Breast Cancer Questions on Treatment & Diagnosis to Ask Doctors
Breast Cancer Questions on Treatment & Diagnosis to Ask Doctors
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. There are several types of tumors that may develop within different areas of the breast. Most tumors are the result of benign (non-cancerous) changes within the breast. For example, fibrocystic change is a non-cancerous condition in which women develop cysts (accumulated packets of fluid), fibrosis (formation of scar-like connective tissue), lumpiness, areas of thickening, tenderness, or breast pain.
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.
# Excess weight: The relationship between excess weight and breast cancer is complex. In general, weighing more than is healthy increases your risk, particularly if you gained the weight as an adolescent. But risk is even greater if you put the weight on after menopause. Your risk also is greater if you have more body fat in the upper part of your body
. # Early onset of menstrual cycles: If you got your period at a young age, especially before age 12, you may have a greater likelihood of developing breast cancer. Experts attribute this risk to the early exposure of the breast tissue to estrogen.
# Late menopause: If you enter menopause after age 55, you're more likely to develop breast cancer. Experts attribute this to the prolonged exposure of the breast tissue to estrogen.
# First pregnancy at older age: If your first full-term pregnancy occurs after age 30, or you never become pregnant, you have a greater chance of developing breast cancer. Although it's not entirely clear why, an early first pregnancy may protect breast tissue from developing genetic mutations that result from estrogen exposure.
# Race: White women are more likely to develop breast cancer than black.
Symptoms of Breast Cancer
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).
Diagnosis of Breast Cancer
Mammography
ScreeningMammography :- A mammogram is a low-dose X-ray of the breast. This is the best test we have to screen women for breast cancer. A Screening Mammogram consists of two "pictures" of each breast. If an area on the mammogram looks suspicious or is not clear, additional mammograms with different views may be needed. Annual screening mammography is recommended for all women over 40 years old.
Diagnostic Mammography :- This is a mammogram used for problem-solving, rather than for screening. For instance, if a patient has a lump in her breast, a directed investigation of that area is performed. This is also done when a particular finding in the breast is being followed over time. A diagnostic mammogram is tailored to the patient's case and is carefully monitored by a radiologist, who interprets the images and determines whether there is any need for further tests....
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 Types of Mastectomy
*Simple or total mastectomy:
*Modified radical mastectomy:
*Radical mastectomy
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).
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.
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.
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