Breast Cancer Treatments
A new diagnosis of breast cancer is often unexpected and poses several challenges to the patient and family. Understanding different treatment options and navigating between contrasting opinions can overwhelming. At Pune Breast Care we are committed not only to to making the journey easier while keeping you safe.
Evidence Based Treatments
Breast cancer treatments are constantly evolving to to be more effective and less invasive. We stay updated with the extensive breast cancer research being published worldwide to make these advanced therapies available to you . Your safety is of utmost importance so we only follow scientifically validated evidence based treatments .
Breast Cancer treatments can be more effective when you get inputs from multiple specialists from breast surgical oncology, medical oncology, radiation oncology, onco-pathology and radiology . We meet weekly and review your case in detail to make a the best possible treatment plan for your cancer.
Personalised Oncology Plans
Every breast cancer is different and so is each individual patient. It is important that treatments are tailored for the type of cancer, stage of the cancer as well as the age and health of the patient. Your individuals preferences, tumor geneticss , all get weighed into making a personalised treatment plan for you
Breast Cancer Surgery
A lumpectomy is also called a partial mastectomy or breast conservation surgery. In this procedure, the tumour is removed with a rim of normal tissue called as ‘margin’. In an appropriately selected early breast cancer patients, lumpectomy combined with radiation is as effective as mastectomy for long term cures.
A mastectomy involves complete removal of the breast. The procedure may be necessary when multiple tumours area present in different areas the breast, when there is extensive precancerous tissue throughout the breast, or in cases of advanced cancers. A patient with early breast cancer may also choose to undergo a mastectomy to avoid radiation.
Lymph Node Surgery
Surgery of the lymph nodes under the armpit is part of the breast cancer operation.
Sentinel Node Biopsy
In this procedure, the ‘gate-keeper’ nodes in the armpit are mapped out using special dyes. These are then removed and sent for pathology evaluation. If these lymph nodes are not involved by cancer, the remaining nodes in the armpit can be safely spared. Patients who undergo this procedure have shorter hospital stay, usually do not need drains. Selective removal of lymph nodes helps minimise complications such as arm lymphedema, arm movement restriction, pain and swelling.
Axillary Node Dissection
In this procedure, the nodes in the armpit or axilla on the same side are completely removed. Drains are usually placed after this procedure. Patients are advised to avoid needle sticks IVs and prolonged use of
Chemotherapy- Port Placement
In Breast cancer, access to veins is limited as only one arm is often available for IVs and blood draws. Also chemo drugs being irritant, often cause thrombophlebitis and scarred blocked veins
A chemoport helps avoid these problems by delivering the chemo via an implanted catheter directly into the bigger veins, bypassing smaller veins. The port is also used for blood draws, blood transfusions, contrast injections and other IV fluids or medications.
Placement involves a short surgical procedure done under local or short-general anaesthesia. The small device can be removed after chemotherapy is completed or be maintained with regular flushes for 2-3 years.
Breast Cancer Treatment FAQs
No plano Live Pass, também terei acesso às aulas gravadas?
Sim, você terá acesso a diversos conteúdos gravados que servirão de suporte em seus estudos.
As aulas do Live Pass são em horários pré-definidos?
Sim, as aulas do Live Pass serão em dias e horários pré-definidos que você poderá escolher no momento da compra de seu pacote. As aulas serão sempre no mesmo dia e horário contratado.
Qual o prazo para pagamento do meu boleto?
O boleto emitido terá vencimento para 3 dias corridos após a realização da compra. Após a data do vencimento, o seu pedido será automaticamente cancelado.
Eu posso cancelar meu plano Live Pass?
Sim, você pode cancelar seu plano no momento que precisar. Lembrando que é importante você solicitar o seu cancelamento antes de virar uma nova parcela de sua mensalidade.
Como serão as aulas ao vivo EAD do plano Live Pass?
As aulas serão através da plataforma Zoom em dias e horários pré-definidos que você poderá escolher no momento de sua contratação.
É possível assistir aulas Offline?
Não é possível assistir aulas sem uma conexão de internet.
É possível baixar as aulas?
Não é possível baixar os vídeos das aulas. Os materiais em PDF ficam na plataforma e você pode baixar para seu acompanhamento.
Quando as minhas aulas serão liberadas?
Planos efetuados no cartão de crédito tem liberação automática, você já poderá começar seus estudos. Planos no boleto bancário levam até 48 horas úteis para liberação, você receberá um e-mail com informações de acesso da plataforma quando o pagamento for confirmado.
Terei direito a certificação?
Sim, todos os cursos finalizam com uma avaliação prática. Sendo aprovado, você receberá seu certificado em formato PDF.
Já fui aluno e quero reativar minha matrícula, qual procedimento?
Você pode adquirir uma nova matrícula em nosso site ou entrar em contato conosco através do email@example.com para maiores informações.
As aulas serão em turmas de até quantas pessoas?
Cada turma terá um mínimo de 03 pessoas e máximo de 07 pessoas.
O horário que tenho disponível não está no calendário de aulas do semestre, como devo proceder?
Você pode realizar sua matrícula normalmente e entrar para a lista de espera para abertura de novas turmas.
Advanced Breast Surgery
Ensuring Complete Tumour Removal at Breast Cancer Surgery
We strive to ensure complete tumour removal in a single operation for which we use techniques such as
1)Ultrasound-guided Breast Surgery
Intraoperative ultrasound is used to visualise the tumor during the surgery. Necessary margins can removed accurately without unnecessary removal of healthy tissue, and making smaller or hidden scars.
When performing surgery for suspicious calcifications or in cases where a clip has been placed in the tumour bed pre-operatively, the tissue removed is sent for a mammography exam. This ensures that the area of concern has been accurately and completely removed
3) Intra-operative Frozen section:
The specimen removed is sent to the pathologist while you are still under general anaesthesia for the surgery. The pathologist samples the edges of this tissue and guides Dr Gadgil on whether the removal appears to be complete.
Oncoplastic Breast Surgery
Oncoplastic surgery combines safe oncological principles with aesthetic techniques of plastic surgery, to obtain a good cosmetic outcomes from breast cancer surgery. We strive to give every patient an appearance that she is satisfied with. Dr Pranjali Gadgil, personally develops operative plans for each patient. A plastic surgeon may be involved if needed, during the operative planning and surgery.
Immediate Breast Reconstruction
( Breast Replacement)
Immediate Breast Reconstruction
When undergoing a mastectomy, patients have the option to undergo an immediate reconstruction of the breast in the same surgery. In this procedure, the skin envelope of the breast is preserved and the entire breast tissue removed through a small incision. This is called "skin sparing" or "nipple skin sparing" mastectomy. The breast is then replaced with either an implant or a tissue flap obtained from another area of the body.
Enhanced Recovery After Surgery
(ERAS) for Breast Cancer Surgery
We follow special measures before and after surgery that help you with faster recovery and early discharge to home, from the hospital. This 5 step plan includes
Prevention of Postoperative Pain
Use of local anaesthetic in the form of nerve blocks around the surgical area, helps early pain control. You may be started on medications that reduce pain on the night before surgery. Anti-inflammatory medications and paracetamol are used in regular doses after surgery minimising Opioid medications that cause nausea and constipation
2. Prevention of Postoperative Nausea/ Vomiting
Medications are given during and after surgery, that reduce nausea and vomiting in the postoperative period. This allows resuming a diet early and discontinuing need for IV fluids.
3. Prevention of Surgical Site Infections
You will be given a dose of antibiotic in the operating room, before your surgery. The surgical site is thoroughly cleaned before the operation begins. This prevents risk of wound infections in the post-operative period. You should handle drains and dressings after washing hands clean with soap.
4. Early Mobilisation after Breast Surgery
We have most patients sitting up and walking on the same day after surgery. If you have drains, you will be given a specially designed sling bag so you can walk with your drains. You may be given special exercises to be done while you still have drains and a different set of exercises to be done once drains are removed.
5. Use of Absorbable Sutures:
Wherever possible we use absorbable skin sutures so you don’t need to worry about stitches, staples, inconvenience and discomfort from the process of removing them. This also reduces scars and helps scars become less visible with time.