Skip to main content
Submitted by PatientsEngage on 21 October 2017

Breast cancer is the commonest cancer of urban Indian women and surgery is often an important step in treating breast cancer. In an interview, Dr. Rucha Kaushik, Consultant Breast Cancer Surgeon, Hinduja Hospital, answers your unanswered questions about breast cancer surgery procedures, options and challenges.

A biopsy is typically done to diagnose breast cancer. Are there different types of biopsies?

Yes, there are different types of biopsies done to diagnose breast cancer. Most commonly used one is Core needle biopsy where 14g /16g wide bore needle inserted under local anaesthesia inside the tumour to take out small piece of tumour. Procedure is usually painless and carried out in the clinic and patient can walk out comfortably after the procedure. Final Report usually takes 3-4 days

Other types of biopsies are stereotactic vacuum assisted biopsies, incision biopsy and excision biopsy

Fibrocystic breast disease is a benign (noncancerous) condition in which the breasts feel lumpy. Is surgery recommended for it?

Fibrocystic breast disease does not need surgery.

What is a titanium marker and are there any risks associated with them?

Titanium markers usually put at the site of tumour during biopsy in those tumours which needs chemotherapy prior to surgery. So that if tumour shrinks or disappear marker will be the guide for original site of tumour. Usually there is no risk associated with titanium markers.

What are different options for surgery for breast cancer?

The type of surgery depends on the stage and extent of breast cancer. Now with newer advances for early breast cancer patients we are offering breast conservation surgery i.e. removal of the lump or tumour only along with removal of few armpit lymph nodes. In very few cases mastectomy i.e. removal of breast is done. This is often accompanied by plastic surgery/ breast reconstruction.

When do you discuss breast reconstruction surgery with the patient?

Breast reconstruction option is discussed with each and every suitable candidate who requires mastectomy. There are multiple breast reconstructive options like silicone implants or reconstruction of new breast using patients own body tissue like LD flap, DIEP flap. 

Read: Breast Reconstruction - all your questions answered 

What are treatment options of Stage IV breast cancer?

In stage 4 patient’s treatment is given for palliation and control of the disease in the form of injection or oral drug therapy. Surgery if only done as palliation if tumour is bleeding or ulcerated.

Who is at highest risk for lymphedema after surgery?

Patients who has undergone complete axillary dissection during surgery are at high risk of developing lymphedema

Read: Prevention and Treatment of Lymphedema

Many women diagnosed with breast cancer in one breast are choosing to have the other healthy breast removed too. Is it medically recommended?

Opting for removal of normal breast in one sided breast cancer patients is totally patient’s choice but we routinely do not recommend prophylactic surgery. Rather regular clinical examination and radiological assessment is recommended.

What are the things one can do to lower risks of breast cancer?

  • Have a healthy and active lifestyle.
  • Do not gain weight.
  • Do not ignore any lump in the breast.
  • Get yourself checked by the breast specialist doctor in case of any doubt.

Read: Can I prevent breast cancer?

Community
Condition

Stories

  • How Can I Prevent Cancer?
    Among the ways to prevent cancer – eating a healthy, balanced diet could be your starting point. Try to consume all essential nutrients that will help detoxify your body, stimulate the immune system and prevent healthy cells from turning cancerous. Over the last 25 years, research has produced dietary guidelines that have become conventional wisdom when it comes to cancer prevention. There are a number of substances present in our daily diet which are carcinogenic (cancer causing substances)…
  • Exercise Brought Back My Life After Cancer
    Breast cancer survivor Parul Banka wants to inform and inspire others through her own example about leading a physically active lifestyle, especially after cancer, to manage pain, fatigue, improve muscle strength and regain confidence. Physical activity played a massive role in helping me recuperate from the harsh side effects of the cancer treatment. It helped me with stress management, regaining my strength and rebuilding a life after cancer. There is increasing scientific evidence that…
  • Why I Embrace Pain
    What does pain foretell? A reflective piece on what chronic pain means to triple negative cancer survivor Geetha Paniker that is beautiful and cathartic. It is one thing to feel empathy for others, but something totally different to be in pain. Each person's own pain is most difficult until one goes through chronic pain day in and day out or an illness that calls for sheer grit to go through it. Chronic pain is pain that continues for weeks, months and even years. The experience of acute pain…
  • Talking Candidly about my Cancer
    London based Parul Banka has published a book in which she openly narrates her encounter with breast cancer. During her journey, she learnt that talking about cancer in the open enables us to choose – awareness over ignorance, courage over fear and empathy over judgement. Here she validates her viewpoint. My name is Parul Banka. I was diagnosed with an aggressive grade III (the fastest growing type) breast cancer in September 2012. The entire drill of cancer treatment - chemotherapy, surgery…
  • How to Stay Healthy after Menopause
    Post-Menopause is tied to long-term health problems if wholesome food intake and regular physical activity is not practiced. Nutritionist Kohila Govindaraju shares tips on what to eat and importance of exercise. Menopause is a natural biological process. It is the time when a woman stops menstruating. The hormones estrogen and progesterone production will be low and the ovaries no longer produce eggs. In women, estrogen is mainly produced in the ovaries. It is also produced in fat cells and…
  • Love in the Times of Cancer
    Mukesh’s love for his college sweetheart, Shachi, remained resolute even after she was diagnosed with breast cancer. Here is a Valentine’s Day story to warm your heart. It was in 2001 that I first saw her. She walked into my tutorial class and it was love at first sight for me. I know most people say love at first sight is just an infatuation, but I felt an instant romantic attraction for her. It could be an infatuation, or young adult crush…I don’t know. All I knew was that my head was…
  • I decided to win this battle against Breast Cancer!
    Mamta Goenka suffered bilateral breast cancer and naturally went through the entire gamut of treatment along with emotional turmoil and pangs of mortification. But she decided to challenge her cancer and the hair loss with her head held high. She emerged victorious and turned crusader and lymphedema management guru. Please tell us a bit about your condition : I suffered from bilateral breast cancer! When were you diagnosed? I was diagnosed with right breast cancer in 1998 and then with the left…
  • Is Breast Cancer Infectious?
    Rita Banik, breast cancer survivor and founder of RACE to Rein-in-Cancer, had to face this and many painful falsities and misrepresentation during her treatment. She shares some of the hurtful things that people say.  This Breast Cancer Awareness Month, she emphasizes the need to increase understanding about cancer in society and importance of early detection. Breast Cancer (BC) has become a dinner talk disease.  It has been predicted that if measures are not taken right away then by…
  • Effect of Smoking on Fertility: Everything you wanted to know
    Smoking is known to cause and effect many systems in our body with adverse consequences, but how does it affect fertility in women? Dr Sarita Bhalerao, an established OBGYN from Mumbai helps us understand the subject in more detail. 1. Is smoking a growing concern for infertility in women? Smoking and consumption of tobacco have in general been a growing concern for women all over the world. It is a major health problem affecting developing countries especially amongst the youth…
  • Cancer made me love myself with all the passion in my soul
    Moyna Sen, our editor reviews cancer survivor Geetha Paniker's book "When I Fell in Love with Life". Even as you read this beautiful review, you will feel emotional and want to read the book.    Geetha Paniker does not come across as a Cancer survivor. She, on the other hand, seems like someone who has not only conquered the dreaded ailment, but has, also, in the process, learnt the prized art of celebrating life. Even though she calls Cancer the Emperor of Maladies as…