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DEPARTMENT OF SURGICAL ONCOLOGY

Breast Cancer Surgery

Breast cancer surgeries are medical procedures undertaken to remove cancerous tissues from the breast, with the primary aim of eliminating or controlling the spread of cancer. These surgeries are performed by expert surgical teams and are integral to a patient’s treatment regimen.

Breast Cancer Surgery at Kolhapur Cancer Centre

At Kolhapur Cancer Centre, we understand the significance of navigating the journey of breast cancer treatment with clarity and confidence. As a leading cancer hospital serving the Kolhapur, Ratnagiri, Sangli, and Kokan regions, we are committed to providing comprehensive surgical care tailored to the unique needs of each patient.

This page is designed to offer valuable insights and guidance surrounding breast cancer surgeries, ensuring you are well-informed about your options and what to expect.

Breast Cancer Surgeries

Breast cancer surgeries are medical procedures undertaken to remove cancerous tissues from the breast, with the primary aim of eliminating or controlling the spread of cancer. These surgeries are performed by expert surgical teams and are integral to a patient’s treatment regimen. The goal is not only to remove the tumor but also to preserve as much of the breast tissue as possible, maintain overall health, and prevent recurrence.

When and Why Surgery is Recommended?

Surgery is often recommended as a preferred choice once a diagnosis of breast cancer is confirmed. It is considered in various scenarios, such as early-stage cancers, to remove localised tumors, and in some advanced cases, to improve symptoms or prevent complications.

The decision to proceed with surgery involves a multidisciplinary approach, weighing the tumor’s characteristics, stage, and patient preferences.

Surgery may be complemented by other treatments like chemotherapy or radiation, depending on the specific cancer profile.

Types of Breast Cancer Surgeries

There are several types of surgeries associated with breast cancer, each distinct in approach and intent:

  • Lumpectomy: Also known as breast-conserving surgery, involves removing the tumor and a small margin of surrounding tissue.
  • Mastectomy: Involves the removal of one or both breasts, either partially or completely, and is chosen based on the cancer’s extent.
  • Axillary Lymph Node Dissection: Targets lymph nodes in the underarm area to assess the cancer spread.
  • Sentinel Lymph Node Biopsy: Identifies and removes the nearest lymph nodes to the tumor to check for cancer cells. 
  • Reconstructive Surgery: Often follows a mastectomy to restore the breast’s appearance and improve self-esteem.

Breast Reconstructive Surgeries

Reconstructive surgeries play a crucial role in the recovery process for many breast cancer patients undergoing mastectomy. These procedures aim to rebuild the breast mound to restore its shape and appearance, offering both aesthetic and psychological benefits. There are primarily two types of reconstructive techniques: implant-based reconstruction and autologous or flap reconstruction.

  • Implant-Based Reconstruction: This approach uses a saline or silicone implant to recreate the breast. It often involves a two-stage process beginning with tissue expansion followed by the permanent implant placement.
  • Autologous or Flap Reconstruction: Involves using tissue transplanted from another part of the patient’s body, such as the abdomen, back, or thighs. This option often results in a more natural feel compared to implants and can sometimes be performed in conjunction with implant reconstruction for a hybrid approach.

The choice between these options depends on various factors, including the patient’s body type, medical history, cancer treatment plan, and personal preferences. Reconstruction can occur immediately following mastectomy or be delayed until after other cancer treatments are completed, allowing for a highly individualised treatment path.

Key Facts

  • Breast cancer is the most common cancer among women globally, with a high success rate when treated early.
  • Surgical intervention forms the cornerstone of breast cancer management, with survival rates improving due to advancements in surgical techniques.
  • Personalized treatment plans significantly heighten the effectiveness and quality of life post-surgery.

How Cancer Treatment Plan Decided?

The design of a cancer treatment plan at KCC is a meticulous process involving an interdisciplinary team of specialists. Factors such as tumor type, genetic markers, patient health status, and personal choices are considered to craft a holistic treatment strategy. Advanced diagnostic tools and patient discussions ensure that the plan is both effective and considerate of the patient’s aspirations and health objectives.

Transitioning into the next section, let’s delve into the crucial steps involved in Pre-Surgical Preparations.

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Pre-surgical Preparations and Planning

At KCC, pre-surgical preparations are designed to ensure that each patient is in optimal condition before undergoing any procedure.

The process begins with a comprehensive pre-assessment where medical history, physical examinations, and necessary tests such as blood work and imaging are conducted. This step is crucial for understanding any potential risks and tailoring the surgery to the patient’s unique needs.

Furthermore, patients are often assigned to a care coordinator who guides them through the pre-surgical phase, providing information and support.

Dietary adjustments, cessation of specific medications, and fitness regimes may be recommended to enhance recovery prospects. Psychological support is also available, addressing any anxieties or concerns a patient may have about the surgery.

Importantly, this preparation phase includes discussions with the surgical team to review the operative plan and expected outcomes, ensuring patients have a clear understanding of the journey ahead.

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What to Expect During Breast Cancer Surgery?

During breast cancer surgery at KCC, patients can expect a well-coordinated procedure led by a skilled surgical team.

Upon arrival at the surgical center, patients are checked in and prepped for surgery, which includes changing into a hospital gown and receiving an intravenous (IV) line for fluids and medications. The surgical team will verify patient details and answer any remaining questions before the surgery begins.

Anesthesia is administered to ensure the patient is comfortable and pain-free throughout the operation. Depending on the specific surgery planned, such as lumpectomy or mastectomy, the duration may vary but typically ranges from a few hours to more extended periods if reconstructive surgery is involved simultaneously.

During the surgery, surgeons work meticulously to remove cancerous tissues while preserving as much healthy tissue as possible. They often employ advanced techniques and tools to minimize facial scarring and ensure precision.

Throughout the procedure, a dedicated anaesthetist monitors the patient’s vital signs to maintain optimal conditions.

Following the surgery, patients are gradually awakened from anesthesia and moved to a recovery room for close observation as they regain full consciousness. The medical team monitors pain levels, vital signs, and initial post-operative recovery indicators to ensure patient stability before transferring them to a hospital room or discharging them, depending on individual recovery needs and surgical outcomes.

Potential Risks & Complications

While breast cancer surgery is generally safe, as with any surgical procedure, there are potential risks and complications that patients should be aware of. These may include infection at the surgical site, excessive bleeding, or an adverse reaction to anaesthesia.

Additionally, patients might experience issues such as swelling, pain, or changes in breast sensation. In some cases, there may be complications like blood clots or lymphoedema, particularly if lymph nodes are removed during surgery.

It is important for patients to monitor for any signs of complications and seek medical attention if they experience symptoms such as increasing redness or warmth around the incision, persistent pain, swelling, fever, or any unusual discharge from the surgical site.

Early intervention can help mitigate any potential complications and facilitate a smoother recovery.

When to See a Specialist?

Patients should contact their breast cancer surgeon if they notice any symptoms outside their expected recovery process. Persistent or severe pain that is not relieved by prescribed medication, unexpected swelling, or signs of infection warrant immediate attention.

Furthermore, if patients experience emotional difficulty or feel overwhelmed during the recovery period, it may be beneficial to consult with a specialist in mental health or join a support group. Regularly scheduled follow-up appointments provide an opportunity to discuss any concerns with the surgical team and ensure that recovery is progressing as expected.

Post-Operative Care

After breast cancer surgery, proper post-operative care is crucial for recovery and achieving the best possible outcomes. Patients are provided with detailed instructions on wound care, pain management, and activity restrictions.

It’s essential to keep the surgical site clean and dry, and dressings may need to be changed according to the guidance of the oncologist. Pain levels are managed with prescribed medications, which should be taken as directed to ensure comfort during the healing process.

Patients are advised to avoid strenuous activities and heavy lifting until they receive clearance from their surgeon. Regular follow-up appointments are scheduled to monitor the healing process, address any concerns, and discuss further treatment plans if necessary.

Emotional support is also a vital aspect of recovery, and many patients find it beneficial to connect with support groups or counselling services to help navigate the emotional journey post-surgery.

Recovery Timeline

Recovery from surgery is a highly individual process and can vary substantially between patients. However, there are general timelines that can help guide expectations. In the first few days post-surgery, patients are encouraged to rest and give their bodies time to begin healing.

Light activities can usually be resumed within the first week, though any strenuous exercise should be avoided. By the end of the second week, most patients find themselves able to return to work or school, provided their duties are not too physically demanding.

As healing progresses, by the four to six-week mark, patients often notice a significant improvement in their energy levels and a reduction in discomfort or swelling. This is typically when more vigorous physical activities may gradually be reintroduced, following the advice of surgoen.

It is important to remember that complete recovery can take several months, during which patients should continue to listen to their bodies and follow their surgeon’s recommendations. Patience and active participation in one’s recovery plan are key to achieving optimal results.

Consult Our Breast Cancer Specialist for the Best Possible Care

Navigating a breast cancer diagnosis and treatment can be challenging, but you don’t have to do it alone. Our breast cancer specialist is dedicated to providing the best possible care tailored to your unique needs.

With a compassionate approach and extensive expertise, our specialist is committed to guiding you through every stage of your journey, from diagnosis and treatment to recovery and follow-up care.

By working together, we can develop a personalised care plan that maximises your treatment outcomes and ensures you receive the support you need throughout your recovery process.

Remember, reaching out to a specialist can make a significant difference in your journey to health and wellbeing.

Key Facts About Surgery

  • Breast cancer is the most common cancer among women globally, with a high success rate when treated early.
  • Surgical intervention forms the cornerstone of breast cancer management, with survival rates improving due to advancements in surgical techniques.
  • Personalized treatment plans significantly heighten the effectiveness and quality of life post-surgery.

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