Breast Care

Fakeeh University Hospital Breast Care Unit offers you a specialized, supportive multidisciplinary team care to help you to solve all breast-related problems.

Our Breast Care Unit works as a multidisciplinary team at the basis of excellence including our dedicated breast surgeons. We do believe an individualized (tailored) approach to breast cancer management has the potential to offer clear clinical benefits thanks to the comprehensive diagnostic and treatment services .

Breast Malignant conditions

Breast Cancer types are successfully managed from the diagnosis (according to American Cancer Society classifications for non-cancerous breast conditions) to surgical treatment/medical treatment and follow up:

  • Ductal Carcinoma In Situ (DCIS)
  • Invasive Breast Cancer (ILC or IDC)
  • Triple negative breast cancer
  • Inflammatory breast cancer
  • Paget disease of the breast
  • Phyllodes tumor (malignant type)
  • Angiosarcoma

Non-cancerous Breast Conditions

that we are successfully managing (*according to American Cancer Society classifications for non-cancerous breast conditions):

  • Fibrosis and simple cysts in the breast
  • Hyperplasia of the breast (Ductal hyperplasia or Lobular hyperplasia)
  • Lobular carcinoma In Situ (LCIS)
  • Adenosis of the breast
  • Fibroadenomas of the breast
  • Phyllodes Tumors of the Breast
  • Intraductal Papilloma of the breast
  • Granular cell Tumors of the breast
  • Fat necrosis and oily cysts in the breast
  • Mastitis
  • Duct ectasia
  • Radial scars
  • Lipoma
  • Hamartoma
  • Hemangioma
  • Hematoma
  • Adenomyoepithelioma
  • Neurofibroma

Breast Conserving Surgery (BCS)

Breast-conserving surgery may be used as part of a treatment plan for breast cancer. It is sometimes called a lumpectomy, quadrantectomy or a partial mastectomy.

During breast conserving surgery, instead of the whole breast itself; only the part of the breast that has cancer is removed. The cancer lump and some breast tissue around the lump are removed. How much of the breast is removed will depend on the lump’s size, and where it is located. Depending on the cancer type sometimes it may also be removed some of the lymph nodes under arm to find out if the cancer has spread there. Breast cancer often spreads to these lymph nodes. It can then spread to other parts of the body.

Lymph Node Biopsy

Surgery for breast cancer is associated with sentinel lymph node biopsy.

The sentinel lymph node is the first lymph node that receives the lymph from the breast affected by cancer. Sentinel lymph node biopsy is being performed for every suitable patient with breast cancer by our dedicated breast surgeon. If the sentinel lymph node biopsy results are negative (free from spreading the cancer) it is possible to avoid complete lymph nodes removal and possible complications.

Sentinel lymph node biopsy has changed the approach to the axilla, as the status of the axilla can be established with less morbidity for patients when compared with complete axillary dissection.

Axillary Dissection

Axillary dissection (axillary clearance) is a surgical procedure that incises the axilla (under arm) to identify, examine, or remove lymph nodes. Axillary dissection has been the standard technique used in the staging and treatment of the axilla in breast cancer. Axillary dissection should be reserved for patients with proven axillary disease preoperatively or with a positive sentinel node biopsy. Axillary dissection is only therapeutic in patients who are node positive. Staging of the axilla is an important step in the treatment of breast carcinoma. Axillary lymph node status is a significant prognostic pathologic variable in patients with operable primary breast cancer.

When the Patient Needs a Mastectomy

In our Breast care Unit we perform the immediate reconstruction using techniques depending on the individual situation in all suitable patients. According to our multidisciplinary team discussions, our dedicated breast surgeons collaborate with plastic-reconstructive surgeons to get the best cosmetic results.

Nipple Sparing Mastectomy

Nipple sparing mastectomy, is a surgical technique allows the removal of the mammary gland preserving entirely the outer shell (skin and nipple) and the integrity of the female image. Breast reconstruction is done simultaneously with mastectomy, usually with implants (permanent prosthesis or expander).

Skin Sparing Mastectomy

In a skin-sparing mastectomy, all of breast skin, except the nipple and the areola, is preserved. This makes reconstruction easier and most importantly avoids making any scars on the breast, allowing for better results after breast reconstruction.

The Intraductal Lesions of Breast

The intraductal lesions of breast are precancerous and do not have the potential to spread to other organs or to the axillary lymph nodes. For this reason, surgery is conservative and does not require the removal of axillary lymph nodes, even the sentinel lymph node.

When the Breast Tumor is not Palpable

When the breast tumor is not palpable (microcalcifications or very small nodules), our dedicated breast surgeon uses localization techniques to avoid errors and unnecessary removal of healthy tissue: The ROLL (Radio-guided Occult Lesion Localization).

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