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Breast Cancer: Prevention, Diagnosis And Treatment

  • Author by Raazi
  • Reviewed By Raazi
  • Last Edited : August 23, 2024
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Breast cancer is a life-threatening disease. It brings many complications in a woman’s life, both physical and psychological. Surgical procedures such as mastectomy can lead to issues with one’s body image. The primary breast cancer treatment is complicated (consisting of chemotherapy, surgery, radiotherapy, and endocrine hormonal therapy). 

Hospital visits that are frequent need more extended periods of waiting times. Patients inevitably experience financial strain due to their time in the hospital receiving treatments. The disruption of social activities such as child caring, work, leisure time, and everyday living further adds to the already high stress levels, resulting in a worse quality of life for the affected individuals.

In the following, you will find preventive measures for saving yourself from this disease and other helpful information regarding diagnosis and treatment.

  • Men can develop breast cancer, with awareness increasing about their unique risk factors and symptoms.
  • Research is ongoing into vaccines that could potentially prevent or treat breast cancer.
  • Psychosocial oncology focuses on the psychological and emotional impacts of breast cancer diagnosis and treatment.
  • Neoadjuvant therapy administers chemotherapy before surgery to shrink tumors for breast-conserving surgery.
  • Genetic counseling helps individuals understand their hereditary breast cancer risk and preventive measures.
  • Regular physical activity post-diagnosis can reduce breast cancer recurrence by 30-50%.
  • Liquid biopsy can detect breast cancer DNA in the bloodstream for less invasive diagnosis.

What Should You Do To Prevent Breast Cancer?

Altering how you go about your everyday life might help lower your chance of developing breast cancer. Try to:

Screening

You and your partner are best positioned to choose which breast cancer screening methods suit you. Before going for that, keep in mind to:

  • Talk to your primary care physician about being screened for breast cancer. 
  • Talk to your primary care physician about when you should start getting breast cancer screening examinations and tests, such as mammograms and clinical breast exams.
  • Discuss with your healthcare provider about the advantages and disadvantages of breast cancer screening.

Regular Self-Examination

Regular self-examination may make you more comfortable with your breasts and increase your breast cancer awareness. Women can get more acquainted with their breasts. This helps you raise awareness about any changes that start and also about breast cancer.

Talk to your healthcare provider as soon as possible if you notice any new changes, lumps, or other peculiar symptoms in your breasts. It is advisable to always keep checking for the symptoms of breast cancer to avoid the disease. 

Although breast awareness cannot prevent breast cancer, it may assist you in better understanding the typical changes that take place in your breasts. It also helps to recognise any signs or symptoms that are out of the ordinary.

If you choose to consume alcohol at all, do so in moderation.

Physical Exertion

Perform physical activity on reference without skipping any week’s days. Strive to get at least half an hour of physical activity daily. If you are not in the practice of doing a workout, you should see your physician before beginning an exercise routine and then ease into it.

Reduce The Use Of Hormone Treatment After Menopause

There is some evidence that combination hormone treatment raises the danger of breast cancer. Discuss hormone treatment’s potential advantages and drawbacks with your primary care provider.

Some women go through menopause with troubling signs and symptoms. For these women, an increased risk of breast cancer may be acceptable to ease menopausal signs and symptoms. 

Use the smallest feasible dosage of hormone treatment for the shortest possible period to lower your chance of developing breast cancer.

Keep Your Weight At A Healthy Level

If you are healthy, you should try to stay at that weight. If you feel you need to lower your weight, discuss with your primary care provider some effective but healthy weight loss options. It would help if you cut down on the calories you consume daily and gradually ramp up the amount of activity you do.

Pick a diet that’s good for you. It’s possible that women who follow a Mediterranean diet that includes extra-virgin olive oil and a variety of nuts will have a lower chance of developing breast cancer.

The majority of the foods consumed on a Mediterranean diet are plant-based. 

These include a variety of fruits and vegetables, as well as nuts, legumes and whole grains. People who adhere to the Mediterranean diet favor healthy fats, like olive oil, over butter, and select fish over red meat as their primary protein source.

Reducing The Risk Of Breast Cancer In People Who Already Have A High Risk

Suppose your family history has been evaluated, and your doctor has concluded that you have additional factors, which include a precancerous breast condition, that raise your chance of breast cancer. In that case, you and your doctor may consider methods to minimize your risk, such as the following:

Medications used for preventive (chemoprevention)

Women at an increased risk of breast cancer can lower the risk by consuming some drugs. Drugs blocking oestrogens, such as aromatase inhibitors and selective estrogen receptor modulators, may help lower that risk.

Because of the potential for these drugs to cause adverse reactions, physicians only prescribe them to patients at a very high risk of developing breast cancer. Talk to your healthcare provider about the potential advantages and drawbacks.

Operation for preventive purposes

It is possible for women who have a significantly elevated risk of breast cancer to choose to have their healthy breasts removed surgically (prophylactic mastectomy).

They may also decide to perform a preventative oophorectomy, which involves removing healthy ovaries to lower their chances of developing breast or ovarian cancer.

Diagnostic Procedures

Among the possible diagnostic procedures for breast cancer are:

An examination of the body

If you have seen any changes in the appearance of your breasts or if mammography has shown anything questionable, your primary care physician will do a physical exam on you and examine both your breasts and the lymph nodes above your clavicle and above your arms.

Your primary care physician will also inquire about comprehensive medical history and any breast cancer in your family’s lineage.

Mammogram

A mammography is a low-dose x-ray that may detect changes in the breast that are too subtle to be felt when the breast is examined physically. Before getting a mammogram, you must disclose to the professionals whether you have ever had breast implants.

Ultrasound

If mammography reveals changes in your breasts, your doctor may recommend an ultrasound. This scan will create an image of your breast using harmless sound waves.

Biopsy

If a doctor suspects that a patient has breast cancer, they will remove a small piece of the patient’s breast tissue so that it may be examined under a microscope by a pathologist.

Additional scans

Whether the cancer is found in your breast, you could have further scans done, such as a CT or an MRI scan, to see if the disease has spread to other regions of your body. If it has, the treatment plan might change.

Staging

The extent of the breast cancer and whether it has migrated to the draining lymph nodes under the arm are also factors that are evaluated throughout the staging process. A CT scan of the chest and liver and a bone scan is performed to assess the locations to which breast tumors most often spread.

Breast Cancer Treatment Options

If you have been diagnosed with breast cancer, your doctor will sit down with you to discuss the various treatment choices.

It is essential that you consider each of your options seriously and assess the advantages of each course of therapy against the potential dangers and adverse consequences of each course of treatment.

Following are the therapies you have to select the option from.

Local therapies

Some therapies, like surgery and radiation, are said to be local, showing that they treat the tumor without damaging other body parts.

Most breast cancer patients will need some surgical procedure to remove the tumor. You may need other forms of therapy in addition to surgery, depending on the nature of the breast cancer and how far it has progressed. These additional treatments may be required sometime during surgery or occasionally both.

Surgery

The mastectomy with lymphadenectomy underarm reconstruction is the most thorough surgical approach for treating breast cancer that has been localized to one breast.

Breast-conserving surgery, often known as a lumpectomy, refers to the surgical procedure in which a small portion of the affected breast is removed.

Following breast-conserving surgery, patients are often advised to undergo radiotherapy.

A breast removal procedure known as a mastectomy removes the whole breast.

Therapy with radiation (Radiotherapy)

After breast-conserving surgery, you may be advised to undergo radiation treatment, often known as radiotherapy, to eliminate any remaining cancerous cells.

It is also shown that if lymph nodes from beneath the arm were removed, there is a possibility that the malignancy may spread to this region.

If cancer is possibly returning to the chest region following a mastectomy, radiation therapy is an additional treatment option that may be considered.

Treatments on a systemic level

Cancer cells are reachable almost everywhere in the body. The medications used to treat this scattered condition are categorized as systemic therapy. Some may be taken orally, while others are administered through injection into a muscle or straight into the circulation.

Several forms of pharmacological therapies may be used in the treatment of breast cancer, including the following options:

Treatment of Breast Cancer with Chemotherapy

If there is a high likelihood that cancer will come back after surgery or radiation therapy, or if cancer comes back after either of those treatments, chemotherapy may be administered to help reduce the tumor before it is removed surgically.

It may be utilized when the malignancy is HER2 positive, or hormone treatment fails to control the disease.

Breast Cancer Treatment Involving Hormone Therapy

Drugs are used in hormone treatment to lower the number of female hormones in the body. The proliferation of hormone receptor-positive cancer cells is inhibited or slowed due to this treatment.

Your age, the subtype of breast cancer you have, and whether you have entered menopause will all play a role in determining the hormone treatment you get.

The Use of Certain Drugs in the Treatment

Drugs used in targeted treatment go after particular targets located inside cancer cells. Only patients with breast cancer that are positive for HER2 may benefit from the treatments presently on the market.

Approaches To Therapy That Are Often Used

In most cases, the therapy is determined by the kind of breast cancer and the stage at which it has been diagnosed. Besides these considerations, your doctor also considers your general health, whether you’ve gone through menopause, and your personal preferences.

Who Treats Breast Cancer?

Your treatment team may comprise various medical professionals, depending on the many treatment choices available to you.

These medical professionals might be:

  1. A breast surgeon or surgical oncologist is a physician who treats breast cancer via the use of surgical procedures.
  2. Oncologists specializing in the use of radiation in cancer treatment are called radiation oncologists.
  3. A medical oncologist is a kind of physician who treats cancer patients with medications such as chemotherapy, hormone therapy, immunotherapy, and other forms of treatment.
  4. A physician specializing in rebuilding or mending various body portions is called a plastic surgeon.

Prostheses for the breast and breast reconstruction after surgery

You may be concerned about restoring your breasts’ contour either before or after surgery.

Get a breast prosthesis or reconstruct your breast. A breast prosthesis is a synthetic breast or portion of a breast that may be worn in a bra or under clothes to replace all or part of a natural breast.

Breast prostheses can be made from silicone gel or other materials. A new breast may be created via a surgical procedure known as breast reconstruction. Discuss your choices with the members of your healthcare team.

Takeaway

You could feel astonished, sad, nervous, or bewildered after learning that you have breast cancer once you get diagnosed.

These are very natural reactions. Talk to your family, friends, and doctor about the many therapy choices available to you. Seek out as much information as will satisfy your requirements.

Your level of participation in the choices that will be made about your treatment is entirely up to you. After receiving a diagnosis of breast cancer, it is essential to acquire more knowledge. Taking a second opinion is the best satisfaction policy.

You must use all your resources to look for the most effective treatment for you. You can also talk to some women who have undergone the same situation.

Breast Cancer: Prevention, Diagnosis And Treatment

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