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...SURGERY FOR BREAST CANCER IS NOT ABOUT REMOVING BREASTS, ALWAYS…(contd.) The treatment of breast cancer has undergone major improvements and this has been reflected in how the outcomes have changed dramatically for the better. While curing the disease is a priority, maintaining quality of life is as important. The journey that has been covered before us is no less fascinating and the constant endeavor to make it better for the patient has driven the change. Mutilating surgeries in the form of amputation of the breast and then radical mastectomy (removal of the breast, muscles of the chest and the lymph nodes in the armpit ) or the extended radical mastectomy( same as radical mastectomy but with the additional removal of lymph nodes inside the chest) remained in vogue for a larger part of the 20th century. ...to be continued.....More history in the next update
Delhi Breast Oncology Group will meet formally tomorrow and will hold its first CME at Max Hospital Patparganj, Delhi. I have had the pleasure of putting together a group which has been the dream of many like minded people.Tomorrow, there will be discussions on the formal structure of this group. We will meet on the first saturday of every 2nd month in all partnering institutes in alphabetical order. I will post the case discussions here. More from me tomorrow. For further details-please contact Dr Geeta Kadayaprath, Head, Breast Surgical Oncology, Max Cancer Centre, Patparganj, Delhi
Today, the first Delhi Breast Oncology Group (DBOG) CME was held in Max Patparganj, Delhi. There is a palpable enthusiasm in the creation of this group which will be one of the subspecialty arms of the Oncology Forum. The meeting started with myself introducing the proposed functional unit of DBOG. The proposal was to have coordinators for various tasks assisted by committees.There will be stock taking at each CME to be held on the first saturday, every two months. The Secretary will coordinate the pre-CME meetings at each of the CMEs. The CME itself was an academic feast with 3 case discussions and review of literature relevant to each topic. Dr Vineeta Goel, Radiation Oncologist at Max Cancer Centre, Patparganj, presented the relevance of radiation in 1-3 positive axillary nodes. Dr Randeep Singh, Medical Oncologist at Max Cancer Centre, Patparganj, presented a case of metastatic triple positive breast cancer and the current treatment options and Dr Rohan Khandelwal, Breast Surgeon at Max Cancer Centre, Saket presented a case of Triple negative breast cancer and brought in Dr Amit Verma, Genetic consultant, to unravel the rogue pathways involved in Triple negative breast cancer. The meeting ended with Dr Vaishali Zamre, Senior Consultant, Surgical Oncology, Action Balaji Hospital, Delhi, accepting the responsibility of holding the next meeting at Action Balaji Hospital. The presence of 80 attendees at this CME was a reaffirmation of the fact that like minded people need to work together to achieve larger goals.A beginning has been made.....and there is a lot to do to make big strides in the right direction. I thank all the participants for being part of this endeavor and hope to see you all on 7th March, 2015 at Action Balaji. For further details, please contact Dr Geeta Kadayaprath, Head, Breast Surgical Oncology, Max Cancer Centre, Patparganj Delhi
Does cancer give you a new lease of life? Today, a patient, Mrs Sharma (name changed), I had treated 2 years back, came for follow up to my clinic with her very beautiful and supportive daughter.When I saw her two years ago, I was taken aback by the fact that an educated lady like her had ignored a lump in the breast completely to let it grow to the size she came to me with. Big it was....ulcerated, infected and bleeding. She had large lymph nodes in her armpit.She was weak and it made me wonder if it was the anemia due to chronic blood loss from the breast cancer or spread of disease to other organs which was contributing to this. I was almost certain she would have spread to other organs. Fortunately for her, her PET CT did not show spread to the other organs.The lady was amazing....she knew she was in big trouble, but she was most cheerful and accepting. She was dealing with a lot in life already....a husband confined to bed for two years prior to her diagnosis and a son who had lost his bearings.I knew then her reason for self neglect. She went through the entire treatment, cheerfully and recovered. She went back to looking after her ill husband till he passed away a few months back. Today she surprised me. She looked well.....and I thought a bit relieved.I examined her, went through her reports ....she was absolutely fine. She was her happy self. She dug out a packet from her bag and gave it to me.She said she had made that bag and told me how she had started this NGO to support women in Haryana. They made the bags according to her specifications.... Beautiful bag! She was putting her talent to good use and just talking about it lit up her face.Mrs Sharma had rediscovered herself and will soon embark on fulfilling yet another dream -to paint and hold an exhibition.And then she is off to Canada to meet her friend of 50 years.Wow!!I can only salute her resilience! I want her to know, she really made me proud!! For more details, please contact Dr Geeta Kadayaprath, Head Breast Surgical Oncology, Max Cancer Centre, Patparganj, Delhi, India
WHO TREATS BREAST CANCER? It is not unusual to see patients visiting their gynecologists/obstetricians with a breast complaint before they are guided to a breast surgeon or specialist.While Germany is one of very few countries where gynecologists deal with breast diseases as well as gynecological diseases, breast diseases are treated by surgeons in India. Breast cancer needs to be detected early to get the best of results and any suspicious lump should be brought to the notice of a breast cancer specialist at the earliest. For further details, please contact Dr Geeta Kadayaprath, Head, Breast Cancer Services, Max Hospital, Patparganj.
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