Few examples of Early breast cancer

Symptoms of breast cancer are usually an area of thickened tissue in the breast, or a lump in the breast or in an armpit.

 

  • Pitting or redness of the skin of the breast, like the skin of an orange
  • A rash around or on one of the nipples

 

SPECIALIZED MANAGEMENT OF BREAST CANCER

Multimodality treatment : Dr.Bose has vast experience and expertise in the total management of Breast Cancer -Diagnosis, Multimodality treatment ( surgery, chemotherapy, Hormone therapy, Referal for Radiotherapy ).

He has been practiting Breast Conservation Surgery in early breast cancer and also in locally advanced breast cancer after downstaging the tumour size with pre-op chemotherapy

He is one of the few surgeons who has been himself administering chemotherapy and hormone therapy to breast cancer patients and hence the patients do not have to run to multiple spcialists and there is no interruption in the complete treatment.

FEW EXAMPLES OF EARLY BREAST CANCER CASES

A young lady of 25 years, was diagnosed to have locally advanced breast cancer; did not want total mastectomy at any cost. Was given 4 cycles of chemotherapy, the response was very good. Underwent segmental mastectomy and axillary clearance.Given two more cycles of chemotherapy followed by radiotherapy. Breast Conservation operations done on both sides in a lady of 65 years, who did not want to loose her feminity by undergoing total removal of her breasts; she is disease free since her surgery done about 10 years back. Few More Cases Of Breast Conservation Surgery.

FEW CASES OF ADVANCED BREAST CANCER

Advanced Breast Cancer, unfortunately is a common presentation in our country because of multiple factors and they pose lot of problems in their management. Not only it is difficult to undertake surgery in them to irradicate the cancerous tumour but the total outcome is also not very satisfactory.

FEW ILLUSTRATIVE CASES OF ADVANCED BREAST CANCER

Advanced cancer of left breast in a lady of 53 yrs, had met several surgeons for 2 yrs , but labelled unfit for surgery as she had only one lung , her left lung had not developed since birth .After proper counselling, she was given chemotherapy for four cycles , the response was moderate. Operated upon, had excision of all the involved tissues and skin grafting , much more than what is removed in classical Radical mastectomy. Because of her poor condition she could not be subjected for further plastic reconstruction.

She was followed with chemotherapy, radiotherapy and hormone therapy . She remained disease free for 7 years, developed local recurrence, which was excised , 2 years later again developed malignant subcutaneous nodules at a few places, was put on chemotherapy orally , responded well and she is presently disease free, her whole body MRI metastasis work up does not show any evidence of disease.

Another Case of Advanced Breast Cancer Treated By Extended Radical Mastectomy Advanced Breast Cancer in a elderly malnourished lady with gross infection. Infection Controlled, Pre-op.
Chemotherapy Followed by Surgery, Chemotherapy, Radiotherapy& Hormone therapy Total treatment finished in 6 months .

BREAST ABSCESS

Infection of breast tissue , particularly in a lactating mother is a problematic issue. The age old treatment followed by all surgerons consist of antibiotics, incision and drainage of pus and regular dressings. This leads to a painful, prolonged period of illness, necessiating stopping of breast feeding to the child , mutilation of the breast and many other related problems.

Dr.Bose has been treating breast abscess cases in a different manner, drainage of pus by aspirations and antibiotics.

This has given excellent results, no painful dressings, breast contour remains good, breast feeding can continue, Depending upon the size of abscess cavity, aspiration has been done 2 to 5 times for complete cure of the problem . The procedure has been appreciated greatly both by the patient and the surgeons himself.

A very large sized breast abscess in a lady treated with Aspiration Technique Pus being aspirated , almost pain free procedure First Aspiration – 500 ml of thick pus BENIGN BREAST DISEASE

Total Colectomy in a young man , has been suffering from Ulcerative Colitis for long opened up specimen – showing extensive diease Large Multi Nodular Goitre of long duration Specimen – Total Thyroidectomy

To start with the patient had been very apprehensive about the mutilation of her figure; but now feels extremely happy and satisfied with the cosmetic outlook and feels as if her breast has not been operated upon.