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Renowned Breast Oncoplastic Surgeon in Mumbai

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and health by Dr. Sridevi Murali-Nanavati

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FAQs on Breast Cancer Surgery & Breast Diseases

Answers to Common Questions About Breast Health and Treatment by Dr. Sridevi Murali-Nanavati

1. What is breast cancer?
The breast is made up of lobules , ducts and fatty tissue (stroma). When breast cells start dividing and growing without any control, breast cancer occurs.
2. What are the common signs and symptoms of breast cancer?
Usually, there is no pain or symptoms associated with the early stages of breast cancer. But breast cancer may present as any of the following signs or symptoms:
  •  A lump or change of overlying skin in or near the breast or in the underarm
  • Change in the size or shape of the breast
  • Blood or unusual nipple discharge
  • Nipple retraction (nipple turned inward into the breast) or nipple ulceration
  • Red angry looking swollen breast
Please do consult a breast surgeon  if you have any of the above-mentioned signs or symptoms
3. How is breast cancer diagnosed?

Breast cancer diagnosis involves a combination of tests known as the Triple Assessment, which includes:

  • Clinical examination: A physical exam by a doctor.
  • Imaging: Mammography, ultrasound, or MRI.
  • Biopsy: Core needle biopsy or vacuum-assisted biopsy to confirm the diagnosis.
4. What types of surgeries are available for breast cancer?
Surgical options include: Lumpectomy (removal of only the cancerous cells with a safe margin of normal tissue).
  • The patient if not keen on saving her breast can undergo a Mastectomy (removal of entire breast).
Reconstructive surgery: Breast reconstruction to restore the breast shape, either using implants or the patient’s tissue.
5. What is the role of a breast surgeon in cancer treatment?
A breast surgeon specializes in diagnosis and surgical management of breast cancer. They also coordinate with a multidisciplinary team of oncologists, radiologists, and plastic surgeons for comprehensive treatment and follow-up care.
6. How does breast reconstruction surgery work?
Breast reconstruction can be done at the same time as the mastectomy (immediate reconstruction) or at a later date (delayed reconstruction). The breast surgeon may use implants or tissue from other parts of your body to recreate the breast.
7. What is Lipomodelling, and how does it help?
Lipomodelling, or fat grafting, is a technique where fat is transferred from one area of the body to the breast. It is used after breast cancer surgery to enhance cosmetic outcomes and improve breast contour.
8. What should I expect during recovery after breast cancer surgery?
Recovery time varies based on the type of surgery. After breast-conserving surgery or mastectomy, most patients resume normal activities within 1-2 weeks. After reconstruction, recovery may take few weeks, with guidelines for caring for the surgical site, managing discomfort, and gradually returning to daily activities.
9. Is breast cancer surgery safe?
Breast cancer surgery is generally considered safe, but like all surgeries, it carries some potential risks such as infection, bleeding, or complications related to anaesthesia. However, these risks are relatively low. Your surgeon will discuss any specific risks with you, taking into account your overall health and any pre-existing conditions or comorbidities that may increase the likelihood of complications. Comprehensive pre-surgical evaluations and modern surgical techniques help minimize these risks.
10. How do I prepare for breast surgery?
Your surgeon will provide specific pre-surgical instructions, which may include medical evaluations, stopping certain medications, and fasting. Be sure to bring all your films and reports on the day of surgery. (Details in the patient education tab)
11. Will I need additional treatment after surgery?
Depending on the cancer stage and type, additional treatments such as chemotherapy, radiation therapy, or hormone therapy may be recommended to reduce the risk of recurrence.
12. How often should I have follow-up visits after breast cancer surgery?
Typically, you’ll need to see your doctor every 6 months for the first 5 years, then annually for the next 5 years, and every 2 years after that. Your doctor may adjust this schedule based on your individual case.
13. What can I do to lower my risk of breast cancer?
Risk-reducing strategies include maintaining a healthy lifestyle, regular exercise, limiting alcohol intake, and keeping a healthy weight. Regular breast screenings are essential for early detection, especially if you have a family history of breast cancer.
14. How does breast cancer affect fertility and pregnancy?
Some breast cancer treatments can affect fertility. If you are concerned about future pregnancy, discuss fertility preservation options with your healthcare team before starting treatment. Pregnant women with breast cancer can receive treatment, but options depend on the pregnancy stage and cancer type.
15. What support is available for breast cancer patients?
Emotional and psychological support is vital during breast cancer treatment. Many healthcare facilities offer access to support groups, counselling, and survivorship programs to help you navigate the journey.
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