Breast Cancer Surgery

Surgery is the primary modality of Breast Cancer Treatment. Surgical treatment has progressed from mutilating mastectomy to  conservative breast surgeries. We as Breast Specialist Doctors perceive the emotional challenges of complete breast removal. We excelled in the art of retaining breast while curing breast cancer.

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Mastectomy

This is a Traditional surgical management of breast cancer.

It consists of removal of the entire breast tissue, Nipple aerola complex along with significant portion of the breast skin. 

The chest becomes completely flat with a long horizontal incision.

The patient might experience a sense of defeminity and patients are given an option of immediate or delayed reconstruction of the breast using plastic surgical techniques.

For reconstruction, bodily tissues can be used in the form of Pedicled and micro vascular flaps or artificial implants could be placed under the breast skin to create a breast mound.

Mastectomy
Modern cancer therapeutics and multimodality approach can allow breast to be retained, while our expertise in oncoplasty can ensure aesthetically great looking breast following breast cancer surgery. We always say "No To Mastectomy".​
Ramesh Maturi
Ramesh Maturi
Breast Oncoplastic Expert

Our Breast Expert in News

Breast Conservation surgery

Breast Conservation Surgery -BCS

Breast Conservation Surgery is a method, where the tumor (cancer) in the breast is removed with a small margin of normal tissue. Rest of the breast retained. Axillary dissection ( Surgery in the armpit to evaluate the lymphnodes) is done through a separate incision.

Since no formal attempt is made to address the cosmetic aspect of the residual breast, many a time the final aesthetic result of the retained breast is far from reasonable.

Since the entire breast is not removed in this form of cancer surgery, all these patients who underwent BCS wound compulsorily undergo post operative radiation, which would further aggravate the aesthetic outcome.

The long term outcomes (Survivals) of this surgery (BCS)  in comparison to mastectomy is equally good. 

Breast Oncoplasty

A modern technique of offering Breast Conservation surgery for Breast Cancer.

Oncoplasty techniques allow removal of the tumor, and further allow the reconstruction of the breast using the residual breast tissue or by a flap.

This method results in an aesthetically pleasing breast that incidentally will also benifit from breast lift, which corrects the droop of aging.

WHy Oncoplasty

Breast Oncoplasty - Breast Conservation in Breast Cancer Treatment

Breast Exam

Consultation

History Taking, Examination, Biopsy

Breast ultrasound

Imaging

Ultrasound, Mammogram, MRI

Oncoplasty Planning

Surgical Planning

Aesthetic Options & Counselling

Results

Post Surgery Wound Care

Oncoplasty (BCS)

The most modern surgical offering in the management of Breast cancer is Oncoplasty.  (Oncological resection followed by plastic surgical reconstruction)

This is also a Breast Conservative surgery where, the cancer lump is removed with a margin of normal breast tissue while the rest of the breast tissue is retained.

Unlike the traditional BCS, the residual breast tissue is mobilised to reconstruct the Breast. The resulting breast would be a little smaller ( Vol Displacement) but breast lift would be achieved resulting in a superior looking younger breast.  So a correction of the opposite breast would be required if patient so desires to match the index breast.

The axillary surgery ( Arm pit surgery for lymph nodes) would be done through a separate incision.

Occasionally, when the breast is too small, tissue from other adjacent body would be mobilsed to fill the defect in the breast and reconstruct the breast. This is called Volume replacement method.

Volume Displacement

VOLUME DISPLACEMENT

Oncoplasty Planning

VOLUME REPLACEMENT

FAQ

Surgery for Breast Cancer, traditionally consists of Removal of the entire breast called, Mastectomy. Oncoplasty is a method to retain the breast while removing the cancer surgically.

Breast Conservation surgery is a form of cancer surgery for breast where entire breast is not removed, but just the tumuor with a good margin of normal tissue. Breast Oncoplasty is the newer and better method of Breast Conservation surgery .

Traditional Breast Conservation surgery aims at removal of the tumor tissue with adequate margin while there was not much focus on post surgical aesthetics. Hence, post operatively, breasts were significantly deformed causing emotional stress for these women.

There is enough data through several Meta analysis across various centres in the world, that long term followup and survivals are as good if not better with Breast Oncoplastic Surgery.

Breast oncoplasty is a new technique and unfortunately has not been offered across teaching institutes. Oncoplastic surgical techniques need specialised training and focussed planning. 

The standard treatment of breast cancer consists of Surgery, with Radiotherapy and Chemotherapy as indicated for each patient. So further treatments will be as usual,  as indicated by the  disease stage. Radiotherapy will be given to the entire residual breast.

The workup and investigations done to confirm and stage the disease are similar. Imaging investigations like MRI might be done for all patients to help in surgical planning.

Oncoplastic surgery is technically complicated than traditional breast surgery. Frozen section would be routinely done to ensure margins are clear before proceeding to reconstruct  the breast.All these steps would lead to increase the duration of the surgery.

An average stay of Oncoplastic surgery patient would last between 48hrs – 4 days. Discharge is predominantly dependent on the anaesthetist recommendations and the ability of the patient to take care of her self at home.

When breast conservation surgery is done for breast cancer, only a portion of the breast is lost and which needs to be reconstructed. Breast oncoplasty is a method of partial breast reconstruction. In oncoplastic techniques, a predominant attempt would be to reconstruct using the residual breast tissue.

Following partial resection (removal) of breast tissue, reconstruction of the breast is done using either residual breast tissue ( Volume Displacement technique) or bringing tissue from other parts of the patient body ( Volume Replacement).

Breast Cancer surgery is done by three methods: Mastectomy, BCS, Oncoplasty.  Of all these three Oncoplasty is the most expensive method, due to prolonged duration of surgery, complicated techniques used and involvement of plastic surgeon too.

All patients who have disease confined to breast and axilla, and in principle do not have multiple disease foci, unless they are all in the same quadrant of the breast. Further patient should be a non smoker and we generally discourage  for Diabetics unless under good control.

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