Breast Cancer
Comprehensive breast cancer care — from early detection to survivorship.
Overview
Breast cancer is the most common cancer among women in India, and it is also one of the most treatable when detected early. Care at Global Cancer Care combines precise molecular diagnostics, breast-conserving strategies, modern systemic therapies (chemotherapy, hormonal, HER2-targeted and immunotherapy) and long-term survivorship support. Every plan balances oncologic outcome with the emotional, cosmetic and fertility priorities of the patient.
Common Symptoms
- A new lump or thickening in the breast or underarm
- Change in breast size, shape, skin texture or dimpling
- Nipple discharge (especially blood-stained) or nipple inversion
- Persistent breast pain or redness
- Swelling in the armpit or above the collarbone
Risk Factors
- Increasing age and family history of breast or ovarian cancer
- Inherited mutations such as BRCA1 and BRCA2
- Early menarche, late menopause or no pregnancy
- Prolonged hormone replacement therapy
- Obesity, sedentary lifestyle and heavy alcohol use
Diagnosis
- Clinical breast examination and digital mammography
- High-resolution breast ultrasound and MRI for high-risk patients
- Image-guided core needle biopsy with IHC (ER, PR, HER2, Ki-67)
- Genomic assays such as Oncotype DX / MammaPrint where indicated
- BRCA and hereditary cancer panel testing when there is a family history
Treatment Options
- Breast-conserving surgery (lumpectomy) or mastectomy with reconstruction options
- Sentinel lymph node biopsy and axillary staging
- Radiation therapy tailored to stage and risk
- Chemotherapy, endocrine (hormonal) therapy and HER2-targeted therapy
- Immunotherapy for triple-negative breast cancer where appropriate
- Fertility preservation and menopausal symptom support
Dr. Shivam Shingla's Expertise
Dr. Shivam Shingla builds each breast cancer plan around the patient — combining biomarker-guided systemic therapy with breast-conservation, reconstruction and survivorship support. Genomic assays are used to safely avoid chemotherapy when it is not needed, and to intensify treatment when it truly helps.
Frequently Asked Questions
Does every breast cancer patient need chemotherapy?+
No. In many early-stage, hormone-positive cancers, genomic tests such as Oncotype DX help identify patients who benefit from chemotherapy and those who can safely be treated with hormonal therapy alone.
Can I keep my breast (avoid mastectomy)?+
In many cases, yes. Breast-conserving surgery followed by radiation gives outcomes equal to mastectomy for suitable tumours. Suitability depends on tumour size, location and imaging.
Can I preserve fertility before starting treatment?+
Yes. When appropriate, we coordinate with reproductive medicine specialists for egg or embryo freezing before starting chemotherapy or hormonal therapy.
Consultation disclaimer: This information is educational and not a substitute for personalized medical advice. Please consult a qualified oncologist for diagnosis and treatment decisions.