Page 17 - ACCF Essentia | Vol. III | Issue 3 | June 2024
P. 17

These include:
        Breast cancer cells begin inside the milk ducts and  / or the
        Breast cancer cells begin inside the milk ducts and    /   o r   t h e    These include:
                      g
        milk-producing lobules of the breast. The earliest form  » »  Surgery to remove the breast tumour
        milk-producing lobules of the breast. The earliest form
                                                                     Surgery to remove the breast tumour
        (in situ) is not life-threatening and can be detected in  » »  Radiation therapy to reduce recurrence risk in
        (in situ) is not life-threatening and can be detected in
                                                                     Radiation therapy to reduce recurrence risk in
                g
        earl y  st ag es. Cancer cells can s pr ead  i nto nearb y  breast    the breast and surrounding tissues
        early stages. Cancer cells can spread into nearby breast
                                                                     the breast and surrounding tissues
        tissue (invasion), creatin g  tumours that cause lum ps
        tissue (invasion), creating tumours that cause lumps
                                                                     Medications to kill cancer cells and prevent
        or thickening. Invasive cancers can spread to nearby
                    g
        or thickenin g.  Invasive cancers can   sp read to near by  » »  Medications to kill cancer cells and prevent
                                                                     spread, including hormonal therapies,
        ly
             h nodes or other o
        lymph nodes or other organs (metastasize), which can         spread, including hormonal therapies,
                               rg
                                 ans (metastasize), which can
          mp
                                                                     chemotherapy, or targeted biological therapies
        be life-threatening and fatal. Treatment is based on the
        be life-threatening and fatal. Treatment is based on the     chemotherapy, or targeted biological therapies
        individual, the type of cancer, and its spread. It typically    » »  Treatments for breast cancer are more effective
                                                                     Treatments for breast cancer are more effective
        individual, the type of cancer, and its spread. It typically
                                                                     and are better tolerated when started early and
              nes surgery, rad
                                                         i
                                                         ons.
                                                     i
                                                      cat
              i
                              i
        combines surgery, radiation therapy, and medications.        and are better tolerated when started early and
                              at
                                i
                                 on therapy, and med
        comb
                                                                     taken to completion.
        Symptoms
        Sy mp toms                                                   taken to completion.
                                                                    g
                                                                 Surgery may remove just the cancerous tissue
                  le will not ex
                 p
                               erience any sym
                                               p
                              p
                                                 toms when
        Most people will not experience any symptoms when        Surgery may remove just the cancerous tissue
               eo
             p
        Most
                                                                 (called a lumpectomy) or the whole breast
        the cancer is still early, hence the importance of early   (called a lumpectomy) or the whole breast
                                           p
                                             ortance of early
        the cancer is still early, hence the im
                                                                 (mastectomy). Surgery may also remove lymph
        detection plays a si g ni      cant role. Breast cancer can    (mastectomy). Surgery may also remove lymph
        detection plays a signi cant role. Breast cancer can
                                                                 nodes to assess the cancer’s ability to spread.
        have combinations of symptoms, especially when it
        have combinations of symptoms, especially when it        nodes to assess the cancer’s ability to spread.
                                                                 Radiation therapy treats residual microscopic
                                                                                p
                                                                                                          p
        is more advanced. Symptoms of breast cancer can
        is more advanced. Symptoms of breast cancer can          Radiation therapy treats residual microscopic
                                                                 cancers left behind in the breast tissue and / or
        include:
        include:                                                 cancers left behind in the breast tissue and / or
                                                                 lymph nodes and minimizes the chances of cancer
        » »  A breast lump or thickening, often without pain     lymph nodes and minimizes the chances of cancer
            A breast lump or thickening, often without pain
                                                                 recurring on the chest wall. Advanced cancers
                                                                 recurring on the chest wall. Advanced cancers
        » »  Change in size, shape, or appearance of the breast  can erode through the skin to cause open sores
            Change in size, shape, or appearance of the breast
                                                                                 g
                                                                 can erode through the skin to cause open sores
        » »  Dimpling, redness, pitting, or other changes in the   (ulceration) but are not necessarily painful. Women
            Dimpling, redness, pitting, or other changes in the
                                                                 (ulceration) but are not necessarily painful. Women
            skin                                                 with breast wounds that do not heal should seek
            skin
                                                                 with breast wounds that do not heal should seek
        » »  Change in nipple appearance or the skin             medical care to have a biopsy performed.
                                                                 medical care to have a biopsy performed.
                 g
            Change in nipple appearance or the skin
            surrounding the nipple (areola)
            surrounding the nipple (areola)                      Medicines to treat breast cancers are selected
                                                                 Medicines to treat breast cancers are selected
        » »  Abnormal or bloody    uid from the nipple           based on the biological properties of the

                                                                 based on the biological properties of the
                                                                                   g
            Abnormal or bloody  uid from the nipple
                                                                 cancer as determined by special tests (tumour
        People with an abnormal breast lump should seek          cancer as determined by special tests (tumour
        People with an abnormal breast lump should seek
                                                                 marker determination).  Chemotherapy drugs
        medical care, even if the lump does not hurt.
        medical care, even if the lump does not hurt.            marker determination).  Chemotherapy drugs
                                                                 are the medicines used during chemotherapy.
                                                                 are the medicines used during chemotherapy.
        Most breast lumps are not cancerous. Breast lumps        Chemotherapy is one of the most common and
        Most breast lumps are not cancerous. Breast lumps
                                                                 Chemotherapy is one of the most common and
        that are cancerous are more likely to be successfully    effective cancer treatments available. It destroys
        that are cancerous are more likely to be successfully
                                                                 effective cancer treatments available. It destroys
        treated when they are small and have not spread to
        treated when they are small and have not spread to
        nearby lymph nodes. Breast cancers may spread to
        nearby lymph nodes. Breast cancers may spread to
        other areas of the body and trigger other symptoms.
        other areas of the body and trigger other symptoms.

        Often, the most common  rst detectable site of spread
        Often, the most common     rst detectable site of spread
        is to the lymph nodes under the arm, although it is
        is to the lymph nodes under the arm, although it is
        possible to have cancer-bearing lymph nodes that
        possible to have cancer-bearing lymph nodes that
        cannot be felt.
        cannot be felt.
        Over time, cancerous cells may spread to other organs
        Over time, cancerous cells may spread to other organs
        - including the lungs, liver, brain, and bones. Once they
        - including the lungs, liver, brain, and bones. Once they
        reach these sites, new cancer-related symptoms such
        reach these sites, new cancer-related symptoms such
        as bone pain or headaches may appear.
        as bone pain or headaches may appear.
        Treatment Plan
                                                                 fast-growing cells like cancer cells, and prevents
        Treatment Pl an                                          fast-growing cells like cancer cells, and prevents
        A med  i cal oncolo gi st or a rad i at i on oncolo gi st or  them from multiplying.
        A medical oncologist or a radiation oncologist or
                                                                 them from multiplying.
        a team of s
                   p
                                                     lan
                     ecialist may decide a treatment
                                                    p
        a team of specialist may decide a treatment plan         Medical treatments for breast cancers which
                                                                 Medical treatments for breast cancers which
        depending on the subtype of cancer and how much it       may be given before (“neoadjuvant”) or after
                                    f
        depending on the subtype o
                                     cancer and how much it
                                                                         g
                                                                 may be given before (“neoadjuvant”) or after
        has s p read outside o f  the breast to lym p h nodes or to    (“adjuvant”) surgery is based on the biological
        has spread outside of the breast to lymph nodes or to
                                                                 (“adjuvant”) surgery is based on the biological
        other  p arts o f  the body.                             subtyping of the cancers.  Radiotherapy plays a
        other parts of the body.
                                                                 subtyping of the cancers.  Radiotherapy plays a
        » »  Doctors combine treatments to minimize the          very important role in treating breast cancer. With
            Doctors combine treatments to minimize the
                                                                 very important role in treating breast cancer. With
            chances of the cancer coming back (recurrence).      early-stage breast cancers, radiation can prevent
            chances of the cancer coming back (recurrence).
                                                                 early-stage breast cancers, radiation can prevent
                            y
                             (2009-2010) theme
         World Cancer Da
         World Cancer Day (2009-2010) theme:      :
                                                              17
        “I love my healthy active childhood”
        “I love my healthy active childhood”
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