At Home with Chris Jessen 2018 - 194
Spotting changes in your
breasts can help to pick up
potential problems before
they become more serious
he best way for a woman to
know her breasts is to check
them regularly. If she is familiar
with how they look and feel, any
lumps or changes will be more noticeable.
These are the signs to look for:
Lumps or thickening that feels different
Changes in the shape of the breast
Skin changes, such as redness or a rash
Dimpling or puckering of the skin
The nipple pulling inwards (inversion)
Liquid or a bloody nipple discharge
Swelling in the armpit or around
Constant pain in the breast or armpit.
What to expect
that refers to when plastic
surgery techniques are
used, alongside breast
cancer surgery, to ensure
best aesthetic surgical
outcome is achieved.
If the cancer is relatively small
compared to breast size, a lumpectomy
- where just the lump is removed -
followed by radiotherapy is normally
advised. Scar placement, achieving
symmetry and efforts to minimise
breast defects are also taken
If a woman notices any of the symptoms
listed above, she should see her GP, who
will refer her to a breast clinic.
Ideally, the clinic should be a 'onestop shop', where examination and
imaging are undertaken during the same
visit. The surgeon will take a detailed
history of the symptoms and perform
a thorough breast examination. Imaging
will then take place - either an ultrasound
scan or a mammogram, or both.
The results will be discussed with the
patient immediately afterwards, so by
the time she leaves the clinic, she has
had a full check-up. This not only saves
time, but minimises the anxiety that
comes with having to wait for results.
In a small proportion of women, an
abnormality may be found, in which
case a biopsy may be taken. For these
women, the results will be given at
a separate follow-up appointment.
If a mastectomy (removal of the breast)
has been recommended, the surgeon
will offer breast reconstruction. This can
be undertaken at the same time as the
cancer operation or at a later date.
Depending on the the patient's breast
reconstruction preference, an implant
may be placed under the chest wall
muscle or tissue from another part of
the body, such as the back, abdomen
or inner thigh, might be used.
Breast cancer treatment and surgical
techniques have advanced signiﬁcantly in
recent years. While treatment remains the
utmost priority, emphasis is also placed
on the aesthetic outcome. Oncoplastic
breast surgery is a relatively new term
AND ENDOCRINE TREATMENT
The need for these treatments depends
on the type of cancer and the extent
of the disease. After detailed discussion
between surgeons, pathologists,
radiologists and oncologists, a suitable
treatment plan will be recommended.
Most breast symptoms are not
worrisome, yet it is always best to be
safe. If you have any concerns about
your breasts, please see your GP as
soon as possible so they can refer
you to a breast clinic if necessary.
MEET THE EXPERT
BSc MBBS MEd
PhD FRCS, is
incorporates plastic surgical techniques
during breast cancer surgery.
Miss Gandamihardja works both
in the NHS and the private sector
and is passionate about breast
health and breast cancer research.
She has published scientiﬁc
articles in peer reviewed journals,
written book chapters and
presented her work both nationally
FOR MORE INFORMATION
For appointments at The Holly
Private Hospital, Buckhurst Hill, Essex,
call 020 8936 1201
For all other queries
Call 020 3031 3763