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Breast Cancer Center

Breast cancer causes death to women globally at the top level and it is the first found cancer among Thai women. Breast Conservation Center of Nonthavej Hospital is a hub of specialized medical team in the areas of breast, including breast surgery, radiologist, anesthetist, cancer physician, pathologist, chemotherapy interdisciplinary team, and breast interdisciplinary team, in order to provide a guidance in risk search prior to having abnormality and any breast-related suggestions.

Breast Conservation Center : Scope of Services, Specialized Services

Breast cancer causes death to women globally at the top level and it is the first found cancer among Thai women. Breast Conservation Center of Nonthavej Hospital is a hub of specialized medical team in the areas of breast, including breast surgery, radiologist, anesthetist, cancer physician, pathologist, chemotherapy interdisciplinary team, and breast interdisciplinary team, in order to provide a guidance in risk search prior to having abnormality and any breast-related suggestions.

1. Digital Mammogram and Breast Ultrasound
- Digital Mammogram is a breast check up with special x-ray machine to seek for abnormality since the beginning stage which could not be found physically. It could show the different darkness of each type of tissue, i.e. breast tissue, vessels, fat, limestone, calcium caused by the first stage of Invasive Ductal Breast Cancer, small cysts, or pose-surgery follow up - Breast Ultrasound is a breast check up conducted by radiologist using ultrasonic wave to diagnose breast abnormality of young women in addition to Mammogram to diagnose by separating gall bladder and to diagnose in case of high density breast;
2. Breast Examination by Breast Surgeon;
3. Self Breast Examination with the simple 2 methods as follows:-
- Spiral Method starting from the upper breast by rotating hand in large circles around breast to check whether there is any abnormal cyst or hard tumor, then rotating hand into smaller circles continuously for at least 3 circles, following these steps 2 times by touching breasts softly for the first time and harder for the second time - Grid Method is a breast check up by separating the area from collarbone to the area under the breast and from armpit to breast bone into a small square table and in each small square rotating hand in spiral shape by starting softly and then harder for the second time, then moving hand to the next small square and following all previous steps continuously until covering the entire breasts area;
4. Fine Needle Biopsy by using small needle piercing into a tumor desired for cell imbibing and then sending such cells for pathological test to see whether it is normal or cancer cell;
5. Core Needle Biopsy is to seek for abnormality of breast tumor by using automatic biopsy gun and then sending such tumor for pathological test;
6. Needle Localization Biopsy is used in case that the tumor could not be touched and then using X-ray machine for tumor surgery or abnormality treatment which could become the first stage of cancer;
7. Cancer surgery could be divided into 2 parts as follows:-
7.1 Breast Surgery
- Mastectomy is a surgery to take breast entirely, covering nipple areas in order to get rid of cancer entirely; - Breast Conserving Therapy is the cut of cancer tumor by keeping the breast which is required to be conducted together with radiation (radiation must be done continuously for 5 weeks approximately) - Breast Reconstruction (TRAM Flap,LD Flap) consists of 2 methods, namely new breast reconstruction for patients which breast were completely taken out in which is done by taking muscle and skin in stomach area to reconstruct a new breast (TRAM Flap) which could be done additionally to breast cut or later, and LD Flap by taking muscle and skin in side back for reconstruction in order to have a shape as close as another breast for patients whose breast was cut partially in which in some cases where breast was cut hugely the shape would be destroyed. There is also another method by using silicone for breast reconstruction which patients whose breast was cut require new breast construction;
7.2 Armpit Lymph Node Surgery: In the past all cancer patients had to have Armpit Lymph Node Surgery. However, some patients experienced side effect of having intumesce on arms and legs. Therefore, there is an alternative surgery which is
- Armpit Sentinel Lymph Node Surgery to see the spread of Sentinel Lymph Node Biopsy. This is a new method to find cancer cells at the first lymph node to first check whether there is cancer cell or not. If no, there would be no need to do the surgery with next lymph nodes.