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Surgical Oncology

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Holistic Breast Centre


Brief Overview

The Holistic Breast Centre at Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, is a globally recognised centre of clinical excellence offering state-of-the-art diagnostic, therapeutic, supportive and palliative care services for benign and malignant breast conditions. We are committed to delivering personalised, compassionate, and evidence-based care that redefines standards in breast health and wellness.

Mission Statement

To empower women through compassionate, multidisciplinary, and evidence-driven breast care that restores health, confidence, and quality of life.

About Us

At the Holistic Breast Centre, we offer comprehensive, end-to-end breast care—from screening and diagnosis to advanced treatments, partial and whole breast reconstruction, rehabilitation, onco-nutrition and survivorship. Our integrated, patient-centric care model ensures seamless collaboration among specialists, including surgeons, oncologists, radiologists, pathologists, genetic counsellors, physiotherapists, nutritionists, psychologists, and breast care nurses—all under one roof.

Key Highlights:

  • Led by Dr. Ashutosh Kothari, an internationally renowned onco-aesthetic and reconstructive breast surgeon with over 30 years of experience at leading institutions like the Tata Memorial Hospital (Mumbai) and Guy’s & St. Thomas’ NHS Trust (London).
  • One of India’s first dedicated units integrating oncoplastic breast conservation, advanced reconstruction techniques, precision oncology, and survivorship programs.
  • World-class technology, including 3D digital mammography, contrast enhanced spectral mammography,AI-assisted diagnostics, breast MRI, stereotactic image guided biopsies, and RapidArc™ . Renowned national and international tertiary referral centre for complex breast conditions.
  • Leaders in evidence based surgical de-escalation strategies promoting faster recovery and improved quality of life.
  • Award-winning patient support programs offering psychosocial counselling, nutritional care, physiotherapy, genetic screening, and tailored wellness plans.

Our Services

Diagnostic Tests and Procedures:

  • Digital Diagnostic and Screening Mammography (including mobile units). 3-D AI assisted Diagnostic and Screening Mammography (including mobile units)
  • High-resolution Breast Ultrasonography with Biopsy and Marker Insertions for breast and axilla
  • MRI for Breast Imaging
  • Stereotactic and Ultrasound-guided Wire Localisation for non-palpable lesions
  • Core Biopsy, Vacuum Biopsies, FNAC, and Frozen Section Analysis
  • Genetic Testing and Counselling for hereditary breast and ovarian cancer
  • Whole genome sequencing of tumour tissue
  • Limb volume assessment and monitoring
  • MRI lymphangiography for assessment of post-operative arm lymphoedema

Treatments and Therapies:
  • Surgical Treatments:

    • Breast Conservation Surgery using principles of advanced oncoplastic surgery
    • Simple and Modified radical mastectomies
    • Conservative Mastectomies (Skin-sparing, Nipple-sparing, Skin reducing,. Goldilocks technique)
    • Free nipple grafts
    • Nipple sharing
    • Sentinel Node Biopsy with Dual Tracer Technique
    • Targeted axillary dissection
    • Axillary clearance preserving vital nerves and blood vessels.
    • Advanced Oncoplastic Techniques (Benelli, V- plasty, J-plasty, Round Block, Grissoti, Therapeutic Mammoplasties)
    • Whole breast Autologous Reconstruction using the patient’s own tissue (DIEP, PAP, LD flaps)
    • Advanced whole breast reconstruction using silicone breast Implants (Prepectoral/Subpectoral/ Dual Plane)
    • Nipple Reconstruction and Areola Tattooing
    • Lipomodelling and fat grafting
    • Breast Augmentations
    • Correction of post conservation surgery aesthetic defects of the breast
    • Breast Reductions
    • Delayed post mastectomy whole breast reconstruction using both patients own tissue or silicone implants
  • Radiation Therapy:

    • RapidArc™ Technology
    • 5-day treatment protocols
    • 3-Week Radiation Protocols
    • Partial and Whole Breast Irradiation
    • Axillary Radiotherapy
  • Medical Oncology:

    • Chemotherapy
    • Targeted Therapies
    • Immunotherapy
    • Hormonal Therapy and Bone Strengthening agents
    • Port Insertions for Chemotherapy Delivery
  • Supportive and Survivorship Care:

    • Genetic Counselling and Risk Reduction Strategies
    • Breast Care Nursing Support
    • Palliative and Home Care for Advanced Disease
    • Psychological Counselling and Nutritional Therapy
    • Physiotherapy for Lymphedema Management (Manual Techniques and Lymphapress Machine)
    • Lymphoedema assessment and surgical management

Patient Education and Support Programs:

  • Breast Health Awareness and Screening Camps
  • Lifestyle and Risk Reduction Counselling
  • Individualized Survivorship Programs including physical rehabilitation, mental health support, and wellness coaching.

 

Conditions We Treat

Benign Breast Conditions:

  • Fibroadenoma: Non-cancerous breast lumps, typically occurring in younger women.
  • Breast Cysts: Fluid-filled sacs within the breast tissue.
  • Intraductal Papilloma: Small, wart like growths within the breast ducts
  • Breast Pain (Mastalgia): Discomfort or tenderness due to hormonal changes or benign conditions.
  • Nipple Discharge and Ulceration: Evaluated to rule out infections or malignancy.
  • Breast Abscess: Infection leading to collection of pus requiring drainage.
  • Galactocele: Milk-filled cysts occurring during or after lactation.
  • Granulomatous Mastitis chronic infective abscesses in the breast
  • Phyllodes Tumours locally aggressive tumours ranging from non-cancerous to cancerous
  • Hamartoma benign breast lump, mimics fibroadenomas on ultrasound and are harmless
  • Accessory axillary breast tissue
  • Gynaecomastia: Benign enlargement of male breast tissue.
  • Aesthetic Surgeries: Breast augmentation and breast lift (mastopexy) surgeries for cosmetic concerns.

Indeterminate Lesions, Breast Cancer and High-risk Conditions:

  • Atypical lesions in the breast that may be associated with cancerous or pre-cancerous breast tumours
  • Invasive Ductal and Lobular Carcinomas: The most common types of breast cancer requiring multidisciplinary treatment.
  • Breast Sacromas aggressive soft tissue cancers in the breast
  • Ductal Carcinoma in Situ (DCIS): Early-stage, non-invasive breast cancer.
  • Phyllodes Tumours: Rare breast tumours requiring surgical excision.
  • Genetic Predisposition (BRCA1/BRCA2, PALB2, CHEK2, ATM): Managed through counselling, screening, and risk-reduction strategies.
  • Post-mastectomy and Breast Reconstruction Needs: Comprehensive reconstructive options tailored to patient preference and clinical suitability.

 

For further information or to book an appointment, please contact us at : 1800 890 1111.

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