Breast Surgical Oncology

Fighting Breast Cancer, Together

Conditions We Treat in Breast Oncology

• Lobular Carcinoma In Situ (LCIS)
  

  Not cancer, but LCIS indicates a higher risk of eventually developing breast cancer some time down the road. Often requires close follow-up and sometimes preventive intervention.

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• Triple-Negative Breast Cancer (TNBC)
  

  An aggressive subtype missing three typical receptors (ER, PR, HER2). Requires a unique treatment that involves surgery, chemo, and/or immunotherapy.

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• HER2-Positive Breast Cancer
  

  Characterized by overexpression of the HER2 protein, which promotes cancer growth. Targeted therapy is often effective when used with surgery.

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• Inflammatory Breast Cancer (IBC)
  

  A rare, aggressive form of cancer that causes swelling, redness, and heat. Requires immediate treatment and the administration of multiple therapies.

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• Male Breast Cancer
  

  While rare, breast cancer can develop in men, who may have cancer in the form of a mass, nipple discharge, or change in the skin. Requires urgent treatment and diagnosis.

• Recurrent Breast Cancer
  

  Cancer recurrence after some type of treatment. Local, regional, or metastatic—requires updated and specialized management.

• Paget's Disease of the Breast
  

  A rare form of breast cancer that begins in the ducts and spreads to the nipple. Symptoms and signs include flaking, itching, or reddening of the nipple skin.

• Metastatic Breast Cancer (Stage IV)
  

  Cancer that has spread from the breast and surrounding lymph nodes to other organs like the bones, liver, lungs, or brain. Treated with supportive care and systemic therapies.

• Phyllodes Tumors
  

  Rare fibroepithelial tumors that are benign or malignant. They develop rapidly and may require surgical excision with free margins.

• Sarcomas of the breast
  

  An extremely rare group of cancers that develop in the connective tissue of the breast, not the ducts or lobules. Requires special surgical and oncologic treatment.

• Papillary Carcinoma
  

  Rare form of breast cancer with a papillary (finger-like) growth pattern, typically discovered by biopsy. Typically has an excellent prognosis.

• Medullary Carcinoma
  

  Rare type with clear borders and less aggressive overall course. Typically triple-negative but more treatment-sensitive than other TNBCs.

• Tubular Carcinoma
  

  Slow-growing, well-differentiated breast cancer with an excellent prognosis. Frequently found by routine annual mammograms.

• Mucinous (Colloid) Carcinoma
  

  A uncommon invasive breast cancer made up of mucus-secreting tumor cells. Typically less aggressive and has favorable prognosis.

• Invasive Breast Carcinoma During Pregnancy
  

  Needs to be treated gently, with a multidisciplinary approach, in order to spare both mother and fetus. Treatment regimen may include surgery and delay chemotherapy until after childbirth.

Treatments in Breast Surgical Oncology

A Specialized Journey Toward Recovery

At Al Riaz Health Services, we guide patients and families through the complex treatment landscape of breast cancer with care and clarity. We work with globally renowned breast cancer surgeons and hospitals to offer surgical treatments tailored to individual needs. Whether it’s breast-conserving surgery or total mastectomy, our role is to ensure that your care is both effective and empowering.

• Lumpectomy (Breast-Conserving Surgery)
  

  Eliminates the tumor and an extremely thin layer of tissue—well-suited to early-stage cancers. Preserves most of the breast.

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• Axillary Lymph Node Dissection
  

  Excision of several lymph nodes from under arm region in situation of cancer of sentinel node.

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• Breast Reconstruction Surgery
  

  Performed after mastectomy for construction of the breast with the use of the implant or tissue from a body site.

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• Oncoplastic Surgery
  

  Combines cancer excision and aesthetic reconstruction to maintain breast look and symmetry.

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• Hormone Therapy
  

  Most suitable for hormone receptor-positive cancers. Drugs inhibit or lower estrogen to slow growth.

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• Palliative Support
  

  In advanced or metastatic breast cancer, relief of symptoms, comfort, and mental health is the goal.

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• Neoadjuvant Therapy
  

  Pre-surgical chemotherapy or hormone therapy to shrink tumors and improve surgical outcomes.

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• Adjuvant Therapy
  

  Treatment after surgery to avert recurrence, tailored to the individual patient's profile.

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• Intraoperative Radiation Therapy (IORT)
  

  Delivers intrasurgical focused radiation, obliterating in some cases weeks of post-surgical treatment.

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• Cryoablation
  

  Surgical-free treatment using cold temperature to destroy small tumors—a therapy for a few patients not candidates for surgery.

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• High-Intensity Focused Ultrasound (HIFU)
  

  Surgical-free therapy utilizing focused sound waves to destroy cancer cells—still under clinical trials.

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• Genomic Profiling
  

  Helps in personalizing the treatment by researching tumor-specific genes to choose the most promising therapy.

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• Bone-Strengthening Medications
  

  For bone metastasis of cancer—used to manage pain and fractures.

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• Psychosocial and Rehabilitation Services
  

  Emotional well-being, physical well-being, and life management after treatment.

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• Chemotherapy
  

  Uses powerful drugs to kill cancer cells or slow their growth, administered orally, intravenously, or through injections, often in combination with other treatment modalities to improve effectiveness and reduce side effects.

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• Immunotherapy
  

  Enhances the body's natural defenses to fight cancer, utilizing drugs that stimulate the immune system to recognize and attack cancer cells, offering new hope for children with advanced or treatment-resistant cancers.

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• Mastectomy
  

  Removes the entire breast tissue, including the nipple-areola complex, often recommended for larger tumors, multifocal disease, or when breast-conserving surgery is not feasible, with options for immediate or delayed breast reconstruction to restore breast shape and symmetry.

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• Radiation Therapy
  

  Uses high-energy rays or particles to destroy cancer cells or shrink tumors, administered externally or internally, often used in conjunction with surgery and chemotherapy to enhance treatment outcomes.

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• Sentinel Lymph Node Biopsy
  

  Involves the removal and examination of one or a few sentinel lymph nodes to assess the spread of cancer to the lymphatic system, guiding the need for further lymph node dissection and adjuvant therapies.

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• Targeted Therapy
  

  Utilizes drugs or other substances to specifically target cancer cells while sparing normal cells, often guided by molecular profiling and genetic testing to identify specific targets for treatment, reducing side effects and improving efficacy.

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