Sri Balaji Action Medical Institute & Action Cancer Hospital Monthly Newspaper - October 2017 - Pages 4

ACTION TIMES ACTION TIMES Breast Cancer Awareness walk

There is only one happiness in the life, to love and be loved...

Page No. 4 Page No. 2

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SBAMI ACH

BIRTHDAY

The success of any organiza�on completely depends on the love and affec�on between the people who contribute to the

organiza�on and how they celebrate fes�vals together with excitement and enthusiasm. Same happened in west Delhi, Paschim

Vihar, where Ac�on Group of Hospitals organized a grand Deepawali party at the green lawns of their premises on Monday, October

16, 2017.

In the celebra�ons, every member of Ac�on Group of hospital par�cipated and enjoyed the appe�zing lunch together. Founder of

Ac�on Group and Chairman of Sri Balaji Ac�on Medical Ins�tute and Ac�on Cancer Hospital, Sh.Lala Mange Ram Aggrawal, witnessed

the event along with the doctors and employees working in the hospital and exchanged wishes and gree�ngs.

Venue was decorated in tradi�onal style and a�racted the guests with its soothing ambience. Approximately 2500 people

par�cipated in the programme and enjoyed the party and the temp�ng food together. We wish happy deepawali to all members of

ac�on family.

Diwali Celebration With Passion

Diwali Celebration With Passion

Diwali Celebration With Passion

1-Nov Dr. Anju Gomber

29-Nov Dr. Rajiv Singla

6-Nov Dr. S.K. Abrol

12-Nov Dr. S.K. Jain

20-Nov Dr. R.D. Srivastava

6-Nov Dr. Harpreet Singh

27-Nov Dr. Aneesh Baweja

5-Nov Dr. Nishant Ranjan

9-Nov Dr. Pradeep Agarwal

11-Nov Dr. Manisha Arora

17-Nov Dr. Poonam Aggarwal

15-Nov Dr. Amit Kumar

28-Nov Dr. Rajesh Kr. Jain

3-Nov Dr. Anand Singh Kushwaha

19-Nov Dr. Yogesh Kumar

1-Nov Dr. Samir Khanna

9-Nov Dr. Lalit Mohan Kaushik

25-Nov Dr. Shalinder Koul

25-Nov Dr. Prashant Goyal

20-Nov Dr. Nikhil Gupta

25-Nov Dr. Amit Singhal

9-Nov Dr. Govind Vallabh Joshi

13-Nov Dr. Minal Rastogi

25-Nov Dr. Kunal Rana

15-Nov Dr. Mayank Jain

All consultants are requested to kindly update Medical Director about the advanced and complicated surgeries performed so that same can be provided to PR Agency for publicity

Sri Balaji Action Medical Institute & Action Cancer Hospital Monthly Newspaper - October 2017 - www.actionhospital.com

October: Medical support services at

Pacific Mall Subash Nagar.

Oct 11 : Sri Balaji Action Medical Institute

& Action Cancer Hospital participated in

Diwali Mela and Sampurn Ramayana at

Janpath & Pitampura.

Oct 29-30 : 201 Patients attended free Pain

checkup camp, with Sr. Consultant Dr.

Neeraj Jain at Sri Balaji Action Medical

Institute.

Oct 01 : 105 Patients attended the free gastro

checkup camp with Sr. Consultant Dr.

Monika Jain At Dharm Jagriti, Sansthan

Vishwas Nagar Shahdara.

Oct 10 : Sri Balaji Action Medical Institute organized live show of Dr. Amar Singhal through radio FM 102.6.

Breast Cancer has had a tremendous impact on the lives of many women and families from all walks of life. To fight

against this disease, awareness among the women is the lethal weapon. Ac�on Cancer Hospital organized a

Breast cancer awareness walk on the occasion of breast cancer month. It was an effort to raise awareness and

reduce the s�gma of breast cancer through educa�on of self breast examina�on, symptoms and treatment.

Dedicated to this theme the hospital distributed T- shirts , caps and educa�on material on breast cancer during

the walk. The walk started at 7 am from District Park, Paschim Vihar and then programmed Jawala Heri market to

finish at Ac�on Cancer Hospital campus. More than 300 people par�cipated in the walk and raised slogan to

increase awareness and educate people to fight against this disease. If the group comprised of the breast cancer

survivors , all the consultants of Ac�on Cancer Hospital, nurses, nursing students , medical and para medical staff.

Medical Superintendent- Dr Asha Aggarwal, Sh N. K. Ji and Ms Shalu Aggarwal from respected Management of the

hospital led the walk from front. More than 80 students and social ac�vists from Rotaract of Rotacy Club also

par�cipated in this social cause. At the finish off spot at Ac�on Cancer Hospital, few breast cancer survivors shared

their reminiscences with the par�cipants. The event was covered by Dilli Aaj Tak and Haryana regional channel

Janta TV too.

Breast Cancer Awareness Walk

3

All consultants are requested to kindly update Medical Director about the advanced and complicated surgeries performed so that same can be provided to PR Agency for publicity

Sri Balaji Action Medical Institute & Action Cancer Hospital Monthly Newspaper - October 2017 - www.actionhospital.com

Breast problems, such as breast lumps, breast pain or tenderness, nipple discharge or inversion, and changes in the skin of the breast, are

common in women of all ages, from adolescents to older women. While it can be frightening to discover a new breast problem, most breast

problems are not caused by breast cancer.

Common Breast Problems:

Pain, lumps, Infections, nipple discharge, skin changes, Cysts and Fibroadenomas, Cancer

Breast lump: If You or your doctor may find a breast lump by looking at or feeling your breast. It is difficult to determine by examination alone if

a lump is caused by breast cancer. Although most breast lumps (approx 90 %) in women age 20 to 50 are not cancerous, all new breast lumps

should be evaluated by a doctor to determine if further testing is needed

Breast pain- The most common type of breast pain is caused by the hormones that control the menstrual period. These hormonal changes can

cause pain in both breasts several days before the menstrual period begins. Because the pain can come and go with the menstrual cycle, it is

called "cyclical" breast pain. Cyclical breast pain is not usually caused by breast cancer or other serious breast problems.

Less commonly, a woman can have breast pain that does not come and go with the menstrual cycle (also called noncyclical breast pain). This

type of pain is not related to the menstrual cycle and might occur in only one breast or one area of the breast. Noncyclical breast pain is usually

caused by a problem outside the breast, such as muscle or connective tissue strain, skin injury, spinal conditions, or problems in another organ

system (eg, heart burn, chest pain). Noncyclical breast pain is caused by breast cancer in only a very small percentage of women

Nipple discharge — Having a milky-colored discharge (also called galactorrhea) from both nipples is common, especially during the first year after giving birth. Nipple discharge

from both breasts can also occur in women with an underactive thyroid (hypothyroid), as a side effect of certain medications, or

because of a growth in the pituitary (a part of the brain), causing an increase in a hormone called prolactin.

As with other ducts in the body, breast ducts make and carry secretions. Many women can express (squeeze out) a small

amount of yellowish, greenish, or brownish discharge. This is often called "physiologic" discharge and is not a cause for concern.

Physiologic discharge is not bloody.

Spontaneous nipple discharge (discharge that occurs without squeezing) or nipple discharge that is clear or bloody may be

caused by an abnormal growth within the breast or, less commonly, by breast cancer.

Any woman with nipple discharge should be evaluated by a doctor. A mammogram, breast ultrasound, and/or examination of

the breast ducts (ductogram) may be recommended in some cases.

Nipple inversion — The nipple is the central projection in the areola. Many women are born with nipples that naturally invert

(pull in) at times and evert (poke out) at other times. Other women find that this happens after breast feeding. Nipple inversion

of this type is not a cause for concern.

If your nipples have always been everted, however, and begin to invert for no obvious reason, this should be evaluated by your doctor. Most causes of nipple inversion are not a

cause for concern, but occasionally this is the first sign of a breast cancer. New nipple inversion is usually evaluated with a breast examination and mammogram as a first step.

Nipple inversion can affect one breast or both, and can be congenital or acquired. Acquired nipple inversion can be due to benign or malignant causes. Benign nipple inversion is

usually a gradual process, occurring over a few years. When nipple inversion occurs rapidly, a complete breast examination and radiologic evaluation with mammogram and

ultrasound should be performed to look for the underlying cause.

Skin changes — Skin problems can develop on or near the breast, some of which cause itching, scaling or crusting, dimpling, swelling, redness, or changes in skin color. While most

of these changes are not caused by a serious breast problem, it is important to be evaluated if a skin problem on your breast does not resolve within a few days.

More serious causes of skin changes on the breast can include less common forms of breast cancer, such as Paget disease or inflammatory breast cancer. Other, more common skin

problems, such as rashes, moles, cysts, or skin infections can occur on the skin of the breast, as well. The evaluation of breast skin changes usually includes a breast examination

and may include a mammogram. A skin biopsy may be needed to confirm the diagnosis.

Abnormal mammogram — Many women have an abnormality diagnosed on screening mammogram and have no physical complaints or findings. The radiologist will indicate

whether the abnormality requires follow-up, additional imaging or biopsy .

If the abnormality is a mass, an ultrasound is performed to see if the abnormality is cystic or solid. The radiologist can usually perform an aspiration for a cystic lesion or core biopsy

of a solid lesion with ultrasound guidance. A clip should always be placed to guide any subsequent surgery that may be required if the biopsy is positive. The clip also provides

confirmation that the proper area on the mammogram was targeted for biopsy.

In age 20s: All above mentioned abnormalities can occur and treatment depends upon the condition. If any lump is detected before your menstrual period, you may be advised to

have a repeat breast examination after your period has ended. In this age group, breast lumps are often caused by hormonal changes and will resolve after your menstrual cycle.

Fifroadenoma and cysts are more common in this age group. If any lump is persisting, Ultrasound Breast should be done. Needle biopsy may be required to rule out cancer.

Mammography is usually not done. If any abnormality not being diagnosed on ultrasound, a Breast MRI may be required.

In age 30s: All above mentioned abnormalities can occur and treatment depends upon the condition. Nipple discharge and infections are more common in this age group. Self

breast examination should be done every 3 months to check any abnormality in the breast. If any lump is palpable, diagnostic mammography should be done along with

Ultrasound Breast. Needle biopsy may be required to rule out cancer.

In age 40s: All above mentioned abnormalities can occur and treatment depends upon the condition. Self breast examination should be done every 3 months to check any

abnormality in the breast. If any lump is palpable, diagnostic mammography should be done along with Ultrasound Breast. Needle biopsy may be required to rule out cancer.

Women who are at high risk of breast cancer sometimes need to begin screening at a young age. This might include women who:

· Carry genes that increase their risk of breast cancer, such as the “BRCA” genes

· Have close relatives who got breast cancer at a young age

Screening mammography can be done to detect any abnormality and repeated every year till the age of 50.

In age 50s onwards : All above mentioned abnormalities can occur and treatment depends upon the condition. Self breast examination should be done every 3 months to check

any abnormality in the breast. If any lump is palpable, diagnostic mammography should be done along with Ultrasound Breast. Needle biopsy may be required to rule out cancer.

Screening mammography should be done every one – two year depending upon the risk of patient to detect any abnormality.

A. Ducts

B. Lobules

C. Dilated section of

duct to hold milk

D. Nipple

E. Fat

F. Pectoralis major

muscle

G. Chest wall/

rib cage

J.B. SharmaHon. Sr. ConsultantMedical OncologyMBBS, MD, DM-Oncology

Breast Problems in Different Ages

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Quiz No.89 Quiz No.89 Quiz No.89

Please send your responses of Quiz along with your name, designation & mobile number on rohitsbami@gmail.com by 15 November 2017. Winners would be decided on first come first basis and would be suitably awarded.

Q1. What is the name of the disease caused due to Vitamin B1 deficiency?(A) Scurvy(B) Beriberi(C) Pellagra(D) Gingivitis

Q3. What are the effects of Vitamin B6 deficiency?(A) Beriberi(B) Scurvy(C) Dermatomyoma(D) Certain types of Eczema

Q2. What does niacin deficiency cause(A) Acne(B) Scurvy(C) Boils(D) Pellagra

Q4. What does Vitamin K deficiency lead to ?(A) Problem in digestion(B) Problem in Blood Coagulation(C) Problem in Calcium Metabolism(D) All the three

Q5. Night blindness, drying of the conjunctiva, dry and scaly skin and loss of hair are some of the symptoms of :(A) Vitamin K deficiency(B) Vitamin A deficiency(C) Iron deficiency(D) Folic acid deficiency

Sri Balaji Action Medical Institute & Action Cancer Hospital Monthly Newspaper - October 2017 - www.actionhospital.com

Last Month Ans: 1(B), 2 (D), 3(C), 4(A), 5(A)

Quote by Dr. Pallavi Joshi, Psychologist

Quote by Priya Bharma, Chief Nutritionist Quote by Dr. Rajesh Aggarwal, Sr. Consultant, Nephrology

Media Coverage

Quote by Dr. Arvind Aggarwal, Sr. Physician Quote by Dr. Saket Kant, Endocrinologist