Breast Surgical Oncologist
Advanced Surgical Services - By Dr. Neemesh Lodh
- Services
- Breast Cancer Surgery (Early & Advanced Stage)
- Breast Conserving Surgery (Lumpectomy)
- Oncoplastic Breast Surgery & Reconstruction
- Skin-Sparing & Nipple-Sparing Mastectomy
- Sentinel Lymph Node Biopsy & Axillary Surgery
- Mammary Ductoscopy for Nipple Discharge
- Breast Lump Evaluation & Biopsy
- Management of Benign Breast Diseases
- Gynecomastia (Male Breast) Surgery
- Chemoport Insertion for Chemotherapy
- Genetic Counseling & Risk Reduction Surgery
- High-Risk Breast Cancer Screening Programs
- Multidisciplinary Breast Cancer Care Planning
Genetic Counseling & Risk Reduction Surgery
Genetic counseling is a specialized service that helps individuals understand their inherited risk of developing certain cancers, particularly breast and ovarian cancer. It involves detailed assessment of personal and family history, risk calculation, and, when indicated, genetic testing for mutations such as BRCA1 and BRCA2. Based on the results, patients receive guidance on surveillance, lifestyle modification, preventive medications, or risk-reducing (prophylactic) surgery. Risk reduction surgery is considered in high-risk individuals to significantly lower the chances of developing cancer and provide long-term protection and peace of mind.
Importance of Genetic Counseling
- Evaluates detailed family and personal history to assess inherited cancer risk.
- Identifies candidates for genetic testing such as BRCA and other high-risk gene mutations.
- Provides clear interpretation of genetic test results and their implications.
- Guides decision-making regarding screening, prevention, and treatment options.
- Offers psychological support and informed planning for patients and families.
Risk Reduction Surgery Options
Risk-reducing surgery is recommended for individuals with confirmed high-risk genetic mutations or strong family history of cancer. These procedures are preventive in nature and aim to significantly decrease cancer risk before it develops.
- Prophylactic mastectomy to reduce the risk of breast cancer.
- Risk-reducing salpingo-oophorectomy to lower the risk of ovarian cancer.
- Combined preventive strategies based on individual risk profile.
Ongoing Surveillance & Preventive Care
Even after counseling or surgery, continued monitoring and lifestyle management remain important. A comprehensive preventive strategy ensures early detection and long-term health protection.
- Regular breast imaging such as mammography or MRI as advised.
- Lifestyle modification including weight control and healthy diet.
- Periodic follow-up with oncology and genetic specialists.
