Skip to main content

Breast Cancer Surgeon

Breast Cancer Specialists at Surgical Associates of Southern Texas.

Breast Cancer Evaluation, Surgical Planning and Surgery

A new breast lump, a change in the shape of a breast, nipple discharge, or a call-back after a mammogram can be frightening. Most breast lumps are not cancer, but every new change deserves a prompt evaluation. When breast cancer is found early, there are usually more treatment options.

At Surgical Associates of Southern Texas, Dr. Murtaza Shakir, a board-certified general surgeon and surgical oncologist, reviews your imaging and biopsy results, explains your diagnosis in plain language, and helps you understand the role of surgery in your treatment. He sees patients at offices in Katy and Sugar Land, serving Richmond, Fulshear, Stafford, Fort Bend County, and Greater Houston.

Dr. Murtaza Shakir, board-certified general surgeon

Meet the Surgeon

Dr. Murtaza Shakir, MD, general surgeon and surgical oncologist treating breast cancer in Katy and Sugar Land, TX

  • Dual board certified in General Surgery and Complex General Surgical Oncology
  • Named a Houstonia Top Doctor in General Surgery, 2026 (see listing)
  • Highly reviewed: rated 4.9 stars on Google
  • Specialized in breast cancer surgery, colon, rectal, liver, and pancreatic cancer surgery, hernia repair, and gallbladder surgery

Patient Reviews

What Patients Say About Dr. Shakir

Rated 4.9 stars on Google. Real experiences from patients treated in Katy and Sugar Land.

At a Glance

Breast Cancer at a Glance

What it is
Cancer that starts in the cells of the breast, most often in the milk ducts or lobules. It can be non-invasive (stage 0) or invasive.
Who gets it
Mostly women, and most breast cancers are diagnosed after age 50. It can also affect younger women and, rarely, men.
Common signs
A new lump in the breast or underarm, a change in breast size or shape, skin dimpling, an inward-turned nipple, nipple discharge, or red, scaly skin. Early breast cancer often causes no symptoms.
How it is found
Screening mammograms find many cancers before symptoms start. Diagnostic imaging looks more closely at a change, and only a biopsy can confirm cancer.
Main treatments
Surgery (lumpectomy or mastectomy), often combined with radiation, chemotherapy, hormone therapy, targeted therapy, or immunotherapy, based on stage and tumor type.
Who treats it
A care team that usually includes a surgeon, a medical oncologist, and a radiation oncologist. Dr. Shakir is board certified in General Surgery and Complex General Surgical Oncology.
See a doctor promptly for
Any new breast or underarm lump, a breast that becomes red, swollen, or warm, bloody nipple discharge, or a nipple that newly turns inward.
Where
Offices in Katy and Sugar Land, TX. Call 713-955-9191.

Breast Cancer Basics

What Is Breast Cancer?

Breast cancer is a disease in which cells in the breast grow out of control. It most often begins in the milk ducts, which carry milk to the nipple, or in the lobules, the glands that make milk.

Breast cancer is found most often in women 50 and older, which is one reason symptoms in younger women are sometimes noticed late. A breast change should be checked at any age. Breast cancer can also occur in men, although this is rare.

Who Is at Higher Risk?

Some risk factors cannot be changed, and some can. Having a risk factor does not mean you will get breast cancer, and many people diagnosed have no known risk factor other than age.

  • Age: risk rises with age, and most breast cancers are diagnosed after 50
  • Inherited gene changes, such as in BRCA1 or BRCA2
  • Family history of breast or ovarian cancer
  • Personal history of breast cancer or certain noncancerous breast conditions
  • Dense breast tissue
  • Reproductive history, such as early periods, late menopause, a first pregnancy after 30, or never having a full-term pregnancy
  • Radiation to the chest before age 30
  • Lifestyle factors, including alcohol use, physical inactivity, obesity after menopause, and some hormone therapies

If breast or ovarian cancer runs in your family, ask your doctor whether genetic counseling is right for you.

Breast Cancer Types

What Are the Types of Breast Cancer?

Breast cancer is first described as non-invasive or invasive, depending on whether the abnormal cells have spread beyond the duct or lobule where they started. The type, together with lab tests on the tumor, guides treatment.

Hormone Receptor and HER2 Status

Every breast cancer biopsy is tested for estrogen receptors (ER), progesterone receptors (PR), and a protein called HER2. These results, along with the tumor’s grade, help predict how the cancer may behave and which medicines are likely to work:

  • Hormone receptor-positive: the cancer uses estrogen or progesterone to grow, so hormone therapy is often part of treatment
  • HER2-positive: the cancer makes extra HER2, which can make it grow faster, but medicines that target HER2 are available
  • Triple-negative: the cancer is negative for ER, PR, and HER2, so treatment relies on other medicines

Non-Invasive Breast Cancer (Carcinoma In Situ)

Ductal carcinoma in situ (DCIS) means abnormal cells are found in the lining of a milk duct and have not spread into the surrounding breast tissue. It is called stage 0 breast cancer. DCIS usually causes no symptoms and is most often found on a mammogram.

Invasive Breast Cancer

Invasive breast cancer has grown beyond the duct or lobule into the surrounding breast tissue. From there it can reach the lymph nodes and, in some cases, other parts of the body. Invasive ductal carcinoma, which starts in the ducts, is the most common type; invasive lobular carcinoma starts in the lobules.

See the stages of breast cancer below to learn how these findings fit into staging.

Breast Cancer Symptoms

What Are the Symptoms of Breast Cancer?

The most common symptom of breast cancer is a new lump or mass, although most breast lumps are not cancer. Early breast cancer often causes no symptoms at all, which is why screening matters. Signs to watch for include:

  • A new lump or thickening in the breast or underarm
  • A change in the size or shape of one or both breasts
  • Swelling of all or part of a breast, even without a lump
  • Dimpling or puckering of the breast skin, sometimes like an orange peel
  • A nipple that turns inward (nipple retraction)
  • Redness, scaliness, or thickening of the nipple or breast skin, including a rash around the nipple
  • Nipple discharge other than breast milk, especially if it is bloody
  • Pain in any area of the breast that does not go away
  • Swollen lymph nodes under the arm or near the collarbone

Cancerous lumps are often hard, painless, and irregular, but some are soft, round, or tender. You cannot tell whether a lump is cancer by how it feels, so do not wait to see if it goes away.

When to See a Doctor About a Breast Change

Not every change is cancer, and there is no need to panic before you are examined. Make an appointment with your primary care doctor, gynecologist, or a breast surgeon if you notice:

  • Any new lump in the breast or underarm, even if a recent mammogram was normal
  • A breast that becomes red, swollen, or warm, especially if it does not improve within about a week of antibiotics
  • Bloody or one-sided nipple discharge that is not breast milk
  • A nipple that newly turns inward, or skin changes on the breast or nipple
  • Breast pain in one spot that does not go away

If your mammogram or ultrasound shows a finding that needs a biopsy, or a biopsy shows cancer, a surgical consultation is usually the next step.

Early Detection

Screening Mammograms and Early Detection

A screening mammogram is a low-dose X-ray of the breast that can find cancer before it can be felt or causes symptoms. The U.S. Preventive Services Task Force recommends a screening mammogram every two years for women ages 40 to 74 at average risk.

Women at higher risk, such as those with a BRCA gene change, a strong family history, or radiation to the chest at a young age, may need to start earlier or add a breast MRI. Ask your doctor which schedule is right for you.

Know What Is Normal for You

Between mammograms, get to know how your breasts normally look and feel. Report any change to your doctor promptly rather than waiting for your next screening. Remember that a lump you can feel still needs evaluation even if your last mammogram was normal.

If You Are Called Back After a Mammogram

Being called back for more pictures is common, and most people who are called back do not have breast cancer. Extra mammogram views or an ultrasound often resolve the question. When a finding still looks suspicious, a biopsy is the way to find out for certain.

Diagnosis

How Is Breast Cancer Diagnosed?

Breast cancer is diagnosed with imaging to locate the area of concern and a biopsy to confirm whether it is cancer. At your consultation, Dr. Shakir asks about your symptoms, health history, and family history, examines both breasts and the underarms, and reviews any imaging and pathology reports you already have.

Diagnostic Mammogram and Breast Ultrasound

A diagnostic mammogram takes more views than a screening mammogram to look closely at a lump or a finding seen on screening. Ultrasound uses sound waves to show whether a lump is a fluid-filled cyst or solid tissue, and it is often used to guide a needle biopsy.

Breast MRI

Breast MRI uses magnetic fields and radio waves to create detailed images. It is often used to screen women at high risk, such as those with a strong family history or certain gene changes, and to measure the extent of disease after breast cancer is diagnosed.

Biopsy: The Only Way to Confirm Cancer

Mammograms and MRI show areas of concern, but only a biopsy can confirm breast cancer. A small sample of tissue is removed, usually with a needle and sometimes surgically, and examined under a microscope. The pathology report shows whether cancer is present and, if so, its type, its grade (how abnormal the cells look), and its hormone receptor and HER2 status. These details guide every treatment decision that follows.

Please bring your imaging reports and discs, biopsy and pathology reports, a list of your medications, and any family history of cancer to your visit.

Staging

What Are the Stages of Breast Cancer?

The stage describes how large the cancer is and how far it has spread, and it is one of the most important factors in choosing treatment. In general, the lower the stage, the less the cancer has spread. Staging is based on the size and location of the tumor, the lymph nodes, and any spread to other organs, combined with the tumor’s grade and its ER, PR, and HER2 results.

Stage 0

Non-invasive breast cancer, such as DCIS. Abnormal cells are confined to the ducts and have not spread into surrounding breast tissue. Treatment options often include surgery, sometimes with radiation.

Stage I

Early invasive breast cancer. The tumor is small and limited to the breast, or very small groups of cancer cells may be found in nearby lymph nodes. Stage I is divided into IA and IB.

The cancer is larger, has reached a few nearby lymph nodes, or both. Stage II is divided into IIA and IIB. Treatment often combines surgery, radiation, and medicines that work throughout the body.

Locally advanced breast cancer that has spread to more lymph nodes near the breast or into the skin of the breast or the chest wall, but not to distant organs. Stage III is divided into IIIA, IIIB, and IIIC, and treatment often begins with medicine before surgery.

Metastatic breast cancer has spread beyond the breast and nearby lymph nodes to other parts of the body, such as the bones, liver, or lungs. Treatment focuses on controlling the cancer, easing symptoms, and protecting quality of life.

Your stage may not be final until after surgery, when the pathologist examines the removed tissue and lymph nodes. Dr. Shakir explains what your stage means for you and which treatments it opens up.

Role of Surgery

Does Breast Cancer Always Need Surgery?

Most people with breast cancer that has not spread to distant organs have surgery as part of their treatment. Surgery removes the cancer, checks whether it has reached the lymph nodes, and gives the final information needed for staging.

The order of treatment varies. Some people have surgery first. Others, especially those with larger tumors, HER2-positive or triple-negative cancer, or cancer in several lymph nodes, receive chemotherapy, targeted therapy, or hormone therapy first to shrink the cancer before surgery.

  • Stage 0 to III: surgery is usually a central part of treatment, alone or with other treatments.
  • Stage IV: surgery rarely cures cancer that has spread to distant organs, so treatment centers on medicines. Surgery may still be used to relieve symptoms in some situations.

Why a Surgical Consultation Helps Early

Seeing a surgeon soon after diagnosis helps your team plan the right order of treatment from the start. It also gives you time to ask questions and, if you wish, to consider breast reconstruction before any operation.

Your Surgeon

Meet Your Breast Cancer Surgeon

Murtaza Shakir, MD

Board-Certified General Surgeon & Surgical Oncologist

Breast cancer care at Surgical Associates of Southern Texas is led by Dr. Murtaza Shakir, who is board certified in General Surgery and Complex General Surgical Oncology.

Board certification

American Board of Surgery: General Surgery and Complex General Surgical Oncology

Medical degree

Aga Khan University

Residency

General Surgery, Riverside Methodist Hospital, Columbus, Ohio

Fellowship

Two-year Surgical Oncology fellowship, University of Pittsburgh Medical Center

Surgical practice includes

  • Hernia repair
  • Robotic surgery
  • Laparoscopic surgery
  • Complex abdominal surgery
  • Gallbladder surgery
  • Surgical oncology

Named a Houstonia Top Doctor in General Surgery (2026). Learn more about our general surgery services.

Treatment Planning

How Your Breast Cancer Treatment Plan Is Chosen

Breast cancer treatment is planned around your specific cancer and your own priorities. Treatment is usually shared by a team that includes a surgeon, a medical oncologist, and a radiation oncologist. Dr. Shakir reviews these factors with you before recommending surgery.

Stage and Tumor Size

The size of the tumor compared with the size of the breast, and whether lymph nodes are involved, affect which operation is possible and whether medicine should come first.

Tumor Type and Receptors

Hormone receptor and HER2 results, along with the grade, shape which medicines are recommended and when.

More than one tumor in different areas of the breast, or widespread calcifications on a mammogram, can make mastectomy the better option.

An inherited gene change, such as in BRCA1 or BRCA2, can change the surgical plan and may lead some people to consider more extensive surgery.

Earlier radiation to the chest, pregnancy, other medical conditions, and your ability to have anesthesia and radiation all affect what is safest.

Many people with early-stage breast cancer can choose between lumpectomy and mastectomy. Your feelings about keeping your breast, radiation, and reconstruction are part of the decision.

Surgery Options

Lumpectomy vs. Mastectomy

The two main operations for breast cancer are lumpectomy, which removes the tumor and keeps most of the breast, and mastectomy, which removes the whole breast. For many people with early-stage breast cancer, long-term studies show the chance of survival is the same with lumpectomy plus radiation as with mastectomy.

Checking the Lymph Nodes

Surgery for invasive breast cancer often includes removing some lymph nodes under the arm to see whether the cancer has spread there, which helps determine the stage and further treatment. In a sentinel lymph node biopsy, only the first few nodes that drain the tumor area are removed. An axillary lymph node dissection removes more underarm nodes and is done less often than in the past. Which approach is used depends on your exam, imaging, and biopsy results.

Breast Reconstruction

Breast reconstruction rebuilds the shape of the breast with an implant or with your own tissue. It can be done during the same operation as a mastectomy or later, and it is usually performed by a plastic surgeon. If reconstruction interests you, raise it before surgery so it can be planned from the start. Choosing not to have reconstruction is also a reasonable option.

Lumpectomy (Breast-Conserving Surgery)

  • What is removed: the tumor and a rim of normal tissue around it (the margin)
  • Main advantage: you keep most of your breast
  • Usually followed by: radiation therapy to lower the chance of the cancer returning in the breast
  • Good fit for: a single tumor that is small compared with the size of the breast
  • Trade-off: a second operation is sometimes needed if cancer cells are found at the edge of the removed tissue

Mastectomy

  • What is removed: the entire breast; removing both breasts is called a double mastectomy
  • Main advantage: radiation is less often needed for early-stage cancer
  • May be recommended for: large tumors, more than one tumor in different parts of the breast, prior radiation to the chest, or some inherited gene changes
  • Reconstruction: can be done at the same time or later, or you may choose not to have it
  • Trade-off: a larger operation with a longer recovery

The right operation depends on the patient and is decided together with you. Ask about pain management and Enhanced Recovery After Surgery (ERAS) at your consultation.

Learn more about breast cancer symptoms and treatment options.

Beyond Surgery

Treatments That May Be Combined With Surgery

Many people with breast cancer receive more than one type of treatment. Surgery and radiation treat the breast and nearby area, while medicines reach cancer cells throughout the body. These treatments are usually given by medical and radiation oncologists, before or after surgery.

  • Radiation therapy: high-energy rays that destroy cancer cells left in the breast, chest wall, or lymph node areas; usually given after lumpectomy
  • Chemotherapy: drugs that kill fast-growing cancer cells, given before or after surgery
  • Hormone therapy: pills that block or lower estrogen for hormone receptor-positive cancers, often taken for several years
  • Targeted therapy: drugs aimed at specific features of cancer cells, such as HER2
  • Immunotherapy: medicines that help the immune system fight the cancer, used for some breast cancers

Clinical trials of new treatments may also be an option. Ask your care team whether one is right for you.

Preparing for Surgery

Before Breast Cancer Surgery

Preparation is reviewed at your consultation and depends on the operation planned. Many breast cancer operations are done as outpatient surgery, while some patients stay in the hospital overnight. A diagnosis of breast cancer is stressful; the surgical team answers your questions before, during, and after surgery.

Questions to Ask Before Surgery

  • Am I a candidate for lumpectomy, mastectomy, or both?
  • Will lymph nodes be removed, and how many?
  • Will I need radiation, chemotherapy, or hormone therapy, and in what order?
  • Should I meet with a plastic surgeon about reconstruction?
  • Should I have genetic counseling or testing?
  • What will recovery look like for my work and family life?

What Preparation May Include

  • Consultation and breast examination
  • Review of mammogram, ultrasound, MRI, and biopsy results
  • Any additional imaging or tests your team recommends
  • Review of medical history and medications
  • Anesthesia evaluation
  • Marking the area to be removed when the tumor cannot be felt
  • Instructions on eating, drinking, and the day of surgery
  • A ride home after anesthesia

See our pre-operative care guidance.

What to Tell the Surgical Team

  • Blood thinners and aspirin
  • All prescription and over-the-counter medicines
  • Supplements
  • Bleeding problems
  • Diabetes, heart, or lung conditions
  • Pregnancy or possible pregnancy
  • Previous breast surgery or radiation
  • Known gene changes or family history of cancer
  • Allergies

Do not stop prescription medication unless instructed by the appropriate healthcare professional.

After Surgery

Recovery After Breast Cancer Surgery

Recovery after a lumpectomy is usually shorter than after a mastectomy, and adding lymph node surgery or reconstruction can lengthen it. Your surgeon gives you instructions for your specific operation.

  • Pain control: take pain medication as prescribed; soreness and tightness usually improve over the first weeks.
  • Drains: after a mastectomy or some lymph node surgery, a small tube may drain fluid for a short time. You will be shown how to care for it.
  • Arm and shoulder movement: gentle exercises, as directed, help prevent stiffness after lymph node surgery.
  • Activity: walking is encouraged. Avoid heavy lifting and strenuous exercise until cleared.
  • Pathology results: the final report on the tumor, margins, and lymph nodes is reviewed at your follow-up visit and guides the next steps.
  • Emotional support: it is normal to feel anxious or low after a cancer diagnosis and surgery. Tell your team so they can help you find support.

For more detail, see our post-operative care instructions, pain management, and Enhanced Recovery After Surgery (ERAS) pages.

When to Call the Office

Call the office if you have a fever, increasing redness, warmth, or drainage from the incision, swelling that keeps growing, pain that is not controlled by your medication, or new swelling of the arm or hand.

When to Get Emergency Care After Surgery

After surgery, seek care right away for chest pain or sudden shortness of breath, coughing up blood, a painful swollen leg, heavy bleeding from the incision, a breast or chest that swells fast and becomes tight and painful, or high fever with chills or confusion. For a medical emergency, call 911 or go to the nearest emergency department.

Surgery Risks

Risks and Possible Side Effects of Breast Cancer Surgery

Breast cancer surgery is common and generally safe, but every operation carries some risk, such as infection, fluid or blood collecting under the skin, numbness, or arm swelling (lymphedema) after lymph node surgery. Schedule a consultation and Dr. Shakir will explain the risks that apply to you.

Why Choose Us

Why Choose Surgical Associates of Southern Texas for Breast Cancer Care?

Dr. Murtaza Shakir is board certified in General Surgery and Complex General Surgical Oncology and provides breast cancer surgery at offices in Katy and Sugar Land.

  • Two-year Surgical Oncology fellowship at University of Pittsburgh Medical Center
  • Diagnosis, stage and options explained in plain language
  • Plans based on your stage, tumor type, health and preferences
  • Surgery planned in the right order with other treatment
  • Consultations in Katy and Sugar Land

Insurance Coverage

Insurance for Breast Cancer Care

Surgical Associates of Southern Texas accepts many major insurance plans for breast cancer evaluation and surgery, including participating Aetna, Cigna, UnitedHealthcare, and Blue Cross Blue Shield plans. Our office can confirm whether your specific plan participates and whether a referral or prior authorization is needed before your visit.

Coverage, network participation, authorization requirements, and your share of the cost vary by plan. You can also review the insurance accepted for surgical care at our practice.

Aetna, Cigna, UnitedHealthcare, and Blue Cross Blue Shield are only some of the plans we accept. Plan-specific details are on our Aetna, Cigna, UnitedHealthcare, and Blue Cross Blue Shield pages. If your plan is not listed, contact our office and our team will help verify it.

Insurance participation and benefits vary by individual plan. Verification does not guarantee coverage, authorization or payment. Please contact our office and your insurer to verify benefits before treatment.

Our Locations

Two Convenient Fort Bend County Offices

Learn more about our Katy and Sugar Land practices, or view all locations.

Katy Office

410 W Grand Pkwy S, Suite 4D
Katy, TX 77494

Serves: Katy, Fulshear, Richmond, Cinco Ranch and West Houston

Get directions

Sugar Land Office

17510 W Grand Pkwy S, Suite 320
Sugar Land, TX 77479

Serves: Sugar Land, Richmond, Stafford, Missouri City, Fort Bend County and Southwest Houston

View on Google Maps

Approximate Drive Times

From West Houston (Energy Corridor): about 15 minutes to Katy, or 25 to 30 minutes to Sugar Land.

From North Houston: about 40 to 50 minutes to either office, depending on traffic.

Common Questions

Frequently Asked Questions About Breast Cancer

No. Most breast lumps are not cancer; many are cysts or benign growths. Because you cannot tell by feel, every new lump should be checked by a doctor, usually with imaging and sometimes a biopsy.

Most abnormal mammograms are followed first by extra mammogram views or an ultrasound, and most people called back do not have cancer. A surgeon is usually seen when a biopsy is recommended or shows cancer, or when a lump needs further evaluation.

Ductal carcinoma in situ (DCIS) means abnormal cells are found in the lining of a milk duct but have not spread into the surrounding breast tissue. It is called stage 0, non-invasive breast cancer, and is often treated with surgery, sometimes with radiation.

A lumpectomy removes the tumor and a rim of normal tissue and keeps most of the breast, and it is usually followed by radiation. A mastectomy removes the whole breast.

For many people with early-stage breast cancer, yes. Long-term studies show the chance of survival is the same with lumpectomy plus radiation as with mastectomy alone. Some cancers are better treated with mastectomy, so the choice depends on your situation.

Radiation is usually recommended after a lumpectomy. After a mastectomy, it is less often needed for early-stage cancer but may be recommended when the tumor is large or lymph nodes are involved.

Many operations for invasive breast cancer include removing some underarm lymph nodes to see whether the cancer has spread. Often only a few nodes are removed with a sentinel lymph node biopsy; more are removed only when needed.

No. Whether chemotherapy is recommended depends on the stage, the tumor’s receptor and HER2 status, its grade, and sometimes genetic tests on the tumor. Many people with early, hormone receptor-positive cancer are treated with surgery, radiation, and hormone therapy.

Many people can. Reconstruction can be done with an implant or your own tissue, at the time of mastectomy or later, and is usually performed by a plastic surgeon. Discuss it before surgery so it can be planned.

Recovery depends on the operation. Lumpectomy recovery is usually shorter than mastectomy recovery, and lymph node surgery or reconstruction can add time. Your surgeon gives you specific guidance on work, driving, and lifting.

Sources and references

  1. Signs and Symptoms of Breast Cancer, American Cancer Society (ACS)
  2. Surgery for Breast Cancer, American Cancer Society (ACS)
  3. Breast Cancer Stages, National Cancer Institute (NCI)
  4. Breast Cancer, MedlinePlus, U.S. National Library of Medicine
  5. Breast Cancer: Screening (Recommendation), U.S. Preventive Services Task Force (USPSTF)

Reviewed by the Review Team at Surgical Associates of Southern Texas.

Medical Disclaimer: This page provides general information and is not a substitute for medical advice. For chest pain, trouble breathing, heavy bleeding, or other emergencies, call 911 or go to the nearest emergency room. Last updated October 16, 2026.

Schedule a Breast Cancer Consultation

Have a new breast lump, an abnormal mammogram or biopsy, or a new breast cancer diagnosis? Schedule a consultation with Dr. Murtaza Shakir to understand your results, whether more tests are needed, and whether lumpectomy or mastectomy fits you. Offices in Katy and Sugar Land serve Richmond, Fulshear and Greater Houston.

Phone icon

Contact us now