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P G Roy

I trained as a general surgeon and chose to specialise in breast surgery at a time when the field was undergoing a transformative shift. Trainees with interest in breast surgery in UK were being offered the fellowship opportunity to train in oncoplastic breast surgery—a significant advancement that combined oncological expertise with reconstructive techniques. This meant that we were not only equipped to remove cancer but also to restore the breast, enhancing patients’ quality of life after treatment.

In my lifetime, I’ve witnessed enormous progress in the diagnosis and treatment of breast cancer. A large proportion of cases are now detected early, leading to significantly improved survival outcomes. As a result, more patients are living longer with their diagnosis, and the focus has rightly shifted toward long-term quality of life.

Living with cancer demands a broader perspective—beyond just medical treatment. While medical care remains the cornerstone of cancer management, the psychological and emotional impact of a diagnosis is often understated. The psychosocial burden can be profound, eroding an individual's confidence and self-esteem. Restoring body image is often the first step in rebuilding that confidence. From there, a holistic approach—including physical exercise, meditation, good nutrition, and healthy sleep patterns—can help reduce stress levels, which in turn has a positive impact on cancer outcomes.

I believe strongly in practising holistic care and in helping my patients build resilience. At the heart of resilience is self-care: empowering individuals to take control of their lifestyle and well-being. When patients are supported in making healthier choices, the benefits of standard medical care can be amplified. Caring for the mind and soul, alongside the body, is essential for achieving long-term recovery and well-being.

As part of this commitment, I founded the Oxford Breast Buddy Group, a UK-registered charity that provides emotional and psychological support for those affected by breast cancer. The impact of this support, while not measurable in conventional terms, is deeply significant and life-enhancing for those we serve.

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Liz O'Riordan

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David Salisbury