Safe Abortion (MTP)

• Breast Cancer Screening
• Pap Smear

Benign Breast Lumps

Breasts are made up of ducts, lobes, fibrous tissue, and underlying bone; therefore, they can feel lumpy or uneven. Before your menstrual period begins, and sometimes during your period, you can have some tenderness, pain, or lumps in your breasts. This could be due to the extra fluid that collects in the breast tissue (cyst) as well as changes in the body’s hormonal levels. This is normal. But if the lumps do not disappear before your next period, contact your doctor.
Any noticeable change, thickening or localized swelling in your breast that was not there before maybe a lump. Some common benign breast problems that appear as lumps are:

Cystic Disease (fibrocystic breast disease) is the most common cause of breast lumps in women. These lumps or cysts are fluid-filled sacs that enlarge and become tender and painful before the menstrual cycle. This condition is responsible for at least half of all breast biopsies performed. It tends to involve both breasts. These lumps are movable, and if large may feel round and firm. The cystic disease usually disappears after menopause. Other common benign breast lesions are Fibroadenomas which are mobile, rubbery breast lump in younger women, Lipomas, etc

Nipple Discharge

Many women will have during their lifetime a nipple discharge. It can be either in one breast or both. Most nipple discharges are not serious. Clear nipple discharge is considered normal and most of the time will not require further work-up. If it persists or increases, your physician will probably want to investigate the matter further. Bloody nipple discharge is different. Although most women with a bloody nipple discharge will be found to have a benign tumor inside one of the milk duct (intraductal papilloma), it has to be proven. Bloody nipple discharge can occasionally be the symptom of breast malignancy and should be thoroughly investigated. Some surgeons will first order a Galactrography which is an Xray of the ductal system of the breast. This may help clarify the cause of the discharge. Most of the time a breast biopsy is warranted to obtain the diagnosis.

Malignant Breast Lumps

Malignant lumps develop most often from mammary ducts or lobules. Unlike benign lumps, malignant lumps continue to grow in an uncontrolled manner and in time, if left untreated, will spread beyond the breast. Early breast cancer can be a non-palpable lesion or a very small tumor located within the breast. Breast Cancer most likely has been growing for several years before it is large enough to be felt.

Early diagnosis is the key to breast disease. Dr. Deepika recommends:

• Breast self-examination for women monthly after age 30
• Breast clinical examination yearly after age 40.
• Screening mammograms should also be done every 2 years after the age of 40 years

Women who examine their breasts each month, go to their doctor for routine breast examinations, and after age thirty-five have a baseline (you’re first) are more likely to detect early breast cancer.

Pap Smear

Cervical screening

Screening aims to detect precancerous changes, which, if not treated, may lead to cancer.

In India every year more than 1 lac women are diagnosed with cervical cancer annually. Cervical Cancer is cancer that originates from the neck of the uterus also called the cervix. Strains of the human papillomavirus (HPV), a sexually transmitted infection, play a role in causing cervical cancer.

Pap smear test is done to detect abnormal cells even before they lead to cancerous tumors. A routine cervical cancer screening test called a Pap smear should be done every 3 years after marriage. PAP smear procedure is a simple and painless procedure in which gentle scraping is done of the cervix with a brush or spatula The cells are then sent for microscopic examination in order to detect any abnormalities in the cells. Kindly seek an appointment if you have not had a PAP smear problem until now.

Take an appointment with Dr. Deepika Doshi