Breast Surgery in Delhi

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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

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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

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HALSTED THEORY
LUNGS
LIVER
LYMPH NODES
BONE
CANCER
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Radical Mastectomy
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FISHER THEORY
LYMPH NODES
CANCER
LUNGS
LIVER
BLOOD STREAM
BONE
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Modified Radical Mastectomy
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Modified Radical Mastectomy
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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

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Targeting the Cancer
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Sentinel Lymph Node Dissection
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Skin Sparing / Tissue Expander-Implant
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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

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Thank You

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