Breast Clinic

Breast problems are quite common in women, and the incidence of breast cancer in urban Indian women is rapidly increasing. Increased consumption of high-fat foods, sedentary lifestyle, late marriages, postmenopausal obesity, lesser number of children being conceived and delayed childbearing, and reduced duration of breastfeeding are all believed to be responsible for this increased growth in breast cancer cases.

Breast cancer can metastasize and progress to an advanced stage if it is left untreated or neglected. This threatens the life of the patient in the long run. Thus, it is crucial to spread awareness about breast cancer and its prevention to maximizethe cure rates and minimize the number of new cases. With the advancements in every field, including the medical field, there are high chances of detecting breast cancer early, leading to better management of the disease. Our comprehensive breast clinic is equipped with state-of-the-art infrastructure and technologically advanced machines to guide the patient towards the right diagnosis and treatment plan for any pathological breast condition.

What are the diseases related to breasts?

Breast diseases can be categorised into benign or malignant conditions. Benign breast conditions include breast cysts, fibroadenoma, cyclical mastalgia, fibrocystic disease, granulomatous mastitis, and breast abscess. 

Classification of Breast Cancers

Depending on their stage, breast cancers can be classified as: 

Operable breast cancer: It is used to describe cancers that are limited to the breast tissue and/or its draining lymph nodes on the same side of the body. 

Locally advanced breast cancer: Used to describe breast cancers that are relatively larger or have spread to several nearby lymph nodes or surrounding tissues like muscle, skin, or ribs. 

Metastatic Breast Cancer: It describes the most advanced stage of breast cancer in which the malignant cells have invaded tissues beyond the local area and nearby lymph nodes. 

Signs and symptoms of breast cancer

Breast cancer is not symptomatic in earlier stages as its earlier signs are not evident. However, with the progression of the disease, the following symptoms are seen: 

  • The first symptom of breast cancer is a breast lump. Most breast lumps are painless; however, some may cause a prickly sensation. Lumps can be seen on a mammogram long before they can be felt or seen.
  • A noticeable indentation or flattening on the breast indicates an invisible tumor.
  • Any change in the texture, shape, or temperature of the breast. A pitted, reddish surface that looks like an orange peel is indicative of advanced breast cancer. 
  • A change in the look of the nipple, such as a dimpled or indrawn look, burning or itching or ulceration. Scaling of the nipple indicates localised cancer. The condition is called Paget's disease.
  • Unusual clear or bloody discharge from the nipple. It may sometimes be caused by even benign conditions but more commonly occurs due to cancer. 
  • Armpit swelling (due to the swelling of the underlying lymph nodes) suggests the presence of breast cancer. 

If you are experiencing any of the symptoms mentioned above, you must report them to your doctor as soon as possible. 

Breast cancer mortality is decreased by population screening programs that identify tumors before patients become aware of them since the prognosis of the disease is directly correlated with the stage at diagnosis. Mammography-based breast cancer screening has been demonstrated to lower cause-specific mortality by up to 30% in women over 50. After the age of 25, patients are advised to have a clinical breast examination every 1-3 years and to self-examine their breasts once a month. Specific imaging screening guidelines:

  • Average-risk women without symptoms: Start screening at age 40 by scheduling an annual mammogram
  • High-risk women: Start screening at 25 years with an annual mammogram + MRI
  • Asymptomatic women with previously history of breast cancer: Annual mammogram is highly recommended

What is the importance of screening?

Screening of the breast with the help of breast ultrasound, mammography, gene profiling, magnetic resonance imaging and other procedures leads to early detection of breast cancers. This helps the doctors manage the disease better. Apart from diagnostic methods, performing a monthly self-breast exam is the best way to notice abnormal changes in the breast. 

Protective factors against Breast Cancer

Early age of first pregnancy, breastfeeding, and multiparity are protective factors for Breast Cancer. This is because there are fewer ovulatory cycles overall, which shortens the time that oestrogens work on breast tissue.

Treatment of Breast Cancer

We provide the best Breast Cancer Treatment in Indore as our medical experts are quite experienced in the treatment of breast diseases, especially Breast Cancer, needs good doctor-patient communication. Patients are often nervous and worried and it is important to be transparent with them while determining the best treatment modality suited to their condition. In our Breast Cancer Centre, the care of Breast Cancer patients is undertaken as a joint venture between the surgeon, medical oncologist, radiotherapist and allied health professionals such as staff nurse specialists. This approach proves beneficial to ease the patient's anxiety and ensure a better outcome. 

Our goal is to limit the spread of the disease as little as possible — both locally and distant metastasis. Early breast cancer is usually treated with surgical intervention with or without radiotherapy. If the breast cancer has spread to the adjacent lymph nodes, systemic therapy such as chemotherapy or hormone therapy is added. On the other hand, locally advanced or metastatic disease is locally treated by systemic therapy to palate symptoms, with surgery playing a considerably smaller role.

What are the other breast conditions for which one should visit the breast clinic?

The other breast conditions for which one should visit the breast clinic are mastitis, breast lumps, fibroadenoma, cysts, and any other condition that gives rise to breast pain or tenderness.

Our Breast Clinic at Kokilaben Dhirubhai Ambani Hospital, Indore, has a caring, multidisciplinary team of experts to help you with all types of breast problems, including complicated breast cancer cases. Our breast specialist doctor in indore delivers personalised treatment plans considering all your needs in a supportive environment. Our multidisciplinary care and breast cancer treatment options bring together experts who collaborate to determine the best sequence and course of therapy for your condition.