3-D Mammography, Digital Breast Tomosynthesis
This is the latest, state of the art Breast Imaging Modality that utilizes very low, safe x-ray radiation and computer reconstructions. It creates high definition 3-dimensional images of the breasts.
Compared to simple 2-D Mammography, it will help diagnose about 40% more breast cancers at a smaller size and earlier stage, which means they can be curable.
Using Medical Ultrasonography, we can perform accurate imaging of the breasts to help diagnose early-stage disease. An Ultrasound should always be performed in addition to Mammography. Still, the examination can also be done at any other time on its own. Since there are no x-rays involved, an Ultrasound exam can be performed on women of any age & can be repeated as frequently as needed.
Clinical, Physical Examination
Although we use the best technology available to detect breast cancer, the first thing I do when I meet my patients is a physical examination.
The breasts, armpits, and nipples are palpated for any abnormalities during the physical examination. The skin is evaluated, and any nipple discharge is noted.
While I perform this, I advice my patients that they should do the same once a month during self-exam.
In case of unclear or suspicious findings, an accurate biopsy of breast lesions as small as 2-3 mm can be performed using Mammographic or Ultrasound guidance. Biopsy of lymph nodes can also be performed using ultrasound guidance.
If done by experts in the correct environment, Biopsies can clarify findings using safe and minimally invasive techniques. Note that it is a mistake to proceed to surgery before having a biopsy since the nature of the lesion will determine the type of surgery.
Breast Lesion Localization using Markers or Wires
Breast lesions can be marked for many reasons using mammographic or ultrasound guidance. Lesion Localization can be performed:
-After biopsy for future reference and follow-up, as they indicate where the biopsy was taken from.
-Before neo-adjuvant chemotherapy. In certain types of breast cancer & above a specific size, chemotherapy is given before surgery to make the surgery less invasive or even possible. In many of these cases, cancer will completely disappear after chemotherapy. Therefore, surgical excision would not be possible without markers to show its location.
-Before surgery. Many cancers we diagnose are too small to be felt. Therefore, we use localization wires to help the breast surgeon accurately and altogether remove cancer using minimally invasive surgery.
Specimen X-ray Confirmation
Our work would not be possible without a great team of professionals. Our goal with every patient is to provide the best care through a seamless process. In the case of non-palpable cancers, all excised tissue is sent to us during surgery to confirm complete excision or guide the surgeon for further excision. Specimen x-ray confirmation is done while the patient is still in surgery without delays and can be repeated if needed.
Many patients come to me for a second opinion after being examined elsewhere. I review the provided images and results in such cases and give patients my recommendations. If needed, I invite other members of our team, usually breast surgeons, to be involved in the assessment.
Multidisciplinary Team - MDT
Doctors from different specialities make up our team of experts for Breast Cancer Care. Each patient diagnosed with breast cancer is evaluated individually, and the best course of treatment is decided. We do not have a one-size-fits-all approach. We always choose what we can do best for each and every patient with a personalized approach.