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Breast Cancer Surgery

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Breast Cancer

Breast cancer care today is highly specialised. Modern treatment requires precise staging, biomarker-based planning, and a multidisciplinary approach—principles supported by international guidelines such as the NCCN, ASCO and ESMO. We ensure every patient receives this level of care in an easy-to-understand and compassionate manner.

  • Evidence-based treatment guided by international NCCN recommendations
  • Personalised care for every breast cancer subtype
  • Minimally invasive and oncoplastic surgical expertise
  • Compassionate, patient-centric approach

At Star Cancer Care & Breast Clinic, we are committed to delivering comprehensive, evidence-based breast cancer care through a patient-centred approach. Led by experienced breast and surgical oncologists, we offer advanced diagnostics, personalised treatment strategies.

Breast Cancer Services

At Star Cancer Care & Breast Clinic, we provide world-class, guideline-based breast cancer diagnosis and treatment, led by experienced breast and surgical oncologists. Our mission is to deliver accurate diagnosis, personalised treatment plans, advanced surgical expertise, and complete survivorship support for every woman and man facing a breast concern.

Breast Cancer Evaluation & Diagnostics

Our Breast Cancer Services

Early and accurate diagnosis is the foundation of successful treatment.

Clinical Breast Examination (CBE)

A detailed physical examination to assess lumps, skin changes, nipple discharge, and lymph nodes.
 (CBE is an integral step in breast cancer assessment.)

Advanced Breast Imaging

  • Digital Mammography (Screening & Diagnostic)
  • Breast Ultrasound
  • Breast MRI for complex or dense breasts
  • Whole-body imaging (CT, PET-CT, bone scan) when staging is needed
     (These imaging modalities are outlined as essential tools during diagnostic and staging workup.)

Breast Biopsy Services

  • Core needle biopsy
  • Vacuum-assisted biopsy
  • Stereotactic biopsy
     Every biopsy undergoes a full pathology review including:
  • Estrogen & Progesterone Receptor (ER/PR) testing
  • HER2 testing
  • Tumour grade
  • Biomarker testing for targeted therapy planning
     (Biomarker-based planning is a key step recommended before deciding treatment.)

Genetic Counselling & Testing

For patients with strong family history, early-onset cancer, or hereditary cancer suspicion.

2. Treatment for All Types & Stages of Breast Cancer

We provide comprehensive care for every stage and subtype:

● Stage 0 Breast Cancer (DCIS – Ductal Carcinoma In Situ)

Early, non-invasive breast cancer requiring accurate planning.
 Management includes:

  • Breast-conserving surgery and Oncoplasty
  • Sentinel lymph node assessment (if indicated)
  • Radiation therapy
  • Hormone therapy when ER-positive
     (DCIS is treated to prevent progression into invasive cancer.)

● Early-Stage / Invasive Breast Cancer

We follow a personalised, guideline-driven approach:

  • Lumpectomy (Breast-Conserving Surgery and Oncoplasty)
  • Mastectomy
  • Sentinel Lymph Node Biopsy & Axillary Dissection (when required)
  • Reconstruction options

● Inflammatory Breast Cancer (IBC)

IBC is an aggressive and rare cancer requiring multimodality treatment:

  • Prompt diagnosis (clinical + biopsy)
  • Neoadjuvant chemotherapy
  • Modified radical mastectomy
  • Radiation therapy
     IBC often presents without a lump, with redness, swelling, and peau-d’orange appearance.

● Metastatic / Stage IV Breast Cancer

Our aim is life prolongation, symptom relief, and high-quality survival.

Treatments include:

  • Hormone therapy (for HR-positive disease)
  • HER2-targeted therapy
  • CDK4/6 inhibitors
  • Immunotherapy (for selected subtypes)
  • Chemotherapy
  • Palliative surgical interventions
     Management is based on tumour subtype and biomarker status as recommended in NCCN, ASCO and ESMO guidelines.

3. Advanced Breast Surgery

● Breast-Conserving Surgery and Oncoplasty (Lumpectomy)

Removal of tumour with preservation of breast shape, often followed by radiation.

● Mastectomy

Options include:

  • Simple mastectomy
  • Skin-sparing mastectomy
  • Nipple-sparing mastectomy

● Sentinel Lymph Node Biopsy

A minimally invasive technique to check cancer spread with less risk of lymphedema.

● Axillary Lymph Node Dissection

Done when lymph nodes are involved.

● Oncoplastic Breast Surgery

Combining cancer removal with cosmetic techniques for best aesthetic and oncologic results.

● Breast Reconstruction (Immediate or Delayed)

  • Implant-based reconstruction
  • Autologous flap reconstruction
     Reconstruction is an important part of survivorship and quality-of-life.

4. Medical Oncology Services for Breast Cancer

● Chemotherapy

Tailored regimens based on stage and subtype.

● Hormone Therapy

For ER/PR-positive cancers (e.g., Tamoxifen, Aromatase Inhibitors).

● Targeted Therapy

  • Anti-HER2 therapy (Trastuzumab, Pertuzumab)
  • CDK4/6 inhibitors
  • PI3K inhibitors (where indicated)

● Immunotherapy

For selected triple-negative breast cancers.

● Neoadjuvant (Pre-Surgery) Therapy

Used to shrink tumours, improve breast-conservation rates, and guide therapy response.
 This is strongly recommended for IBC and certain invasive cancers.

5. Radiation Therapy Coordination

We partner with leading radiation oncology centres for:

  • Whole-breast radiation
  • Chest wall radiation
  • Regional nodal irradiation
  • Boost therapy
     Radiation is integral after breast-conserving surgery and in many post-mastectomy patients.

6. Lymphedema Prevention & Rehabilitation

Assessment and early management strategies are based on NCCN-recommended baseline screening.

Services include:

  • Lymphedema physiotherapy
  • Compression therapy
  • Post-operative exercises

7. Survivorship & Follow-Up Care

A structured long-term plan including:

  • Clinical exams
  • Annual mammograms
  • Lifestyle & nutrition counselling
  • Psychosocial support
  • Fertility counselling (before and after treatment)
     (Fertility counselling is an important discussion before treatment.)

Frequently Asked Questions

What are the early signs and symptoms of breast cancer?

Early signs of breast cancer may include a painless breast or underarm lump, changes in breast size or shape, nipple discharge, skin dimpling, redness, warmth, or swelling. Some aggressive types, such as inflammatory breast cancer (IBC), may not cause a lump. Any new breast change should be evaluated promptly.

How is breast cancer diagnosed at your clinic?

Breast cancer is diagnosed through a clinical breast examination, imaging tests such as a mammogram, ultrasound, or MRI, followed by a core needle biopsy. Biomarker testing (ER, PR, and HER2) and additional scans may be performed to determine the stage and guide treatment.

What are the different types of breast cancer you treat?

We treat all major types of breast cancer, including DCIS (Stage 0), invasive breast cancer, hormone receptor-positive, HER2-positive, triple-negative, inflammatory breast cancer (IBC), and metastatic breast cancer. Treatment is personalized based on the cancer subtype and stage.

What is the difference between DCIS and invasive breast cancer?

DCIS is a non-invasive cancer confined to the milk ducts and is considered Stage 0. Invasive breast cancer has spread beyond the ducts into surrounding breast tissue and may spread to lymph nodes or other organs if left untreated.

When is breast-conserving surgery (lumpectomy) possible?

Breast-conserving surgery is suitable when the tumour is small, confined to one area, and can be completely removed while preserving the breast. It is usually followed by radiation therapy for the best outcomes.

Do all breast cancer patients need chemotherapy?

No. The need for chemotherapy depends on the cancer stage, tumour size, lymph node involvement, biomarker status, and sometimes genomic test results. Some patients can be effectively treated with hormone therapy or targeted therapy alone.

Why are HER2, ER, and PR tests important?

HER2, ER, and PR are biomarkers that help determine the most effective treatment. ER/PR-positive cancers respond to hormone therapy, HER2-positive cancers benefit from targeted therapy, and triple-negative cancers are usually treated with chemotherapy and, in selected cases, immunotherapy.

How is inflammatory breast cancer (IBC) treated?

Inflammatory breast cancer requires a combination of treatments, including chemotherapy before surgery, mastectomy, radiation therapy, and targeted therapy for HER2-positive disease. A multidisciplinary approach is essential for the best outcomes.

What are the treatment options for metastatic breast cancer?

Treatment focuses on controlling the disease, relieving symptoms, and improving quality of life. Depending on the cancer type, options may include hormone therapy, targeted therapy, chemotherapy, immunotherapy, and supportive care.

Can I have breast reconstruction after mastectomy?

Yes. Breast reconstruction can be performed immediately or after cancer treatment using implants or your own tissue. The best option depends on your treatment plan, overall health, and personal preference.

Will breast cancer treatment affect my fertility?

Some chemotherapy treatments can affect fertility. If you plan to have children in the future, fertility preservation options such as egg, embryo, or sperm freezing should be discussed before treatment begins.

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