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Understanding Breast Cancer: A Candid Interview with Dr. Shilpy Dolas

"Breast cancer is not always about pain or visible signs—sometimes it's silent. That’s why awareness and screening are your best defense."
Dr. Shilpy Dolas

In this insightful interview, Dr. Shilpy Dolas, a leading expert in oncology and breast health, joins us to discuss the myths, symptoms, risks, and treatments associated with breast cancer. This Q&A offers clarity on everything you should know, from early detection to preventive measures and treatment options. Scroll down to watch the full video interview.

Q1: Dr. Shilpy Dolas, let’s start with the basics. What exactly is breast cancer?


Dr. Shilpy Dolas: Breast cancer begins when cells in the breast start growing abnormally. These changes can form lumps or tumors. Some of these tumors are benign (non-cancerous), but others are malignant, meaning cancerous. The critical thing to remember is that 80% of breast lumps are non-cancerous, but you should never self-diagnose. Always consult a doctor to determine what kind of tumor it is.

Q2: Are there common symptoms that people should be aware of?


Dr. Shilpy Dolas: Yes, absolutely. Breast cancer doesn’t always come with obvious symptoms, but there are a few key signs to look out for:
  • A lump in the breast or underarm
  • Pain or discomfort in the lump
  • Redness or changes in skin texture
  • Nipple discharge, especially if it’s bloody or unusual
  • Changes in breast size or shape
  • In later stages, symptoms can include body weakness, fatigue, or bone pain
Even if you experience only one of these, it’s better to get it checked early.

Q3: Suppose someone notices a lump or experiences symptoms—what should they do next?


Dr. Shilpy Dolas: The first and most important step is to see a doctor immediately. Preferably, a breast surgeon or oncologist. If that’s not possible, you can consult a general surgeon. Self-medication or waiting it out is not advisable. Early detection often leads to a much better outcome.

Q4: Let’s talk about risk factors. Who is more likely to develop breast cancer?


Dr. Shilpy Dolas: Many factors can increase your risk:
  • Being female (but yes, men can get breast cancer too)
  • Age – the risk increases after 40, but we’ve seen it in women as young as 24
  • Family history – especially with BRCA1/BRCA2 gene mutations
  • Hormonal factors, especially estrogen exposure
  • Obesity, particularly after menopause
  • Alcohol consumption and lack of physical activity
Even lifestyle and environment can play a role. The key message? Awareness of your risk level can save your life.

Q5: Is there anything people can do to reduce their risk?


Dr. Shilpy Dolas: Yes, definitely. Here’s what can help:
  • Regular physical activity – 30–40 minutes daily can reduce breast cancer risk by up to 21%
  • Maintain a healthy weight, especially waist size under 33 inches
  • Limit alcohol and avoid smoking
  • Healthy diet rich in antioxidants—green leafy vegetables, colorful fruits, etc.
  • Breastfeeding can help slightly (about 4.7% reduced risk if continued for a year)
  • Start self-breast examinations after age 25

Q6: What are the recommended screenings and how often should they be done?


Dr. Shilpy Dolas:
  • Women under 40: Focus on self-breast exams and consult a doctor if any symptoms appear.
  • Women over 40: Annual mammograms (digital or tomosynthesis) are essential.
  • In some cases, breast sonography (ultrasound) is more effective, especially in younger women.
If you find a lump or notice changes in your breast, don’t delay. Early detection is key.

Q7: Let’s talk about treatment. What are the available options today?


Dr. Shilpy Dolas: There’s no one-size-fits-all treatment. Breast cancer is typically treated with combination therapy, including:
  • Surgery: The first line of treatment. This could be breast conservation or oncoplastic surgery.
  • Chemotherapy: Often used before or after surgery, and it’s not as scary as people think.
  • Radiation therapy: Especially important after surgery to kill residual cancer cells.
  • Hormonal therapy: In certain types of breast cancer that are hormone-sensitive.
In advanced cases (stage 4), treatment may focus more on managing symptoms and improving quality of life.

Q8: One last question—can men really get breast cancer?


Dr. Shilpy Dolas: Yes, they can. While it’s rare—about 1–2% of all breast cancer cases—it’s serious and often goes unnoticed until late stages. The risk increases with age, certain medications, hormone imbalances, or genetic history. Just like women, men should consult a doctor if they notice any lumps, pain, or unusual symptoms in the chest area.
Breast cancer is treatable and beatable—if detected early. Stay informed, get screened, and never ignore your symptoms.
Breast Cancer Specialist in Pune

Dr. Shilpy Dolas

Final Thoughts

Whether you’re a woman or a man, young or old, knowing the signs of breast cancer and understanding your risks can literally save your life. Make self-checks a habit, stay active, eat healthy, and don’t wait to see a doctor if something feels wrong. Prevention starts with awareness.

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