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Breast Surgery in Delhi

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Breast Surgery in Delhi

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  1. Breast Surgery in Delhi • Breast Cancer Epidemiology • Halsted Theory • Radical Mastectomy • Fisher Theory • Modified Radical Mastectomy • Goals of Breast Conservation • Targeting the Cancer • Sentinel Lymph Node Dissection • Skin Sparing / Tissue Expander-Implant • NSM / Direct to Implant • Skin Sparing / Free Flap • Cryoablation - Probe Placement • Cryoablation- Iceball Formation

  2. Breast Cancer Epidemiology • Most common type of cancer among women • 1 in 8 women will develop breast cancer over her lifetime; 1 in 100 men • Second most common cause of cancer deaths among women • ~200,000 new cases and ~40,000 deaths per year • Risk increases with age

  3. HALSTED THEORY LUNGS LIVER LYMPH NODES BONE CANCER

  4. Radical Mastectomy

  5. FISHER THEORY LYMPH NODES CANCER LUNGS LIVER BLOOD STREAM BONE

  6. Modified Radical Mastectomy

  7. Modified Radical Mastectomy

  8. Goals of Breast Conservation • Minimize local recurrence at the primary site • Achieve an acceptable cosmetic result • Eradicate microscopic foci of cancer with radiation • Minimize risk of complications • Maximize benefit in terms of quality of life

  9. Targeting the Cancer

  10. Sentinel Lymph Node Dissection

  11. Skin Sparing / Tissue Expander-Implant

  12. The Future Ablative Therapy • Majority of patients are candidates for breast conserving lumpectomy • Still requires general anesthesia, scarring, potential for cosmetic deformity, and may require multiple operations (literature reports 25-40% re-excision for positive margins) • Ablation involves destruction of the tumor without the need for surgery • Used for liver, kidney and other cancers

  13. Thank You http://www.tour2cosmeticsurgeryindia.com/

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