Breast Surgery & Comprehensive Breast Health Care

Ruby Hall Clinic – Centre for Excellence in Breast Care, Pune

Our centre boasts some of Ruby Hall Clinic’s best female doctors, each with over 20 years of experience in breast care.

    • Dr. Varsha Hardas
    • Dr. Anupama Mane
    • Dr. Shona Nag
    • Dr. Mansi Munshi Girme
    • Dr. Shilpy Dolas
    • Dr. Swati Suradkar

For Appointments,
Contact Us On

Breast Centre

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Mamography

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Our Services

  • 3D Digital Mammography (Tomosynthesis)
  • High-resolution dedicated breast sonography with elastography
  • 3T MRI with dedicated breast coil
  • Vacuum assisted biopsy
  • Stereotactic biopsy
  • All image-guided procedures: aspirations, core biopsies, wire localisation, clip placement

The department of breast imaging at Ruby Hall Clinic is well equipped to carry out all breast intervention procedures, while adhering to all international guidelines.

Fine Needle Aspirations

For aspiration of symptomatic simple or complicated cysts, abscesses, postoperative collections, etc.

Core Needle Biopsy

The biopsy is done using single-use disposable biopsy guns for accurate and fast histological diagnosis. They are performed under image guidance with the use of local anaesthesia and strict aseptic measures.

Wire Localisations

Done for minimally invasive, accurate surgeries for non-palpable masses, sometimes for determining the histology of microcalcifications, and in post-NACT cases

Clip Placement

Done for large tumours undergoing neo adjuvant chemotherapy for later localisation for surgery.

Stereotactic Breast Biopsy

For determining the histology of suspicious microcalcifications detected on mammography.

Vacuum-Assisted Breast Biopsy and Resection

This is done with the use of a special biopsy system with USG or mammography guidance. Gives a better sample for better histology assessment.

Our surgical treatment for breast cancer delivers excellent results, and is suitable and recommended for clinical or cosmetic objectives:

1.Breast Conservation Surgeries

  • To minimise arm swelling and pain arising from axillary node removal. This is done during surgery for breast cancer

 2. Sentinel Node Biopsy

  • To minimise arm swelling and pain arising from auxiliary node removal. This is done during surgery for breast cancer

3.Breast Reconstruction Surgery

  • Done post-removal of complete breasts
  • Advanced techniques utilised to make new breasts
  • Reconstructed with implants or body tissue

4. Advanced Cosmetic Surgery

  • Breast augmentation or reduction
  • Mastopexy (Breast Lift)

5.Oncoplastic Surgeries

  • Advanced, less invasive techniques for precise cancer targeting
  • Minimal scarring, maximum cosmetic care

6.Scarless Surgeries

  • The scarless surgery for breast cancer is a procedure where small benign adenomas can be removed completely without leaving any scar and without general anaesthesia using a vacuum-assisted breast biopsy system on a daycare basis. This is done under local anaesthesia with the complete removal of the lesions and quick recovery.

Systemic Therapy for Breast Cancer Treatment
We offer multiple medical modalities for the breast cancer treatment, including chemotherapy, immunotherapy and targeted therapy. All these modalities are suggested to a patient according to the particular stage and subtype of cancer.

Radiotherapy is an essential part of cancer treatment for nearly 80% of breast cancer patients. It is well established that it not only prevents relapses in the breast but has also found to impact overall survival through large studies. There are many sophisticated and advanced techniques available at Ruby Hall Clinic. Our team specialises in and is experienced in the treatment of complex and challenging cases too. We aim to provide treatment with the highest level of quality assurance, with a compassionate approach.

1. DIBH / Cardiac Sparing Radiotherapy

This is a technique useful in breast cancer, particularly left sided tumours, in which the patient is asked to take a deep breath during which the lung expands pushing the breast away from the heart. This can drastically reduce the doses of radiation received by the heart and can thus greatly reduce the chances of any cardiac side effects.

2. APBI (Accelerated Partial Breast Irradiation)

For certain select cases, this technique can be used to radiate only a part of the breast at the site of the tumour cavity. Side effects are greatly reduced and the overall time is reduced to just a week, making it logistically feasible.

3.CyberKnife Radiosurgery

CyberKnife is a state-of-the-art, non-invasive robotic radiosurgery system which is dedicated to Radiosurgery / Stereotactic Body or Ablative Radiotherapy (SABR/SBRT). It delivers highly targeted radiation beams with sub-millimetre precision while minimising damage to surrounding healthy tissue. Its real-time tumour tracking also ensure maximum accuracy, particularly beneficial for treating tumours in difficult-to-reach or previously irradiated areas. CyberKnife can be an extremely effective treatment in select cases, particularly metastatic lesions, and is often part of a personalised, multidisciplinary care plan.

4.Fast Forward/Hypo-Fractionated Radiotherapy

Select patients may be offered these protocols in which the treatment period may be greatly reduced which can be of great help logistically.

5. Image Guided Intensity Modulated Radiotherapy (IG-IMRT) / Volumetric Modulated Arc Therapy (VMAT) / Rapid Arc Therapy

This cutting-edge technique helps to provide unparalleled accuracy and precision during radiotherapy planning and treatment.

 

We offer comprehensive Genetic Counselling for individuals suspected for hereditary cancer such as those with young age of breast cancer or with a family history of breast cancer (e.g., BRCA1, BRCA2 mutations).

This service includes:

  • Risk Assessment: Evaluation of possibility of hereditary cancers.
  • Genetic Testing Coordination: Selecting & implementing appropriate genetic tests
  • Pre- and Post-Test Counselling: Helping patients understand results, implications, and available options, which should be done even before testing.
  • Family Guidance: Advising family members about their potential risks and how to manage them.
  • Support in Decision-Making: For preventive surgery or surveillance strategies, as well as psychological support.

Our Genetic Counsellors work closely with Oncologists and Surgeons to create personalised, informed treatment plans and provide emotional support throughout the process.

Technology & Equipment:

Our imaging department is equipped with the latest in technology and equipment, offering world-class treatment.

Ruby Hall Clinic has had 500+ successful surgeries and 1000+ people have benefitted from our comprehensive weight loss programmes. Our renowned Bariatric and Metabolic specialists continue to strive for excellence with existing and upcoming research & development in weight loss care!

The Senographe Pristina mammography suite is the first in Asia, and this concept is seen only at Ruby Hall Clinic.

Senographe Pristina Mammography Suite at Ruby Hall Clinic

An ambient and soothing set-up to offer complete privacy and comfort.
Innovative and advanced digital 3D imaging to make the mammography experience very comfortable.

  • Lowest radiation dose amongst all 3D Tomosynthesis machines
  • Allows faster admission, reducing the time of breast compression.
  • Has a special feature, allowing self-breast compression by the patient
  • Helps reduce patient anxiety with better ergonomic design
  • Remarkable image quality for accurate diagnosis
  • High-resolution monitors to evaluate the images, for better interpretation
  • Lesser retakes and better cancer detection

Mammography equipped with stereotactic breast biopsy

A type of breast biopsy that helps locate small abnormalities like microcalcifications and areas of architectural distortions that may represent early malignancy, and provides samples for diagnosis from these clinically non-palpable abnormalities.

  • Uses low-dose x-rays
  • Less invasive than surgical biopsy, done as an OPD procedure
  • Minimal scarring & tissue damage
  • More superior than ultrasounds in sampling microcalcifications
  • Can help diagnose stage 0 disease

3T MRI Breast with dedicated Breast Coil

State-of-the-art technique for breast imaging for accurate diagnosis and monitoring of therapy, a problem-solving tool with high sensitivity and specificity

  • Helps in early & reliable diagnosis
  • Its precise nature helps during difficult cases.
  • High-quality, high-resolution imaging of breasts
  • High sensitivity and specificity due to standardised protocols
  • Useful in screening young high-risk patients, especially those with dense parenchyma.

BARD-BBD Encor Enspire VAB: Vacuum-assisted Breast Biopsy System

A smart biopsy system to increase the efficiency and accuracy of diagnosis and advanced treatments without surgery

  • Type of scarless surgery, done under local anaesthesia
  • Larger tissue acquisition for better histological diagnosis
  • OPD Procedure: No admission is required
  • Requires no breast incisions or sutures; only a needle is inserted to biopsy or remove the ‘lesion.’
  • Safer and easier as compared to open breast surgery
  • Faster recovery time for patients

Voluson E6 and logic E-9 and EPIC: Ultrasound with Elastography: High-End Dedicated USG machines

The USG done in the Pristina suite provides better patient experience and care. A high-resolution ultrasound system that provides clinical excellence, through exact imaging with the help of dedicated linear and hockey stick high-resolution probes of the breast
  • High-resolution 2D, 3D image quality
  • Very accurate in characterising masses for early diagnoses
  • Very suitable for all guided interventions like core biopsy, wire localisations, cysts, abscess
  • aspirations, and clip placements.

Community Outreach & Support

Multidisciplinary Team Meetings

Breast care support group

Regular CMEs for education and awareness

Regular outreach programs and camps for early detection

  • Multidisciplinary team meetings for case discussions and best outcomes.
  • Educational CMEs for professionals and public awareness.
  • Breast Care Support Group
  • Regular screeningcCamps for early detection across Pune and beyond.

Why Choose
Us?

Dedicated All-Women Team:

Highly qualified and experienced female doctors for compassionate, personalised care.

Consultation, Diagnostics and Biopsy –
All on the Same Day:

Minimising hospital visits and ensuring prompt treatment.

State-of-the-Art Technology:

Imaging and treatment equipment at par with the world’s best.

Comprehensive Services Under One Roof:

From imaging to intervention, surgery, oncology and emotional support.

Meet Our Doctors

Dr. Anupama Mane

Breast Surgery

Dr. Shilpy Ashish Dolas

Breast Surgery

Dr. Swati Suradkar

Breast Surgery

For Appointments,
Contact Us On

Breast Centre

blueUnion

Mamography

blueUnion