నా దగ్గరికి వచ్చే రొమ్ము క్యాన్సర్ రోగులలో చాలా మంది Google చేసి వస్తారు. Lumpectomy అంటే ఏమిటో తెలుసు. Mastectomy అంటే ఏమిటో తెలుసు. Hormone receptor, HER2 అనే పదాలు చదివారు. నేను దాన్ని encourage చేస్తాను. Informed patient తో conversation చాలా better అవుతుంది. కానీ ఒక్క విషయం చాలా మంది miss చేస్తారు: ఆ information మీ specific case కి apply అవుతుందా అని. అది నేను చెప్పేది.
Most breast cancer patients who come to me have already researched. They know what lumpectomy means. They know mastectomy. They have read about hormone receptors and HER2. I encourage this. A conversation with an informed patient is a much better consultation. But one thing most people miss in that research: whether any of it applies specifically to their case. That is what I tell them.
Breast cancer అంటే ఒక్కటే కాదు. ER positive, PR positive, HER2 positive, Triple negative అన్నీ completely different cancers, completely different treatments. Biopsy result వచ్చినప్పుడు నేను మొదట అడిగే question: receptor status ఏమిటి? ఆ answer చూసే నేను surgical plan discuss చేస్తాను.
Breast cancer is not one disease. ER positive, PR positive, HER2 positive, triple negative, these are completely different cancers with completely different treatment approaches. When a biopsy result arrives, my first question is always: what is the receptor status? Only after that answer do I begin discussing the surgical plan. The surgery is one part of a larger treatment picture.
నేను ప్రతి రోగికి అన్ని options explain చేస్తాను. Lumpectomy possible అయితే ఎందుకు possible అని. Mastectomy అవసరమైతే ఎందుకు అని. రోగి ఒప్పుకున్న తర్వాత operate చేస్తాను, ముందు కాదు. మీకు రొమ్ము ఉంచుకోవాలని ఉంటే, ఆ option possible అయితే నేను దాన్ని pursue చేస్తాను. Not possible అయితే honestly చెప్తాను.
I explain all options to every patient. Why lumpectomy is possible if it is. Why mastectomy is needed if it is. I operate after a patient understands and agrees, not before. If preserving the breast matters to you, and if that option is oncologically sound for your case, I will pursue it. If it is not possible, I will tell you that honestly, and explain why.
"Google లో చదివిన information మీ specific case కి apply అవుతుందా అనే question కి నేను answer ఇస్తాను. అది నేను చేసే పని."
"The question is not what Google says about breast cancer surgery. The question is what applies to your specific case. That is what I answer."
Dr. Vajja Sandeep Kumar, Surgical Oncologist, CION Cancer ClinicsTumour మరియు దాని చుట్టూ normal tissue తీసివేస్తాను. Breast remain అవుతుంది. Early stage, tumour small relative to breast size, single site cancer కి appropriate. Radiation తర్వాత follow అవుతుంది. Mastectomy తో equivalent oncological outcomes proven.
I remove the tumour and a margin of normal tissue around it. The breast is preserved. Appropriate for early stage cancers where the tumour is small relative to breast size and confined to one area. Radiation follows. Oncological outcomes proven equivalent to mastectomy for appropriately selected patients.
Entire breast తీసివేయడం. Large tumour, multiple sites, BRCA mutation, లేదా patient peace of mind కి choose చేసినప్పుడు. Mastectomy అంటే అంతా అయిపోయింది కాదు. Reconstruction options simultaneously plan చేయవచ్చు.
Removal of the entire breast. I recommend this for large tumours relative to breast size, multiple tumour sites, BRCA mutation presence, or when the patient chooses it for peace of mind. Mastectomy does not mean the end of options. Breast reconstruction can be planned at the same time.
Cancer axillary lymph nodes కి spread అయిందా అని తెలుసుకోవడానికి. First draining node తీసి examine చేస్తాను. Clear అయితే remaining nodes తీయాల్సిన అవసరం లేదు. ఇది major advance: arm swelling (lymphedema) risk తగ్గింది.
To determine whether cancer has spread to underarm lymph nodes. I identify and remove the first draining node and examine it. If clear, remaining nodes need not be removed. This has significantly reduced the risk of lymphedema, a serious long-term complication that was common when all underarm nodes were routinely removed.
Cancer తీసివేయడంతో పాటు breast shape preserve చేయడం. Tumour location బట్టి breast tissue rearrange చేస్తాను. Good oncoplastic outcome అంటే patient ప్రతిసారి mirror చూసినప్పుడు surgery గుర్తుకు రాకూడదు.
Combining cancer removal with reshaping the breast to maintain its form. I rearrange breast tissue based on tumour location. A good oncoplastic outcome means the patient is not reminded of their surgery every time they look in the mirror.
నేను mammogram, ultrasound, biopsy, receptor status, patient age అన్నీ review చేస్తాను. కానీ ఆ తర్వాత నేను ఒక ముఖ్యమైన question అడుగుతాను: మీకు ఏమి కావాలి? Breast preserve అవాలని strongly feel అవుతున్నారా? Peace of mind కోసం mastectomy choose చేయాలనుకుంటున్నారా? ఆ answer నా recommendation లో important role play చేస్తుంది. Surgery మీ body మీద. Decision కూడా primarily మీది.
I review mammogram, ultrasound, biopsy, receptor status, patient age. But after that I ask one important question: what matters to you? Do you strongly want to preserve your breast? Or does peace of mind through mastectomy appeal to you more? That answer plays an important role in my recommendation. The surgery is on your body. The decision should be primarily yours, made with complete information.
| Surgery | Approximate range (Rs) | Note |
|---|---|---|
| Lumpectomy | 80,000 - 1,50,000 | Varies by pathology, hospital stay |
| Mastectomy | 1,20,000 - 2,50,000 | Higher if reconstruction planned |
| Sentinel node biopsy (with surgery) | Included in above | Part of main procedure |
చాలా health insurance policies breast cancer surgery cover చేస్తాయి. Aarogyasri eligible రోగులకు significant coverage available. Consultation time లో ఇవి discuss చేద్దాం.
Most health insurance policies cover breast cancer surgery. Aarogyasri-eligible patients can receive significant coverage. We discuss insurance and Aarogyasri specifics at consultation time.
ప్రయాణం ముందే రిపోర్టులు వాట్సాప్ చేయండి. బయాప్సీ, స్కాన్లు, మునుపటి శస్త్రచికిత్స సిఫార్సు. నేను చూసి ప్రయాణం అవసరమా, ఏమి తీసుకొని రావాలో చెప్తాను.
Send your biopsy, scans and surgical recommendation on WhatsApp before travelling to Hyderabad. I will review everything and tell you whether the trip is necessary and exactly what to bring. Saves a wasted journey.
+91 9063490160కాదు. చాలా early stage breast cancers కి lumpectomy possible. నేను మా దగ్గరికి వచ్చే majority patients లో breast conservation achieve చేయగలుగుతున్నాను. Mastectomy అవసరమైన cases లో reconstruction options exist చేస్తాయి. Biopsy result మరియు receptor status చూసిన తర్వాత మీ specific case లో ఏమి possible అనేది నేను clearly చెప్తాను.
No. Many early stage breast cancers can be treated with lumpectomy, preserving the breast. For cases where mastectomy is needed, reconstruction options exist. After reviewing biopsy result and receptor status, I will tell you clearly what is possible in your specific situation.
Not necessarily. Pathology report మరియు receptor status చూసి medical oncologist decide చేస్తారు. నేను surgery చేస్తాను, chemotherapy decision medical oncologist చేస్తారు. CION Cancer Clinics లో నేను medical oncology team తో కలిసి పని చేస్తాను. Patient ని రెండు వేర్వేరు doctors దగ్గర navigate చేయాల్సిన పని లేదు.
Not necessarily. The pathology report and receptor status guide this decision, which belongs to the medical oncologist. I perform surgery. The chemotherapy decision is the medical oncologist's. At CION Cancer Clinics I work alongside the medical oncology team. The patient does not need to navigate between two separate doctors.
Any cancer treatment తర్వాత recurrence possible. Lumpectomy తర్వాత radiation ఇవ్వడం local recurrence risk తగ్గిస్తుంది. Studies చూపిస్తున్నాయి: properly selected cases లో lumpectomy plus radiation mastectomy తో equivalent survival outcomes ఇస్తుంది. Regular follow-up మరియు screening ముఖ్యం.
Recurrence is possible after any cancer treatment. Radiation after lumpectomy significantly reduces the risk of local recurrence. Studies have consistently shown that lumpectomy plus radiation gives equivalent survival outcomes to mastectomy in appropriately selected cases. Regular follow-up and screening are important throughout.
తప్పకుండా తీసుకోవాలి. Major cancer surgery కి second opinion తీసుకోవడం absolutely appropriate. నా దగ్గరికి second opinion కోసం వచ్చే రోగులను నేను స్వాగతిస్తాను. Reports WhatsApp చేయండి, నేను review చేస్తాను. First surgeon చెప్పింది correct అయితే confirm చేస్తాను. Different approach better అయితే explain చేస్తాను.
Absolutely take one. Seeking a second opinion before major cancer surgery is the right move. I welcome patients who come for second opinions. WhatsApp your reports and I will review them. If the first surgeon's recommendation is correct, I will confirm it. If a different approach would serve you better, I will explain that clearly.
Reports వాట్సాప్ చేయండి. సెకండ్ ఒపీనియన్ స్వాగతం.WhatsApp reports. Second opinions welcome.