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    Thursday , May 19, 2016


   Publication: The New Indian Express , Agency:Bureau
   Edition: Kochi , Page No: 02 , Location: Top Left , Size(sq.cms): 150

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Evolving Tech in Breast Cancer Diagnosis and Management
• Vacuum Assisted Biopsy, Breast Tissue Marker and Hook Wire Localisation Needle take surgical management in breast cancer treatment forward
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in and clit through a zone around the target. This ensures a bigger sample and hence accurate and timely diag­nosis.
Another advancement in the treat­ment of breast cancer is the revolu­tion in surgical management. Previ­ously if a woman was diagnosed with breast cancer, she would have to un­dergo mastectomy irrespective of the stage, i.e. she would lose her entire breast. To address this, two ground­breaking technologies have recently been introduced in India. One is the Breast Tissue Marker and the second is the Hook Wire Localisation Needle,
The Breast Tissue Marker is small in size - about the size of a sesame seed and is made of titanium, a "bio-compatible metal". The marker is placed at the site of the lesion from where imaging guided biopsy sam­ples have been obtained. These mark­ers are not only identified on mammo­gram by virtue of their radio opacity but also have a permanent ultrasound visibility
Therefore, stage 1 and stage 2 breast cancers can be identified. The marker clips help identify the site of
cancer as well as post chemotherapy residual disease. Once the marker clips are identified on imaging, a pre-operative hook wire is placed at the site of pre-operative planning, such . that the breast Oncosurgeon is able to conserve maximum healthy breast tissue with good cosmetic outcome at the time of open surgery
B reast cancer is now the most Indian women. As per PBCR (Population Based Cancer Registry) breast cancer ac­counts for 25% to 32% of all fe-male cancers in urban India. This im­plies, practically, one fourth (or even approaching one thirds) of all female
A fact of greater concern for the Indian population is that one of ev­ery two women diagnosed with breast cancer dies of it. Since a lot of pa­tients in India are diagnosed at later stages, they do not survive long, ir­respective of the best treatment they get, and hence the mortality is fairly high.
Breast health awareness implies that women should be aware of the commonly occurring symptoms of breast cancer such as a painless pal­pable lump in the breast or underarm, nipple inversion, spontaneous bloody or clear nipple discharge, change hi size of breast or skin dimpling. Typi­cally, there is no pain associated with breast cancer. Therefore, women often do not realise the above mentioned symptoms until it is too late.
If a woman experiences any of the above symptoms, she should im-
mediately consult her physician and undergo a diagnostic mammogram which is a specialised X-ray of the breast. If the mammogram is abnor­mal the radiologist will recommend an ultrasound for further characteri­sation of the mammographic abnor­mality followed by imaging guided breast biopsy for accurate pathology diagnosis, which confirms the diag­nosis.
Pathology diagnosis or tissue diag­nosis plays a crucial role in diagnosis and management of breast cancer. There are several types of breast bi­opsy techniques such as Fine Needle Aspiration Biopsy (FNAB), Trucut or Core Needle Biopsy (CNB) and Vacu­um Assisted Biopsy (VAB), The selec­tion of the biopsy technique depends on availability of resources and char­acteristics of the breast lesion.
Apart from conventional methods of tissue sampling such as FNAB and CNB, VAB is a newer biopsy tech­nique that is slowly but surely gain­ing momentum in clinical practice. VAB is based on the vacuum technol­ogy whereby with a single entry the device not only cuts through the tar­geted point in the lesion but also part of the lesion surrounding the target­ed area by virtue of its ability to suck
Dr. Shilpa Lad is a specialised radiologist in Breast Imaging and Interven­tions who has trained and worked in Toronto and Ottawa, Canada and is currently practising at NM Medical Center, Mumbai, India.
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Date: Thursday , May 19, 2016
Publication: The New Indian Express, Agency: Bureau
Edition: Kochi, Page No: 2, Location: Top Left, Size(sq.cms): 150