Breast Cancer Treatment in india

Breast Cancer Treatment in India

If you have breast cancer, your healthcare team will create a Breast Cancer Treatment in India plan just for you. It will be based on your health and specific information about the Breast Cancer. When deciding which treatments to offer for ductal carcinoma and lobular carcinoma, your healthcare team will consider:

• the stage
• if you have reached menopause
• the hormone receptor status of the cancer
• the HER2 status of the cancer
• the risk that the cancer will come back, or recur (for early stage breast cancers)
• your overall health

You may be offered one or more of the following treatments for breast cancer.

Breast Cancer Surgery in India

Most women with breast cancer will have surgery. Your healthcare team will talk to you about the different types of surgery to help you decide which is best for you. The types of surgery you will be offered depend mainly on:

• the size and location of the tumour
• the size of the breast
• if the cancer has spread to the lymph nodes
• if you have already had any treatments for breast cancer

Surgery for breast cancer includes breast-conserving surgery, mastectomy and lymph node surgeries.

Radiation therapy in India

External beam radiation therapy uses a machine to direct radiation through the skin to the tumour and tissue around it.

Radiation therapy is almost always given after breast-conserving Breast Cancer Surgery. In some cases it may be given after a mastectomy. It is also used to treat breast cancer that has spread to the bones, lungs or brain.

Hormonal therapy

Hormonal therapy is often used to treat hormone receptor–positive breast cancer. Post-menopausal women are given different hormonal therapy drugs than premenopausal women.

Chemotherapy

Chemotherapy is a common treatment for breast cancer. It is often given after surgery for early stage breast cancer to reduce the risk that the cancer will come back. It is also the main treatment for advanced or metastatic breast cancer.

Combinations of chemotherapy drugs are most often used for breast cancer because they are more effective than single drugs.

Targeted therapy

Targeted therapy may be given alone or in combination with chemotherapy, hormonal therapy or both.

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Risk Factor of Breast Cancer

Cause of Breast Cancer

Breast Cancer Treatment in India

The exact cause of breast cancer — that is, what causes breast cells to start to grow out of control — is not known. The combination of a person's genes and their environment likely plays a role in the development of the disease.

In about 5 to 10 percent of Breast Cancer cases, genetic mutations are linked to the disease. For example, women with mutations in the BRCA genes are at increased risk for breast cancer. Some studies show that women with mutations in the BRCA1 gene have a 50 percent to 70 percent chance of getting breast cancer by age 70, and women with mutations in the BRCA2 gene have a 40 percent to 60 percent chance, a nonprofit organization that funds breast-cancer research and advocates for patients.

Risk Factors of Breast Cancer

 1. family history of breast cancer,

 2. starting menstrual periods before age 12 or going through menopause after age 55,

 3. not having children, 

4. having dense breast tissue, 

5. using hormone therapy after menopause,

 However, most women who get Breast cancer don't have any risk factors for the disease, other than their gender and age, the ACS says.

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Stages of Breast Cancer

Stages of Breast Cancer

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Breast cancer is classified by stages of development. The classification allows a better understanding of prognosis and treatment.

Early (zero) stage of breast cancer is considered as a state in which the atypical cells are localized in the breast tissue and there are no signs that they have spread to the lymph nodes.

Stage 1 of breast cancer: tumor size less than two centimeters (approximately an inch) and has not spread to surrounding lymph nodes or outside the breast.

Stage 2 breast cancer is divided into two groups: the size of the tumor and whether or not it has spread to the lymph nodes:

Stages of breast cancer

2A: tumor less than 2 cm in cross section with the spread to the lymph node, or tumor from 2 to 5 cm without the spread to auxiliary lymph nodes.

2B: tumor more than 5 cm in cross section (the result of auxiliary lymph nodes research is negative for cancer cells) or tumor from 2 to 5 cm in diameter with the involvement of auxiliary lymph nodes. Late (metastatic) stages of breast cancer occur when cancer cells spread to the lymph nodes and other tissues.

Stage 3 breast cancer is also divided in to two categories:

3A: tumor measures more than 5 cm with spread to auxiliary lymph nodes (local spread of breast cancer) or tumor of any size with metastases in auxiliary lymph nodes, which are weaved to each other or with the adjacent tissues.

3B: tumor (any size) with metastases into the skin, chest wall or internal lymph nodes of mammary gland (found below the breast inside of chest).

Stage 4 is defined by the spread of the cancer to other organs or tissues, such as the liver, lungs, brain, skeletal system, or lymph nodes near the collarbone.

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Breast Cancer Specialist in India

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What to expect during external beam radiation therapy (EBRT)

Radiation treatment in India is usually started after enough time has gone by for your surgery wound to heal, often at least 2 to 3 weeks. EBRT is usually given once a day, 5 days a week, for a set number of weeks.  Or you may go to the radiation center twice a day and get a larger dose of radiation over a shorter period of time. You will need to go to the radiation clinic every day for treatment.

Radiation treatment is a lot like getting an X-ray, but the radiation is stronger. The radiation comes from a large machine. The machine doesn't touch you during the Breast Cancer Specialist in India. The treatments don't hurt and they are quick. The whole process will likely take less than an hour.

Things like lotion, powder, and deodorant can interfere with EBRT. You may be asked not to use them until after treatment.

On the day of treatment, you are carefully put into the right position. If you need to lie in an awkward position, the radiologist may make a mold of your body, which can be used to support you and keep you from moving during treatment. You may see lights from the machine lined up with the marks on your skin. These help the therapist know you are in the right position. The therapist will leave the room while the machine sends radiation to your tumor. During this time, he or she can see you, hear you, and talk to you. When the machine sends radiation to your tumor, you will need to be very still, but you do not have to hold your breath.

The radiation oncologist and the radiation therapist will carefully monitor the intensity and length of each radiation treatment. They will also check the area that is being treated. You will get regular physical exams and blood tests during the course of your treatments.

What to expect during internal radiation therapy

For internal radiation therapy, the radiation is directed from inside the body. The radiation therapist places small thin hollow tube called a catheter directly into the Breast Cancer where the tumor used to be. Radioactive seeds or pellets are then put into the catheter for short periods of time each day. They are then removed when the treatment is over. Internal radiation may be done along with or instead of EBRT. 

Breast Cancer Treatment in India

Breast Cancer Surgeon in India

Breast Cancer Treatment in India : Radiation Therapy in India, oncocare.in

What is radiation therapy?               

Radiation therapy is a treatment for cancer that uses high-energy X-rays. A machine directs the rays of energy to the area of cancer. Radiation therapy is also called radiotherapy. Its goal is to kill or shrink cancer cells from Breast. 

When might radiation therapy be used for breast cancer?

Radiation Treatment in India is most often used along with other breast cancer treatments in India, like surgery or chemotherapy. Your doctor may advise radiation if either of the below apply to you:

You have an early stage breast cancer. You would get radiation after Breast Cancer Surgery in India. This is called adjuvant treatment. Radiation is often used after breast-conserving surgery. It is sometimes used after mastectomy. The goal is to kill cancer cells that can't be seen, but may have been left behind after Breast Surgery, which lowers the chance the cancer will come back.

You have metastatic breast cancer. This means the cancer has spread. The goal of radiation in this case is mainly to ease symptoms of the Breast Cancer. This is sometimes called palliative treatment.

Types of radiation therapy

The types of therapy include:                                                                                                                    

External radiation. This is called external beam therapy (EBRT). It’s the most common type used to treat Breast Cancer Treatment in India. A treatment that precisely sends high levels of radiation directly to the cancer cells. The machine is controlled by the radiation therapist. Since radiation is used to kill cancer cells and to shrink tumors, special shields may be used to protect the tissue surrounding the treatment area.

Internal radiation. This is called brachytherapy or implant radiation. This type of radiation treatment is given inside the body in the area of the cancer. It gives a higher dose of radiation to a small area for a shorter time. The radiation source may be put directly into the area of the breast tumor. Or it may be put in through a small tube placed near the tumor.

Before radiation therapy

Your radiation oncologist may do some imaging tests before your radiation therapy in India. These may include X-rays and computed tomography (CT) scans. Imaging tests help show exactly where you need treatment. You may have the same tests after treatment to see how well it worked. 

Before you start Breast cancer treatment in India, oncocare.in is Best Breast Cancer Treatment in India, imaging scans will be used to measure the exact location of the tumor so the beams of radiation can be focused there. Usually it's aimed at the whole breast. Sometimes it has to be aimed under your arm and at other parts of your chest, too. Small ink marks may be put on your skin to mark the treatment area. This ensures that the radiation reaches only the tumor, and not healthy parts of your body.

Breast Cancer Treatment in India

Breast Cancer Treatment in India

Breast Cancer Treatment in The World

Breast Cancer Treatment in India
Road from Detection to Breast Cancer Treatment in India

Breast Cancer Treatment in The World
1. 1.15 million new cases
2. Incidence increasing in most countries
3. 4,70, 000 deaths annually
4. Half of the global burden in low- and medium-resourced countries

Mortality Trends

Trends since 1950 in age-standardized death rates comparing breast and selected other types of cancer, among women

EBCTCG, Lancet, 2010

1. How can we increase the survival rates in Breast Cancer in India?

2. Does screening have a role to play?

3. Early Detection/Diagnosis and Optimal Treatment is the only way to increase the survival rates.

4. Yes, screening has a big role to play in this goal

 

What is Screening?

1. Screening is the application of a test to an asymptomatic population to determine who is likely to have the disease and who is not likely to have disease.

What Do We Gain From Screening???

1. Cancer screening ? secondary prevention - earlier therapeutic intervention is possible through screening an asymptomatic population to identify cancer at an earlier stage than it would have been in the absence of screening.

  Components Of Breast Screening?  

1. Clinical breast examination
2. Screening Mammography
3. Screening breast MRI (in selected cases)

Mammography In India

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Mammography Equipment

Mammography

1. Use a low-dose x-ray system to examine breasts
2. Digital mammography replaces x-ray film by solid-state detectors that convert x-rays into electrical signals. These signals are used to produce images that can be displayed on a computer screen (similar to digital cameras)
3. Mammography can show changes in the breast up to two years before a physician can feel them

SCREENING MAMMOGRAPHY

4. Screening mammography refers to routine mammographic images in asymptomatic women has resulted in shift in both incidence and stage of patients presenting with breast cancer
5. Overall sensitivity: 75% (>90% in fatty breasts)
6. It is inexpensive and widely available
7. Mammography is the only screening test which has been shown to reduce deaths due to breast cancer
8. 20-40% mortality reduction for women in the screened groups vs. control groups
9. Consists of two views of each breast
a. craniocaudal
b. mediolateral oblique
10. The BIRADS (Breast Imaging Reporting and Data Systems) classification system has been widely adopted as classifying mammograms with respect to appropriate follow up and intervention

Views Seen on Mammogram

RCC LCC RMLO LMLO

What Does A Mammograms Show?

a. Two of the most important mammographic indicators of breast cancers
b. Masses
c. Microcalcifications:  Tiny flecks of calcium – like grains of salt – in the soft tissue of the breast that can sometimes indicate an early cancer.

 Detection of Malignant Masses

1. Malignant masses have a more speculated appearance


Maligent Begins
Ultrasound Screening

1. Use as screening tool remains controversial
a. Low specificity, higher cost, lack of availability
b. Low sensitivity for calcifications of DCIS
c. Diagnostic test for evaluation of mammographic and palpable abnormalities
d. Can differentiate cystic from solid
e. Characterize solid masses
f. Evaluate the axilla for metastatic disease
g. First exam for patients less than age 30



Breast MRI Screening
• Breast MRI is more sensitive than mammography in detecting breast cancer, however it is less specific and results in high false positive rates
• Therefore, careful patient selection for additional MRI screening is required
• NCCN has recommended Screening MRI in women at high risk of breast cancer:
• # Women with a pedigree s/o or with a known genetic predisposition (BRCA1/2) mutation carrier or HBOC, starting at 25 years or individualized based on earliest age of onset in family
• # Women who received thoracic irradiation b/w 10-30 years

Appearance of Lesson on MRI

Screening Guidelines

Take Home Message


1. Early Diagnosis and Treatment forms the basis of better and improved survival
2. Breast screening has a very important role in achieving this goal.
3. Clinical Breast Examination and Mammography are the most effective screening tools.
4. All the suspicious lesions or findings in screening should be investigated thoroughly.

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There are many types of Cancer treatment. ... But most people have a combination of Treatments, such as surgery with Chemotherapy and/or Radiation Therapy. You may also have ImmunoTherapy, targeted Therapy, or hormone Therapy. OncologyTreatment

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Breast Cancer Treatment in India

Breast Cancer Treatment in India

Breast-cancer usually starts off in the inner lining of  Milk ducts or the lobules that supply them with milk. A  Malignant-Tumor can spread to other parts of the body. Breast cancer is cancer that forms in  cells of the breast. The breast consists of  lobules (glands that make breast milk),  ducts (small tubes that carry milk from the lobules to the nipple), fatty and  Conective  Tissue,  Blood  vessels and  lymphvessels.Best Treatment For Breast Cancer In India

Breast cancer usually starts off in the inner lining of milk ducts or the lobules that supply them with milk. A malignant tumor can spread to other

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Symptoms of breast cancer include a lump in the breast, bloody discharge from the nipple and changes in the shape or texture of the nipple or breast.Breast Cancer Treatment India At Affordable Cost

Its treatment depends on the stage of cancer. It may consist of chemotherapy, radiation, hormone therapy and surgery.Breast Cancer Treatment In Delhi

For  Treanment of  Breast  Cancer contact Dr Kundan Best Doctor For Breast Cancer In  Delhi NCR,  Best  Radiation  Treatment For Cancer In India.

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