Dr. Shilpa Lad is currently a Consultant in Breast Imaging and Intervention division at NM Medical Centres for Mumbai and Pune . Her clinical responsibilities include all aspects of Breast Imaging and Intervention. Her teaching responsibilities have extended across the continuum from undergraduate and postgraduate medical trainees, radiology technologists and radiology colleagues.
Let's Understand from Dr . Shilpa what is this new Intervention about :
Among all cancers, breast cancer occupies the top position that are prevalent in women. Earlier it was cervical cancer which was the most feared cancer amongst women. Breast cancer is a cancer that develops from breast tissue. Breast cancer starts when cells in the breast begin to grow out of control. These cells usually form a tumour that can often be seen on an x-ray or felt as a lump. Most breast cancers (8 out of 10) occur in women who are over the age of 50. Nearly half of all cases are diagnosed in people in the 50–69 age group.
While Fibroadenoma are solid, noncancerous breast tumours that occur most often in adolescent girls and women under the age of 30. A fibroadenoma usually has a smooth rubbery texture and can move easily under the skin. Fibroadenoma are usually painless, but some people may feel some tenderness or even pain
There are many modern day technologies available in order to perform diagnosis of which Vacuum-assisted core biopsy is a safe and minimally invasive procedure in which a sample of breast tissue is removed for examination
Causes and Symptoms – Some of the causes or risk factors associated with breast cancer include , obesity, lack of physical exercise, drinking alcohol, hormone replacement therapy during menopause, ionizing radiation, early age at first menstruation, having children late or not at all, older age, and family history. Symptoms of breast cancer are usually an area of thickened tissue in the woman's breast, or a lump, a pain in the armpits or breast that does not seem to be related to the woman's menstrual period, a rash around (or on) one of the nipples, a swelling (lump) in one of the armpits, an area of thickened tissue in a breast, one of the nipples has a discharge which sometimes may contain blood, changes in the appearance of nipple, change in the size or the shape of the breast.
The exact cause of Fibroadenoma is not known. Hormones such as oestrogen may play a part in the growth and development of the tumours. Taking oral contraceptives before the age of 20 has been associated with a higher risk of developing fibroadenoma. Symptoms for fibroadenoma include the presence of a painless, firm, solitary, mobile, slowly growing lump in the breast of a woman of child-bearing years. A fibroadenoma may feel like a marble within your breast when you press on it. You can have one or many fibroadenomas. Fibroadenoma range in size from too small which can be detected only by mammogram or ultrasound to 3 inches or more in diameter.
Prevention – There is no sure way to prevent these conditions. But there are things all women can do to help reduce their risk and help increase the odds that if cancer does occur, it will be found at an early, more treatable stage. Both increased body weight and weight gain as an adult are linked with a higher risk of breast cancer after menopause. Certain lifestyle changes and early detection is the key for treatment of breast cancer.
Diagnosis & Treatment - Vacuum Assisted Biopsy (VAB) is a newer biopsy technique that is slowly but surely gaining momentum in clinical practice. VAB is based on the vacuum technology whereby with a single entry the device not only cuts through the targeted point in the lesion but also part of the lesion surrounding the targeted area by virtue of its ability to suck in and cut through a zone around the target. This ensures a bigger sample and hence accurate and timely diagnosis. VAB is compatible with all modalities offering a diverse choice to physicians for better diagnosis.
Another technology is The Breast Tissue Marker which is small in size - about the size of a sesame seed and is made of titanium, a "biocompatible metal". The marker is placed at the site of the lesion from where imaging guided biopsy samples have been obtained. The purpose of the marker is to precisely identify the location of the cancerous lesion. The marker clips help identify the site of the cancerous lesions in early breast cancer as well as post chemotherapy residual disease.
Rice & Roti are the staple foods in most parts of our country,no Indian meal is complete without any of these. Diabetics need to be careful of their dietary choices. Rice and chapati can be eaten by diabetics in moderate quantity.
Rice & roti both have similar carbohydrate and caloric value, but they differ in their nutritional value because roti contains more fiber, proteins and minerals. Most commonly people use polished rice which looks white due to removal of fiber rich covering (bran & husk), with this process most of the micro-nutrients are lost. Brown rice is little high in fiber, which causes your body to digest slowly.
Rice is easier to digest because of its starch content, whereas roti digests slowly. This promotes satiety and keeps you full for longer time, which is a big plus for diabetics in maintaining blood sugar.
The glycemic index (GI) is a comparative measure of a carbohydrate foods and their impact on blood sugars. A food with high GI raises blood sugar than foods with low or medium GI. The glycemic index of long grain white rice is around 73, the glycemic index of brown rice is about 68 and the glycemic index of whole wheat chapati is about 62, so whole wheat chapatiand brown rice are better choice than white rice for diabetics. People who are gluten intolerant can switch to brown rice.
To meet all the requirements instead of avoiding completely they can use brown rice atone meal and whole wheat roti at another meal.
For better results, consult your dietician to help chose the best staple food.
Diabetes is not a disease it's a way of life!
Many of you would agree that diabetes management reflects how well you balance and live your life
Experts say diabetes is not only genetic but obesity and inactivity is leading to it in young people and is on the verge of becoming one of the leading causes of death world over as it increases risk for dangerous diseases like coronary artery diseases, stroke , kidney diseases and much more.
The concept of "Sugar Clinics" in your neighborhood is an effort on behalf of Apollo Group of Hospitals to increase awareness on diabetes and provide world class care within your reach. The health care team at our "Sugar Clinic" will provide you with the best insights in handling diabetes.