Dr. Jayanti Thumsi

Since childhood it was my dream to become a doctor — I am the first doctor in my family of engineers. Breast cancer chose me just as much as I chose it. Early in my career I saw how deeply this diagnosis affected not just the body, but the mind and identity of a person. That emotional and human aspect made me commit to this field.

I don't think of it as popularity — it comes down to trust. I make it a point to spend time with every patient, answer every question honestly, and involve them in decisions. When people feel respected and supported, that connection naturally spreads through word of mouth.

Specialisation matters most — breast surgery is not general surgery. Look for someone updated on recent advances, who communicates clearly and works with a multidisciplinary team. Access to advanced techniques like oncoplastic or robotic nipple-sparing mastectomy can make a significant difference in outcomes. Most importantly, patients should feel comfortable and heard.

The most common sign is a lump — but it's not the only one. Changes in breast shape, skin dimpling, nipple discharge, or even subtle changes like thickening of the skin can all be warning signs. My key message: don't ignore anything unusual. It's always better to get something checked early than wait.

While we can't control everything, we can certainly reduce risk. Maintaining a healthy lifestyle — regular exercise, balanced diet, limiting alcohol — plays a role. Breastfeeding also offers protection. But most importantly, regular screening and awareness are critical. Early detection can make all the difference.

Fear often comes from the unknown. The first step is to replace uncertainty with clarity. I make sure patients understand exactly what's happening, what the plan is, and what to expect. I also remind them they're not alone — there's a whole team supporting them. Sometimes, just sitting down and having an honest conversation can ease a lot of anxiety.

Preparation is about mindset as much as the body. Physically, following medical advice, staying active, and eating well helps recovery. Mentally, I encourage patients to ask questions, understand the procedure, and focus on the goal — healing. Talking to survivors can be incredibly empowering. It's okay to feel scared — but don't let that fear take control.

Genetic testing is very important — but only for those who have a strong family history or specific risk factors. It's not something everyone needs. These tests are available in India at an affordable cost. Preventive surgery is a deeply personal decision and should only be taken after careful counselling. The key is personalised care — what's right for one person may not be right for another.

Don't delay. Breast cancer is curable if we detect it early and receive appropriate and timely treatment. Cancer need not be a word to be scared off. Regular monthly self-examination from age 20 and yearly screening mammogram for women above 40 is what I recommend. Awareness and early detection save lives — and that is the way forward.