Our multidisciplinary team of national and international oncologists offers a personalized treatment plan to patients diagnosed with breast cancer. Some of the advanced treatment options we offer include:
Surgery is performed by experts to remove the tumor from the breast and there are two types of surgeries for the primary tumor performed:
Mastectomy is the removal of the entire breast along with either removal of axillary lymph nodes or with sentinel node biopsy of axillary nodes
Breast Conservation Surgery:
Removal of the tumor alone with a safe rim of surrounding healthy breast tissues along with axillary surgery while conserving the breast.
Axillary Surgery :
Sentinel Node Biopsy:
Removal of a few lymph nodes in the armpits to confirm the presence of cancer. Prior to the procedure, a radio isotope is injected in the vicinity of the tumor to locate the sentinel lymph node a blue dye is also injected at the time of surgery to identify the first node to which the tumour drains. This procedure is oncologically safe and also decreases the chances of lymphedema after breast cancer surgery. It is performed in selected cases, where clinically and radiologically axillary lymph nodes (located in armpits) are not involved.
Complete removal of all axillary lymph nodes suspected of harbouring cancer cells.
This array of procedures is done keeping in mind that breast conservation is now possible in suitable cases even if the tumors are big. The surgeons reconstruct the part of the breast using a perforator flap harvested from the fat around the breast or from the patient's back. These procedures are oncologically safe while offering patients cosmetically acceptable breasts after cancer surgeries. They can be combined with symmetrisation procedure of the opposite breast.
Microsurgical Breast Reconstruction:
It is an advanced surgical procedure after the removal of the whole of a breast for cancer, it involves transferring tissue (skin and fat) from the normal part of the patient’s body to the chest for reconstruction. For those women who are unhappy with the idea of losing their breasts, this immediate breast reconstruction can help them wake up with a breast after surgery. A plastic surgeon is involved in this case and utilises the patient’s own tissue to create a breast form which closely matches the opposite breast and if required an artificial implant is also used. If the patient does not wish to get the breast reconstructed in the same sitting then she can delay reconstruction for about 1 to 2 years after completion of treatment.
Radiation therapy is given post-operatively and after completion of all chemotherapy for local control and to reduce the chances of distant metastases. Radiation therapy is also given in metastatic breast cancer at the site of bony mets and it provides pain control 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.
- External Beam Radiotherapy (EBRT)
- Brachytherapy or interstitial (HDR)
A Radiation Oncologist is a specialised doctor for this treatment. Radiotherapy regimens or schedules and protocols are specific for different tumors and hence the time for treatment differs from case to case.
For early breast cancer, it is now possible to offer radiation therapy only to the part of the breast that had the tumor. This can be done intraoperatively as well as postoperatively. The amount of radiation given and the time required to complete the treatment in these cases is less. This is called Accelerated Partial Breast Irradiation ( APBI).
Hormone therapy is a treatment that uses anti-hormone medication to slow down or stop the growth of hormone-positive (tumors that depend on oestrogen to grow) 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 can also be used before surgery in certain large cancers to downsize the tumor burden. Hormone therapy can also be used to treat cancer that has come back or has spread to other parts of the body. This treatment is available in tablet form to be taken once daily. In premenopausal women the drug used is Tamoxifen and in postmenopausal women, the drug bro used is an aromatase inhibitor(Anestrazole, letrozole, exemestane)
The treatment uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. It is given to lower the risk of cancer returning. 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 patient needs, 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 maximize day-care chemotherapy to allow our patients to carry out their daily lifestyle activities with ease. Sometimes chemotherapy can be given prior to surgery to shrink the size of the tumour in order to offer them The possibility of Breast conservation
Targeted therapy works by targeting 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 given to block the effect of these genes and proteins. Targeted therapy is used by itself or along with chemotherapy and immunotherapy. These agents have been shown to give results as good as and sometimes better than chemotherapy with minimal side effects.
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 a fundamental application of the research of cancer immunology and is a growing subspecialty of oncology. The current use of immunotherapy is restricted to certain breast cancers that do not have any receptor positivity.
Physiotherapy for Lymphoedema of the Affected Arm:
Dynamic compression physiotherapy an advanced form of inflatable compression therapy is being provided at Nanavati Max Super Speciality Hospital which reduced lymph oedema significantly in most cases.