Columbia Asia Hospitals as part of the Women’s health prevention, promotion and treatment initiative has a Breast health programme. Breast diseases include infective, benign and malignant conditions. Breast cancer is the most common cancer affecting Indian women and it is also known that early diagnosis and early initiation of treatment has ensured a good outcome of the disease.
Columbia Asia combines advanced technology and clinical expertise with care and compassion from care givers that drives the program and encourages women to screen themselves correctly and ensure early detection of cancers. The focus of the clinic is the entire spectrum of preventive, promotive and curative services for breast diseases. It is a privilege of the hospital to train women in breast self-examination and combine early detection and contemporary treatment by doctors who practice evidence based medicine
The clinic also supports women’s needs in lactation and breast and nipple disorders that limit breast feeding. Lactation support during pregnancy ensures exclusive breast feeding is done according to World Health Organization protocols.
Aim of the program
- To establish a one point contact for all breast related issues
- To support new mothers in breast feeding
- To diagnose and treat benign breast conditions
- To ensure women understand the need for screening for breast cancer and utilize the services
- To identify high risk women for breast cancer through a questionnaire and counsel them to undergo screening as per protocol
- To enable early detection, early initiation of treatment and management of breast cancer including follow up and treatment of complications
- To encourage preventive services for breast cancer through self-breast examination, linked to clinical examination and imaging
Good breast health can be maintained by:
- Monthly breast self-examination
- Screening mammograms
- Having a risk assessment by a breast specialist
- Annual clinical breast check up
Breast health clinic
Who will benefit?
- Women above 25 years of age who come for any issue to the hospital will be given a breast screening questionnaire. The patient can then opt for an assessment for breast cancer risk.
- Women undergoing health checkup can be given the breast screening questionnaire, which will then be discussed by the health check MO, then be counselled for a breast cancer risk assessment and referred for additional consultation to the surgeon
- Women who access the hospital for other services will
- Women who visit the hospital for antenatal checkup or for lactation issues or support
- Men with breast lumps or prominent breast
- Male adolescents with breast growth
What will be done in the clinic?
- A detailed health history will be taken.
- A clinical breast examination will be performed
- Radiological investigations (Breast USG/ Mammogram, MRI Breasts) with or without biopsy as need may be, will be performed as per protocol
Other diagnostic tests may be needed, such as:
Fine needle aspiration (FNA):This is a non-surgical form of breast biopsy in which a small needle is used to withdraw a sample of cells from the breast lump. If the lump is a cyst (fluid-filled sac), removal of the fluid will cause the cyst to collapse. If the lump is solid, cells can be smeared onto slides for examination in the laboratory.
Core biopsy:This is similar to FNA, but a larger needle is used because a sample of breast tissue is removed, rather than a sampling of cells but the whole lump is not removed.
Ultrasound-guided core biopsy:This is a tissue sampling technique in which a biopsy needle is placed into the breast tissue under ultrasound guidance, so the exact location of breast tissue is collected for biopsy.
Open incisional /excisional biopsy: This is the surgical removal of a part of or the entire lump which is examined under a microscope.
Lactation servicesThis service helps mothers who have difficulty in breast feeding. A trained nurse educator is available to assist you.
Common problems of lactation:
- Improper breast feeding practice
- Latching difficulties
- Painful nursing
- Low milk production
- Defects of the nipple
- Safe storage of milk for working women