KIMS-USHALAKSHMI CENTRE FOR BREAST DISEASES

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CELEBRATING TWELVE POSITIVELY EVENTFUL YEARS


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Rapid access for diagnosis and treatment
A One Stop Triple Assessment is offered to all women and men presenting to the Breast Centre. This is a unique set up, FIRST of its kind in the Country, where Clinical Assessment, Breast imaging and Breast biopsy are all done under one roof in a specific purpose built Breast Centre. You do not need to go to Radiology Department for Mammogram or Ultrasound assessment. The results of Imaging will be available within the hour - same day. The Core biopsy/FNAC report would be available in about three days.

Breast Cancer Counselling
Dedicated Breast cancer counselling will be made available to women affected with breast cancer by a trained Breast Care Counsellor in the comfort of a purpose built Counselling Room at the Breast Centre. Adequate psychological & emotional support would be provided, taking into consideration individual needs of patients and their families, in a sensitive and supportive environment. The Breast Care Counsellor will also provide extended care in the comfort of patients home to address any concerns following discharge from the Hospital after Breast Cancer Surgery

Multidisciplinary care
Results of the investigations will be made available within 24 hours & women affected with breast cancer would be offered individualised multidisciplinary treatment based on evidence & guidelines.

Sentinel node biopsy
The standard management of axilla in Breast cancer is to do a formal Axillary Node Clearance where most of the lymph nodes in the axilla (arm pit) are removed. This may be necessary in patients who are considered to have obvious disease in the axilla. However, as this procedure can potentially cause significant morbidity, Sentinel Node Biopsy (SNB) is a minimally invasive procedure that is offered to women who are unlikely to have spread of cancer to lymph nodes in the arm pit. This procedure significantly improves the accuracy of axillary staging in women with early breast cancer. A combination of blue dye and Indocyanine green (ICG) fluorescence navigation method is used to remove only a few nodes, thus minimizing the morbidity when compared with the traditional axillary node clearance.

Reconstructive and Oncoplastic Breast Surgery
Oncoplastic Breast surgery is relatively new concept and refers to techniques that combine principles of Oncological surgery with Plastic surgery in some carefully selected women having breast conserving surgery, thus achieving superior cosmetic results and patient satisfaction. Immediate (at the time of Breast cancer surgery) and Delayed Breast Reconstruction (many months after Breast cancer surgery) would be offered to women undergoing Mastectomy (removal of breast) for Breast cancer.

Vacuum assisted Biopsy (VAB)
The standard surgical treatment for a fibroadenoma (benign lesion in the breast) is a formal excision under general anaesthesia. Vacuum Assisted Biopsy is a relatively new technique that is employed in carefully selected patients to remove small benign non cancerous lesions under 2 cms in size through this technique. A pin hole cut is made in the skin overlying the lesion in the breast and with a VAB gun, the entire lump can be removed under local anaesthesia in the Breast Centre. The patient would be able to go home on the same day within a few hours after the procedure. This procedure is one option for young women who choose to have small benign non cancerous lumps removed.

Breast Screening
KIMS Ushalakshmi Centre for Breast Diseases is the very FIRST Centre in South India to acquire the Digital mammography Unit. Breast Screening by way of Mammography (X- ray of the breasts) is an effective proven way of detecting breast cancer early many years before it shows up. Early detection of breast cancer offers the best chance of successful treatment, which translates to improved survival. Digital mammography is the most recent revolutionary advance in which an image of the breast can be produced in about five seconds (compared to four to five minutes with a traditional mammogram). The new technique is more effective than standard mammography in showing up early subtle breast cancer changes & is particularly useful in younger women with dense breasts.

Family History & Breast Cancer Prevention Clinic
The Breast Centre would conduct dedicated Family History Clinic on specific days of the week aimed at reaching out to women at high risk of developing breast cancer. Based on the history and assessment, Genetic testing would be offered to women at high risk of developing familial breast cancer & those found to be at high risk will be counselled with the appropriate Breast cancer preventive strategy based on evidence based guidelines.

Empowerment of women & men affected with Breast cancer
One of the most important components of delivering high quality Breast cancer care is the ability to counsel, guide & educate women in simple, easy to understand language not only about the disease but also about the various treatment options including the risks and side effects.

For the FIRST time in 30 years, Breast Cancer Care, UK, which is the largest provider of accurate Information and emotional support to women and men affected with breast cancer in the United Kingdom, has entered into a collaboration with an Overseas Breast Cancer Foundation (Ushalakshmi Breast Cancer Foundation, Hyderabad) to make available their excellent well researched up-to-date information from the point of diagnosis, through treatment and beyond.

The Information booklet series, which has been modified (with due permission from Breast Cancer Care, UK), has its own logo & design. Published under the banner of Ushalakshmi Breast Cancer Foundation in partnership with Dr Reddy's Foundation for Health Education & Breast cancer Care, UK, these booklets will be made available for the FIRST time in India at KIMS Ushalakshmi Centre for Breast Diseases. All the booklets will also be made available on Ushalakshmi Breast Cancer Foundations website (www.breastcancerindia.org), which can be accessed by anyone anywhere in India.
 
Promoting Breast awareness
KIMS Ushalakshmi Centre for Breast Diseases will work tirelessly to actively promote the concept of BREAST AWARENESS, which is gaining increasing acceptance world over. This is clearly a move away from the popularly held concept of rigorous Breast Self Examination (BSE), which has not proven to be effective

Being Breast Aware is about becoming familiar with the breasts and the way they change throughout a womans life. It is a concept that encourages women to know how their breasts look and feel normally so that they gain confidence about noticing any change which might help detect breast cancer early.

Breast Awareness 5 - Point Code
 
  1. Know what is normal for you
  2. Know what changes to look & feel for
  3. Look and feel
  4. Report any changes to your Doctor without delay
  5. Have Breast Screening once every two years if you are aged 40 and over
CHANGES THAT YOU MUST BE AWARE
You need to be aware of any changes that are new or different for you, such as:
  • a change in size it may be that one breast has become noticeably larger or noticeably lower
  • a nipple has become inverted (pulled in) or changed its position or shape
  • a rash on or around the nipple
  • discharge from one or both nipples
  • puckering or dimpling of the skin
  • a swelling under your armpit or around your collarbone (where the lymph nodes are)
  • a lump or thickening in your breast that feels different from the rest of the breast tissue
  • constant pain in one part of your breast or in your armpit.