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KARTHIKEYA Speciality Clinics
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General Surgery & Surgical Oncology

Breast Cancer, Oncoplasty & Benign Breast Surgeries

Advanced breast cancer surgery, oncoplastic breast conservation surgery (BCS), sentinel lymph node biopsy (SLNB), modified radical mastectomy, and benign fibroadenoma excision.

Clinical Focus: Breast surgery has evolved from radical tissue sacrifice to precision oncology combining oncological safety with aesthetic preservation. Dr. Malyadri Paladugu (MBBS, DNB, MCh Surgical Oncology, FIAGES, FALS, MRCS Edin, Senior Consultant Surgical Oncologist at Yashoda Hospital Hitech City) specializes in advanced breast oncoplasty, breast-conserving surgeries, and axillary staging in Bachupally, Hyderabad.

Comprehensive Breast Conditions Evaluated & Treated

  • Breast Cancer (Early & Locally Advanced): Invasive Ductal Carcinoma, Lobular Carcinoma, Triple Negative (TNBC), and HER2+ malignancies.
  • Breast Conservation Surgery (BCS / Lumpectomy): Complete tumor removal with clear margins while preserving the natural shape and contour of the breast.
  • Oncoplastic Breast Surgery: Advanced local tissue rearrangement (volume displacement / volume replacement) to reconstruct breast symmetry during tumor excision.
  • Sentinel Lymph Node Biopsy (SLNB): Precision axillary staging using tracer localization to spare unnecessary axillary lymph node dissection and prevent lymphedema.
  • Modified Radical Mastectomy (MRM): Complete breast resection with axillary clearance for multicentric or advanced cases.
  • Benign Breast Diseases: Painless lump excision, fibroadenoma removal, microdochectomy for nipple discharge, and breast abscess drainage.

Diagnostic & Triple Assessment Pathway

Clinical Breast Exam

Thorough palpation of both breasts, inframammary folds, axillary, and supraclavicular lymph node basins.

Imaging Correlation

Digital 3D Mammography (Tomosynthesis) and High-Resolution Breast Ultrasound (Sonomammography).

Histopathological Confirmation

Image-guided Core Needle Biopsy with ER, PR, HER2-neu, and Ki-67 Immunohistochemistry (IHC) profiling.

Surgical Excellence & Post-Operative Protocol

  1. Multidisciplinary Tumor Board Planning: Structuring neoadjuvant chemotherapy vs. upfront surgery sequencing for optimal survival outcomes.
  2. Precision Margin Clearance: Intraoperative frozen section assessment when indicated to achieve microscopic tumor-free margins.
  3. Lymphedema Prevention Program: Post-operative shoulder mobilization physiotherapy and arm care education.
  4. Long-Term Surveillance: Systematic 6-month and annual clinical/imaging follow-ups to ensure lasting cancer-free survivorship.

Why Choose Karthikeya Speciality Clinics

  • Senior Surgical Oncologist Leadership: Operated and led by Dr. Malyadri Paladugu with 10+ years of tertiary cancer surgical experience.
  • Yashoda Hospital Hitech City Panel: Direct surgical admissions, state-of-the-art operative theaters, and advanced ICU backup.
  • Aesthetic Oncoplastic Techniques: Focus on breast preservation, minimal scarring, and symmetrical cosmetic outcomes.
  • Compassionate Pre & Post-Op Guidance: Empathetic counseling, dressing care, and structured rehabilitation from diagnosis through recovery.

Frequently Asked Questions

Yes. In the majority of early and moderately sized breast cancers, Breast Conservation Surgery (BCS) combined with Oncoplastic reconstruction completely removes the tumor while preserving the natural breast, offering survival rates equal to complete mastectomy.
SLNB is a specialized surgical technique where only the first 1 to 3 lymph nodes draining the breast are removed and tested. If they are cancer-free, the remaining axillary nodes are preserved, significantly reducing the risk of arm swelling (lymphedema).
No. Over 80% of breast lumps evaluated in clinical practice are benign conditions such as fibroadenomas, cysts, or fibrocystic changes. However, any newly detected lump should be evaluated promptly by a Surgical Oncologist.