Breast cancer treatment in India

IndiCure affiliated cancer hospitals in India are counted among the best hospitals for breast cancer treatment in India. The salient features of these hospitals are:

Multi disciplinary Approach: The patient is treated at two levels- as a patient and as a human being by a team of specialists which include surgical oncology, radiation oncology, medical oncology, psychologists, dieticians and many more. They work as a team to provide the best outcome for every patient.

Best Cancer Specialists: The doctors working at these best cancer hospitals in India have the world renowned specialists who are highly trained to treat the most complex breast cancer cases.

Cutting edge technology – The hospitals offer the most advanced and cutting edge technology for the treatment of breast cancer in India.

Complete Cancer care under one roof- Medical, radiation, surgical oncology, rehabilitation, plastic surgery treatment are all provided at the same hospital.

Affordable cost: The cost of breast cancer treatment in India is much affordable as compared to the cost of breast cancer treatment in Western countries. It is as less as a tenth of the cost in USA, UK or other western countries.

Overview

Breast cancer is the most leading and life threatening cancer originating in breast tissue that affects most women worldwide. It is the principle cause of mortality in the women across the world. Breast cancer in its early stage is very difficult to diagnose as it does not cause any symptoms and usually the pain and discomfort in breast is absent. Any of the following changes in the breast may indicate the risk of presence of breast cancer;

  • Changes in the skin over the breast or skin dimpling
  • Change in size and shape of the breast
  • Lump in the breast or axilla
  • Nipple abnormalities like nipple inversion and skin changes
  • Blood stained single duct discharge

Breast cancer like other cancers can spread and invade in the adjacent breast and it also has a tendency to spread and grow in other different parts of the body through metastasis. Breast cancer is considered as the second leading cause of death in women in their 30s and 50s.

Stages of breast cancer:

Stage 0: disease is localised to milk ducts

Stage 1: cancer is less than 2 inches in size and is not spread anywhere with no involvement of lymph nodes

Stage 2: cancer is;

  • Less than 2 cm and spread to the axillary lymph nodes
  • Between 2-5 cm with or without spreading to lymph node
  • Larger than 5 cm and has not spread to axillary lymph nodes

Stage 3: cancer at this stage is called as locally advanced breast cancer. Tumour is of any size and has spread to lymph nodes (stage 3A), spread to skin, chest wall or internal mammary lymph nodes that are located beneath the breast (stage 3B)

Stage 4: cancer is defined as tumour irrespective of size that has spread to other areas away from breast like bones, liver, lungs or brain.

Causes

Following are the risk factors that can develop breast cancer in women.

  • Age- more common in females over 50 years of age
  • Family history of cancer of ovaries
  • Any family history of having disease before menopause in the patient's mother or sibling.
  • Women who did not bear child or who have delivered first baby after the age of 30
  • Menses started at young age before 12 years.
  • Attaining menopause after 55 years increase the risk
  • Smoking, alcohol consumption
  • Dense breast tissue
  • Obesity
  • Intake of OCP's
  • HRT
  • Radiation treatment to chest before the age of 30
Treatment options

The treatment for breast cancer is usually recommended after analysing some key factors like the size and site of tumour, the extent to which it is spread, lab investigation results, stage of the breast cancer and the generalised health and age of the patient.

Treatment options for breast cancer includes;

  • Surgical intervention: Breast cancer can be treated by surgery using two approaches depending on the extent and stage of cancer.
    1. Breast conserving surgery: The main goal of breast conserving surgery is to save as much breast tissue as possible by removing only the part of the tissue containing cancer. Women might need radiation therapy or chemotherapy after this surgery. This surgery includes;
      • Partial mastectomy
      • Lumpectomy/ quadrantectomy
    2. Breast removal surgery: Breast removal surgery aims at removing the entire breast, and is medically called as mastectomy. Breast removal is often followed by the reconstruction surgery to restore the normal appearance of the breast. However, reconstruction surgery is subjective. Mastectomy can be performed using following methods;
      • Simple mastectomy: entire breast is removed sparing the axillary lymph nodes and tissue/ muscle underneath the breast. It is the most common type of surgery used to treat breast cancer.
      • Skin sparing mastectomy: skin sparing mastectomy is done in females who choose to get reconstruction surgery after mastectomy. In this procedure, the breast tissue is removed keeping the skin over the breast and the nipples intact.
      • Radical mastectomy: this is an extensive procedure characterised by removal of entire breast with the axillary lymph nodes and pectoral muscle of the chest present under the breast.
      • Modified radical mastectomy: this is less extensive commonly performed surgery in which the breast is removed along with the axillary lymph nodes. Lymph nodes are removed using;
        1. Axillary lymph node dissection (ALND in which around 10-20 lymph nodes are removed from the axilla and are checked for cancer spread.
        2. Sentinel lymph node biopsy (SLNB) only removes the first few lymph nodes up to which the cancer is most likely spread.
  • Radiation therapy: It is often needed after the breast conservation surgery like partial mastectomy and lumpectomy in which radiations are used to destroy the cancerous cell in the breast and occasionally in the axilla and chest wall under the breast.
  • Chemotherapy: Unlike radiation therapy, in this the medication given by injections are used to kill the cancer cells. This therapy has the side effect like hair loss, nausea, vomiting and sometimes infection as along with the cancer cells this can affect the normal healthy cells too.
  • Medication therapy: This includes;
    • Hormone therapy: Mostly used for postmenopausal women in which cancer cells which have oestrogen receptors are targeted and their growth is stopped using the oestrogen blocking medication like tamoxifen. It is usually done to enhance the chances of recovery and to allow the surgery to take place with success.
    • Biological therapy: This is given by injections which inhibits the growth of cancer cells and assist to kill those cell.
Candidates

If you have been suffering from above mentioned symptoms, and if the reports of your laboratory tests are indicating the signs of breast cancer or if you are diagnosed with the breast cancer, then you should undergo the treatment at the earliest.

Procedure
Breast cancer treatment in India

Breast removal surgery or mastectomy is commonly performed surgery for treating breast cancer which is followed either by radiation therapy or chemotherapy depending upon the type and extent of the disease. The patient may opt for breast reconstruction surgery immediately after mastectomy or can do it after few weeks or months.

Mastectomy is performed under general anaesthesia. The duration of the surgery depends on the type of mastectomy to be done, but usually takes 2-3 hours.

The surgery is done under general anesthesia. As soon as the anaesthesia starts taking its effect, with all aseptic precautions, surgeon will make an incision in shape of ellipse around the breast. The breast tissue with or without the lymph nodes is removed which depending on the type of procedure. But irrespective of the type of mastectomy being performed, small part of the removed breast tissue and nodes are sent to the laboratory for analysis.

The incisions are sutured and the draining tube is placed in the chest area to drain the fluids accumulated after the surgery. The patient is moved to recovery room for observation. The tubes are removed once the fluids are drained completely and then the patient is discharged.

Recovery

After the surgery, the patient is shifted to recovery room where she will be under observation until awake. 1-2 days of hospitalization is required after the surgery. However, less extensive surgeries like breast conserving surgery needs a short stay. There might be some pain and pinching sensation in the axillary region which will go off gradually. The patient is given instructions on self-care from the health care team.

One can resume daily activities within a period of 2 weeks after breast conservation surgery. However, following total mastectomy, complete recovery takes around 4 weeks. Recovery time is further extended if the patient choose reconstruction surgery as well.

Most women feel the skin of chest or axilla little tight and stiff for some time, but these things improve as the time passes.

Expected Results

The results of breast cancer surgery depend upon the stage of the disease. If detected early, breast cancer can be completely treated and one can lead a normal life after breast cancer treatment in India.

Time

The time required for breast cancer treatment in India depends on the stage and type of surgery chosen. If only surgery is required, about 2 weeks stay in India is enough. However, for chemotherapy and radiotherapy several weeks are required.

Cost of breast cancer treatment in India

At IndiCure we recognize the significance of excellent health and well-being of our guests and hence our objective is to provide best treatment for breast cancer in India at honest affordable prices. A preferred association with best hospital for breast cancer treatment in India and top surgeons in India helps us advise

  • Best treatment for breast cancer in India
  • Most affordable cost of breast cancer surgery in India

The cost of breast cancer surgery in India varies with the type of procedure chosen, your medical condition, surgeon, city and the facility where you choose to get the treatment done.

An individually allocated case manager takes personalized interest to design a tailor made treatment plan for every guest and will provide with a specific time and cost of breast cancer treatment in India.

Medical history and diagnostic reports may be sent to info@indicure.com for an early response from the case managers.

IndiCure Cares

We encourage you to educate yourself about breast cancer surgery in India, benefits from the right kind of procedure and then make an informed decision.

IndiCure thus invites you for a free consultation with chosen best hospital for breast cancer treatment in India and top surgeons for breast cancer in India and assures you hassle free arrangements for examinations, procedures, recovery, travel and stay in India.

You can be rest assured that with IndiCure's expertise, we bring in a wonderful experience of medical tourism in India, which we have been doing so for almost a decade now.