pain

2. Cutting down on tea/ coffee – There is anecdotal evidence that reduction in caffeine intake, specially before the periods helps in the management of cyclical Mastalgia

3. Adequate breast support – wearing a well supported sports bra helps in reducing the pain, specially during walking/ running/ exercising. Underwired bra’s can sometimes aggravate the pain

4. Turmeric/ curcumin – many of my patients have benefitted with curcumin/ haldi/ turmeric for a period for 30-40 days. Patients have reported a 30-35% reduction in pain.

If your breast pain doesn’t settle down with these methods, please consult your doctor for further evaluation and treatment.

For further advise, please contact

Dr. Rohan Khandelwal

Breast Surgeon (Benign and Cancerous Breast Conditions)

Gurgaon

+91 79-88252759

The Breast Centre at CK Birla Hospital for Women

After successfully running a Breast Cancer unit for the last 5 years at Gurgaon, me and my team have taken up the challenge to set up another Breast Cancer unit at CK Birla Hospital for Women, Gurugram.

At the Breast Centre, we would be providing comprehensive breast services ranging from non cancerous to cancerous disorders. Everything from state of the art surgical facilities to an aesthetically designed chemotherapy lounge will be available under one roof.

For appointments, you can contact –

Shantanu – +91 79-88252759

or contact Dr. Rohan Khandelwal, Breast Cancer Surgeon in Gurgaon – rohankhandelwal@gmail.com

World Cancer Day 2018

On the occasion of #worldcancerday, I would like to share the picture of the youngest #breastcancer patient I have treated till now.

She is a 25 year old, mother of a 2 year old who came to me with a small breast lump which she picked up after reading a Hindi article on breast cancer.

Few things which I would like to highlight through this case:

1. Age at diagnosis is reducing. This was my third patient in the 20’s over the last 3 months. Majority of my breast cancer patients are in their 30’s.

So, if anyone you know is suffering from a breast lump, please get it checked.

2. Awareness is increasing, which is an excellent thing. I am seeing a lot of patients with stage 1 and 2 disease, which leads to better survival.

To help create more awareness, each one reading this post should tell one more person about breast cancer and it’s symptoms (painless breast lump, recent change in shape of the breast, bloody discharge from the nipple)

3. Another heartening point is the change in the society’s attitude towards these patients. Friends and family members are becoming more accommodating towards the needs of cancer patients.

Please share this message to create more awareness.

This message has been shared in public interest by Dr Rohan Khandelwal, who is a Breast Cancer Surgeon at Gurgaon / Delhi NCR

Types of Breast Cancer – Invasive vs Non invasive

Breast cancer is the most common cancer amongst Indian women. Majority of these cancers arise from the 15-20 ducts present in the breast. These cancers can be of two types, invasive and non invasive. These terms are often mentioned in the pathology report after the breast cancer surgeon does the biopsy. This simple patient information video explains these terms and their practical implications.

If the patient is diagnosed with an invasive cancer, then the patient often requires chemotherapy, whereas, if the patient has non invasive cancer (ductal carcinoma in situ), chemotherapy can be avoided.

To diagnose the type of breast cancer, a breast biopsy is required (tru-cut or core needle biopsy). FNAC (fine needle aspiration cytology) is not useful in distinguishing between the two types of cancers.

This information has been provided by Dr. Rohan Khandelwal, Breast Cancer Surgeon at W Pratiksha Hospital, Gurgaon & Delhi NCR.

Fibroadenoma – clinical presentation & surgery

Fibroadenomas are the most common cause of a breast lump, especially in young ladies. Due to increased awareness, more and more ladies are getting scans done, on which fibroadenomas are detected. In this video, I have explained the presentation and the surgical management of fibroadenomas in Hindi.

 

If these breast lumps are very small, they can be managed conservatively (without surgery) but if they are causing pain, increasing in size or there is a family history of cancer, it is best to get these lumps removed by a minor breast surgery.

As these lumps occur in young patients, it is important that the surgeon removes them without leaving a scar behind. In case you are detected with a breast lump, which is suggestive of a fibroadenoma, it is best to consult an expert breast surgeon, who is routinely performing such surgeries.

For more details regarding fibroadenoma surgery, please click here

 

Importance of Breast Cancer Support Groups

The incidence of breast cancer in India is increasing at an alarming rate and more and more ladies are being detected with this disease in their 30’s and 40’s. 

Breast cancer not only affects the physical appearance of the patient but also has a huge impact on their mental and psychological well being. In addition to the patient, the family also becomes part of the treatment.

Once patients finish their treatment, it is important for them to get back to their daily routine, so that they can keep their mind off the disease. Family, friends and strong support group play a huge role in this aspect of a breast cancer warrior’s journey.

To celebrate these warriors, we recently organised a support group meeting at W Pratiksha Hospital, Gurgaon, which was well attended by many breast cancer patients and their families.