Endocrine and Breast Surgery Doctors in Noida

Endocrine and breast surgery is a speciality most people encounter at a specific, often unsettling moment like a thyroid nodule that has come back abnormal, a breast lump that needs more than an ultrasound to resolve, a parathyroid problem that has been causing symptoms for months without a clear explanation. These are conditions where the surgeon's role is not just technical. Getting the diagnosis right before operating, selecting the right operation, and knowing when not to operate - these are the judgements that define good endocrine and breast surgical practice.

At Medanta Noida, we have the full spectrum of services under the speciality ranging from benign breast disease and thyroid goitres to oncoplastic breast cancer surgery, hereditary cancer risk management, robotic adrenal surgery, and complex endocrine syndromes.

What the Department Covers

Breast Surgery - Benign and Malignant

Not every breast lump is cancer. A significant proportion of women who come in with a breast concern like a lump, nipple discharge, a change in skin texture have benign disease: fibroadenomas, cysts, fibrocystic changes, or infections. These still need proper assessment and, sometimes, surgical treatment. When breast cancer is diagnosed, the surgical decision is rarely as simple as removal versus preservation. The choice between mastectomy and breast-conserving surgery depends on tumour size and location, breast size, biological subtype, the patient's own preference, and the surgical team's ability to achieve clear margins while maintaining a reasonable cosmetic outcome.

Oncoplastic and Reconstructive Breast Surgery

Oncoplasty combines cancer surgery principles with plastic surgery techniques to remove the tumour and reshape the breast in the same operation. It allows wider excisions (reducing the chance of positive margins) while still achieving an acceptable cosmetic result.

Hereditary and Familial Breast Cancer

Women with a significant family history of breast or ovarian cancer, or those who carry BRCA1 or BRCA2 mutations, face a different set of decisions - about surveillance, risk reduction surgery, and timing. This is a clinical area that requires genetic understanding alongside surgical expertise.

Thyroid and Parathyroid Surgery

Thyroid surgery including total thyroidectomy, hemithyroidectomy, and central neck dissection, is performed for thyroid cancers, large or compressive goitres, and nodules with suspicious cytology. Parathyroid surgery is more targeted: in primary hyperparathyroidism, the aim is to locate and remove the overactive gland while leaving functioning parathyroid tissue intact. Both require precise knowledge of the anatomy of the neck, where the recurrent laryngeal nerve and the small parathyroid glands sit in close proximity to structures that must be preserved.

Adrenal and Endocrine Pancreas Surgery

Adrenal tumours ike phaeochromocytomas, adrenocortical carcinomas, aldosterone-secreting adenomas, and non-functioning incidentalomas require surgical removal in selected cases. Dr. Seenu performs laparoscopic and robotic adrenal surgery. Dr. Dhanda's scope extends to endocrine pancreas disorders and endocrine syndromes - MEN syndromes, insulinomas, gastrinomas - conditions that sit at the intersection of endocrinology and surgery and require close coordination between the two disciplines.

The Surgical Team

Dr. V. Seenu is the Director of the department. He completed his MS and MBBS at Osmania Medical College, Hyderabad, and went on to earn a PhD from AIIMS New Delhi. His areas of focus span the full scope of breast oncology: benign and malignant breast disease, oncoplastic and reconstructive surgery, hereditary cancer management, lymphoedema, and endocrine surgery including thyroid, parathyroid, and robotic adrenal procedures.

Dr. Mallika Dhanda holds an M.Ch in Endocrine and Breast Surgery from SGPGIMS Lucknow and an MS in General Surgery from King George's Medical College, Lucknow. Her clinical focus covers benign and malignant breast disease, thyroid and parathyroid conditions, and the management of adrenal tumours and complex endocrine syndromes including conditions of the endocrine pancreas.

FAQs

1. I have been diagnosed with papillary thyroid cancer. Do I need surgery?

   Papillary thyroid cancer is the most common thyroid malignancy and, in most cases, has a very good prognosis. Whether surgery is needed and what kind depends on the size of the tumour, whether it has spread to lymph nodes, and the cytology and molecular features of the nodule. Very small, low-risk papillary cancers are increasingly managed with active surveillance rather than immediate surgery in selected patients. Larger tumours or those with higher-risk features typically require thyroidectomy, sometimes with central neck dissection. The surgical team at Medanta Noida will review your imaging and pathology and give you a clear recommendation based on your specific situation.

2. What is oncoplastic breast surgery, and is it available at Medanta Noida?

   Oncoplastic surgery combines tumour removal with immediate reshaping of the breast, using plastic surgery techniques, so the cosmetic outcome is considered from the start rather than treated as an afterthought. It allows the surgeon to take a wider margin around the tumour, which reduces the risk of leaving residual cancer, while still achieving a breast shape that the patient is satisfied with.

3. My calcium is high and my endocrinologist suspects a parathyroid problem. What does surgery involve?

   Primary hyperparathyroidism - where one or more parathyroid glands produce too much hormone, raising blood calcium - is the most common surgical parathyroid condition. Before operating, imaging is used to try to localise the abnormal gland. If a single adenoma is identified, a minimally invasive parathyroidectomy can be performed through a small neck incision, targeting just that gland. If imaging is inconclusive, a bilateral neck exploration may be needed to identify and remove the abnormal tissue while carefully preserving the remaining glands. Your endocrinologist and the surgical team will typically plan this together.

4. I have a BRCA mutation. Should I see an endocrine and breast surgeon?

   Yes a consultation with a breast surgeon who has experience in hereditary cancer management is appropriate and the sooner, the better. A BRCA mutation significantly increases the lifetime risk of breast and ovarian cancer, and the management options range from intensive surveillance to risk-reducing surgery. The right choice depends on the specific mutation, your current age, family history, reproductive plans and personal preferences.