Comprehensive Care for Breast Problems at Bumrungrad Hospital: From Diagnosis to Treatment

2024-03-06 14:41:28

Currently, breast problems It is a problem of mostly women. whether it is a benign breast lump or a breast cyst to cancerous lumps by breast cancer It is the number 1 most common cancer among women worldwide. From statistics from the World Health Organization More than 2 million women have breast cancer per year and more than 685,000 die worldwide, while data from the Department of Medical Services The National Cancer Institute found that 18,000 Thai women are sick with breast cancer per year, or 49 per day, and 4,800 die per year, or 13 per day. The number of patients tends to continue to increase every year. However, it’s not just women who get breast cancer. About 0.5-1% of breast cancers can occur in men.

Dr. Athirat Jarukitpipat Chief Executive Officer HospitalBumrungrad Said the press conference of the breast center Bumrungrad Hospital It was organized because we were aware of the problem. and aims to provide comprehensive treatment for those with symptoms or abnormalities of the breast. Both common diseases and serious and complex diseases which we have a specialized clinic With an experienced medical team There are modern tools that will be helpful in diagnosing and treating patients right on the spot. and enable patients to be cured of their illness and have a better quality of life.

The Breast Center is one of Bumrungrad Hospital’s specialized centers of excellence. which has very good treatment results We have a high survival rate. and has a low recurrence rate These results require the experience and expertise of the medical team. which is under the supervision of Assoc. Prof. Dr. Wichai Wasansiri, head of the breast center Including medical teams from other fields and multidisciplinary teams that work together seamlessly.

Assoc. Prof. Dr. Wichai Wasansiri, Head of the Breast Center Bumrungrad Hospital said at the breast center Bumrungrad Hospital We provide complete, holistic care to patients. We provide consultation, diagnosis, and care for patients with breast problems in all dimensions, such as breast cancer, breast lumps. breast pain Fibrosis and cysts in the breast mastitis and other problems By working together as a team Between the medical team and the interdisciplinary medical team, including breast surgeons, diagnostic radiologists, oncologists, radiation oncologists, pathologists, laboratory staff, radiologic technologists, physical therapists, and registered nurses. , nutritionist and pharmacist pass the meeting Multidisciplinary Team Breast Conference for targeted, precise treatment with few side effects. and provide better treatment results. The 3 main principles of breast cancer treatment at Bumrungrad are fast diagnosis (Fast Diagnosis), fast treatment (Fast Treatment), and excellent and safe treatment results (Excellent Outcome).

Dr. Sudarat Chaipiancharoenkit, M.D. Doctor specialized in breast surgery Bumrungrad Hospital Said that the main thing used in diagnosing whether or not there is cancer is the Triple Assessment, which includes screening, sending a biopsy, and seeing a breast surgeon. The patient can know the diagnostic test results within 72 hours.

When 1 patient suspects that he or she has felt a lump in the breast or has abnormal symptoms in the breast. An ultrasound examination will be sent for patients younger than 35 years of age. For those over 35 years of age, a mammogram and ultrasound examination will be sent that day. After the results came out, abnormalities were found. The doctor will take a biopsy using an ultrasound machine to determine the location for the ultrasound screening person. But if screening with a mammogram The doctor will take a biopsy using a mammogram to determine the location. And patients with a family history of breast cancer or breast augmentation with silicone will be sent for an additional breast MRI to check in detail to see if there are any abnormalities in the breast.

Dr. Piyawan Krathasakhu, a specialist in breast surgery. Bumrungrad Hospital He added that Detecting cancer in its early stages and treating it quickly will make the treatment effective and increase the chance of survival. Therefore, after the patient knows that the test result is cancer We can perform surgery within 1 week at the breast center. Bumrungrad Hospital There are a variety of approaches that are appropriate, including breast conservation surgery, total mastectomy and reconstruction, and total mastectomy.

Dr. Theeraphob Waipradab, a physician specializing in breast surgery Bumrungrad Hospital Revealed that the safety of surgery and the quality of life of patients after surgery It is the heart of care. We have numbers to prove the success. In the past year, for example, infection after breast cancer surgery was 0%, complications were less than 1% requiring repeat surgery within 72 hours, patients were able to move their shoulder joints. Shoulder immediately after surgery Go through a physical therapy program before and after. And there is follow-up for post-surgery treatment so that the shoulder joint can move more than 90 degrees 100%.

In this regard, breast cancer surgery In addition to patient safety in curing the disease, We also consider the beauty of the breast. To preserve the organs that help increase women’s confidence in the best way possible. We can perform breast cancer surgery and augmentation on all types of breasts. both using abdominal tissue back tissue or using silicone Even for people who have had one breast removed and want another breast augmentation, we can make both sides equal.

Dr. Harit Suwanrasamee, medical expert in oncology Bumrungrad Hospital Explain that there are many ways to treat breast cancer patients, such as surgery, chemotherapy, radiation, and antihormone drugs. Targeted medication and giving immunotherapy drugs Giving medicine to patients after breast cancer surgery will help reduce the chance of it coming back. Bumrungrad has a comprehensive range of medicines approved for use in each type of cancer. We will choose the right medicine for each patient. In addition, we also check the expression of genes in the cancer (Genomic risk) to tell the chance of recurrence after breast cancer surgery. and if it is early stage breast cancer Gene testing will help us know if we need to give chemotherapy. Will the patient benefit from the medication? This is a Precision Oncology treatment, allowing doctors to use the appropriate cancer treatment. Ready to plan to avoid side effects that are likely to occur in the first place.

Dr. Apichat Panitchivalak Doctor who specializes in radiation therapy and oncology Bumrungrad Hospital Explain that radiation therapy for breast cancer is currently Surgery will focus on breast conservation surgery. which must always be accompanied by radiation The treatment results are equivalent to mastectomy and maintaining the breast organ is very important for women. Current treatment takes a shorter time from 6 weeks to just 4 weeks, and each time the radiation is used it only takes 10 minutes. In addition, there is technology to help control the movement of the body during the radiation. especially breathing This makes it safe for nearby organs, whether it be the skin, lungs, or heart, in the case of radiation therapy for left-sided breast cancer. The radiotherapy treatment plan involves meeting with the medical team to determine the appropriate treatment strategy for each patient.

Asst. Prof. Dr. Phonkrit Teekakirikul, a genetics specialist. Bumrungrad Hospital Explains that testing for abnormal genes that cause breast cancer You should start by looking at the history of family members who have had breast or ovarian cancer. If abnormalities in genes related to breast cancer are detected It does not mean that you will have breast cancer. It just causes an increased risk than normal people. We are aware of this risk. It will help us plan disease prevention, such as breast cancer screening according to the schedule recommended by the doctor. This must be checked more frequently and begins at a younger age than the general population. Bumrungrad Hospital uses advanced genetic diagnostic technology called Next Generation Sequencing (NGS), which provides fast, accurate, and accurate test results.

“All women over 40 years of age should have their breasts examined annually. And consult a doctor to get breast cancer screening. Because studies have found that breast cancer has an increased incidence in women over 40 years of age. Therefore, the earlier you can come get checked. It will be easily treated and there will be a greater chance of recovery.” Associate Professor Dr. Wichai Wasansiri Concluding remarks

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