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Gynaecomastia

As the name suggests, gynaecomastia refers to an abnormal enlargement of the male breasts.

Normally, men tend to have some amount of breast tissue, which increases in proportion to overall body fat. An obese person will hence have more breast tissue, compared to a thin individual.

Gynaecomastia becomes a problem when it starts interfering with a person’s body image, making him uncomfortable around his peers, while swimming, gymming or may interfere with his relationship with his spouse or fiancee..

This condition may be secondary to several causes, or may be completely idiopathic (cause unknown).

In either case, we may need to perform a few tests, to come to a diagnosis.

More often than not, gynaecomastia is idiopathic ie, the exact cause is unknown.

Sometimes, it may be secondary to long term medications, hormonal disturbances, or less commonly, testicular tumors. In such cases, the cause needs to be treated first.

In idiopathic gynaecomastia, surgical treatment is very successful and extremely satisfying. It is often performed as a day care procedure and the recovery is generally very quick.

However, care should be taken that the person continues to be physically active post surgery and maintains his weight, in order to prevent a recurrence.

Dr Neemesh Lodh is a breast cancer specialist in Dombivli, Thane.

For more information visit: www.breastoncocare.com

 Phone no: 7507577546

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10 COMMON BREAST PROBLEMS WOMAN CAN FACE AFTER 30

Many women can face common breast problems after the age of 30 such as breast pain, breast lump, cyst, nipple discharge, inverted or itchy nipple, mastits, eczema, fibro adenomas and breast cancer. Hence it is necessary to check above symptoms of breast related diseases. Dr Neemesh Lodh is a breast cancer specialist in dombivli,thane.

For more information visit: www.breastoncocare.com

Phone no:  7507577546

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Mastitis

An increasing number of women in their late 30s and early 40s are presenting to me with mastitis. Very often, these ladies have received treatment with no results or have undergone abscess drainage following mastitis with recurrent symptoms.

One needs to know what mastitis really means.

Mastitis refers to any inflammation in the breast.

It is generally unilateral and may or may not be associated with the typical signs accompanying an inflammation, such as redness, fever or malaise.

Pain and swelling are the only findings. Sometimes, a patient may have these symptoms occurring insidiously over quite some time, with some relief after taking medicines.

Mastitis may be infective (less common) or non infective (more common).

Infective mastitis requires antibiotics and abscess drainage if there is pus formation.

If the pus culture shows tuberculosis, then anti- tuberculosis therapy has to be started.

Newer tests, like the Gene- expert test for tuberculosis is helping us in improving our diagnostic capabilities.

In non infective mastitis, a biopsy may be required along with the other microbiological tests to rule out infective etiology.

Idiopathic granulomatous mastitis (IGM)

This difficult term is used to denote an even more difficult problem to treat.

IGM is a diagnosis of exclusion, once we have ruled out all other causative factors.

The diagnosis is solely based on the pathology findings which is similar to that seen in tuberculosis, minus the hallmark findings of tuberculosis (caseation necrosis and acid fast bacilli).

The treatment of IGM is quite different as well. To simply put it, IGM is a condition where there is chronic inflammation in the absence of an infective agent, similar to some autoimmune diseases.

Treatment of IGM consists of steroid administration, which may be prolonged.

In some patients, surgery may be required, especially if there is abscess formation.

The treatment is often long drawn and requires a lot of patience and compliance. Inadequate treatment can often lead to recurrence, which may be even more difficult to treat.

Dr Neemesh Lodh is a breast cancer specialist in Dombivli, Thane.

For more information visit: www.breastoncocare.com

Phone no:  7507577546

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HOW TO TAKE CARE OF YOUR BREAST- DR NEEMESH LODH

Self examination of breast is very important to detect breast cancer. Every woman should understand the causes and symptoms of breast cancer. Women should ask grandmother, mother or sister (family history) whether any family member had breast and ovarian cancer or not. Breast examination should be done every year. Dr Neemesh Lodh is a breast cancer specialist in dombivli,thane.

For more information visit: www.breastoncocare.com

Phone no:  7507577546

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BREAST CANCER FACTS

Every woman should start getting mammograms at the age of 40 years. 1/3 reduction in the breast cancer death since mammography screening started in 1990. 1 in 6 Breast cancers occurs in women between age 40-90. Dr Neemesh Lodh is a breast cancer specialist in dombivli,thane.

For more information visit: www.breastoncocare.com

Phone no:  7507577546

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CAUSES OF NIPPLE DISCHARGE IN PREGNANCY

The main causes of nipple discharge in pregnancy are intrinsic to pregnancy (physiological), skin disorders, benign breast diseases and malignancy. A benign tumor in a milk duct (intraductal papilloma) Dilated milk ducts (mammary duct ectasia). Dr. Neemesh Lodh is a breast cancer specialist.

For more information visit: www.breastoncocare.com

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NIPPLE DISCHARGE

Nipple discharge is very common complaint of many women who are not pregnant or breastfeeding. Nipple discharge can be a sign of breast cancer. It occurs spontaneously or due to breast manipulation. Dr. Neemesh Lodh is an expert in breast cancer surgery. He is renowned oncologist in thane, Mumbai.

For more information visit: www.breastoncocare.com

Phone no:  7507577546

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WHO HAS A HIGHER RISK OF GETTING BREAST CANCER?

Breast cancer is the rapidly growing cancer type among women. Early detection and proper treatment is necessary to cure breast cancer. The higher risk of getting breast cancer in women includes obesity, smoking, alcohol consumption, excessive use of oral birth control pills, not breastfeeding, late menopause, family history of breast cancer and nulliparity. Dr. Neemesh Lodh is an expert in breast cancer surgery. He is renowned oncologist in thane, Mumbai.

For more information visit: www.breastoncocare.com

Phone no:  7507577546

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MYTHS & FACTS ABOUT BREAST CANCER

MYTHS & FACTS ABOUT BREAST CANCER

Breast cancer is the rapidly growing cancer type among women. It is easily curable and treatable. Early detection and proper treatment is necessary to cure breast cancer. All breast lumps are not cancerous. Breast cancer is not related to the size of breast. Regular self examination of breast is necessary to detect signs and symptoms. Dr. Neemesh Lodh is an expert in breast cancer surgery. He is renowned oncologist in thane, Mumbai.

For more information visit: www.breastoncocare.com

Phone no:  7507577546

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SURGICAL METHOD OF ACCESSORY BREAST REMOVAL

SURGICAL METHOD OF ACCESSORY BREAST REMOVAL

Accessory breast tissue is an extra breast tissue. It occurs in 2-6% of the general population and can occur in both men and women. Axillary breast is a common condition that leads to discomfort and cosmetic problems. Liposuction alone and open excision are two techniques used for treatment. After the removal of accessory breast, there is improvement in the movement of arms. Dr. Neemesh Lodh is an expert in breast cancer surgery. He is renowned oncologist in thane, Mumbai.

For more information visit:   www.breastoncocare.com

Phone no:  7507577456

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BREAST CANCER PREVENTION

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SYMPTOMS OF BREAST CANCER

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Male breast cancer

Recently I came across and treated a male patient suffering from breast cancer.

That spurred me into writing this post.

The occurrence of breast cancer is well known in women; men rarely suffer from the disease. However, we do encounter a couple of cases every year.

Male breast cancer, just as in women, often presents with a slow growing lump, which is initially painless and hence ignored.
Men do not have a lot of breast tissue, hence the tumour tends to invade and involve the skin and/ or the chest wall earlier. And that’s why male breast cancers tend to fare worse than female breast cancers.

The diagnosis and treatment of the condition is the same as in women, involving a mammogram, ultrasound and biopsy for diagnosis.

Treatment involves removal of the entire breast tissue along with the axillary lymph nodes ( Modified Radical Mastectomy). The need for Adjuvant Radiotherapy, Chemotherapy and Hormone therapy is based upon the histopathology report.

If treated in time, men have also been found to fare just as well as women.

Dr.Neemesh Lodh  Breast Onco Surgeon,

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Male breast cancer

Recently I came across and treated a male patient suffering from breast cancer.

That spurred me into writing this post.

The occurrence of breast cancer is well known in women; men rarely suffer from the disease. However, we do encounter a couple of cases every year.

Male breast cancer, just as in women, often presents with a slow growing lump, which is initially painless and hence ignored.
Men do not have a lot of breast tissue, hence the tumour tends to invade and involve the skin and/ or the chest wall earlier. And that’s why male breast cancers tend to fare worse than female breast cancers.

The diagnosis and treatment of the condition is the same as in women, involving a mammogram, ultrasound and biopsy for diagnosis.

Treatment involves removal of the entire breast tissue along with the axillary lymph nodes ( Modified Radical Mastectomy). The need for Adjuvant Radiotherapy, Chemotherapy and Hormone therapy is based upon the histopathology report.

If treated in time, men have also been found to fare just as well as women.

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Breast Pain

Breast pain ( mastalgia) is one of the commonest issues in women of all ages. It can happen to anyone and at any age. It may or may not be associated with breast tenderness: mastodynia ( pain on touching or palpating the breast).

Both these terms (mastalgia and mastodynia) are different, but they address the same problem. Breast pain may or may not be associated with a lump as well. It is important to note that breast pain is not commonly associated with breast cancer.

If you have breast pain, a complete history and a thorough clinical examination are important in diagnosing the cause and prescribing the correct treatment.

Your doctor may want to know many details, which you may feel awkward or unnecessary, but these are important nonetheless. Breast pain is commonly seen in women aged 20-40 years, but as I stated before, no age is exempt. The pain may be cyclical, ( waxing and waning in relation to the menstrual cycle) or non cyclical. There may also be associated tenderness and heaviness, especially with cyclical mastalgia. You may be asked to maintain a breast pain diary, to record the intensity of the pain, your levels of stress and your periods. This diary helps in analysing the pain better. Apart from this, a mammogram and ultrasound of the breast may also be advised as part of the evaluation.

Treatment:

The most important bit: treatment of breast pain is entirely released to understanding the cause of the pain.

Most women will have normal examination and mammogram findings. In such women, breast pain is commonly attributed to these causes:

• Stress
• Ill fitting bras
• Inadequate water intake
• Essential fatty acid deficiency

Important fact: breasts have a lot of sensory nerve endings, hence they respond to stress…

Stress often triggers and worsens breast pain.

Stress is the most common underlying factor in most women complaining of breast pain.

Meditation, deep breathing exercises, yoga are very helpful in this regard.

Ill fitting bras are something a lot of women tend to neglect.

A well fitting bra or a sports bra will often give dramatic relief.

Plenty of oral fluids are recommended, as we do not realise our dehydrated status because of working in closed environments.

Some women also benefit from intake of evening primrose oil, which contains Gamma linolenic acid, an essential fatty acid.

Bottomline:

Most women with breast pain do not have cancer. But, a thorough evaluation is required to rule out the possibly.

Most often, reassurance, a few lifestyle changes and very rarely medicines are all that are required to treat the niggling problem.

                                 

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Happy Womens Day

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