Page 8 - ACCF Essentia | Vol. III | Issue 3 | June 2024
P. 8

Breast Cancer:

          Early Detection – Diagnosis – Cure
          Early Detection – Diagnosis – Cure





                               Dr Dulal Kiran Monda
                               Dr Dulal Kiran Mondal l
                               Consultant Medical Oncologist
                               Consultant Medical Oncologist
                               Jorhat Cancer Centre
                               Jorhat Cancer Centre
                               Dr Dulal Kiran Mondal is a Clinical & Radiation Oncologist. Working with Assam
                               Dr Dulal Kiran Mondal is a Clinical & Radiation Oncologist. Working with Assam
                               Cancer Care Foundation at Jorhat. He did his medical graduation from Medical
                               Cancer Care Foundation at Jorhat. He did his medical graduation from Medical
                               College, Kolkata. He received his post-graduate degree in Radiation Oncology and
                               College, Kolkata. He received his post-graduate degree in Radiation Oncology and
                               Radiation Medicine from Institute of Medical Sciences in Banaras Hindu University.
                               Radiation Medicine from Institute of Medical Sciences in Banaras Hindu University.
                               He has worked with many prestigious organizations like Medanta-The Medicity,
                               He has worked with many prestigious organizations like Medanta-The Medicity,
                               Gurgaon and Royal Cancer Institute, Kanpur. He has many scienti  c publications
                               Gurgaon and Royal Cancer Institute, Kanpur. He has many scienti  c publications
                               in various journals of Oncology.
                               in various journals of Oncology.
                                           i
                                ust a med
                                           cal d
                                                agnos
                                                i
             reast cancer
                          i
             reast cancer is not just a medical diagnosis;         A crucial aspect of my role as an oncologist is to
                                j
                           s not
                                                       s;
                                                                   A crucial aspect of my role as an oncologist is to
                                                       i
                                    f
         Bit is a complex journey for both patients and            empower patients with knowledge about their
                                    or both patients and
             i
             t is a complex journey
                                                                   empower patients with knowledge about their
          their healthcare providers. As an oncologist, I have
          the i r healthcare prov i ders. As an oncolog i st, I have  condition and treatment options. We ensure that
                                                                   condition and treatment options. We ensure that
          w
          witnessed closely the multifaceted nature of this        patients understand their diagnosis, the rationale
                                                       this
                                                                   patients understand their diagnosis, the rationale
            itnessed closely the multi
                                     f
                                                      f
                                     aceted nature o
                                                                   behind recommended treatments, and potential
            sease and the challenges
           i
                                       t presents.
                                      i
          disease and the challenges it presents.                  behind recommended treatments, and potential
          d
                                                                   side effects. Education empowers patients to make
          More than 50% of the breast cancer patients in           side effects. Education empowers patients to make
          More than 50% of the breast cancer patients in
                                                                   informed decisions and actively participate in their
          India presents in Stage III & IV. This translates
          India presents in Stage III & IV. This translates        informed decisions and actively participate in their
                                                                   care. This approach can motivate the patients and
          into a high mortality rate of the disease in our         care. This approach can motivate the patients and
          into a high mortality rate of the disease in our

                                                                   their caregivers to  ght the deadly disease with
          country. Breast cancer accounts for 23.5% cancer         their caregivers to    ght the deadly disease with
          country. Breast cancer accounts for 23.5% cancer
                                                                   high morale.
          deaths in India. Thus, one of the most crucial           high morale.
          deaths in India. Thus, one of the most crucial
          aspects of managing breast cancer is early
          aspects of managing breast cancer is early               Breast cancer treatment can take a toll on patients
                                                                   Breast cancer treatment can take a toll on patients
          detection. Regular screening mammograms
          detection. Regular screening mammograms                  physically, emotionally, and psychologically. It is
                                                                   physically, emotionally, and psychologically. It is
          can detect cancer at its earliest stages when it is
          can detect cancer at its earliest stages when it is      very important to prioritise the supportive care
                                                                   very important to prioritise the supportive care
          most treatable. As an oncologist, I emphasise the
          most treatable. As an oncologist, I emphasise the        services to help patients manage side effects,
                                                                   services to help patients manage side effects,
          importance of annual breast cancer screenings            cope with emotional challenges, and maintain
          importance of annual breast cancer screenings
                                                                   cope with emotional challenges, and maintain
          for every woman above 40 years of age. Early             their quality of life during treatment. This may
          for every woman above 40 years of age. Early
                                                                   their quality of life during treatment. This may
          detection can surely save lives.                         include access to counselling, support groups,
          detection can surely save lives.
                                                                   include access to counselling, support groups,
                                                                   pain management, and symptom control.
          Cancer is a disease of the genome. As genetically
          Cancer is a disease of the genome. As genetically        pain management, and symptom control.
          every woman is different - no two breast cancers
          every woman is different - no two breast cancers         Advances in genomic testing and targeted
                                                                   Advances in genomic testing and targeted
          are alike, and treatment plans must be tailored to
                                                                   therapies have revolutionised the treatment
          are alike, and treatment plans must be tailored to       therapies have revolutionised the treatment
                                                                   landscape for breast cancer. Today, it is imperative
          each patient’s unique circumstances. This requires
          each patient’s unique circumstances. This requires       landscape for breast cancer. Today, it is imperative
                                                                   to utilise precision medicine approaches to identify
          a comprehensive evaluation of factors such as
          a comprehensive evaluation of factors such as            to utilise precision medicine approaches to identify
          tumour type, stage, hormone receptor status, HER2
                                                                          c molecular alterations driving a patient’s

                                                                   speci
          tumour type, stage, hormone receptor status, HER2        speci c molecular alterations driving a patient’s
          status, and genomic pro

                                    le. It is imperative to work
          status, and genomic pro le. It is imperative to work
          closely with multidisciplinary teams to develop
          closely with multidisciplinary teams to develop
          personalised treatment strategies that optimize                              Breast cancer accounts for
          personalised treatment strategies that optimize
                                                                                                                s
                                                                                                   ce
                                                                                                     r
                                                                                             t
                                                                                               ca
                                                                                         eas
                                                                                       B
                                                                                        r
                                                                                                                  f
                                                                                                            unt
                                                                                                                    r
                                                                                                                  o
                                                                                                       acco
                                                                                                 n
          outcomes while minimizing side effects.
          outcomes while minimizing side effects.
                                                                            2 3 . 5 %   c a n c e r   d e a t h s   i n   I n d i a .
                                                                            23.5% cancer deaths in India.
                               (
           World Cancer Day
           World Cancer Day (2016-2018) theme:
                                2016-2018
                                             theme:
                                           )
                                                               8
          “We can. I can”
          “We can. I can”
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