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About BLK Pulse

BLK Pulse encapsulates information on the hospital, its progress, and insight into some of the very complex and rare cases, on a monthly basis. All the articles and special achievement features, which have been covered in this edition, are unique in their own ways.

We will always be on the lookout for such inspiring articles, news of special achievements, significant announcements and any material that you feel will be of interest to us. Please do not hesitate to write to our editorial team at editorial@blkhospital.com.

 

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Dear Readers,

We are at the cusp of winter and it is the time of the year that everyone looks forward to. However, this transitional period, is always the time for all of us to be extra careful towards our health. Earlier in the month, we had even treated many patients with respiratory complaints. Quite understandably, it could be attributed to the sudden spike in the pollution level in the national capital region.

Continuing our focus on Cancer, this issue carries two separate cases where a woman went through a breast saving surgery while an elderly gentleman with a family history of malignancies diagnosed with multiple cancers in his body underwent a successful surgery. These are the kind of stories that remind us to go for regular health-check ups. Another case that you cannot miss is the rarest of the rare case of a 7 kg tumour, the size of a watermelon which was surgically removed by our doctors to salvage the patient's Kidney and her life.

In continuation of our effort to build healthcare capacities for our esteemed international partners, we had invited team of specialists from Tanzania's National Referral Hospital, Research Centre and University Teaching Hospital to attend observership and training courses on Kidney Transplant at our hospital for a period of 3 months.

I must also mention here that we value your words of encouragement that we have been receiving for our editorial team. You can reach us at: editorial@blkhospital.com with your feedback, suggestions and inputs that you think would make this newsletter a more enjoyable read.

   
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Breast Conservation Surgery has been the standard of care for more than twenty years; with local control rates and overall survival being equivalent to Mastectomy. With recent advances in imaging techniques such as MR Mammography, Sentinel Node Biopsy and development of Breast Oncoplasty, the long term and cosmetic results of the procedure have improved.

THE CASE

A 46-year-old pre-menopausal female visited BLK Cancer Centre with a recently noticed lump in the left breast. On clinical examination, a 2x2 cm size well defined lump in upper outer quadrant of left breast was found with no significant palpable axillary lymphadenopathy. Upon further investigation with MR Mammography two other suspicious lesions were seen in close proximity to the main tumour. US guided biopsy of lump was infiltrating ductal carcinoma.

THE PROCEDURE

The patient was subjected to Breast Scintigraphy on the day of surgery after injecting radioactive Tc99 nano colloid in retroareolar region of left breast. Gamma scan was performed after 2.5 hours of injection; which showed uptake in two lymph nodes along anterior axillary fold. She was then shifted to the operation theatre. The sentinel lymph nodes were dissected by axillary incision, the radioactivity was confirmed using handheld gamma probe and all hot nodes were sent for frozen section examination, which revealed absence of axillary lymph node metastases. A wide local excision of breast lump was done with a surgical margin of 1 cm circumferentially. The tumour bed was marked with surgical clips to aid in Adjuvant Radiation Therapy planning. The defect created after removal of lump was reconstructed by Breast Oncoplasty with transposition and suturing of adjacent breast parenchyma into the defect.

   
   
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