Vertex Oncology Dr Giri

 Breast cancer is often considered a disease of middle-aged women, but a significant number of cases occur in women above the age of 70 years. With increasing life expectancy in India, doctors are seeing more elderly women diagnosed with breast cancer. One of the most common concerns among families is whether an elderly woman is fit enough to undergo surgery. Fortunately, modern cancer treatment offers effective alternatives for carefully selected patients. In many elderly women with a specific type of breast cancer, treatment with hormonal tablets alone can control the disease, maintain quality of life, and avoid the risks associated with surgery. Breast Cancer in Elderly Women: A Growing Reality According to Indian cancer statistics, breast cancer remains the most common cancer among women. While many patients are diagnosed in their 40s and 50s, a substantial proportion of cases occur in women aged 70 years and above. When an elderly woman is diagnosed with breast cancer, treatme...

  Introduction One of the most common questions asked by patients and their families is: "Doctor, my mother had cancer. Will I also get cancer?" The answer is not always straightforward. While many cancers occur due to lifestyle, environmental exposures, aging, and chance genetic mutations, a small percentage are inherited through families. Understanding whether cancer is hereditary can help individuals take preventive measures, undergo timely screening, and even save the lives of future generations. In this article, we will discuss hereditary cancer, how common it is in India, who should undergo genetic testing, available treatment options, and practical ways to reduce cancer risk for your children and grandchildren. What Does Hereditary Cancer Mean? Cancer develops when genetic changes (mutations) occur in cells, causing uncontrolled growth. Most cancers happen because of mutations acquired during a person's lifetime due to: Aging Tobacco use Alcohol consumption Obesity...

  Completing cancer treatment is a significant milestone worth celebrating. Whether a patient has undergone surgery, chemotherapy, radiation therapy, immunotherapy, or a combination of treatments, reaching the end of active treatment often brings relief and hope. However, the end of treatment does not mean the end of cancer care. Regular follow-up appointments with an oncologist remain an essential part of survivorship. These visits play a critical role in monitoring health, managing long-term effects, detecting recurrence early, and providing emotional reassurance during the transition back to everyday life. How Often Should Cancer Survivors Follow Up with Their Oncologist? Follow-up schedules vary depending on the type of cancer, stage at diagnosis, treatment received, and the patient's overall health. In general: During the first 2–3 years after treatment, follow-up visits are often scheduled every 3 months. Between years 3–5, appointments may occur every 4 months. After 5 years...

Breast cancer is the most common cancer among women worldwide and is increasingly being diagnosed in Indian women. While many women are aware of mammography and breast self-examination, fewer know that modern medicine can estimate an individual's future risk of developing breast cancer. One of the most advanced tools available today is the Tyrer-Cuzick Model , also known as the IBIS Breast Cancer Risk Assessment Tool . This model helps doctors identify women who may have a higher-than-average risk of developing breast cancer and guides decisions regarding screening, genetic testing, and preventive strategies. What Is the Tyrer-Cuzick Model? The Tyrer-Cuzick Model is a scientifically validated risk assessment tool used to estimate a woman's likelihood of developing breast cancer over the next 10 years and throughout her lifetime. Unlike older risk calculators, the Tyrer-Cuzick Model considers a wide range of personal, family, and hormonal factors, making it one of the most compr...

  Introduction Breast cancer is now one of the most common cancers affecting women worldwide. Many women ask an important question: "What are my chances of developing breast cancer?" While no one can predict the future with complete certainty, doctors use scientific tools to estimate an individual's risk. One of the most widely used tools is called the Gail Model . The Gail Model helps estimate a woman's likelihood of developing breast cancer over the next 5 years and during her lifetime. It can guide decisions about screening, prevention, and lifestyle changes. What Is the Gail Model? The Gail Model is a breast cancer risk assessment tool developed by researchers in the United States. It uses information about a woman’s personal and family history to calculate her risk of developing invasive breast cancer. Think of it as a "breast cancer risk calculator" that helps doctors identify women who may benefit from closer monitoring or preventive strategies. What ...

  1. Mammography (Current Gold Standard) Mammography Sensitivity: 75–90% (lower in dense breasts) Specificity: 90–95% Advantages Proven to reduce breast cancer mortality. Detects tiny calcifications before a lump develops. Can identify cancers 1–3 years before symptoms appear. Limitations Less effective in women with dense breasts. False positives can occur. Recommended Most guidelines recommend screening from age 40–50 years onward, depending on risk factors. 2. Breast MRI (Highest Sensitivity) Breast MRI Sensitivity: 90–99% Specificity: 72–90% Advantages Most sensitive imaging test available. Detects cancers missed by mammography. Particularly useful in women with: BRCA mutations Strong family history Very dense breasts Limitations More false positives. Expensive. Not recommended for routine screening of average-risk women. 3. Digital Breast Tomosynthesis (3D Mammography) Digital Breast Tomosynthesis Sensitivity: Slightly higher than st...

 When doctors discuss cancer outcomes, one of the most commonly used statistics is the 5-year survival rate . Definition A 5-year survival rate is the percentage of patients who are alive 5 years after their cancer diagnosis , regardless of whether they are cancer-free or still receiving treatment. For example: If a cancer has a 5-year survival rate of 90% , it means that 90 out of 100 patients are alive 5 years after diagnosis . It does not necessarily mean they are cured . Some may still have cancer, while others may be completely disease-free. Why Is 5-Year Survival Used? Cancer research requires a standard way to compare outcomes. Five years is commonly used because: Many cancer recurrences happen within the first 5 years. It provides a meaningful measure of long-term treatment success. It allows comparison between hospitals, treatments, and countries. Important Limitations 1. It Does Not Predict an Individual's Outcome A survival rate is based on la...