Breast Cancer. Comprehensive Management

Current scenario of breast cancer in India.- Applied anatomy for breast cancer.- Applied physiology for breast cancer.- Aetiopathogenesis and prevention of breast cancer.- Classification of breast cancer.- Approach to a new suspected patient of of breast cancer, including diagnostic evaluation and staging work up.- Cytology for breast cancer.- Pathological evaluation of breast cancer.- Radiological imaging for breast cancer.- PET-CT and total body bone scan for breast cancer.- Tumour markers, prognostic factors and their interpretation in breast cancer.- Management of early breast cancer – surgical aspect.- Breast cancer surgery under local anaesthesia.- Management of locally advanced breast cancer - surgical aspect.- Management of late breast cancer (metastatic and recurrent - surgery).- Management of hereditary breast cancer.- Role of radiotherapy in breast cancer.- Role of chemotherapy in breast cancer.- Hormonal and target therapy for breast cancer.- Oncoplastic and reconstruction for breast cancer.- Management of metastatic breast cancer and palliative care.- Management of breast cancer with associated problems.- Management of lymphoedema in breast cancer.- Management of chemotherapy infusion extravasation in breast cancer.- Psychological and psychiatric support to breast cancer patients.- Follow up and rehabilitation in breast cancer.- Screening, self-examination and awareness in breast cancer.- Organization of breast cancer management group.

The book provides detailed information on breast cancer and covers all the aspects of this rapidly spreading disease, such as applied anatomy and physiology, causative factors, various Investigations to reach a concise, definitive and complete diagnosis. The management of breast cancer involves multi-modality treatment and the book describes all the modalities in a very clear manner. It also discusses in a very lucid and practical way. the multi-prong treatment that the patient requires.

Additionally, the book covers lesser-known areas of the subject like rehabilitation, management of lymphoedema, Extravasation of chemo-Infusion, organization of breast cancer management group, breast cancer awareness and patient education, follow up of the patient, and psychological support to these patients who have undergone mutilation of their organ. Edited by experts the chapters are contributed by renowned onco-sugeons from high volume and reputed centers in India such as, PGIMER, Chandigarh, AIIMS, New Delhi, and TMH, Mumbai among others.

The book serves as a useful resource for surgeons, medical oncologists, radiotherapists, pathologists, radiologists and many other specialists interested in the field of breast cancer and actively working in this area. It is useful for practitioners and residents as well as for those who want to learn the different aspects of this disease.

Contributor Bio(s)

Dr. Shashanka Mohan Bose did his medical graduation from G R Medical College, Gwalior, India in 1963, and postgraduation in surgery from Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India in 1966. He joined PGIMER as registrar in surgery in 1967, continued his ascent and superannuated as senior professor and head of surgery department in 2002. He had also worked as professor in surgery at A.I.I.M.S., New Delhi. In addition, he had done training in some of the best surgical units of the world - Royal Postgraduate Medical School and Hammesmith Hospital, London; Kings College, London; Memorial Sloan Kettering Cancer Centre, New York, etc. Following his superannuation, he continues to practice as senior consultant oncosurgeon.

Dr. Bose has been interested in surgical oncology and GIT surgery. He is known for his surgical skills and is credited with a number of innovations and initiation of procedures and techniques. He is specially known for his vast experience and expertise in the field of breast cancer surgery, probably one of the first in the country to initiate breast conservation surgery.
Dr. Bose has been taking active part in professional organizations, held a number of positions in various societies, such as national president of Association of Surgeons of India, Indian Association of Surgical Gastroenterology, and president of Chandigarh Surgical Society.

Dr Bose is a recipient of three national awards; Dr. B.C. Roy National Award as eminent medical teacher, MCI National Award for outstanding research, Department of Science & Technology Award for outstanding communication skills. He is recipient of multiple international and national fellowships including that of WHO, UICC etc. He is also a recipient of more than 25 prestigious oration awards.

His autobiography book “Memoirs of a Surgeon beyond Incisions, Blood, & Sweat” has been recently published. He is very much interested in health education of people and has written a number of books, and a large number of articles in lay press.

Dr Suresh C Sharma is a former professor and head, department of radiotherapy, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh. He was former professor and head; and presently is professor emeritus, department of radiotherapy, MM Institute of Medical Sciences and Research, Mulana, Ambala, where he established most modern department of radiotherapy and also started M.D. Radiotherapy course.

Dr Sharma did his M.D. Radiotherapy from PGIMER, Chandigarh in 1976. Joined department as lecturer in 1980 and rose to become professor in 1998. He headed the department from April 1994 till his retirement in August 2014. He upgraded the department of radiotherapy to become the most modern department with facilities for providing all latest techniques of radiotherapy - 3D CRT, IMRT, VMAT, IGRT with motion control facilities and SRS & SBRT. Apart from iridium brachytherapy, he also introduced HDR cobalt brachytherapy.
Dr Sharma has special interest in the management of breast cancer, lymphomas and brachytherapy. He has published nearly 240 scientific papers in national and international journals of repute. He has contributed 6 chapters in different books.

Dr. Sharma is recipient of prestigious orations of Association of Radiation Oncologist of India (AROI). He was chairman of Indian College of Radiation Oncology from 1998 to 2002 and president of AROI from 2002 to 2004.

Dr. Robin Kaushik graduated from Armed Forces Medical College, Pune and later qualified MS in general surgery from Dayanand Medical College and Hospital, Ludhiana. He joined GMCH Chandigarh soon after, where, among other things, he developed keen interest in the management of breast cancer. He is an avid reader and writer, and has authored books on surgery and even ventured into fiction. He served as associate editor for the Indian Journal of Surgery for nearly 14 years, and is currently working on another book project.

Dr. Alok Mazumdar (M.S, D.N.B, F.I.C.S) graduated from Christian Medical College, Ludhiana and did M.S in general surgery from Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh. He worked in the department of general surgery at PGIMER Chandigarh as senior resident for 3 years. Later got DNB in general surgery and also F.I.C.S. Dr Mazumdar is presently working as head of the department of surgery, Seven Hills Hospital, Visakhapatnam. He is interested in teaching and training postgraduate students as a part of D.N.B (Diplomate of National Board, New Delhi). He is a member of a number of professional associations, such as ASI, AMASI, NASA, IASO, IMA and others.