Introduction

Modified Radical Mastectomy (MRM) is a well-established and widely performed surgical procedure used to treat certain types of breast cancer. This surgery involves removing the entire breast tissue along with the axillary (underarm) lymph nodes while preserving the chest wall muscles. MRM plays a critical role in achieving complete cancer clearance and provides the foundation for future breast reconstruction if desired.

Dr. Kanmani Govindrao Telkar, a leading Breast Oncoplastic and Reconstructive Surgeon, offers expert surgical care in managing breast cancer. Her focus is on achieving optimal oncologic and aesthetic outcomes. Her surgical approach combines cancer control with cosmetic principles to enhance healing, recovery, and long-term patient well-being.

What Is a Modified Radical Mastectomy?

Modified Radical Mastectomy is a form of mastectomy used primarily in cases of invasive breast cancer where conserving the breast is either not medically advisable or not preferred by the patient. The procedure involves:

• Removal of the entire breast tissue, including the nipple and areola
• Dissection of axillary lymph nodes (levels I and II) to assess cancer spread.
• Preservation of the pectoralis major and minor muscles, which helps maintain better chest wall integrity and postoperative function

Compared to the older Halsted radical mastectomy, MRM is less aggressive while still being equally effective in removing cancer. It provides patients with a viable surgical option that balances medical needs and quality of life.

When Is Modified Radical Mastectomy Recommended?

Dr. Kanmani Govindrao Telkar may recommend a Modified Radical Mastectomy in the following clinical scenarios:

• Presence of invasive breast carcinoma with lymph node involvement
• Large tumours or multiple tumours in one breast that cannot be removed with clear margins through lumpectomy
• Recurrent cancer in the same breast after previous breast-conserving surgery
• Paget's disease of the nipple with underlying invasive cancer
• Patient choice, after understanding all treatment options

Every case is evaluated individually, and Dr. Telkar ensures that patients receive comprehensive counselling about surgical options, expected outcomes, and post-treatment recovery.

Surgical Process

Modified Radical Mastectomy is performed under general anaesthesia. The surgical steps typically include:

Incision and Breast Removal

A carefully planned incision is made to remove all breast tissue along with the nipple-areolar complex. The location and pattern of the incision are designed with future reconstructive options in mind.

Axillary Lymph Node Dissection

Lymph nodes in axilla levels I and II are removed to evaluate cancer spread. These lymph nodes are examined to determine staging and the need for further treatments such as chemotherapy or radiotherapy.

Drain Placement

Temporary drains are placed to prevent fluid accumulation (seroma) in the chest and underarm area.

Wound Closure

Dr. Telkar uses specialized closure techniques to ensure minimal scarring and preserve the chest wall's aesthetic potential, especially if reconstruction is planned.

Postoperative Care and Recovery

After the surgery, most patients are observed in the hospital for 1–2 days. Dr. Kanmani Govindrao Telkar and her team provide detailed post-surgical care instructions to promote healing and avoid complications.

Key aspects of recovery include:

• Drain care: Patients are guided on managing drains, usually removed within 5 to 10 days.
• Pain management: Mild to moderate pain is expected and controlled through medications.
• Wound care: Dressings are applied and changed as needed to prevent infection.
• Physical therapy: Early shoulder exercises are recommended to maintain mobility and prevent stiffness or lymphedema.
• Follow-up visits: Timely follow-ups help track healing, review pathology reports, and plan further treatments if required.

Dr. Telkar ensures that every patient receives personalized attention and empathetic care throughout recovery.

Breast Reconstruction Options

For patients undergoing Modified Radical Mastectomy, breast reconstruction is an important consideration. Reconstruction can restore the physical form of the breast and significantly improve body image and emotional well-being.

Dr. Kanmani Govindrao Telkar offers both immediate reconstruction (done at the time of mastectomy) and delayed reconstruction (done after healing or adjuvant therapy). Options include:

• Implant-based reconstruction: Using silicone or saline implants
• Autologous reconstruction: Using tissue from the patient's own body (e.g., abdomen or back)

Each option is discussed thoroughly to help patients make an informed decision based on their goals, health status, and treatment plan.

Advantages of Modified Radical Mastectomy

• Comprehensive cancer removal, including breast and lymph nodes
• Preservation of chest muscles, allowing better function and easier reconstruction
• Accurate cancer staging based on lymph node analysis
• Improved long-term outcomes when combined with appropriate adjuvant therapies
• Opportunity for reconstruction to restore appearance and symmetry

When performed by an experienced oncoplastic surgeon like Dr. Telkar, MRM is more than just a cancer surgery—it is a pivotal step toward holistic recovery.

Additional Surgical Expertise

In addition to managing breast cancer through Modified Radical Mastectomy, Dr Kanmani Govindrao Telkar offers expert surgical care for a range of benign breast conditions. These include:

Fibroadenoma Excision

Safe, minimal-scar removal of common benign breast lumps, particularly in young women. Dr. Telkar uses precise techniques to ensure aesthetic outcomes with a short recovery time.

Giant Fibroadenoma Excision

Specialized surgery for large fibroadenomas (more than 5 cm), which can distort breast shape and cause discomfort. The focus remains on complete removal with maximum cosmetic preservation.

Accessory Nipple Excision

Removal of extra (supernumerary) nipples that may appear along the milk line, often done for cosmetic or personal comfort reasons.

Accessory Breast Excision

Excision of additional breast tissue, typically located in the underarm, which can be painful or hormonally reactive. This procedure improves both comfort and appearance.

These services reflect Dr. Telkar's commitment to offering comprehensive breast care, including cancer treatment and aesthetic and functional procedures.

Why Choose Dr. Kanmani Govindrao Telkar?

• Specialist in Breast Oncoplastic and Reconstructive Surgery
• Extensive experience in cancer and benign breast procedures
• Emphasis on minimal scarring and post-surgical aesthetics
• Patient-centric approach with clear communication and emotional support
• Collaborative care involving oncologists, radiologists, and rehabilitation experts

With a strong reputation for clinical excellence and compassionate care, Dr. Telkar ensures that each patient receives individualized attention from diagnosis to full recovery.

Contact and Consultation

If you or a loved one has been diagnosed with breast cancer and is considering surgery, Modified Radical Mastectomy may be the most appropriate option for long-term health and safety. Trust your care to Dr Kanmani Govindrao Telkar, whose expertise in both cancer surgery and reconstruction ensures that you are treated with skill, dignity, and empathy.

Contact us today to Schedule a consultation or to learn more about your treatment options.