The Breast Program at Prime Surgical Centers Offers
I ) Consultation with Breast Disease Specialist & Breast Surgeon.
Women often do not know whom to see for minor breast conditions or abnormalities on mammography. There is a growing need amongst women for discussing screening strategy, understanding high-risk family history and genetic testing. Breast cancer treatments have become increasingly personalized and complex. With these problems in view, we have a fellowship-trained lady breast surgeon offering comprehensive consultation for the following
Common breast complaints
- Breast lump/ breast mass
- Nipple discharge
- Breast pain/ mastalgia
- Abnormalities on mammography
- Lactational problems
- Family history of breast cancer
Common Breast diseases
- Breast Cyst
- Intraductal Papilloma
- Breast Abscess
- Breast Cancer
Uncommon breast diseases
- Granulomatous mastitis
- Breast Tuberculosis
- Phyllodes tumor
- Rare breast cancers
II) Accurate Diagnoses of Breast Conditions
We understand that anxiety around breast problems is common and diagnosis of breast conditions should be done expeditiously. At the same time high quality standards need to be maintained in order to avoid diagnostic errors. High quality diagnostics helps us confidently reassure women who do not have serious problems and proceed with expeditious treatment planning for those who need it.
a) Appropriate selection of Imaging Modality: (Mammography, Ultrasound ,Breast MRI) When our specialist evaluates a breast problem, the right imaging test is selected test only after a thorough physical exam.
b) Targeted Breast Ultrasound: When an abnormality is found on physical exam, our breast surgeon performs an ultrasound herself to ensure that exact area is thoroughly scanned. This also helps exact surgical planning.
c) Image-Guided Breast Core-Biopsy: A needle biopsy is an essential component of the “ triple test” for breast masses. This is performed as a quick outpatient procedure. At prime we prefer core biopy (tru-cut biopsy) to FNAC as it provides more accurate pathological diagnosis and detailed molecular information on tumors. All biopsies are done under ultrasound guidance ensure that the area of abnormality is accurately sampled.A needle biopsy is an essential component of the “ triple test” for breast masses. This is performed as a quick outpatient procedure. At prime we prefer core biopy (tru-cut biopsy) to FNAC as it provides more accurate pathological diagnosis and detailed molecular information on tumors. All biopsies are done under ultrasound guidance ensure that the area of abnormality is accurately sampled.
III) Advanced treatments for breast cancer and breast diseases: We provide a high standard of care in treatment in keeping with latest international guidelines and protocols. Our state-of-the-art treatment facilities and comfortable ambience make an ideal setting for breast surgery. Our areas of specialization include.
a) Minimally invasive treatments to avoid surgery: With ultrasound- guided OPD based procedures, unnecessary surgery can be avoided. Using techniques like ultrasound-guided aspiration for complex cysts, percutaneous aspiration of breast abscesses and core-biopsy for benign conditions, unnecessary surgery may be avoided.
b) Image guided breast surgery: Our surgeon uses ultrasound in the operating room to ensure that the exact area of disease is removed. This is especially important for breast lesions that cannot be felt by hand. In cases of cancer, this helps obtain a “margin” of normal tissue around the tumor and minimize need for reoperation.
c) Cosmetic approaches and invisible scars: Patients after breast surgery often have no stitches to be removed. Surgical incisions are placed in a way to avoid or minimize visible scars using techniques like periareolar and inframammary approaches.
d) Minimizing side effects of cancer surgery: Oncoplastic techniques in lumpectomy are used to avoid breast deformity after cancer surgery. Techniques like sentinel node biopsy for lymph node surgery area are used to minimize side effects like lymphedema or arm swelling. With nipple skin sparing mastectomy, the breast can be removed preserving the skin envelop over it and an immediate reconstruction can be performed. Special techniques like intraoperative nerve blocks and post operative scapulothoracic bursa blocks and are used to minimize pain after breast cancer surgery.
Dr. Pranjali Gadgil
Dr. Pranjali Gadgil is a breast surgeon and breast disease specialist practicing at Prime Surgical C..Read more
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