Radical Mastectomy Cost from trusted Hospitals in Navi Mumbai

Starting From : INR 200000

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Apollo Hospital Navi Mumbai

  • Surgical Oncologist/Cancer Surgeon
  • Cbd Belapur , Navi Mumbai
  • 500 Beds

Summary:

  • Apollo Hospitals, Navi Mumbai, is one of the most advanced Multi-Specialty Tertiary Care Hospitals in the region of Mumbai and Navi Mumbai.
  • Apollo Hospitals, Navi Mumbai, 500 bedded tertiary care offers super-specialty care across specialties.

Radical Mastectomy

Radical mastectomy is a procedure for the treatment of breast cancer wherein the entire breast tissue along with the underlying chest muscles and lymph nodes is removed surgically. Breast cancer occurs when the cells in the breast start to multiply abnormally leading to the formation of a mass or tumor. If left untreated, it can metastasize to other body parts and therefore treatment is vital. 

Mastectomy or the surgical removal of a part of the whole of the breast can be performed in the following ways:

  1. Total mastectomy: It involves the surgical removal of the nipple, areola (the dark-colored area around the nipple), and the pectoralis fascia (lining around the chest muscles). A sentinel lymph node biopsy (the removal of the surrounding lymph nodes and sending it to the laboratory for evaluation) at the time of the procedure.
  2. Radical mastectomy: It involves the removal of the entire breast, along with the nipple, areola, overlying skin, lymph nodes under the arm, and the chest muscles (pectoralis major and minor muscles). 
  3. Modified radical mastectomy: It involves the removal of the entire breast, including the nipple, areola, lining over the chest muscles (pectoralis fascia), and the pectoralis minor muscle. The pectoralis major muscle will be spared. A few lymph nodes in the armpit region are also removed. In certain cases, the pectoralis minor muscle is retracted instead of being cut. 
  4. Skin-sparing mastectomy: It involves sparing the breast skin. The breast tissue, nipple, and areola will be removed. 
  5. Nipple-sparing mastectomy: It involves the preservation of the nipple and areola skin when there are no cancer cells detected in these areas.
  6. Laser Treatment for Breast Cancer: It involves using a laser to heat and destroy the tumor cells. This procedure is known as laser ablation therapy and may be used in cases of small breast tumors.

 

Symptoms

Breast cancer can be identified by a few symptoms that can be seen and felt by touch. A woman can self-examine keeping in mind the following symptoms. If any of the symptoms are present, she might be at a risk of having breast cancer.

  • Lump in or near the breast.
  • Swelling or shrinkage of breast
  • Nipple tenderness or an inverted nipple
  • Red or swollen skin on the breast
  • Change in the size or shape of the breast
  • Enlargement of pores on the skin of the breast
  • Clear or bloody discharge from the nipple
  • Scaling of skin

Diagnosis

The doctor performs a physical exam which could help to determine the presence of cancer. Thereafter, a few other tests may be required and recommended in order to confirm the diagnosis as a physical exam alone does not suffice. The following tests may be done:-

  • Mammogram- a mammogram is an X-ray of the breast that can help in the early detection of cancer.
  • Breast ultrasound- can be used in addition to a mammogram or when the results from the same are inconclusive. It determines whether a lump is a fluid filled cyst or a solid mass.
  • Breast biopsy- a biopsy helps in confirming the presence of cancer with surity. Biopsy may be needed to determine whether the lump is cancerous or benign
  • CT, PET, MRI scans in addition to other tests to confirm specifics such as size and location of the tumor.

 

Treatment

Radical mastectomy is the most extensive and invasive type of mastectomy. It involves the removing of the entire breast, levels I, II, and III of the lymph nodes under the arm and the chest muscle under the breast. This surgery is only recommended to those patients whose cancer has metastasized to the chest muscle. This surgery is now not very commonly performed due to other techniques which are less invasive.

One such technique is modified radical mastectomy, which involves the removal of the entire breast, and levels I and II of the underarm lymph nodes. It does not involve removal of underlying breast muscle unlike the traditional radical mastectomy. It is also comparatively less disfigurative and therefore preferred over the former.

Risks

Mastectomy does not involve any major risks except for those that one encounters with any type of major surgery. These include

  • Wound infection
  • Allergic reaction to the anesthesia used
  • Blood clot formation
  • Fatigue
  • Bleeding
  • Blood collection (hematoma) around the wound
  • Fluid collection (seroma) around the wound
  • Swelling in the arms (lymphedema)
  • Nerve pain
  • Shoulder stiffness 
  • Scar tissue formation 

After Procedure

  • You will most likely stay in the hospital for one or two days after a radical mastectomy.
  • Recovery at home may take up to four weeks. It may take even longer if the patient has undergone breast reconstruction surgery as well.
  • It is normal to have some pain, tenderness, bruising, and swelling after the surgery.
  • The doctor will prescribe some pain-relieving medications after the procedure.
  • Strenuous activities and heavy lifting should be avoided during the recovery period.
  • You will need physiotherapy sessions after the surgery.
  • The doctor will remove the drains and stitches one or two weeks after the surgery.
  • You need to have regular follow-ups with the doctor after the procedure to check for complications, how successful the treatment was, if any additional treatment is needed and if there is any risk for cancer recurrence.

Home remedies:

  • Take lots of rest for the first few weeks after the procedure.
  • Take all your prescribed medicines regularly.
  • Avoid bathtubs or showers until the drains and stitches are removed. You can take sponge baths during this period.
  • Perform the exercises recommended by the doctor to prevent stiffness in your arm.

Cost of radical mastectomy in India- 

The cost of a radical mastectomy in Mumbai is between INR 1,00,000 to INR 2,50,000.
The cost of a radical mastectomy in Delhi is between INR 85,000 to INR 2,25,000.
The cost of a radical mastectomy in Bangalore is between INR 85,000 to INR 2,25,000.
The cost of a radical mastectomy in Chennai is between INR 80,000 to INR 2,00,000.

FAQ Section

1) What is breast cancer?

Breast cancer is a condition in which the cells in the breast multiply rapidly and uncontrollably. This gives rise to a tumor which might become malignant (cancer). Malignant tumors are what is known as cancer because they can affect the surrounding tissues or spread to different places in the body (metastasize).

It can usually be felt as a lump in the breast area. All lumps are not malignant. They may be non-cancerous and not spread to other parts of the body. Any lump, however, should be checked because benign breast tumors, even though harmless, can increase the risk of future breast cancer.

Contrary to popular belief, breast cancer can occur in men as well. Although it is rare in men, any symptoms of the same should not be ignored.

2) What is mastectomy and what is radical mastectomy?

Mastectomy is the procedure in which the surgeon removes part or whole of the breast

Radical Mastectomy is a type of mastectomy in which the surgeon removes the whole of the breast along with levels I, II and III of the lymph nodes in the underarm area. It also involves removal of the chest wall muscles located under the breasts. It is only recommended if breast cancer is known to have spread to the muscles under the breasts.

3) What is mammogram?

A mammogram is an imaging procedure which utilizes X-rays of low intensity. It is extensively used to look for any changes in the breast area which might be an indication of a tumor or cancer.

4) What age should a woman get a mammogram?

Women below the age of 40 can get a mammogram if they wish to, but they should be aware that the mammogram might lead to false-positives. These false-positives are due to the dense breast tissues in women at this age and the low percentage of cancer occurrences in this age. Due to these false-positives, women in this age are recommended to get a mammogram only if there are symptoms of a tumor or cancer like a lump in the breast area.

Women from 40-44 can start yearly mammograms but the results, again, won’t be much accurate due to the dense breast tissues. Women from 45-54 should have mammograms done on a yearly basis while women above 55 can continue with the yearly schedule or relax it to a mammogram every two years.

Mammograms have to be done at any age if a lump is found in the breast area. If you have a family history of cancer or have an immune system disorder, you should consult a doctor and get your screenings done.

5) What are the different types of mastectomy?

There are five types of mastectomy-

  • Simple or full mastectomy is where the whole of the breast is removed leaving the lymph nodes and the chest muscles under the breasts intact. It is recommended for healthy women with a family history of the disease or a specific gene mutation to prevent any possibility of a breast tumor or cancer happening.
  • Radical Mastectomy is a type of mastectomy in which the surgeon removes the whole of the breast along with levels I, II and III of the lymph nodes in the underarm area. It also involves removal of the chest wall muscles located under the breasts. It is only recommended if breast cancer is known to have spread to the muscles under the breasts.
  • Modified Radical Mastectomy is where the whole breast along with levels I, II of lymph nodes in the underarm area are removed. The chest muscles underneath the breasts are left untouched. These have replaced radical mastectomies in treating breast cancer because not removing level III of the lymph nodes allows the doctors to identify whether cancer has spread to other parts of the body.
  • Partial Mastectomy is when only the cancerous part of the breast tissue is removed along with some normal tissue around it.
  • Nipple-sparing (Subcutaneous) Mastectomy is when the surgeon removes the whole of the breast but leaves the nipples and areola intact.

6) What are the risk factors of a mastectomy?

Risk factors of a mastectomy include

  • Bleeding
  • Infection
  • Pain in the chest and underarm area
  • Hard scar tissue formation
  • Delay in the healing of the wound
  • Swelling in the arm
  • Allergic reaction to anesthesia and medication administered during the surgery
  • Hematoma (blood build-up at surgery site)
  • Lymphedema (swelling of soft tissues due to lymph fluid)

 

7) How is Lumpectomy different from mastectomy?

Lumpectomy is different from a mastectomy as it involves removing only a portion of the breast, unlike the whole breast as in mastectomy. It is very close to a partial mastectomy, but in partial mastectomy, more tissue is removed as compared to a lumpectomy. It is also known as breast-conserving surgery.

8) How effective is mastectomy?

There is a 3-4 % chance of cancer recurrence after a successful mastectomy. Several procedures like chemotherapy or radiotherapy may be required after the mastectomy for better results.

Mastectomy in a healthy person prevents a breast tumor or cancer, but family history and genes (mutated BRCA1 and BRCA2 genes) can play spoilsport reducing the effectiveness of mastectomy in preventing tumor or cancer to 95%.

9) Can a double mastectomy prevent breast cancer?

A double mastectomy (mastectomy of both breasts) reduces the chances of a breast tumor or cancer occurring. Your gene profile and family medical history also plays an important role in the occurrence of a tumor or cancer. Mutations in particular gene strands have been linked to cancer. A history of cancer or tumors in the family has also been linked with increased chances of cancer or a tumor occurring.

10) What is the recovery time for a mastectomy?

The surgery itself takes about 2-3 hours while you will be required to stay in the hospital for around three days.

Full recovery from a mastectomy surgery can take about a month. You might even have surgical drains for the first week which will be removed with an appointment with the surgeon. You will feel some pain in the chest area and the underarm area which might take a few months to go away. Any other signs like severe pain, swelling etc. should be shown to the doctor.

11) What is the cost of mastectomy in India?

The cost of a single mastectomy in India varies from Rs. 80,000 to Rs. 2,00,000 depending upon the hospital.

12) Can mastectomy alone cure breast cancer?

The chances of cancer recurring after a mastectomy are 3-4%. You might have your mastectomy followed by chemotherapy or radiotherapy. 

Q. What is a radical mastectomy?

A. Radical mastectomy is an extensive procedure performed to remove the entire breast along with the axillary or underarm lymph nodes and the muscles of the chest wall.

 

Q. What is the difference between a radical mastectomy and a modified radical mastectomy?

A. Radical mastectomy involves the removal of the entire breast, along with the nipple, areola, overlying skin, lymph nodes under the arm, and the chest muscles (pectoralis major and minor muscles).
 
A modified radical mastectomy involves the removal of the entire breast, including the nipple, areola, lining over the chest muscles (pectoralis fascia), the pectoralis minor muscle, and a few lymph nodes in the armpit region. The pectoralis major muscle is spared in this procedure. In some cases of modified radical mastectomy, the pectoralis minor muscle is retracted instead of cutting it.

Q. Who performs a radical mastectomy?

A. Radical mastectomy is performed by a surgical oncologist.
 
 
 

Q. For how long do I need to stay in the hospital after a radical mastectomy?

A. Most people need to stay in the hospital for one or two days after a radical mastectomy.

 

Q. How long will it take to recover from a radical mastectomy?

A. Complete recovery from radical mastectomy may take four to six weeks.

Q. What can I expect immediately after a radical mastectomy procedure?

A. It is normal to feel some pain and soreness for two to three days after a radical mastectomy. You may also feel some stretching or pulling near or under the arm. You may also experience tingling, itching, and throbbing in the region. This usually gets better in a couple of days.

 

Q. How do I sleep with drains after a radical mastectomy?

A. The best way to sleep after a radical mastectomy is on your back, with the upper body elevated. This puts the breasts in an optimal position to heal.

Q. What is the cost of a radical mastectomy in India?

A. The cost of radical mastectomy will vary depending on the severity of the breast cancer being treated and the health condition of the patient.
The cost of radical mastectomy also varies among different surgical oncologists in different hospitals. On average, the cost of radical mastectomy in India is between INR 80,000 to INR 2,50,000.