Mastectomy cost in India varies between INR 249450 to 607826 (USD 3000 to USD 7310)approx
.Mastectomy is one of the oldest procedures that is performed to get rid of cancerous cells in the breast tissue. This is a surgery where the entire breast tissue is sometimes removed along with the muscle as well as the skin. It is considered as a local therapy to remove cancerous cells, rather than a systemic type of therapy like chemotherapy. Mastectomy is extensively performed in India by some of the top oncologists from the world.
The cost of the Mastectomy surgery, when performed in India, is quite less when compared to the other western countries like the United States or London. The standard of care is also comparable to these places in the west. If you do consider the total cost of the surgery including the medication, the post-operative care facilities, the rooms for staying as well as the food and accommodation for the people who are with the patient, this cost is still very less and affordable than other countries.
City | Minimum Cost | Maximum Cost |
---|---|---|
Gurgaon | USD 5030 | USD 6320 |
Noida | USD 5290 | USD 6300 |
Chennai | USD 5460 | USD 6090 |
Kochi | USD 5930 | USD 6680 |
Mohali | USD 5480 | USD 6340 |
Pune | USD 5070 | USD 6100 |
Panjim | USD 5840 | USD 7140 |
Mumbai | USD 5420 | USD 6500 |
Bengaluru | USD 5190 | USD 6440 |
Country | Cost | Local_currency |
---|---|---|
Greece | USD 12000 | Greece 11040 |
India | USD 3000 | India 249450 |
Israel | USD 8500 | Israel 32300 |
Lebanon | USD 9500 | Lebanon 142552725 |
Malaysia | USD 8000 | Malaysia 37680 |
Poland | USD 3050 | Poland 12322 |
South Korea | USD 20000 | South Korea 26853800 |
Spain | USD 10220 | Spain 9402 |
Switzerland | USD 9500 | Switzerland 8170 |
Thailand | USD 12140 | Thailand 432791 |
Tunisia | USD 9500 | Tunisia 29545 |
Turkey | USD 6080 | Turkey 183251 |
United Arab Emirates | USD 12120 | United Arab Emirates 44480 |
Treatment cost
Types of Mastectomy in Apollo Hospital and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3418 - 8457 | 279091 - 687960 |
Total Mastectomy | 2814 - 6887 | 231696 - 545907 |
Modified Radical Mastectomy | 3350 - 7161 | 278417 - 604483 |
Radical Mastectomy | 3902 - 7916 | 326034 - 644468 |
Double Mastectomy | 4438 - 8989 | 372831 - 735047 |
Skin-Sparing Mastectomy | 3321 - 6894 | 274639 - 561892 |
Nipple-Sparing Mastectomy | 3864 - 7465 | 315999 - 596123 |
Subcutaneous Mastectomy | 2805 - 5630 | 231646 - 471379 |
Prophylactic Mastectomy | 3904 - 7866 | 327961 - 650958 |
DOCTORS IN 13 SPECIALITIES
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Types of Mastectomy in Apollo Multispecialty Hospitals and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3370 - 8416 | 282387 - 683408 |
Total Mastectomy | 2837 - 6742 | 230130 - 544827 |
Modified Radical Mastectomy | 3445 - 7245 | 271222 - 605365 |
Radical Mastectomy | 3924 - 8043 | 329450 - 654640 |
Double Mastectomy | 4513 - 9107 | 364601 - 729578 |
Skin-Sparing Mastectomy | 3310 - 6647 | 277727 - 545279 |
Nipple-Sparing Mastectomy | 3924 - 7316 | 317716 - 595646 |
Subcutaneous Mastectomy | 2862 - 5524 | 226170 - 457310 |
Prophylactic Mastectomy | 3963 - 7814 | 325489 - 656822 |
DOCTORS IN 13 SPECIALITIES
FACILITIES & AMENITIES
Types of Mastectomy in BGS Gleneagles Global Hospitals and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3408 - 8522 | 274130 - 687566 |
Total Mastectomy | 2796 - 6892 | 233033 - 561699 |
Modified Radical Mastectomy | 3417 - 7316 | 272753 - 587504 |
Radical Mastectomy | 3963 - 7949 | 316031 - 642983 |
Double Mastectomy | 4543 - 9124 | 367512 - 743327 |
Skin-Sparing Mastectomy | 3380 - 6714 | 282253 - 558309 |
Nipple-Sparing Mastectomy | 4013 - 7351 | 320690 - 587296 |
Subcutaneous Mastectomy | 2763 - 5626 | 229583 - 453650 |
Prophylactic Mastectomy | 3917 - 7715 | 319482 - 638502 |
DOCTORS IN 14 SPECIALITIES
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Types of Mastectomy in Fortis Hospital and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3051 - 7605 | 248630 - 626726 |
Total Mastectomy | 2536 - 6063 | 208227 - 500786 |
Modified Radical Mastectomy | 3059 - 6612 | 249700 - 542185 |
Radical Mastectomy | 3552 - 7135 | 292105 - 581508 |
Double Mastectomy | 4064 - 8158 | 333444 - 665012 |
Skin-Sparing Mastectomy | 3053 - 6088 | 249656 - 497104 |
Nipple-Sparing Mastectomy | 3540 - 6573 | 292682 - 540937 |
Subcutaneous Mastectomy | 2534 - 5074 | 207980 - 416235 |
Prophylactic Mastectomy | 3546 - 7093 | 290301 - 584173 |
DOCTORS IN 12 SPECIALITIES
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Types of Mastectomy in Wockhardt Hospital, Umrao and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3054 - 7626 | 250453 - 622737 |
Total Mastectomy | 2548 - 6102 | 207418 - 500870 |
Modified Radical Mastectomy | 3047 - 6583 | 249246 - 541324 |
Radical Mastectomy | 3565 - 7119 | 290237 - 584405 |
Double Mastectomy | 4068 - 8096 | 332798 - 662911 |
Skin-Sparing Mastectomy | 3030 - 6092 | 248690 - 500744 |
Nipple-Sparing Mastectomy | 3544 - 6567 | 291663 - 539974 |
Subcutaneous Mastectomy | 2525 - 5076 | 208707 - 415973 |
Prophylactic Mastectomy | 3549 - 7128 | 290498 - 580481 |
DOCTORS IN 13 SPECIALITIES
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Types of Mastectomy in Fortis La Femme, Greater Kailash II and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3056 - 7587 | 249677 - 622815 |
Total Mastectomy | 2536 - 6093 | 208305 - 498659 |
Modified Radical Mastectomy | 3046 - 6600 | 249799 - 541909 |
Radical Mastectomy | 3539 - 7107 | 290542 - 585160 |
Double Mastectomy | 4057 - 8127 | 332665 - 663236 |
Skin-Sparing Mastectomy | 3037 - 6077 | 250635 - 497304 |
Nipple-Sparing Mastectomy | 3554 - 6597 | 290674 - 540096 |
Subcutaneous Mastectomy | 2543 - 5068 | 207972 - 416229 |
Prophylactic Mastectomy | 3539 - 7115 | 290899 - 581892 |
DOCTORS IN 7 SPECIALITIES
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Types of Mastectomy in Indraprastha Apollo Hospital and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3443 - 8277 | 275378 - 705427 |
Total Mastectomy | 2795 - 6630 | 228939 - 545248 |
Modified Radical Mastectomy | 3398 - 7460 | 272127 - 612830 |
Radical Mastectomy | 3953 - 7821 | 321772 - 637379 |
Double Mastectomy | 4539 - 8864 | 368571 - 741213 |
Skin-Sparing Mastectomy | 3376 - 6647 | 272774 - 541288 |
Nipple-Sparing Mastectomy | 3952 - 7204 | 328140 - 605322 |
Subcutaneous Mastectomy | 2858 - 5529 | 232876 - 458594 |
Prophylactic Mastectomy | 3965 - 7840 | 323905 - 638570 |
DOCTORS IN 14 SPECIALITIES
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Types of Mastectomy in Manipal Hospital, Yeshwantpur and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3425 - 8491 | 273379 - 678687 |
Total Mastectomy | 2872 - 6760 | 228078 - 544541 |
Modified Radical Mastectomy | 3363 - 7156 | 279568 - 604980 |
Radical Mastectomy | 3968 - 7920 | 325731 - 636744 |
Double Mastectomy | 4552 - 9054 | 370736 - 739841 |
Skin-Sparing Mastectomy | 3396 - 6686 | 279650 - 544461 |
Nipple-Sparing Mastectomy | 3965 - 7457 | 320263 - 591831 |
Subcutaneous Mastectomy | 2777 - 5566 | 230988 - 464978 |
Prophylactic Mastectomy | 3961 - 8010 | 327184 - 635264 |
Types of Mastectomy in VPS Lakeshore Hospital and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3036 - 7625 | 248919 - 622397 |
Total Mastectomy | 2536 - 6074 | 207477 - 501591 |
Modified Radical Mastectomy | 3050 - 6609 | 249703 - 539260 |
Radical Mastectomy | 3560 - 7098 | 292351 - 584453 |
Double Mastectomy | 4057 - 8100 | 333331 - 663677 |
Skin-Sparing Mastectomy | 3048 - 6097 | 249405 - 500142 |
Nipple-Sparing Mastectomy | 3556 - 6625 | 292332 - 540341 |
Subcutaneous Mastectomy | 2537 - 5071 | 208187 - 415010 |
Prophylactic Mastectomy | 3563 - 7115 | 290881 - 583779 |
DOCTORS IN 13 SPECIALITIES
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Types of Mastectomy in Manipal Hospital, Dwarka and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3037 - 7649 | 248614 - 625033 |
Total Mastectomy | 2535 - 6082 | 208771 - 501400 |
Modified Radical Mastectomy | 3047 - 6624 | 250740 - 541311 |
Radical Mastectomy | 3567 - 7115 | 292369 - 581054 |
Double Mastectomy | 4079 - 8107 | 332175 - 667639 |
Skin-Sparing Mastectomy | 3040 - 6072 | 250456 - 499914 |
Nipple-Sparing Mastectomy | 3546 - 6580 | 292079 - 538758 |
Subcutaneous Mastectomy | 2526 - 5084 | 208288 - 418134 |
Prophylactic Mastectomy | 3551 - 7128 | 290782 - 584701 |
DOCTORS IN 13 SPECIALITIES
FACILITIES & AMENITIES
Types of Mastectomy in Dr. Rela Institute and Medical Centre and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3301 - 8303 | 278914 - 683053 |
Total Mastectomy | 2752 - 6606 | 226733 - 563507 |
Modified Radical Mastectomy | 3391 - 7377 | 273173 - 592820 |
Radical Mastectomy | 3993 - 8027 | 317042 - 657062 |
Double Mastectomy | 4463 - 8823 | 362295 - 739343 |
Skin-Sparing Mastectomy | 3430 - 6843 | 273092 - 542731 |
Nipple-Sparing Mastectomy | 3860 - 7309 | 316906 - 596230 |
Subcutaneous Mastectomy | 2860 - 5591 | 233906 - 466483 |
Prophylactic Mastectomy | 4022 - 7965 | 328579 - 642095 |
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FACILITIES & AMENITIES
Types of Mastectomy in Apollo Hospitals Bannerghatta and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3375 - 8474 | 270783 - 693386 |
Total Mastectomy | 2848 - 6722 | 235644 - 556435 |
Modified Radical Mastectomy | 3334 - 7299 | 282378 - 591498 |
Radical Mastectomy | 3956 - 8029 | 325785 - 650466 |
Double Mastectomy | 4409 - 9004 | 371336 - 733748 |
Skin-Sparing Mastectomy | 3324 - 6890 | 280194 - 560733 |
Nipple-Sparing Mastectomy | 3892 - 7462 | 329932 - 609567 |
Subcutaneous Mastectomy | 2812 - 5709 | 232789 - 463898 |
Prophylactic Mastectomy | 3864 - 7953 | 327573 - 648965 |
DOCTORS IN 13 SPECIALITIES
FACILITIES & AMENITIES
Types of Mastectomy in Fortis Hospital and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3059 - 7628 | 249120 - 624743 |
Total Mastectomy | 2536 - 6098 | 208281 - 497670 |
Modified Radical Mastectomy | 3050 - 6565 | 249137 - 540493 |
Radical Mastectomy | 3569 - 7089 | 291599 - 580764 |
Double Mastectomy | 4074 - 8158 | 333025 - 663227 |
Skin-Sparing Mastectomy | 3042 - 6077 | 250744 - 501055 |
Nipple-Sparing Mastectomy | 3554 - 6597 | 290473 - 542898 |
Subcutaneous Mastectomy | 2548 - 5059 | 208256 - 414829 |
Prophylactic Mastectomy | 3551 - 7111 | 290120 - 583920 |
DOCTORS IN 12 SPECIALITIES
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Types of Mastectomy in HCG Kalinga Rao Road and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3059 - 7591 | 248548 - 624240 |
Total Mastectomy | 2546 - 6078 | 207631 - 498984 |
Modified Radical Mastectomy | 3058 - 6574 | 250380 - 540085 |
Radical Mastectomy | 3564 - 7100 | 292609 - 582414 |
Double Mastectomy | 4042 - 8142 | 333768 - 668614 |
Skin-Sparing Mastectomy | 3049 - 6069 | 248948 - 500624 |
Nipple-Sparing Mastectomy | 3548 - 6577 | 290933 - 539748 |
Subcutaneous Mastectomy | 2534 - 5090 | 208029 - 416896 |
Prophylactic Mastectomy | 3543 - 7089 | 291820 - 584036 |
DOCTORS IN 3 SPECIALITIES
FACILITIES & AMENITIES
Types of Mastectomy in Sarvodaya Hospital and Research Centre and its associated cost
Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
---|---|---|
Mastectomy (Overall) | 3044 - 7598 | 249445 - 621928 |
Total Mastectomy | 2549 - 6085 | 208566 - 497041 |
Modified Radical Mastectomy | 3041 - 6586 | 250449 - 543045 |
Radical Mastectomy | 3559 - 7093 | 290812 - 579953 |
Double Mastectomy | 4078 - 8105 | 331618 - 666463 |
Skin-Sparing Mastectomy | 3053 - 6089 | 250076 - 497159 |
Nipple-Sparing Mastectomy | 3567 - 6585 | 292701 - 543553 |
Subcutaneous Mastectomy | 2549 - 5072 | 207260 - 414721 |
Prophylactic Mastectomy | 3548 - 7099 | 291125 - 580322 |
DOCTORS IN 14 SPECIALITIES
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Mastectomy refers to the partial or complete surgical removal of one or both the breasts. This surgery is most often indicated for breast cancer.
A lump in the breast or armpits is one of the earliest signs of breast cancer. It can cause a change in the shape, size, or color of the breast or nipple. Nipple tenderness, inward folding of the nipple, discharge from the nipple, and orange peel appearance of the skin of the breast are the other signs of breast cancer. Patients who observe any of the above-mentioned signs must see their physician immediately.
Your physician may recommend you to undergo a partial or full mastectomy in the following conditions:
Additionally, if you have a family history of breast cancer or deleterious mutation of BRCA 1 and BRCA 2 genes, you are advised preventive mastectomy.
Three types of mastectomy surgeries can be performed in the patients, depending on the extent of the tumor as determined by the CT scan and mammography reports.
This type of mastectomy is carried out when the tumor is small and the surrounding lymph nodes are not infiltrated by the tumor cells. When mastectomy is conducted on both the breast, it is known as double mastectomy. This is also used in cases of invasive ductal carcinoma.
Step 1: Surgical incision at the site of tumor in the breast or breasts or invasive ductal carcinoma (in the case of double mastectomy)
Step 2: Retraction of the intervening tissue
Step 3: Resection of a tumor along with some normal tissue
Step 4: Establishment of drainage
Step 5: Surgical closure of the wound
This procedure is performed when the tumor is large and involves a few lymph nodes.
Step 1: Surgical incision across the nipple
Step 2: Retraction of the intervening tissue
Step 3: Resection of the tumor along with some normal tissue
Step 4: Resection of lymph nodes into which the tumor cells drain (sentinel biopsy)
Step 5: Establishment of drainage
Step 6: Surgical closure of the wound
This procedure is carried out when the tumor is extensive and involves all the lymph nodes and muscles of the breast.
Step 1: Surgical incision across the breast
Step 2: Retraction of the breast tissue
Step 3: Resection of a tumor, muscle and connective tissue of the breast
Step 4: Resection of all the lymph nodes of that side of the body
Step 5: Establishment of drainage
Step 6: Surgical closure of the wound
Apart from the above three procedures, there is lumpectomy (removal of just the lump along with some of the surrounding tissue) and subcutaneous mastectomy (nipple and skin tissue are not removed).
As the anesthetic effect starts to wear off, you may start experiencing pain. Analgesics are administered through an intravenous line for the first two days after the anesthetic effect wears-off. In the case of a simple breast cancer mastectomy, the drainage tubes are removed in the immediate post-operative period. They are retained for two days if you undergo a radical mastectomy. Any signs of inflammation or redness should be immediately reported, as it may indicate infection.
Initially, clear fluid diet is given during the recovery period and then this is slowly progressed to solid food. You should take sponge baths until the incision heals to prevent the occurrence of an infection. You may keep the arms elevated to prevent the accumulation of fluid in the breast cavity. The hospital stay for radical mastectomy is one to two days. The complete recovery may take up to six weeks.
Ask your healthcare adviser for the best multiple options and choose the one that meets your expectations
Mastectomy cost in India starts from about USD$ 3000. Mastectomy in India is available across many hospitals in different states.
Mastectomy cost in India varies from one hospital to the other. Some of the best hospitals for Mastectomy offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. The Mastectomy cost in India includes the cost of anesthesia, medicines, hospitalization and the surgeon's fee. A prolonged hospital stay due to delayed recovery, new diagnosis and complications after surgery may increase the cost of Mastectomy in India.
There are several best hospitals for Mastectomy in India. Some of the best hospitals for Mastectomy in India include the following:
Upon discharge from the hospital after Mastectomy in India, the patients are advised to stay for about 21 days for recovery. This period is important to conduct all the follow-up tests to ensure that the surgery was successful and the patient can go back to the home country.
One of the topmost destinations for Mastectomy is India. It has a variety of accredited hospital, affordable cost of treatment and some of the best medical fraternity. Some of the other destinations that are popular for Mastectomy include the following:
There are certain additional cost that the patient has to pay apart from the Mastectomy cost. These include the cost of accommodation and meals outside hospital. The per day cost in this case may range around USD$ 25.
Mastectomy in India is offered in almost all metropolitan cities, including the following:
After Mastectomy, the patient is supposed to stay for about 3 days in the hospital for recovery and monitoring. The patient is subjected to several biochemistry and radiological scans to see that everything is okay and the recovery is on track. After making sure that patient is clinically stable, discharge is planned.
Mastectomy hospitals in India have an overall rating of about 4.9. This rating is calculated on the basis of different parameters such as attitude of the nurses, cleanliness, quality of food and the pricing policy.
There are about 56 hospitals in India that offer Mastectomy to international patients. These hospitals have the required expertise as well as infrastructure available to handly patients who need Mastectomy
There are certain people on whom the mastectomy surgery is recommended by the doctor to be performed like:
If the tumor in your breast is larger than about 5 cm. Some tumors that are lesser than this measure might also need the surgery performed to remove it.
If other procedures like a lumpectomy (this takes a certain amount of tissue from your breast) are not suitable for you because you have small breasts, then the procedure of mastectomy is advised.
If you have previously undergone lumpectomies and the tumor or cancerous cells have not been completely removed by other procedures.
If radiation treatment is not an option for you because of previous radiation attempts in the same breast, or because you are suffering from a form of connective tissue disease (like rheumatoid arthritis or lupus) or if you are pregnant.
If you do not want to undergo daily radiation treatments.
There are many types of mastectomy surgeries that are performed in India; some of them are as follows:
Simple Mastectomy: This is also called the whole mastectomy procedure. This is where the entire breast tissue is removed. The auxiliary contacts are not disturbed in this surgery. This surgery is also done on both the breasts simultaneously, if the patient opts for it as a preventative measure against cancer. Reconstruction is usually done after this to make the breast with artificial elements like silicon.
Lumpectomy: In this procedure, the tumour, as well as a small amount of the surrounding cells, are also removed. Lymph nodes may or may not be removed in this type of surgery. This is usually performed if the lump is easily identified by the doctor and can be easily removed. Multiple Lumpectomy procedures can be performed on the same breast tissue.
Partial Mastectomy: In this type of surgery a considerably large amount of breast tissue is removed. Some amount of skin is also removed along with the tumor. This will also include the removal of the chest muscle lining near the tumor along with some lymph nodes.
Modified radical Mastectomy: In this, the complete breast tissue is removed. The auxiliary contents like the lymph nodes and the fatty tissue are also removed. But the muscles in the pectoral region are not removed.
Radial Mastectomy: In this, the complete tissue of the breast is removed along with the auxiliary contents and also the pectoral region muscles are also removed. This is also called as the Halsted mastectomy. This surgery completely disfigures the breast and is recommended only if there are cancerous cells in the pectoral region.
Skin Sparing Mastectomy – This is one of the most common mastectomy procedures in recent years conducted by surgeons. In this the breast tissue is removed through a cut in the areola. This is usually meant only for people who have only breast cancer and not cancer of the skin as well. This is a procedure that has very less scarring after the surgery, and the breast can also be reconstructed once the surgery is done. This reconstruction is an option that is left to the patient.
Subcutaneous mastectomy – This particular procedure is also referred to as the nipple-sparing mastectomy procedure. In this particular variety of the procedure, the nipple, as well as the areola complex, is left unharmed but the breast tissue is still removed. The reconstruction of the breast after this surgery is easier as the nipples and areolas are left intact. The overlying skin is also left in this surgery. Unfortunately, because of the leaving of some cells near the areolas and the nipples, some amount of cancer cells may still remain in the breast.
Some of the leading hospitals in the field of Breast Cancer Treatment in India are:
Fortis hospital – Bangalore, Bannerghatta branch.
We Care Cancer center – New Delhi.
Breast care clinic – Ahmedabad.
Tata Memorial Hospital – Mumbai.
Max healthcare – New Delhi
Apollo CBCC Cancer care center – Ahmedabad.
Adyar Cancer Institute – Chennai.
(AIIMS) All India Institute of Medical Sciences – New Delhi.
Dr. Sandeep Nayak – Oncologist with extensive experience with laparoscopy as well as a robotic cancer treatment.
Dr. Rajeev Agarwal – Director, department of breast services, Medanta hospital, Gurugram, with several successful cancer detections under his belt.
Dr. Kanchan Kaur – experienced oncologist with more than 12 years of experience in the field of oncology.
Dr. Nikhilesh Borkar – a very experienced surgical oncologist who has a fellowship from the breast and oncoplastic surgery department of Cambridge, UK.