Breast Oncology

Comprehensive care for breast cancer patients with evidence-based treatment protocols.

Breast cancer begins when abnormal cells in breast ducts or lobules grow unchecked. Over time, these cells can form a lump, invade surrounding tissue, and spread (metastasize) to lymph nodes or distant organs. Early detection saves lives.

Symptoms

• New lump or thickening in the breast or underarm.
• Change in breast size, contour, or asymmetry.
• Skin puckering, dimpling, redness, or peau d’orange (orange-peel texture).
• Nipple inversion, crusting, scaling, or bleeding.
• Nipple discharge—especially bloody or clear.
• Persistent breast pain (less common but should be checked if new).

Diagnosis

Dr. Joshi promotes screen-early, diagnose-right. Workup may include:

1. Clinical breast exam.
2. Screening mammography (age & risk dependent).
3. Diagnostic mammogram + breast ultrasound for suspicious findings.
4. Core needle biopsy / vacuum-assisted biopsy to confirm cancer type.
5. Core needle biopsy / vacuum-assisted biopsy to confirm cancer type.
6. Genetic testing (BRCA and others) for high-risk patients/families.
7. Staging scans when needed (CT, PET-CT, bone scan).

Treatment

Treatment is multidisciplinary. Dr. Joshi coordinates with breast surgeons, radiation oncologists, and reconstructive experts.

• Surgery – lumpectomy (breast-conserving) or mastectomy, with sentinel lymph node biopsy.
• Chemotherapy – neoadjuvant (before surgery) to shrink tumors, or adjuvant (after surgery) to reduce recurrence.
• Hormone therapy – tamoxifen, aromatase inhibitors for ER/PR-positive disease.
• Targeted therapy – HER2-directed agents for HER2-positive cancers.
• Radiation therapy – post-surgery or for local control.
• Survivorship & late-effect care – lymphedema prevention, bone health, lifestyle guidance.

Self-Check Reminder

Know your normal. Monthly self-awareness + age-appropriate screening helps catch breast cancer early.