New KCC City Clinic in New Baneshwor is now open.
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Breast Clinic in Kathmandu, Nepal

Breast check, mammography, breast lump evaluation and breast cancer care at KCC.

Whether you need a routine breast check, have found a breast lump, or have an abnormal mammogram, our team can guide you through assessment, diagnosis and treatment in one cancer center.

KCC Main Center, Tathali, Bhaktapur · City Clinic, New Baneshwor, Kathmandu

Breast cancer care and consultation at Kathmandu Cancer Center
Breast care at KCC
Start Here

What Brings You to Our Breast Clinic?

Three common reasons people come to KCC — each with its own clear next step.

Routine / No Symptoms

I want a routine breast check

Clinical breast examination and, from age 40, a screening mammogram every 1–2 years. No referral needed.

Book a breast check →

A Symptom or Concern

I have a lump, pain or discharge

Same-week specialist assessment with ultrasound and/or mammogram, and biopsy if indicated. Results in 3–5 days.

How a lump is assessed →

Already Diagnosed

I have breast cancer

Complete treatment under one roof — surgery, chemo, targeted therapy, immunotherapy and radiotherapy — decided by KCC's tumour board.

See treatment at KCC →

The KCC Advantage

Breast Check at KCC — From First Visit to Complete Treatment

Most breast clinics stop at consultation. KCC is a full cancer centre — so if anything is found, treatment starts here, not somewhere else.

1

Screening

Clinical breast examination · Digital mammogram · Breast ultrasound when indicated

2

Assessment

Breast specialist consultation · Additional imaging (MRI when indicated)

3

Diagnosis

Image-guided core needle biopsy · Pathology · ER/PR/HER2/Ki-67

4

Treatment

Surgery · Chemotherapy · Targeted therapy · Immunotherapy · Radiotherapy

5

Follow-up

Surveillance · Rehabilitation · Long-term follow-up

Book a Breast Check on WhatsApp

Pink October: Mammogram Screening at 50% Off

During Pink October, Kathmandu Cancer Center is offering routine mammogram screening for Rs. 1,250 instead of Rs. 2,500.

The offer is available during October–November 2026. Conditions apply. Diagnostic mammograms and ultrasound, when clinically required, may be charged separately.

View mammogram details and book your screening or call 01-5091629 / 9818-226237.

A Patient's Story

She noticed it while getting dressed : a small lump, maybe the size of a marble. She pressed it once, told herself it was probably nothing, and got on with her day. Six months later she was sitting across from a surgeon, being told that was cancer.

We hear this story often — not because Nepali women are careless, but because breast cancer in its early stages usually causes no pain. A lump that doesn't hurt is still a lump that needs to be checked.

01 · Warning Signs

Symptoms of Breast Cancer

None of these signs confirm cancer on their own — but all of them deserve a doctor's check-up, not just waiting.

When to seek meet doctor

Arrange a clinic visit if you notice a new breast or underarm lump, a persistent change in breast shape or size, nipple inversion, unusual discharge, skin dimpling, redness, or thickening that does not settle within one to two weeks. Rapid-onset breast redness and swelling — even without a distinct lump - needs prompt same-week assessment. Many breast changes turn out not to be cancer, but a change is not something to self-diagnose from this page or internet.

A new lump or thickeningEven if it doesn't hurt, even if it moves when pressed — get it checked.
A change in shape or sizeDimpling, puckering, or skin that looks like an orange peel.
Nipple changes or dischargeA nipple turning inward, or discharge unrelated to breastfeeding.
Redness or a rashThat doesn't resolve within one to two weeks.
Swelling in the armpitSometimes appears before the breast lump itself is felt.
New, constant bone or back painDo urgent checkup in anyone with a breast cancer history.
02 · Diagnosis

Found a Lump — Which Test Do You Need?

Triple Assessment — the standard 3 tests to diagnose a lump

Most lumps in women under 40 are non-cancerous, but feel alone cannot tell it is cancer or not . KCC uses three steps together: a clinical checkup-exam, imaging (ultrasound and/or mammogram), and a core needle biopsy with results in three to five days. Used together, these three steps give a very reliable diagnosis — far more reliable than any one step alone — and every confirmed case is reviewed at KCC's team of experts before treatment begins.

Mammogram Screening — Finding It Before You Feel It

A mammogram can find cancer years before it's large enough to feel. Most cancers found through screening are at an early, simpler-to-treat stage. KCC offers digital mammography in Bhaktapur hospital.

  • Women 40 and above — mammogram every one to two years (per NCCN screening guidelines).
  • BRCA mutation carriers — annual breast MRI from a younger age, on your specialist's advice.

Book your mammogram at KCC →

"A biopsy will make the cancer spread." — [It is a myth]

A properly performed core needle biopsy does not cause cancer to spread - this is one of the most persistent fears we hear, and it is not supported by evidence. Delaying a biopsy because of this fear only delays diagnosis and treatment.

03 · Understanding Your Diagnosis

Breast Cancer Types

Breast cancer is not the same in every person. After a biopsy, the cancer cells are tested to understand what type of breast cancer it is and which treatments are most likely to help.

Your biopsy helps guide your treatment

A breast biopsy tells us whether a lump is cancer and gives important information about the cancer cells. Doctors may then test the tumour for markers such as ER, PR and HER2. These tests help determine how the cancer behaves and which medicines may be useful.

Some breast cancers are sensitive to hormones and can be treated with hormone-blocking medicines. Some have high levels of HER2 and may benefit from HER2-targeted treatment. Others do not have these markers and may need a different combination of treatments.

Your treatment is therefore based on more than the size of the tumour. The biopsy, biomarker tests, stage, lymph nodes and your overall situation are considered together.

Biopsy Confirms whether the lump is cancer.
ER and PR Show whether the cancer may respond to hormone therapy.
HER2 Shows whether HER2-targeted treatment may be useful.
Other tests May be recommended depending on the type and stage of cancer.

04 · ER, PR, HER2 and Ki-67 — What Your Report Means

Every new breast cancer diagnosis at KCC is tested for at least these four markers before treatment starts — together they decide the entire plan, more than the tumour's size alone.

ER / PR (Hormone Receptors)
Positive → hormone therapy works
HER2
Positive → Anti her2 drug like trastuzumab, pertuzumab eligible
Ki-67
High → faster-growing, guides chemo decision
BRCA1/2
Mutation → PARP inhibitor eligibility
PD-L1
Positive → immunotherapy eligibility in TNBC
Reviewed by Dr. Simit Sapkota, Consultant Clinical Oncologist & (MD Clinical Oncology, PGIMER Chandigarh) · Last reviewed 16 September 2026 · Follows NCCN, ESMO, St Gallen guidelines · This page is general information — your specific plan is decided at consultation, not from this page alone.
05 · Treatment at KCC

How Breast Cancer Is Treated at KCC

Treatment is chosen based on the cancer's stage, subtype, and your individual factors — not a fixed formula. It may include one or a combination of the following, decided at KCC's multidisciplinary tumour board.

Surgery

One of the first questions after a diagnosis is whether the breast can be saved. For most women with early-stage cancer, the answer is yes — and the choice is always yours after an honest explanation of both options.

★ Breast-Conserving

Lumpectomy

Removes the tumour with a clear margin, preserving the breast. Always followed by radiotherapy.

Complete Removal

Modified Radical Mastectomy

Removes the entire breast, chest wall muscles preserved. Reconstruction is discussed beforehand.

When Nodes Are Positive

Axillary Node Dissection

Accurate nodal staging shapes the rest of the treatment plan.

After Mastectomy

Breast Reconstruction

Immediate or delayed, planned pre-operatively and timed around any radiotherapy.

Neoadjuvant First

Downstaging to Lumpectomy

For large HER2+ or triple-negative tumours, chemotherapy before surgery can make breast-conserving surgery possible.

Every Case

Tumour Board Review

Every surgery is reviewed by a multidisciplinary board first — a consensus plan, not one doctor's opinion.

Chemotherapy

Used before surgery to shrink a tumour, after surgery to lower recurrence risk, or for cancer that has spread. Most chemotherapy at KCC is a same-day infusion — you come in, are treated over a few hours, and go home the same day.

HER2+ / TNBC — Neoadjuvant / Adjuvant

AC → T (Anthracycline → Taxane)

HER2+ — Anthracycline-Free

TCbHP — Docetaxel + Carboplatin + HP

TNBC — With Immunotherapy
Metastatic HR+

Hormone Therapy + CDK4/6 Inhibitor(Palbociclib (Ibrance), Ribociclib (Kisqali), and Abemaciclib (Verzenio)

Radiotherapy

Radiation after surgery cuts the risk of local recurrence by roughly half. KCC uses advanced and safe RT technique like IMRT and VMAT, which shapes the beam precisely around breast tissue, reducing dose to the heart and lungs.

After Lumpectomy — Standard

Whole-Breast IMRT

Given over three to five weeks, with a boost dose for selected patients.

After Mastectomy — High-Risk

Post-Mastectomy IMRT

Recommended for four or more positive nodes, larger tumours, or positive margins.

Left-Sided Breast Cancer

Heart-Saving Radiotherapy — DIBH

The heart sits close to the treatment area on the left side. DIBH moves it out of the way during each beam.

Advanced / Metastatic

Palliative Radiotherapy

Short courses to control bone pain or other symptoms from spread.

Normal Breathing

Heart sits close to the chest wall, near the treatment field.

Breath Held (~20–30 sec)

Lungs expand, chest moves forward, heart drops away from the field.

Hormone Therapy

About 70% of breast cancers are fuelled by estrogen and progesterone — HR-positive breast cancer. Treatment blocks these hormones so the cancer cannot grow, usually as a daily tablet at home.

Pre-menopausal

Tamoxifen

Daily tablet, typically taken for 5 to 10 years.

Post-menopausal

Aromatase Inhibitors — letrozole, anastrozole

Preferred first-line hormone therapy after menopause.

Advanced / Metastatic

CDK4/6 Inhibitors — ribociclib, palbociclib

Added to hormone therapy; has significantly improved outcomes in recent years.

HER2-Targeted Therapy

About 1 in 5 breast cancers has extra HER2 protein on the cell surface. HER2-positive cancer tends to grow faster — but responds remarkably well to targeted therapy designed specifically to block that protein.

Trastuzumab (Herceptin) and Pertuzumab
Usual course — 12 months total
Not chemotherapy Targets only the HER2 protein — a milder side-effect profile.
How it's given IV infusion every 3 weeks at KCC's Day Ward.
Shrinking tumours first For larger or node-positive tumours, chemo + HER2-targeted therapy before surgery can shrink the tumour.

Both trastuzumab and pertuzumab are available at KCC's Day Ward.

Immunotherapy & PARP Inhibitors

For eligible triple-negative patients, immunotherapy (pembrolizumab) combined with chemotherapy is available. For BRCA1/2-mutated cancers, PARP inhibitors such as olaparib may be considered — genetic testing can be arranged at KCC.

06 · What to Expect

The Breast Cancer Treatment Process at KCC

Your specific path is decided at KCC's tumour board — surgeon, medical oncologist, radiation oncologist and pathologist together.

1

Diagnosis & Biomarker Testing

Core biopsy · ER/PR/HER2/Ki-67 · Staging · BRCA for selected cases

2

Neoadjuvant Therapy (if needed)

Chemo ± targeted therapy before surgery — shrinks the tumour, tests response

3

Surgery

Lumpectomy or mastectomy + node dissection · Reconstruction discussed

4

Post-operative Radiotherapy

Whole-breast or post-mastectomy IMRT · Heart-sparing DIBH for left-sided cancer

5

Long-term Systemic Therapy

Hormone therapy 5–10 yrs (HR+) · Targeted therapy to 12 months (HER2+)

After treatment ends, most women return to work and normal routines within weeks to months. KCC schedules regular follow-up to catch any recurrence early. If you may want children after treatment, raise this at your very first consultation — before chemotherapy begins, since fertility preservation has a narrow window.

07 · Treatment Cost

What Does Breast Cancer Treatment Cost at KCC?

Cost Depends on Your Specific Treatment Plan

Cost varies with the stage of cancer and the combination of surgery, chemotherapy, radiotherapy, hormone therapy and targeted therapy required — there is no single fixed price for "breast cancer treatment." After your first consultation and biomarker results, KCC provides a written estimate covering each stage of treatment, so there are no surprises later. Ask for this estimate at your first visit, and compare it openly against quotes from any other hospital, in Nepal or abroad.

08 · Travelling for Treatment

Patients From Outside Kathmandu

Coming from Pokhara, Dharan, Butwal, Nepalgunj, or anywhere else in Nepal? Send your existing reports over WhatsApp before you travel — KCC's team can review them and give preliminary guidance, so your first visit is more useful and your trip is planned around real next steps. Free pickup within the Ring Road is available for outstation patients.

Already have reports from an Indian hospital? KCC follows the same international guidelines (NCCN) used across major Indian cancer centres. Bring your existing records — surgical pathology, ER/PR/HER2/Ki-67 results, imaging, and chemotherapy details — and treatment can continue from where it was left off, without starting over.

Transferring Treatment to KCC → Compare Nepal & India →
Two Locations in Kathmandu Valley

Where to Find Breast Care at KCC

Kathmandu City

KCC City Clinic — New Baneshwor

Initial breast consultation with a specialist, including access to Nepal's first female breast oncosurgeon. Most convenient for patients in central Kathmandu.

Consultation · Clinical breast exam · Referral for imaging

Bhaktapur

KCC Main Campus — Tathali, Bhaktapur

Digital mammography, breast ultrasound, biopsy, pathology, surgery, chemotherapy, radiotherapy and complete cancer treatment — all in one campus.

Mammogram · Ultrasound · Biopsy · Surgery · Chemo · Radiotherapy

Our Specialists

The Breast Cancer Team at KCC

Breast cancer treatment at KCC is performed by more than one specialistby surgeons , alongside coordinated oncology, radiology and pathology support.

You do not need to decide which specialist to see before contacting KCC — message your symptoms or reports on WhatsApp and the team will offer you the soonest available breast surgery consultation.

View All KCC Specialists →

Sources and Guidelines

Treatment information on this page follows guidelines from the National Comprehensive Cancer Network (NCCN), the European Society for Medical Oncology (ESMO), and the St Gallen International Breast Cancer Conference consensus. It is reviewed periodically by KCC's breast oncology team and is provided as general information only — it does not replace individual clinical assessment.

From the Blog

More on Breast Cancer

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09 · Common Questions

Breast Care — Frequently Asked Questions

Complete Breast Cancer Care, in Kathmandu

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City Clinic — New Baneshwor, Kathmandu · Main Campus — Tathali, Bhaktapur