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Changing Paradigms in the Surgical Management of Breast Cancer
Surgical options for breast cancer involve various approaches depending on the stage and characteristics of the tumor. Breast-conserving surgery, such as lumpectomy, aims to remove the tumor while preserving the breast. Mastectomy involves the removal of the entire breast and may be indicated in more advanced cases. Sentinel lymph node biopsy assesses the spread of cancer to nearby lymph nodes. Reconstruction options, either immediate or delayed, can restore the breast's appearance after surgery. The choice of surgical intervention is often part of a comprehensive treatment plan that may include radiation, chemotherapy, or hormonal therapy, emphasizing a personalized approach to optimize outcomes for individuals with breast cancer.
About the Speaker
Dr. Anvesh Dharanikota
Consultant Surgical Oncologist, Laparoscopic & Robotic Surgeon, Medicover Hospitals, Hyderabad
Dr. Anvesh Dharanikota stands out as a distinguished consultant surgical oncologist with a decade of experience, specializing in minimally invasive procedures for gastrointestinal, thoracic, and gynaecological cancers. His expertise extends to advanced breast conservation surgeries, including oncoplastic techniques and sentinel lymph node biopsies. A proud graduate of Guntur Medical College, Dr. Anvesh further honed his skills with an MCh in Surgical Oncology from the esteemed Kidwai Memorial Institute of Oncology.
Upcoming Case Discussions
Hyperlipidemia: From Diagnosis to Treatment
Hyperlipidemia is a condition characterized by elevated levels of lipids, such as cholesterol and triglycerides, in the blood, which can increase the risk of cardiovascular diseases. Diagnosis typically involves blood tests measuring lipid profiles, while treatment focuses on lifestyle changes, such as diet and exercise, alongside medications like statins to manage cholesterol levels and reduce cardiovascular risk. Regular monitoring is essential for effective management and prevention of complications.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Pulmonary Hypertension
Safer alternatives in pain management focus on reducing the reliance on opioids and minimizing the risk of addiction or side effects. Non-opioid medications such as acetaminophen, NSAIDs, and anticonvulsants are increasingly used for managing both acute and chronic pain. Additionally, physical therapy, acupuncture, and cognitive-behavioral therapy are non-pharmacological approaches that effectively address pain without the risks associated with traditional painkillers. For certain cases, interventional procedures like nerve blocks or spinal cord stimulation offer targeted relief while minimizing systemic side effects. These alternatives aim to provide effective pain management while enhancing patient safety and quality of life.
Molecular and Genetic studies in Gynaecological Malignancies
Molecular and genetic studies in gynecological malignancies have revolutionized diagnostics, prognostics, and targeted therapies. Advances in genomic sequencing have identified key mutations in ovarian (BRCA1/2, TP53), endometrial (PTEN, MSI), and cervical cancers (HPV integration, PIK3CA). These findings aid in precision medicine, guiding individualized treatments like PARP inhibitors for BRCA-mutated ovarian cancer. Epigenetic modifications, including DNA methylation and miRNA regulation, further influence tumor progression and therapeutic response. Emerging technologies like liquid biopsies and multi-omics approaches enhance early detection and monitoring. Understanding these molecular pathways is crucial for developing novel therapies and improving survival outcomes in gynecological malignancies.
Management of Postoperative Pain: Best Practices for GP’s
Effective management of postoperative pain is crucial for promoting recovery and preventing complications. General practitioners should start by assessing pain severity using appropriate scales, then tailor the treatment plan based on the patient's medical history and the type of surgery. A combination of pharmacological approaches, such as non-opioid analgesics (e.g., NSAIDs) and opioids when necessary, should be used to minimize pain while reducing the risk of addiction. Multimodal strategies, including physical therapy and non-pharmacological techniques like cold therapy or mindfulness, can further enhance pain relief. Close follow-up is essential to adjust the treatment as needed and ensure the patient's pain is well-controlled.
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Dr. Anvesh Dharanikota 's Talks on Assimilate
- 21st-March-2024, TIME : 5:00PM - 6:00PM
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Surgical options for breast cancer involve various approaches depending on the stage and characteristics of the tumor. Breast-conserving surgery, such as lumpectomy, aims to remove the tumor while preserving the breast. Mastectomy involves the removal of the entire breast and may be indicated in more advanced cases. Sentinel lymph node biopsy assesses the spread of cancer to nearby lymph nodes. Reconstruction options, either immediate or delayed, can restore the breast's appearance after surgery. The choice of surgical intervention is often part of a comprehensive treatment plan that may include radiation, chemotherapy, or hormonal therapy, emphasizing a personalized approach to optimize outcomes for individuals with breast cancer.