Breast cancer; symptoms, risk factors, treatments and preventions
Breast cancer is the most common invasive cancer in women, and the second main cause of cancer death in women, after lung cancer. Breast cancer can affect men too, but this article will focus on breast cancer in women. Advances in screening and treatment have improved survival rates dramatically since 1989. The chance of any woman dying from breast cancer is around 1 in 37, or 2.7 percent. Awareness of the symptoms and the need for screening are important ways of reducing the risk of getting it.
What is breast cancer?
After puberty,
a woman's breast consists of fat, connective tissue, and thousands of lobules,
tiny glands that produce milk for breast-feeding. Tiny tubes, or ducts, carry
the milk toward the nipple. Breast cancer usually starts in the inner lining of
milk ducts or the lobules that supply them with milk. From there, it can spread
to other parts of the body. In cancer,
the body's cells multiply uncontrollably. It is the excessive cell growth that
causes cancer.
Symptoms
The first symptoms of
breast cancer are usually an area of thickened tissue in the breast, or a lump
in the breast or in an armpit. Note that, most lumps are not cancerous,
however, women should have them checked by a health care professional. Other
symptoms include:
·
a pain in the armpits
or breast that does not change with the monthly cycle
·
pitting or redness of
the skin of the breast, like the skin of an orange
·
a rash around or on
one of the nipples
·
a discharge from a
nipple, possibly containing blood
·
a sunken or inverted
nipple
·
a change in the size
or shape of the breast
·
peeling, flaking, or
scaling of the skin on the breast or nipple
Risk factors
The exact cause remains unclear, but some risk factors make it more likely. Some of these are preventable.
The exact cause remains unclear, but some risk factors make it more likely. Some of these are preventable.
1. Age: The risk increases
with age. At 20 years, the chance of developing breast cancer in the next
decade is 0.6 percent. By the age of 70 years, this figure goes up to 3.84
percent.
2. Genetics: If a close
relative has or has had, breast cancer, the risk is higher.
3. A history of breast
cancer or breast lumps: Women who have had breast cancer before are more likely
to have it again, compared with those who have no history of the disease. Having
some types of benign, or non-cancerous breast lumps increases the chance of
developing cancer later on.
4. Dense breast tissue: Breast
cancer is more likely to develop in higher density breast tissue.
5. Estrogen exposure and
breast-feeding: Being exposed to estrogen for a longer period appears
to increase the risk of breast cancer. This could be due to starting periods
earlier or entering menopause later than average. Between these
times, estrogen levels are higher. Breast-feeding, especially for over 1 year,
appears to reduce the chance of developing breast cancer, possibly
because pregnancy followed by breastfeeding reduces exposure to estrogen.
6.Body weight: Women who are overweight or have obesity after menopause may have a higher risk of developing breast cancer, possibly due to higher levels of estrogen. High sugar intake may also be a factor.
7. Alcohol consumption: A
higher rate of regular alcohol consumption appears to play a role. Studies have
shown that women who consume more than 3 drinks a day have a 1.5 times higher
risk.
8. Radiation exposure: Undergoing
radiation treatment for a cancer that is not breast cancer increases the
risk of breast cancer later in life.
9.Hormone treatments: The
use of hormone replacement therapy (HRT) and oral birth control pills
have been linked to breast cancer, due to increased levels of
estrogen.
10.Cosmetic implants : Women with cosmetic breast implants who are diagnosed
with breast cancer have a higher risk of dying from the disease and a
25 percent higher chance of being diagnosed at a later stage, compared with
women without implants.
This
could be due to due to the implants masking cancer during screening, or because
the implants bring about changes in breast tissue. More research is needed.
Treatment will depend on
the following factors; the type of breast
cancer, the stage of the cancer, sensitivity to hormones, the patient's age,
overall health, and preferences. Note
that, treatments for breast and other cancers can have severe adverse effects. The
patient should discuss with a doctor the risks involved and ways to minimize
the negative effects, when deciding on treatment.
The main treatment options include:
·
Radiation therapy:
Controlled doses of radiation are targeted at the tumor to
destroy the cancer cells. Used from around a month after surgery, along with
chemotherapy, it can kill any remaining cancer cells.
·
Surgery: Involves removing
the cancerous cells or tumor.
·
Biological therapy, or targeted drug therapy: Targeted drugs destroy specific types of breast cancer.
Examples include trastuzumab (Herceptin), lapatinib (Tykerb), and bevacizumab
(Avastin). These drugs are all used for different purposes
·
Hormone
therapy:
Hormone blocking therapy is used to prevent recurrence in hormone-sensitive
breast cancers. Hormone blocking therapy is normally
used after surgery, but it may sometimes be used beforehand to shrink the
tumor.
It may be the only option for
patients who cannot undergo surgery, chemotherapy, or radiotherapy.
·
Chemotherapy:
Medications known as cytotoxic drugs may be used to kill
cancer cells, if there is a high risk of recurrence or spread.
There is no sure way to prevent
breast cancer, but some lifestyle decisions can significantly reduce the risk
of breast and other types of cancer.
These include:
·
avoiding excess alcohol consumption
·
following a healthy diet with plenty
of fresh fruit and vegetables
·
getting enough exercise
·
maintaining a healthy body mass
index
Women should think carefully about
their options for breast-feeding and the use of HRT following menopause, as
these can affect the risk.
Your best defense is detecting breast cancer early. Visit your hospital regularly for screening to avoid being caught off-guard and save the tatas!
Your best defense is detecting breast cancer early. Visit your hospital regularly for screening to avoid being caught off-guard and save the tatas!
I hope
you you learnt something new today. Don’t forget to share this with your mum, sister, wife
and girlfriend. You can also check out our other publications on breast REASONS WHY SLEEPING IN A BRA IS A BAD IDEA and SURPRISING FACTS YOU DIDN’T KNOW ABOUT YOUR BREAST.
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