1. Multi-disciplinary approach with a consolidated review of your case from experts in Surgical Oncology, Radiation Oncology, Medical Oncology and the concerned speciality.
2. Top Cancer Specialists who follow the latest international cancer treatment protocols.
3. Complete Cancer Care under one roof– Right from cancer screening, early detection, multi-disciplinary treatment to rehabilitation.
1) Lumpectomy- This is done when the breast cancer is small and detected in the initial stages. Only the abnormal lump and a bit of surrounding healthy tissue are removed. The healthy tissue is examined to ensure no cancer cells are left back.
2) Partial Mastectomy- This is also known as breast conservation surgery or quadrantectomy. In some places it is also called as segmental mastectomy. In this surgery part of the breast tissue containing the cancer cells is removed along with some portion of the healthy tissue surrounding it to get a clear margin. This is done for slightly larger tumour mass. The healthy tissue is examined for the presence of cancer cells. If positive re-excision surgery is done to remove the remaining tumour cells.
3) Simple or Total Mastectomy- in case the tumour mass is large or located closer to the skin, complete removal of the breast tissue is the preferred option. Whole breast with the nipple and areola are removed. The surrounding lymph nodes and underlying muscle tissue is not removed. Double mastectomy is considered in recurrent tumour or high risk patients. Skin sparing mastectomy is a variation of the above in which the nipple and areola are left intact and the underlying breast tissue is removed. This is done only if immediate reconstructive surgery is planned. Not advised for large tumours though. Nipple sparing surgery is another variation in which skin and nipple area is preserved. This can be done if cancer is diagnosed early and is located at the outer part of the breast and has not spread to the skin or the nipple. This usually followed by reconstructive surgery.
4) Modified Radical Mastectomy- this is an extension of simple mastectomy. Axillary lymph nodes are also removed along with the breast tissue. This is the most preferred surgery.
5) Radical Mastectomy- this is an extensive surgery in which the breast tissue, all the surrounding lymph nodes and the underlying pectoral muscle is removed. Nowadays this is a lesser preferred surgery as modified radical mastectomy gives equally good results.
6) Lumpectomy:- Lumpectomy is the surgical removal of a cancerous lump ( tumor) in the breast, along with a small margin of the surrounding normal breast tissue. Lumpectomy is a wide excision biopsy and is a breast conserving therapy. The procedure is often performed on women with minor or localized breast cancers and allows women to maintain most of their breast after surgery. Women with small breast tumors have an equal chance of surviving breast cancer regardless of whether they have a lumpectomy, followed by a full course of radiation therapy. An excisional biopsy may be performed with “needle”
7) Auxiliary Node Dissection:- Axillary node dissection, the surgical removal of the axillary (armpit) lymph nodes, is usually performed on patients with invasive cancers. A radical mastectomy, modified radical mastectomy, or lumpectomy operation often includes auxiliary node.
8) Sentinel Lymph Node Biopsy:- Sentinel lymph node biopsy is a new procedure that involves removing only one to three sentinel lymph nodes (the first nodes in the lymphatic chain). To perform sentinel node biopsy, a radioactive tracer and/or blue dye is injected into a region of a tumor. The dye is then carried to the sentinel node (the lymph node ) and makes it easy to diagnose if the lymph node is cancerous and that lymph node and others are removed and examined.
The surgery is usually followed by few weeks of chemotherapy and then radiation therapy.
Minimally Invasive Procedures- Thermo ablation, cryo ablation and laser therapy are the latest minimally invasive procedures being performed on breast cancer patients with good results.
These are usually done by interventional radiologists under image guidance technology using very fine instruments that can be inserted into the blood vessels. These surgeries are generally recommended for patients who are not good candidates for traditional mastectomy surgery.
Radiofrequency Ablation or thermal ablation kills the tumour cells with heat sparing the healthy tissue. It is a localised non-surgical treatment with no systemic side effects. A small needle is guided into the breast lump using X-rays. Radiofrequency energy is generated from the tip of the needle which destroys the tumour by altering the DNA. The tumour shrinks and becomes a scar tissue. The whole treatment time is 15 minutes.
Cryoablation- in this the thin needle probe that is inserted through a small nick in the skin into the breast lump releases cold gas to freeze the tumour tissue and prevent it from multiplying and spreading.
Hormonal Therapy- Hormonal therapy medicines are whole-body (systemic) treatment for hormone-receptor-positive breast cancers. Hormone receptors are like ears on breast cells that listen to signals from hormones. These signals “turn on” growth in cells that have receptors. Hormonal therapy medicines can be used to lower the risk of early-stage hormone-receptor-positive breast cancer coming back, lower the risk of hormone-receptor positive breast cancer in women who are at high risk but haven’t been diagnosed with breast cancer and help shrink or slow the growth of advanced-stage or metastatic hormone-receptor-positive breast cancers.
The hospital was so clean, everyone always smiles, and your not just a number. The professionalism was out of this world. When we left We all agreed that if we ever had to do this again, we would be back in a heartbeat! Leaving the Hospital pulled at our heartstrings because the nurses and doctors became our friends! Thank You & God Bless you all “
Joya Mwendi, Kenya, Breast Cancer Treatment
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