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It is kind of frightening when cancer does not fit into the rule book. Painless lump is the usual presentation in breast cancer. So, when a 31 year old walks into your clinic with an exquisitely tender lump and an ultrasound report proclaiming it to be an abscess in evolution, you are tempted to believe it. However the antenna that you nurture carefully with years of experience tells you otherwise..THIS IS JUST NOT RIGHT.....The tender lump, the tender round lymph node. A repeat ultrasound done by my radiologist colleague and a core biopsy confirm my worst fears.. I am dealing with cancer in this unsuspecting young lady. Breaks my heart but I have a job to do!
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A young lady of 35 years walked into my clinic with cancer phobia. Her mother had died at the age of 45 from breast cancer. She said, ” My mom was diagnosed in Stage 4 and she never had a lump in the breast. All that was there to see was that her nipple had been pulled in.” I examined her, got an ultrasound of the breast done and she is fine. While a breast lump is the commonest symptom of breast cancer, a nipple pulled in could also be a harbinger of breast cancer. Under the nipple, is hardest to feel for a lump. However, when the nipple sinks in, it may mean that there is this sinister lump sitting beneath it and pulling it towards it. If this has happened recently, you certainly need to visit a Breast Surgeon!
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The alarms go off when one sees breast cancer happening in young women. We analysed our data at Max Patparganj and found that 12.9% of 511 patients operated in the last 3 years were under 40 years of age..Unfortunate, but the good news is only 5% have succumbed to the disease so far! Breast Cancer in the Young- the theme of the 18th Delhi Breast Oncology Group Meeting!!
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Never too old to make choices Last week, I met this lovely lady, pushing 80 years. I’m reluctant to call her old for her lively demeanour would put the chronologically young to shame. How I met her was because she had been diagnosed with breast cancer. Fortunately for her, she had early breast cancer. This is a delight for a breast surgeon like me, who is used to seeing advanced breast cancer. After going through the investigations, it was decided that she should have surgery. I started discussing the surgical options and just as I would do with all my patients amenable to all the options, I discussed breast conservation surgery, mastectomy ( surgical removal of the breast)and mastectomy with reconstruction. She was quick in making her decision and said she wanted to have a breast conservation surgery. I liked her firmness but her daughter was not so sure. When the time came for her to be admitted, the daughter came up to me and said that she and her brother thought it would be better if she went ahead with mastectomy. It was surely concern for their mother. They wanted her to be disease free and also thought that at her age, it did not matter if she lost her breast. At the same time, they were not sure that breast conservation and mastectomy yielded the same results. I spoke to her again and said that her mother had made a choice, which was scientifically tenable .Ten years ago, my warped mind might have encouraged her to go for mastectomy. Now I know, choice has nothing to do with age.The instances when husbands, brothers, parents, relatives and anyone else( read neighbors!) influencing surgical decisions have been too many and every time, my heart has gone out, especially, to the young ladies who have had no say in the choices imposed on them.Losing a breast is a self esteem, body image issue- the loss and its impact is borne only by the one who loses it.The lovely dame stood by her choice and it was executed. Choices are not about being right or wrong. Choices are about the freedom to make a decision and stick by it. The comfort of having made one’s choice is a confidence booster and can bring about unexpected results. I do know that, for a fact!
Ernst & Young Global Shared Services, India has awarded Dr. Geeta Kadayaprath for Cancer Awareness Session.
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Ernst & Young Global Shared Services, India has awarded Dr. Geeta Kadayaprath for Cancer Awareness Session.

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[IS_BIZ_OPEN] Mon: 8:30 AM  -  5:00 PM
[IS_BIZ_OPEN] Tue: 8:30 AM  -  5:00 PM
[IS_BIZ_OPEN] Wed: 8:30 AM  -  5:00 PM
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[IS_BIZ_OPEN] Fri: 8:30 AM  -  5:00 PM
[IS_BIZ_OPEN] Sat: 8:30 AM  -  5:00 PM
[IS_BIZ_OPEN] Sun: Closed  -  Closed

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Max Cancer Centre. Max Super Speciality Hospital108A. I. P. Extn Patparganj, New, -110092
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28.61316 77.288369 Dr. Geeta Kadayaprath - Breast Surgical Oncologist Max Cancer Centre. Max Super Speciality Hospital108A. I. P. Extn Patparganj, New, -110092
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