Breast Care Center

The Breast Care Center, Nonthavej Hospital, provides comprehensive breast health services, including screening, diagnosis, and treatment of breast diseases. Care is provided by breast specialists, including breast surgeons, radiologists, anesthesiologists, medical oncologists, pathologists, and a multidisciplinary breast care team.

“Early detection of breast cancer… early treatment offers a higher chance of recovery.”

Main Services

• Breast cancer and breast disease screening for women of all ages
• Initial breast examination by breast surgeons
• Diagnosis of breast diseases using medical imaging technologies
• Treatment of breast lumps, mastitis, cysts, and other breast abnormalities
• Surgical treatment of breast cancer, including breast-conserving surgery and mastectomy
• Breast reconstruction after breast cancer surgery
• Axillary lymph node surgery, including Sentinel Lymph Node Biopsy
• Risk assessment, prevention, and breast health guidance

Medical Technologies and Equipment

The Breast Care Center provides screening and diagnostic technologies, including:

• Digital Mammogram
  Used to detect abnormalities that may not be detectable by physical examination, such as small masses, calcifications, and early abnormal calcium deposits.
• Breast Ultrasound
  Suitable for younger women or women with dense breast tissue. Used to differentiate solid masses from cysts.
• Breast Examination by Breast Surgeon
  Breast examinations performed by breast specialists to support accurate diagnosis.
• Self Breast Examination Training
  Training in breast self-examination using two methods:
  – Spiral Method
  – Grid Method
• Fine Needle Biopsy
  Aspiration of cells from a breast lump for pathological examination.
• Core Needle Biopsy
  Tissue sampling using an automatic biopsy gun without requiring surgery.
• Needle Localization Biopsy
  Uses a needle to localize small lesions to support precise surgical removal.
• Narrow Band Imaging (NBI) — available exclusively at this center
  Technology that helps identify lesions more clearly during surgery, supporting treatment effectiveness and reducing complications.

Treatment and Procedures

1. Breast Surgery

• Mastectomy – Complete removal of the breast
• Breast-Conserving Therapy – Breast-conserving surgery followed by radiation therapy
• Breast Reconstruction
  • TRAM Flap – Breast reconstruction using abdominal muscle and skin
  • LD Flap – Breast reconstruction using muscle and fat tissue from the back
  • Breast reconstruction using silicone implants after surgery

2. Axillary Lymph Node Surgery

• Sentinel Lymph Node Biopsy — Identification of sentinel lymph nodes to reduce unnecessary lymph node surgery
• Helps reduce the risk of arm swelling and numbness associated with conventional lymph node surgery

3. Medication and Chemotherapy

• Chemotherapy
• Targeted therapy / Hormonal therapy according to the clinical judgment of specialized physicians

Why Choose Nonthavej Hospital’s Breast Care Center?

• Breast specialists and a multidisciplinary breast care team
• Comprehensive care covering screening, diagnosis, treatment, rehabilitation, and follow-up
• Effective technologies such as Digital Mammogram, NBI, and Core Biopsy
• Techniques such as Laparoscopic Surgery and Sentinel Lymph Node procedures to help reduce surgical complications where medically appropriate
• Ongoing consultation on breast cancer risk and breast health