The contemporary management of breast cancer is a complex endeavor that requires a truly collaborative team approach, characterized by ongoing communication and active information-sharing among the multiple disciplines involved.
Patients attending comprehensive Chennai breast center receive care with input from a broad-based multidisciplinary team that most often includes surgeons, radiologists, pathologists, medical oncologists, radiation oncologists, plastic/reconstructive surgeons and nurses. The weekly tumour board meeting brings together team members on a regular basis to discuss individual patient cases and develop comprehensive treatment plans.
Decisions and treatment with chemotherapy , radiotherapy , hormone therapy , and newer treatments with monoclonal antibodies and tyrosine kinase inhibitors are discussed extensively with patients with risks and benefits and patients are empowered to participate in decisions regarding their treatment.
When a larger amount of breast tissue needs to be removed, the defect is filled in by bringing in muscle tissue from the back or by breast reshaping. This allows us to preserve the breast or, after a mastectomy, a new breast mound may be created using the back fat and muscle or the tummy fat. A plastic surgeon’s help is usually taken to do reconstruction.
The era of full field digital imaging is here. Going digital can extend our reach, conserve time and improve care. Our centre has the state of the art full field digital mammography machine, “Lorad Selenia”, with a high resolution work floor station, first of its kind in Tamilnadu. Selenia offers a detector size of 24 cm x 29 cm, the largest in the industry, accommodating almost all breast sizes with a single exposure.
Advantages of having a digital mammogram at our centre Quicker Procedure Digital mammography images can be viewed in seconds allowing the mammographer to confirm proper positioning and reducing the likelihood of having to come back for additional images.
Fewer Retakes Digital mammogram has the capability to acquire images in near real time, to adjust contrast levels, image manipulation like magnification for improved decision making. This also results in fewer retakes that may be required otherwise.
Better Accuracy and Lower Radiation Going digital ensures that there is a better detection and diagnostic capabilities at a lower dose of radiation, particularly in the 40-50 age group.
Digital Storage and Transfer Going digital also means that we can electronically archive, and retrieve at any time without the risk of losing or damaging films. Images can also be sent electronically anywhere for second opinions without loss of information.
Storing it digitally creates an enormous database, which is useful to teach and train the younger generation.
To make it more comfortable we have the option to use mammopad.
Many breast cancers can now be cured, and treatments have become easier to cope with. However, the moment one is faced with a diagnosis of cancer, it is always causes a deep emotional crisis and distress. In fact, most people say that they have never faced a bigger and more frightening challenge in their life.
Trained counselors are available to help patients and their relatives who seek counseling to help them through the difficult issues caused by diagnosis of cancer.
For most people, meeting together with others who were in a similar situation can help to decrease feelings of anxiety, isolation or fear. Our support group provides a sense of community and opportunity to share experiences and learn different ways of dealing with problems. . Members of the group may have been in a similar situation before and it is quite possible that the group includes people with different types of cancer at different stages. This wider experience helps a patient to see her/his own problems from a different perspective.
Support group meeting was held on July 15th. 35 survivors attended the session. Sharing and caring amongst the women was evident and stress as a cause for development of cancer and recurrence was discussed. A movie named “why I wore a lipstick before my mastectomy” which was made by a survivor was screened.
We are equipped with Lympha Press Plus specifically designed for management of lympoedema following treatment for breast cancer. Pre treatment cycle follows the principles of manual lymphatic drainage and helps in draining the proximal lymphatics prior to treatment.
Sequential compression allows a pneumatic massage for maximum results and comfort. The peristaltic compression and balancer cycle gives a relaxing massage while stimulating the circulation and lymphatic return.
For lesions that are visualized on mammogram, but not palpable, we zero in on them to get adequate tissue sample by using a prone table stereotactic biopsy system, (South Asia’s first prone table biopsy system). The MultiCareTM Plantinum prone breast biopsy table offers the latest advances in stereotactic technology making it the ideal system for characterization of calcifications, masses and architectural distortion. Intuitive Cartesian Coordinates ensure accurate targeting (+/- 1mm) and safe, easy access to all lesions, including the chest wall and axillary regions.
The exclusive contoured table allows the patient to lie comfortably in either direction throughout the procedure. The C-arm can be positioned at any angle through 180. providing true 360. access. Flexible positioning capability ensures easy access from the shortest skin to lesion distance and direct access to inferior lesions.
Digital spot mammography (DSM) offers a wide array of tools for effective targeting and image enhancement. Moreover, MulticareTM platinum is compatible with most biopsy devices for exceptional performance and compassionate care.