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For many types of breast cancer, the most effective treatment has been surgery followed by chemotherapy. But how quickly patients should undergo chemotherapy has always been an open question. Dr. Geeta Kadayaprath - Best Breast Oncologist in Delhi
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SURGERY FOR BREAST CANCER IS NOT ABOUT REMOVING BREASTS, ALWAYS… In the 1960’s, the conviction that breast cancer was a systemic disease at inception and not a local disease, prompted trials to address one question- ‘Are we doing too much?’ Radical mastectomy was replaced by modified radical mastectomy- a procedure not as mutilating as radical mastectomy ( the chest muscles were preserved)but still one, which involved loss of an organ. Moreover, to a woman, it meant much more than the loss of an organ. It probably entailed a huge psychological blow besides casting a shadow on her feminity. She, being the woman she was, in those days, came to terms with this loss, in the best manner possible. All that mattered to her was her getting well, on her feet and ready to discharge the duties of a wife, mother, daughter and more. And there was really no choice then because the doctors treating her were also convinced that sacrificing the breast was the only chance of getting well. More tomorrow.....on Evolution of treatment
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SURGERY FOR BREAST CANCER IS NOT ABOUT REMOVING BREASTS, ALWAYS… While all this continued as the standard of care for the first 65 years of the 20th century, some smart minds in the medical field started questioning the necessity of performing such radical surgeries to get optimum results. Trials got underway to compare mastectomy versus breast conservation surgery in the 1970s. A pathologist turned surgeon, Dr Umberto Veronesi, pioneered the most convincing trial in Milan. He was able to show that breast conservation surgery (removal of the lump with a surrounding 1 cm margin of normal breast tissue) followed by radiation therapy to the rest of the breast in properly selected patients yielded the same results as a complete removal of the breast. I am quite convinced that it is the pathologist in this surgeon who urged him to go for this trial. He had probably seen while looking at the breast as a pathologist that far too much was being done to address small cancers in the breast. Finally, women with breast cancer had a choice…. For more information on breast cancer, please contact Dr Geeta Kadayaprath, Breast Surgeon, Max Cancer Centre, Delhi, India
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How tough is the job of an oncologist? I am often asked this question and I have probably never admitted the whole truth. An oncologist is a strange amalgam of extremes of emotions....it is a never ending balancing act.While he or she has to create that environment of positivity to enable the patient to make the right choices for his/her treatment, without being overwhelmed by the side effects of treatment, he or she also has to ride the see saw of ups and downs that are likely to happen during the course of treatment with the patient. Being cheerful in the face of adversity yet remaining detached from the outcome of treatment is learnt painstakingly over years. The troubles don't end here. The oncologist is subject to scrutiny all the time....an innocuous expression could be read by the attendant or patient as despair or hopelessness, a phone call for another seriously ill patient could be extrapolated to one's own self by the patient across the table, a slight drop in the wattage of your smile could be interpreted as doomsday......and so on.It is a tough life but it becomes worth the effort when patients defy statistics, come back to meet you, year after year, treat you like a part of their extended family contributing to crucial personal decisions..... and threaten to outlive you! For more details, please contact Dr Geeta Kadayaprath, Head Breast Surgical Oncology, Max Cancer Centre, Patparganj, Delhi, India
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Cancer is often viewed as the end of the road in many ways, especially for the young afflicted with cancer. While the diagnosis of cancer, in itself, can be devastating for them, the consequences of treatment can actually push them further into a corner. One such situation arising out of treatment is infertility, a topic which was rarely broached with the young and old alike, till the recent past. With due care and sensitivity to these needs of the patients, it is possible to reverse a lot of wrong that treatment can bring in its wake! That brings me to the story of this young Champion I wish to share with you.The main protagonist of this story is a young Doctor diagnosed with breast cancer aged 26 years about 6 years ago. She was devastated! She was engaged to her sweetheart- a young Doctor training to be a surgeon. She was looking forward to a beautiful life when she was struck by breast cancer. This was more than what any girl her age could take. But she was different!She had spunk and was not willing to let go, of the life she had dreamt of. She soon collected herself to ask the right questions of her doctors. She wanted to preserve her fertility and after consulting an infertility specialist, had her ova preserved. She underwent treatment, thereafter and had breast conservation surgery followed by chemotherapy, radiation and 5 years of hormonal treatment, supported by her fiancé who stood by her like a rock.She was married to him soon after treatment. She is on follow up and all is well. The story doesn’t end here. She called me last week to share a piece of good news. She had given birth to a healthy baby boy two months ago. I was besides myself with joy and both of us laughed merrily over the phone. She came over two days ago with her bundle of joy cradled in her arms, her eyes overflowing with the selfless love of a mother. I could imagine what it meant to her. And this had happened naturally!! However bad the situation, life does turn up trumps on many occasions. These Champs give a new meaning to hope and I am wiser for it. If I am optimistic, you know where it comes from!! #health #breast cancer # breast conservation surgery #infertility #Max Hospital #Patparganj

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