Breast Cancer – Facts & Figures (Hindi Video)

Breast Cancer is now the most common cancer amongst Indian women. Approximately 1 in 22 Indian women suffer from this disease during their lifetime. A high incidence has also been noticed in parts of North India like Gurgaon, Delhi NCR, Punjab.

Breast cancer is curable if defected early. If breast cancer is detected at an early stage, another advantage is that mastectomy or full removal of the breast might not be required.

In this patient education video, Dr. Rohan Khandelwal (Breast Cancer Surgeon in Delhi NCR) talks about some common facts and figures regarding Breast cancer in India. In this Hindi video, he talks in detail about the risk factors and the best way to detect this disease at an early stage.

It is important to realise that the most common presentation of breast cancer is in the form of a painless lump in the breast (not painful).

If you have any further queries regarding breast cancer, please reach out to

Dr. Rohan Khandelwal

Breast Cancer Surgeon, CK Birla Hospital for Women

+91 79-88252759

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.

Greenish Nipple Discharge

 

 

 

Nipple discharge is a common problem with which ladies present to our Breast Clinic. Nipple discharge can be of many types ranging from clear fluid to frank blood.

Greenish nipple discharge is commonly seen in ladies between the ages of 40-55 years. It is common in ladies who smoke and those are suffering from diabetes.

Breast Cancer should be ruled out in all these patients by doing a triple assessment, i.e. clinical examination, imaging & biopsy. Once cancer has been ruled out, patient should be re-assured and if there is any inflammation, antibiotics can be given. In case of persistent discharge and a lump, the implicated ducts can be surgically removed.

 

 

Don’t ignore a lump in the breast, it could be breast cancer!

 

Breast cancer is the most common cancer among Indian women now. The most common presentation of this condition is in the form of a painless lump in the breast. Early diagnosis of this dreaded condition can lead to complete cure. So, don’t ignore a lump in the breast as it could be cancer.

 

A salute to the real heroes 

Surviving cancer is not the end of a gruesome story but the beginning of a beautiful one. A big salute to all the cancer Conquerors out there. #cancersurvivorsday #cancerconquerors #breastcancer 

Changes in 8th AJCC Classification of Breast Cancer

Recently, the eighth edition of the TNM classification of AJCC (American Joint Commission of Cancer) was released. This had a few notable changes from the 7th edition, which have been highlighted below:

  • Immunohistochemically detected tumor markers (ER, PR, HER 2 neu) that are known to have great practical treatment importance are now incorporated into the staging system to refine prognosis of breast cancer
  • The eighth edition of the staging system also uses genomic assays (Oncotype Dx, Mammaprint, PAM 50) when available to downstage some estrogen receptor-positive, lymph node-negative tumors.
  • Lobular carcinoma in situ is removed from the staging system because it is not a malignancy but a risk factor. It is no longer considered Tis.
  • The expert panel clarified that the postneoadjuvant therapy pathological T category (ypT) is based on the largest focus of residual tumor, if present. Treatment-related fibrosis adjacent to residual invasive carcinoma is not included in the ypT maximum dimension.

 

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Axillary Lymph Node Biopsy

Axillary Lymph node (underarm gland) enlargement is a common problem among Indian women.

Patient usually present with complaints of pain in the armpit and/or lumps in the underarm area.

Majority of the times these lumps are reactive in nature, that means they enlarge due to non specific causes like mild hair follicle infection, which can occur after shaving or waxing of hair.

On the other hand, these glands can also become enlarged due to:

  1. Infections like tuberculosis, which can be associated with weight loss & fever
  2. Cancers – commonest cancer which gives rise to underarm nodes is breast cancer. Axillary lymph nodes are the first point of spread from breast cancer.

 

An ultrasound can confirm the diagnosis of axillary lymph node enlargement and if these glands do not resolve after a course of antibiotics, they require a FNAC (fine needle aspiration cytology or in simple terms a ‘needle test’).

If FNAC is inconclusive, then an axillary lymph node biopsy is required to confirm the diagnosis. Axillary lymph node biopsy is a minor procedure, which can be performed as a day care surgery.

 

If you or anyone whom you know has underarm pain or lumps, it is best to get yourself examined by a surgeon.

 

 

Information provided by:

Dr. Rohan Khandelwal

Breast Cancer Surgeon

W Pratiksha Hospital

Gurgaon