Breast Cancer Treatment Completion

We don’t remember days, we remember moments

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It’s always a delightful moment to see the smile on a patient’s face, when they conquer breast cancer.

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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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The magic of a healthy doctor-patient relationship

The relationship between doctors and their patients has received philosophical and spiritual attention since the time of Hippocrates and still remains a keystone of care. But, unfortunately over the years, this special relationship has undergone a drastic transition. The onus for this actually lies on both the parties. On one hand, increasing number of litigations and the irrational use of social media has made the doctor fraternity more cautious while on the other, many patients claim that doctors treat them as consumers and the healing touch and warmth has gone.

Bobby Fischer once said “Nothing is so healing as the human touch”. As a doctor, it’s very important to counsel & interact with patients, so that their fears regarding the disease can be alleviated.

As a cancer surgeon, I feel that a healing touch is as important as a good surgical hand. Every doctor should make a sincere effort to strike a healthy relationship with their patients.

May the force be with you!!

 

 

 

(This was a card I recently received from one of may patient’s, whom I had treated for cancer)

Is it sexual harassment? 

Just got a very interesting message from a patient of mine:
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Should I call it sexual harassment ? Whenever I tell people I have breast cancer👙 they look at my breasts and keep guessing which one 🤔
While I do not bother to look at others kidney, prostate or rectum.

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These warriors are already battling this dreaded illness and they need our full support but the society just makes them more conscious of their disease.
Would love to know your views regarding this.

Gynaecomastia Surgery

Gynaecomastia or male breasts is a common cosmetic problem among young males. In majority of the patients no particular cause can be found for this condition.

Surgery for Gynaecomastia/ male boobs involves a combination of liposuction and excision of the gland using a small incision made below the nipple.

At our center, we perform a day care procedure in which the patient goes home the same day after surgery and is fit to resume his work from the next day.

A compression garment has to be worn after male boob surgery for at least 2-3 weeks and it helps in shaping of the tissue after surgery and prevents accumulation of fluid. 

Video uploaded by:

Dr. Rohan Khandelwal

Consultant, Breast Surgeon

W Pratiksha Hospital