Breast cancer and Oncoplastic Surgery

Breast cancer and Oncoplastic Surgery in Gurugram

Breast cancer is a serious condition that affects many women worldwide. Early detection and timely treatment are crucial for improving outcomes and increasing the chances of a full recovery. Dr. Vidur Garg, a skilled surgical oncologist at Narayana Hospital in Gurugram, offers expert oncoplastic surgery for breast cancer treatment. Dr. Garg's expertise of best breast cancer treatment and oncoplastic surgery in Gurugram.

What is Breast Cancer ?

Breast cancer is a cancer that develops in the cells of the breast. It can occur in both males and women, although it is far more frequent in women. Breast cancer typically develops in the milk-producing glands (lobules) or in the ducts that transport milk to the nipple. However, it can begin in different areas of the breast tissue. It happens when cells in the breast expand rapidly and create tumors.

Causes of Breast Cancer ?

Although the exact roots of breast cancer are unresolved a number of variables might contribute to its development. These elements can be roughly classified into genetic, hormonal, environmental, and lifestyle factors.

Genetic Factors
Genetic Factors
Hormonal Factors
Hormonal Factors
Environmental Factors
Environmental Factors
Dense Breasts
Dense Breasts
Alcohol Consumption
Alcohol Consumption
Obesity
Obesity

Types of Breast Cancer

Ductal Carcinoma In Situ (DCIS)

Unusual cells grow inside the ducts and lobules of a pre-invasive tumor, without having yet penetrated the surrounding tissue.

DCIS
Invasive Ductal Carcinoma (IDC)

The most common form of breast cancer, making up over 80% of cases. The invasion of cancer cells into surrounding tissue is a key aspect.

IDC
Invasive Lobular Carcinoma (ILC)

The second most common kind of breast cancer, accounting for about 10-15% of cases. It often presents as isolated cells or single file lines.

ILC
Inflammatory Breast Cancer (IBC)

An uncommon and serious form where breast swelling and redness occur due to blockage of lymphatic vessels.

IBC
Metastatic Breast Cancer

The most aggressive stage of breast cancer is when the disease has gone to the brain, bones, liver, and lungs, among other regions of the body.

Metastatic Breast Cancer

How Breast Cancer is Diagnosed?

Determining whether there is a diagnosis of breast cancer requires several tests and procedures that are part of the complex process of diagnosing breast cancer.

Mammography

An in-depth X-ray of the breast called a diagnostic mammography is performed to evaluate any abnormalities seen during a screening mammogram or to look into symptoms like lumps or discharge from the nipples.

Mammography
Breast Ultrasound

The most common form of breast cancer, making up over 80% of cases. The invasion of cancer cells into the surrounding breast tissue is an aspect of IDC.

Breast Ultrasound
Breast Magnetic Resonance Imaging (MRI)

A breast MRI can identify abnormalities that might not be seen on mammograms or ultrasounds by using a magnet and radio waves to produce detailed pictures of the breast tissue.

Breast MRI
Biopsy

During a biopsy, a sample of breast tissue is taken for additional microscopic examination. Biopsies come in a variety of forms, including open, core, and fine-needle aspiration.

Biopsy

Oncoplastic Surgery: A Comprehensive Approach to Healing Breast Cancer ?

Combining breast cancer surgery with plastic surgery procedures to obtain the best possible cosmetic results while ensuring successful cancer removal is known as oncoplastic surgery, a new approach to breast cancer therapy. Women who need breast-conserving surgery or who have initial breast cancer will benefit most from this technique.

Benefits of Oncoplastic Surgery

Effective Cancer Removal: Oncoplastic surgery enables the surgical removal of breast cancers with deeper margins, lowering the chance of positive margins and increasing local control. Desirable Cosmetic Outcomes: The procedure requires reducing cosmetic damage to the breast by removing surgical voids that might cause stretching and preserving breast shape and quality of life. Shorter Recovery Times: Many patients can leave the hospital on the same day, and recovery times are typically faster and easier compared to standard breast reconstruction surgery. Preservation of Breast Sensation: Oncoplastic surgery can maintain breast feeling, which may not be achievable with mastectomy or other types of breast reconstruction. Improved Quality of Life: The procedure can enhance a patient’s quality of life by reducing the risk of complications, preserving breast function, and improving overall cosmetic results.

Indications and Contraindications

Indications: Oncoplastic surgery is suitable for those with modest tumors or breast volume, macromastia, multifocality, or operations that may affect breast appearance. Contraindications: Patients with positive edges after wide surgical removal, diffuse cancerous small calcium deposits, aggressive breast cancer, a history of radiation, or patient preferences may not be suitable candidates for oncoplastic surgery.

Techniques and Procedures

Determining whether there is a diagnosis of breast cancer requires several tests and procedures that are part of the complex procedure of diagnosing breast cancer.

Local Flaps

Local flaps serve to fill the area left following tumor removal, which retains breast shape and reduces the need for reconstruction.

Local Flaps
Latissimus Dorsi Myocutaneous Flap

This technique reconstructs the breast with tissue from the back, giving it a natural appearance and feel.

Latissimus Dorsi Myocutaneous Flap
Reduction Mastopexy

Local flaps serve to fill the area left following tumor removal, which retains breast shape and reduces the need for reconstruction.

Reduction Mastopexy
Therapeutic Mammoplasty

This procedure utilizes existing breast volume to fill the area left after tumor excision, resulting in a modest reduction in breast size.

Therapeutic Mammoplasty