Breast is an advance sebaceous structure, hormone dependent and goes into structural/biochemical/bio physical changes every month and every day with mental and physical status.
Cancer Breast has undergone – so many characteristic understanding from locally aggressive disease to a local disciplined disease to general manifestations. From super radical to local excision, Role of R.T. has changed from total dependence to addition to adjuvant and then combined modality. C.T. has changed the scenario with brighter outlook.
We have to understand very clearly the role of each modality of treatment Surgery/Radiotheraphy//CT and work together.
Role of Pathologist has increased with Chemo receptors and Immuno studies. Genetic study – to play its dominant role in future.
Two distinct features need basic understanding and application.
- Mammography
- Receptor – ER, PQ, HER2 NU and growth factor
Science is wast, its clinical application in relation to various factor to give benefit to patients is important.
Do not over emphasis ones role – only on commercial factor/legal factor/ personal factors.
Understand what you are doing in the best interest of the patient’s care.
