Dr. Gore is one of Pune's most experienced breast surgical oncologists — with comprehensive Tata Memorial Hospital training in all aspects of breast cancer surgery, including oncoplastic techniques, immediate reconstruction, and sentinel lymph node procedures.
Click any card to visit the relevant section on Dr. Gore's breast surgery website — where full clinical information, patient guides, and appointment booking are available.
Lumpectomy and wide local excision with oncoplastic reshaping — removing the tumour while preserving the breast. Tumour-to-breast ratio, margins, and oncoplastic techniques explained.
Visit bestbreastsurgeon.inTotal mastectomy, skin-sparing mastectomy, nipple-sparing mastectomy — with immediate or delayed reconstruction using implant, TRAM, DIEP flap, or LD flap techniques.
Visit bestbreastsurgeon.inICG and/or technetium-99m guided sentinel node identification — avoiding full axillary dissection when nodes are negative. Dramatic reduction in lymphoedema risk.
Visit bestbreastsurgeon.inChemotherapy before surgery (neoadjuvant) to shrink tumours, enable breast conservation, and test tumour response — coordinated with medical oncology.
Visit bestbreastsurgeon.inMolecular subtype-based treatment — Trastuzumab for HER2+, immunotherapy (Pembrolizumab) for TNBC, CDK4/6 inhibitors for HR+ disease — surgical and systemic approach.
Visit bestbreastsurgeon.inRisk-reducing mastectomy and surveillance for BRCA1/2 mutation carriers — genetic counselling, contralateral prophylactic mastectomy, and family risk assessment.
Visit bestbreastsurgeon.inA new breast lump is one of the most common reasons women consult Dr. Gore. Not every lump is cancer — but every new lump in a woman deserves a proper, systematic evaluation before reassurance or treatment is offered.
The Triple Assessment is the internationally accepted standard for evaluating any new breast lump or abnormality — combining three independent assessments, each of which is given a score from 1 (benign) to 5 (malignant). A Triple Assessment Score ≥4 in any single component requires biopsy regardless of the other findings.
It is important to understand that a breast lump that feels benign on clinical examination can still be malignant — and vice versa. Clinical examination alone is insufficient to rule out cancer. Mammography plus ultrasound detects the majority of breast cancers, and core needle biopsy provides tissue diagnosis before any surgical decision is made.
Dr. Gore reviews all three components — clinical, radiological, and pathological — before recommending any intervention. This approach prevents both over-treatment (unnecessary surgery for benign lumps) and under-treatment (missing early cancers).
Women aged 40 and above should have annual mammography. Women with a family history of breast cancer, BRCA mutation carriers, or women who have had prior chest radiation should begin screening earlier — discussed at individual consultation.
Detailed breast and axillary examination — assessing lump size, consistency, mobility, skin changes, nipple changes, and lymphadenopathy. Score: C1 (normal) to C5 (malignant features).
Mammography (BIRADS classification) for women ≥35 years + targeted breast ultrasound. MRI for dense breasts, BRCA carriers, or equivocal mammogram. Score: R1 (benign) to R5 (malignant).
Ultrasound-guided 14G core needle biopsy — provides histological diagnosis, receptor status (ER/PR/HER2), and Ki-67. Fine needle aspiration (FNAC) for cysts. Score: B1 (inadequate) to B5 (malignant).
Concordance matters: All three assessments must agree before a "benign" diagnosis is given. Any discordance — e.g., a clinically suspicious lump with a B2 biopsy — requires repeat biopsy or surgical excision for definitive diagnosis.
Most breast symptoms are benign — but certain features should prompt an early consultation rather than watchful waiting. When in doubt, it is always better to be assessed.
Any new lump or thickening — regardless of whether it is painful or painless, hard or soft. All new lumps require Triple Assessment.
See Doctor PromptlyPeau d'orange (orange peel skin), skin dimpling, retraction, redness, or ulceration over the breast — especially if persistent.
See Doctor PromptlyNew nipple inversion (especially unilateral), nipple discharge (bloodstained, spontaneous, single duct), or eczema-like nipple change (Paget's disease).
See Doctor PromptlyA new firm or hard lump in the armpit (axilla) — may represent a breast cancer that is clinically occult in the breast, or metastatic lymphadenopathy from another primary.
See Doctor PromptlyCyclical mastalgia (related to menstrual cycle) is almost always benign. Non-cyclical, persistent, or unilateral breast pain warrants assessment, particularly if a lump is present.
Assess if PersistentUnexplained change in breast size, shape, or contour — asymmetry that was not previously present, or a change in the position of the nipple.
Assess if UnexplainedFirst-degree relative (mother, sister, daughter) with breast or ovarian cancer — especially if diagnosed young (<50 years). Genetic counselling and early screening recommended.
Genetic CounsellingWomen aged 40 and above without symptoms should have annual mammography screening. Self-breast examination monthly, clinical examination annually.
Annual ScreeningThe majority of breast lumps in young women are benign. Understanding the common benign conditions helps patients avoid unnecessary anxiety — while ensuring that the important ones are not missed.
The most common benign breast lump — especially in women under 35. A firm, smooth, mobile, non-tender lump (sometimes called a "breast mouse"). Usually requires no surgery. Confirmed by ultrasound and core biopsy (B2). Larger or growing fibroadenomas may be excised under local anaesthetic.
Most Common Benign LumpFluid-filled sacs — very common in perimenopausal women. Smooth, round, often tender lump. Diagnosed by ultrasound. Simple cysts are entirely benign and require no treatment unless symptomatic (aspiration under ultrasound guidance relieves discomfort). Complex cysts need further assessment.
Extremely CommonA spectrum of benign breast changes — nodularity, cyst formation, fibrosis, and mild epithelial proliferation — that produce lumpy, tender breasts. Very common in premenopausal women. Not a disease — a normal variation of breast tissue response to hormonal cycling. No malignant potential in simple fibrocystic change.
Normal VariationBenign wart-like growth in a lactiferous duct — the most common cause of bloodstained nipple discharge. Diagnosed by ductoscopy, ductogram, or ultrasound. Treated by microdochectomy (excision of the affected duct segment) to confirm benign pathology and resolve the discharge.
Bloodstained DischargeLocalised collection of pus — most common in lactating women (puerperal) or non-lactating (periductal mastitis, often related to smoking). Treated by ultrasound-guided aspiration or surgical drainage. Biopsy of the abscess wall is essential to exclude inflammatory breast cancer — particularly in non-lactating women.
Requires DrainageCan mimic cancer on examination and mammography — firm, irregular, sometimes skin-retracted lump following trauma, surgery, or radiation. Biopsy is required to confirm benign fat necrosis and exclude malignancy. Once confirmed, no further treatment is needed — it resolves spontaneously over months.
Can Mimic CancerBreast cancer detected at Stage I has a 5-year survival rate exceeding 95%. Stage IV — less than 30%. The difference is early detection. Regular screening mammography is the most powerful tool we have for saving lives from breast cancer.
For any breast concern — new lump, abnormal mammogram, nipple discharge, or breast cancer diagnosis — visit Dr. Gore's dedicated breast surgery website for complete information and to book an appointment.
Visit bestbreastsurgeon.in →For general cancer surgery consultations, second opinions, or if you have a concern about a breast lump and wish to see Dr. Gore directly — book through cancersurgeons.in.
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