Browsing by Author "Khanal, Suman"
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Publication Batwing Technique in Large Volume Excision of Breast Lesions: Case Report(Institute of Medicine, 2019) Khanal, Suman; Singh, Yogendra P; Sharma, RashmiABSTRACT Oncoplastic surgical techniques are seeing widespread use for excision of large volume breast lesions. Batwing technique is one of the volume displacement techniques that can be used to manage lesions in central quadrant of the breast. Such techniques are still underused in Nepal. Here we present three cases with large volume benign breast lesions managed with simple, easy-to-learn technique of Batwing oncoplasty. Keywords: Batwing, fibroadenoma, oncoplasty, phyllodesPublication Case of HER2-Enriched Multifocal Breast Cancer Associated with Pregnancy(Institute of Medicine, 2019) Khanal, Suman; Singh, Yogendra P; Shrivastav, ShreyaABSTRACT Pregnancy-associated breast cancer is less common and often presents in advanced stage. Management is similar to non-pregnant cases with trimester-specific considerations. In this case report, we present a case of worrisome mother with locally advanced multifocal pregnancy-associated breast cancer who was so much concerned about effects of neoadjuvant chemotherapy on fetus leading to its delayed initiation, and show why targeted therapy is still not within reach in a developing economy like Nepal. Short term data of chemotherapy though reveal relative safety, long term data are lacking. This may be a hindrance in counselling, when patients are more anxious and worrisome. Keywords: Breast cancer, chemotherapy, HER2-neu, pregnancyPublication Initial Experience with Simple Oncoplastic Breast Conserving Surgery in Nepal: A Case Report(Institute of Medicine, 2020) Singh, Yogendra P; Khanal, SumanABSTRACT Oncoplastic breast conserving surgery is increasingly used in the management of early breast cancer. Though its use in Nepal is increasing, it is still under-utilized. We present a case of upper outer quadrant early breast cancer located away from nipple-areola complex managed with radial ellipse segmentectomy 10 years back and under regular follow up. We recommend its usage in upper outer quadrant lesions because of its simplicity, access for sentinel lymph node biopsy and good cosmetic outcome. Keywords: Early breast cancer, lumpectomy, simple oncoplastic surgery