Our multidisciplinary team of national and international oncologists offers a personalised treatment plan to patients diagnosed with breast cancer. Some of the advanced treatment options we offer include:
• Surgical Process: Surgery is performed by the experts to remove the cancer tumour from the affected part. There are two types of surgeries performed for breast cancer:
o Mastectomy: To remove the whole breast along with the removal of axillary lymph nodes.
o Breast Conservation Surgery: To remove the tumour with surrounding healthy breast tissues with removal of axillary lymph nodes.
o Sentinel Node Biopsy: This procedure is done for decreasing the extent of surgery in the axilla which is oncologically safe and also decreases the chances of lymph oedema after breast cancer surgery. It is performed in selected cases, where clinically and radiologically axillary lymph nodes (located in armpits) are not involved. In this procedure, only limited lymph nodes at the lower level are selectively removed. It is performed by using Radioisotopes, gamma camera and probe.
o Oncoplastic surgeries: These array of procedures are done keeping in mind that breast conservation is now possible in suitable cases even if the tumours are big. The surgeons reconstruct the part of the breast using perforators flap harvested from the fat around the breast or from the patients back. These procedures are done keeping the oncological safety at the top prority and also help the patients have cosmetically acceptable breasts after cancer surgeries. They can be combined with symmetrisation procedure of the opposite breast.
o Microsurgical Breast Reconstruction It is an advanced surgical procedure after removal of the part or whole of a breast for cancer, it involves transferring of tissue (skin and fat) from the normal part of the patient’s body to the chest for reconstruction. This transplant process requires the use of a microscope to connect small blood vessels. The surgeon during the surgery takes skin, fat, and muscle from the patient’s own body to create a new breast mound and reconstruct the breast.
• Radiation Therapy: Radiation therapy is a very important tool used in the fight against cancer and the treatment of as many as 50% of all cancer patients. Radiation therapy is given post-operatively and after completion of all chemotherapy for local control and control of distant metastases. Radiation therapy is also given in metastatic breast cancer at the site of bony mets and it helps in getting good pain control in painful bony mets. Radiation therapy is a safe & effective procedure where radioactive isotopes or high-energy photons, electrons or other particles are used to destroy the cancer cells. There are two types of radiation.
- o External Beam Radiotherapy (EBRT)
- o Brachytherapy or interstitial (HDR)
Radiation Oncologist is the specialised doctor for this treatment. Radiotherapy regimens or schedules and protocols are specific for different tumours and hence the time for treatment differs from case to case.
• Hormone Therapy: Hormone therapy is a treatment that uses medicines to slow down or stop the growth of hormone-dependent cancer, it is because certain cancers have hormone receptors on them, and hence they can safely control cancer and give the quality of life with minimal side-effects. Hormone therapy is often offered after surgery to reduce the risk of cancer recurrence . It is can also be used before surgery in certain large cancers to downsize the tumour burden. Hormone therapy can also be used to treat cancer that has come back or has spread to other parts of the body.
• Chemotherapy: Treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Chemotherapy is usually given to a patient through injection, or infusion, and rarely by mouth depending on the type and stage of the cancer being treated. We offer tailored protocols of chemotherapy as per the specific patients need, tolerability and type of cancer. Along with chemotherapy we also give medications to keep the side effects of the chemotherapeutic agents to the minimum. We also try to maximise day-care chemotherapy to allow our patients to carry out their daily lifestyle activities with ease.
• Targeted Therapy: Targeted therapy works by targeting the cancer’s specific genes, proteins, or the tissue environment that contributes to cancer growth and survival. These genes and proteins are found in cancer cells or cells related to cancer growth, Hence it does not affect other tissues. Targeted therapy is used by itself or along with chemotherapy and immunotherapy. These agents have shown to give results as good as and sometimes better than chemotherapy with minimal side effects.
• Immunotherapy: Cancer immunotherapy is the artificial stimulation of the immune system to treat cancer, improving the immune system's natural ability to fight cancer. It is considered as a fundamental application of the research of cancer immunology and is a growing subspeciality of oncology. The current use of immunotherapy is restricted to certain breast cancers that do not have any receptor positivity.
• Dynamic Compression Therapy: Dynamic compression therapy an advanced form of inflatable compression therapy is being provided at Nanavati Max Super Speciality Hospital which reduced the lymph oedema significantly in most cases.