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Surgery Choices for Women with Early-Stage Breast Cancer

Surgery Choices for Women with Early-Stage Breast Cancer


What is Breast Cancer?

The term breast cancer refers to a malignant tumor that has developed from cells in the breast. The breast is composed of two main types of tissues: glandular tissues and stromal (supporting) tissues. Glandular tissues house the milk-producing glands (lobules) and the ducts (the milk passages) while stromal tissues include fatty and fibrous connective tissues of the breast. The breast is also made up of lymphatic tissue-immune system tissue that removes cellular fluids and waste.

Breast Cancer Risk factors

A risk factor is anything that makes it more likely you'll get a particular disease. Some risk factors, such as your age, sex and family history, can't be changed, whereas others, including weight, smoking and a poor diet, are under your control.

Other factors that may make you more susceptible to breast cancer include:

1. Age: Your chances of developing breast cancer increase with age. Close to 80 percent of breast cancers occur in women older than age 50. In your 30s, you have a one in 233 chance of developing breast cancer. By age 85, your chance is one in eight.

2. A personal history of breast cancer : If you've had breast cancer in one breast, you have an increased risk of developing cancer in the other breast.

3. Family history: If you have a mother, sister or daughter with breast or ovarian cancer or both, or a male relative with breast cancer, you have a greater chance of also developing breast cancer Symptoms of Breast Cancer Early breast cancer usually does not cause pain.

In fact, when it first develops, breast cancer may cause no symptoms at all.

But as the cancer grows, it can cause these changes:

1. A lump or thickening in the breast or armpit.

2. A change in the size or shape of the breast.

3. Discharge from the nipple.

4. A change in the color or texture of the skin of the breast or areola (such as dimpling, puckering, or scaliness).

Treatment of a Breast Cancer in India

Mastectomy in India

Mastectomy is the surgical removal of a breast. Surgery is presently the most common treatment for breast cancer. Following mastectomy, immediate or delayed breast reconstruction is possible in many instances

# Simple or total mastectomy: removal of the breast, with its skin and nipple, but no lymph nodes. In some cases, a separate sentinel node biopsy is performed to remove only the first one to three axillary (armpit) lymph nodes.

# Modified radical mastectomy: removal of the entire breast, nipple/areolar region, and often the axillary lymph nodes. This is the most common form of mastectomy performed today.

# Radical mastectomy: removal of the entire breast, nipple/areolar region, the pectoral (chest) major and minor muscles, and lymph nodes. This procedure is rarely performed today. Axillary Node Dissection in India

Axillary node dissection, the surgical removal of the axillary (armpit) lymph nodes, is usually performed on patients with invasive cancers. A radical mastectomy, modified radical mastectomy, or lumpectomy operation often includes axillary node dissection (this involves a separate incision for lumpectomy patients). After surgery, the axillary lymph nodes are examined under a microscope to determine whether the cancer has spread past the breast and to evaluate treatment options.

Sentinel Lymph Node Biopsy in India Sentinel lymph node biopsy is a new procedure that involves removing only one to three sentinel lymph nodes (the first nodes in the lymphatic chain). To perform sentinel node biopsy, a radioactive tracer and/or blue dye is injected into a region of a tumor. The dye is then carried to the sentinel node (the lymph node most likely to be cancerous if the disease has spread from its original origin).

Lumpectomy in India Lumpectomy is the surgical removal of a cancerous lump (or tumor) in the breast, along with a small margin of the surrounding normal breast tissue. Lumpectomy may also be called wide excision biopsy, breast conserving therapy or quadrantectomy (this latter term is used when up to one fourth of the breast is removed).

Chemotherapy in India

This section is intended to provide general information on chemotherapy for breast cancer patients and to discuss a variety of possible side effects of chemotherapy drugs. Because chemotherapy regimens are individually tailored, the types of drugs administered and their side effects will vary considerably. While this article discusses many of the side effects of chemotherapy in detail, it is important to note that the majority of the side effects associated with chemotherapy are temporary and only occur during or immediately after treatment. In the vast majority of cases, the benefits of treating cancer with chemotherapy far outweighs the risks or inconveniences of any side effects

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