Breast Cancer Center

Radio Guided Breast Surgery

What is “Radio-guided” breast surgery?

In breast conservative surgery, a new approach called “radio-guided occult lesion localisation” is being used for the localisation and removal of non-palpable breast lesions. This technique was developed in recent years.

Widespread mammography screening programmes and recent technological advances in breast ultrasound have resulted in increased detection of breast non-palpable lesions. Breast cancer is the most frequent malignancy in women and to date, detection of asymptomatic tumours is the best way to reduce mortality for this malignancy. Non-palpable lesions represent up to 25% of breast lesions detected by mammogram or ultrasonography. Radiological signs of non-palpable lesions are most commonly represented by clusters of microcalcifications and/or parenchymal distortions.

To perform breast-conserving surgery in these patients, the tumour needs to be localised correctly before surgical excision.

Radio-guided occult lesion localisation (ROLL) is a new approach to diagnosing and resecting non-palpable breast lesions. The ROLL technique, introduced in 1996, utilises a radiopharmaceutical tracer which is injected in the tumour and which is commonly used for lymphatic mapping and sentinel node biopsies. In the same surgical procedure, the tracer can be used to localise the primary tumour guided by a gamma probe.

How “radio-guided” breast surgery rose ?

Over the past few years, doctors have changed how they diagnose breast cancer. Before, between 50 and 70% of breast cancers were found during a physical exam. With screening mammography, more subclinical lesions are being found. So, it became important to find ways to find and confirm small changes with histological tests that were not too invasive.

Wire localization (WL) is a well-known method used in breast surgery to find a lesion. It involves a flexible needle with a spear at the end. Since 1996, a method called radioguided occult lesion localization (ROLL) has been used.

A method called radioguided occult lesion localization (ROLL) has been used since 1996 . It was made at the European Institute of Oncology in Milan, Italy, and is now the standard of care in many breast surgery services. In this method, a radioactive substance is used to mark the site of the crime (under ultrasound or mammography guidance). During surgery, the gamma-detecting probe helps the surgeon find a suspicious spot or group of microcalcifications. The cut on the skin can be planned so that it looks better. This method doesn’t use a spear.

Instead, a small amount of liquid is used to make the process less painful for the patient. The effectiveness and patient acceptability of local anaesthetics for ROLL and how patients feel about pain and the way they look after surgery have not been studied before.

Why is “radio-guided” breast surgery done?

Radioguided occult lesion localisation (ROLL) is a simple but effective way to guide the removal of clinically invisible breast lesions while leaving as little normal tissue as possible around them. Either a mammogram or an ultrasound is used to guide the injection of a small amount of radiolabeled colloid into the centre of the lesion. In the operating room, this spot of radioactivity is found by a handheld pencil-shaped gamma probe that turns the intensity of the gamma emission into a scale of sound and light.

The surgeon can use this to cut the skin right over the lesion and as close as possible to it. As the dissection goes on, the operator can use the probe as often as they want to guide them to the lesion and put it in the centre of the removed specimen. Lastly, the probe can find low amounts of radioactivity in the cavity to prove that the tumour has been completely removed. The amount of gamma radiation that both the patient and the operators are exposed to is very low and well within the safe limits set by the government. With wire localization as a control, this method has been used in many places.

Reaching out to Dr. Mansi for obtaining surgical treatment for breast cancer

Dr. Mansi Chowhan is a renowned surgical oncologist who has been active in her area for the better part of a dozen years now. Due to her expertise in breast oncoplastic surgery, head and neck surgery, and reconstructive surgery, she is a very skilled surgeon. Her credentials are impeccable.

She has been practising medicine for more than 12 years and has worked at some of the most prestigious hospitals in the Delhi-National Capital Region (NCR). These hospitals include Fortis Healthcare (both in Delhi and Gurgaon), Artemis Hospital (Gurgaon), Paras Hospital (Gurgaon), and the Asian Institute of Medical Sciences (also in Gurgaon) (Faridabad).





About
Dr. Mansi Chowhan
Oncoplastic Breast Surgeon-Surgical Oncologist
MS (Gold Medalist), FIAGES, MCh Breast Oncoplasty (UK), Fellow Breast Surgery (Paris), Fellow Head & Neck Surgery, IFHNOS – MSKCC (New York)

Dr. Mansi Chowhan -Breast Cancer Specialist-Surgical Oncology team at CK Birla Hospitals, Gurugram. Breast Cancer Treatment, Axillary surgery , Benign Breast Cancer Diseases , Breast Cancer Genetics , Breast Cancer Management , Breast Cancer Surgery , Breast Cancer Treatment , Breast Examination , Breast Infection or Mastitis , Breast Lump , Breast Cancer Lump Treatment , Breast Oncoplasty , Breast Cancer Pain Treatment , Breast Precancerous lesions , Breast Reduction , Breast Cancer Surgery , Breast Surgery for Benign lesions , Breast Cancer Screening (Preventive) , Breast Cancer Surgery , Breast Cancer Chemotherapy , Comprehensive Breast Cancer Management , Endocrine Surgery , Gynecomastia Treatment / Surgery , Hormone Therapy For Breast Cancer , Breast Cancer Immunotherapy , Male Breast Cancer , Mastectomy , Nipple Discharge , Surgical Oncology , Volume displacement Oncoplasty , Volume replacement Oncoplasty ,Breast Cancer treatment Hereditary breast cancer Breast lumps Benign breast diseases Fibrocysts of breast Nipple discharge Mastalgia Breast conservation Surgery Breast Oncoplasty level Modified Radical Mastectomy Therapeutic Mammoplasty Sentinel Lymph Node Biopsy ICG dye Sentinel LN Biopsy Axillary Dissection Breast Lump Excision Radio-Guided breast Surgery Palliative Mastectomy Breast Reconstruction Bilateral Prophylactic Mastectomy reconstruction Surgery for nipple discharge

Dr. Mansi Chowhan is an expert Oncoplastic Breast Surgeon with experience of more than 14 years and has been awarded with a gold medal during her surgical post-graduation. Dr. Mansi is well-trained from world renowned surgeons and cancer institutions like the Paris Breast Centre, Memorial Sloan Kettering Cancer Centre (New York), University of East Anglia (U.K.) and Tata Memorial Hospital, Mumbai. She is a skilled surgeon with over 14 years of experience in some of the best hospitals in the Delhi- NCR region including Fortis Hospital, Artemis Hospital, Paras Hospital and Asian Institute of Medical Sciences, CK Birla Hospital. She works with utmost dedication and compassion to deliver international standard and personalized cancer care to the patients.



Breast Cancer Patient’s Journey

The best reference

IS A GOOD WORD

First of all, I would like to thank Dr. Mansi Cowhan for the effort she made to remove a tumor and lymph nodes from the breast of the patient Rawaa Abd Abbas from Iraq, and to follow up on the patient’s condition and gave her the right medical instructions after the operation. Now patient is in a very good health. My advice for all patients who are suffering from breast cancer is to visit Dr Mansi Chowhan she has a very good knowledge and experience in her field .Thank you to Dr Mansi.

Ms. Rawaa Abd Abbas & Mr. Muthanna kareem Alobaidi

Iraq

Dr. Mansi Chowhan, my wife’s breast cancer surgeon, empathized with my wife’s condition. She gave us the technical details in understandable language. She made it clear that the approach was primarily redemptive. She was happy with us when the tests came out favorable. She was sad with us for unfavourable pointers. She was caring throughout the process. We wish that she will bring such care and comfort to many more cancer patients.

Mr. Anup Dominic

Mauritius

I was diagnosed with DCIS. My gynaecologist Dr.Anjali Kumar whom I have known for 12 years and trust her completely, recommended Dr Mansi Chowhan to me. I am very happy that I took the decision of getting my breast surgery done from Dr.Mansi. She is very warm, polite and understands the emotional state of a patient. She explained to me in detail what exactly will be her plan of action. I went for other opinions too but Dr. Mansi was the only doctor who didn’t ask for unnecessary tests and procedures like MRI and Biopsy. Luckily, the lump in my breast was benign. I am grateful to her for handling my case so efficiently and would highly recommend her for breast surgery.

Ms Pratishtha Garg

India

Dr Mansi Chowhan Dr. Mansi is one of the finest, sweetest and humble doctor I have ever met! I think she follows the rule to not overcomit and under deliver. During the period of my mother’s breast cancer consultation, treatment and surgery, she was sometimes upfront for few things, which we as Patient’s family took time to digest. But I really admire and appreciate all the support that Dr. Mansi and team extended during the entire period of pre & post surgery. And the kind of tumor removal + breast conservation surgery that she has done with her magical hands is commendable. I had so many negative thoughts before the surgery, but looking at the result and my mother recovering day by day…I can’t thank her enough for doing such wonders in saving her breast and her life! ❤

Ms Kritika Tandon

India

Dr Mansi Chowhan is an excellent Breast Cancer specialist we have in NCR, she is just amazing.
She is my wife’s doctor. She is very caring, understanding & listens to the patients.
In as much as she is a Gold Medalist, she is very knowledgeable and gives the best advice for the treatment.
She is very genuine in her dealings. She is a very kind and soft spoken to her patients. And takes special interest in caring for her patients, My wife feels very comfortable meeting her.
We highly recommend her to everyone with the above said problem.

Ms. Laban Rao

India

My mother Mrs Santosh admitted under Dr Mansi Chowhan for procedure .
She is the outstanding doctor with golden heart , attend us guide us at each & every level of investigations.
A very big thanks for her & Mr Ibrahim & whole team for supportive hands given to us to fight against disease .
God bless you all & achieve success in future.
Regards

Mr. Alka Sammi

India

Our gratitude towards Dr Mansi Chowhan, my wife’s treating doctor cannot be expressed in words. She diagnosed my wife’s breast cancer and took great care throughout her journey from biopsy to breast surgery to chemotherapy now. To our great relief, a breast conservation surgery was done. She is exceptionally efficient and compassionate towards her patients. Highly recommended for any breast lump or cancer.

Mr. Dushyant Jasoria

India

Dr Mansi Chowhan is one of the finest, sweetest and humble doctor I have ever met! I think she follows the rule to not overcomit and under deliver. During the period of my mother’s breast cancer consultation, treatment and surgery, she was sometimes upfront for few things, which we as Patient’s family took time to digest. But I really admire and appreciate all the support that Dr. Mansi and team extended during the entire period of pre & post surgery. And the kind of tumor removal + breast conservation surgery that she has done with her magical hands is commendable. I had so many negative thoughts before the surgery, but looking at the result and my mother recovering day by day…I can’t thank her enough for doing such wonders in saving her breast and her life! ❤.

Ms. Kritika Tandon

India

I was diagnosed with DCIS. My gynaecologist Dr.Anjali Kumar whom I have known for 12 years and trust her completely, recommended Dr Mansi Chowhan to me. I am very happy that I took the decision of getting my breast surgery done from Dr Mansi. She is very warm, polite and understands the emotional state of a patient. She explained to me in detail what exactly will be her plan of action. I went for other opinions too but She was the only doctor who didn’t ask for unnecessary tests and procedures like MRI and Biopsy. Luckily, the lump in my breast was benign. I am grateful to her for handling my case so efficiently and would highly recommend her for breast surgery..

Ms. Pratishtha Garg

India

Dr Mansi Chowhan was really a blessing for us. She was so empathetic. I went to her for Sister In Law. She operated her for carotid body tumor. We were really scared but once we met Dr Mansi. we were at ease. She excellently handled the case. She was patient enough to hear all our worries and problems. I am thankful to her for all that she has done.

Ms. Madhurima Goswami

India

Surgery from Dr Mansi was like MAGIC TOUCH …as Dr Mansi not only done the procedure…successfully…but also support the patient mentaly to bear the pain without any stress…commmunication skills were suppperrb…Thanks to Dr Mansi.

Mr. Kaka Bhardwaj

India



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