George’s University Hospitals NHS Trust, London. Therefore, well before returning to India, I facilitated training for my radiology colleague from KIMS Hospitals at the breast radiology division in the St. My work experience in the UK has made me aware of the fundamental fact that a radiologist trained breast imaging and image-guided procedures is the “nerve centre” for the breast centre. Just as a stethoscope is absolutely essential for a physician in clinical practice, the radiologist and pathologist are the “eyes and ears” for a surgeon exclusively practicing the art and science of breast surgery. This avoids the need for patients, who are often anxious, to move around visiting the specialist in one place and then going to radiology department for breast imaging. Clinical assessment, breast imaging, breast biopsy, and counselling are all done in this free-standing, purpose-built unit that is dedicated to the management of all types of breast disease, both benign and malignant, by a committed multidisciplinary team trained in the management of breast disease.Importantly, the mammography system is housed at the breast centre. This is not just “another cancer centre”. The breast centre has incorporated the best aspects of the Cardiff, Nottingham & Royal Marsden Breast Centres. To honour my mother’s struggle and applaud her strength in the fight against breast cancer, the Breast Centre & the Foundation established in Hyderabad bear her name. KIMS-USHALAKSHMI Centre for Breast Diseases ( was established under the auspices of KIMS Hospitals, which is one of the largest private hospital groups in South India. Mirrored upon my experience of having trained in the UK, I conceived and designed South Asia’s first free-standing, purpose-built, and comprehensive breast health centre in Hyderabad, the capital city of the southern Indian State of Telangana (2007). Breast units and breast specialization became a distinct entity in the UK in 1995. The world’s first specialist breast unit was established in Van Nuys (California) by Professor Mel Silverstein. There is now robust evidence that improved outcomes for breast cancer can be achieved if specialists with a declared interest and training manage patients in dedicated comprehensive breast centres. Breast cancer is the most common cancer and the leading cause of death from cancer affecting women in India.
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