Breast cancer is
the most common form of cancer women have to face during their
lives. Worldwide, approximately one out of every nine women
develops breast cancer and this condition is the second most fatal
cancer for women, after lung cancer.
Myths or Facts There are many myths attached to breast cancer. Some think that any lump in breast is a breast cancer but to the contrary most of them are benign. Similarly it was a popular belief earlier that breast-feeding decreases one’s risk of the cancer but that has been now found to be untrue. Some say that mammography makes the breast cancer widespread but it’s not true. Similarly there are many other myths, which need to be
eliminated from the mind of the general public for the proper detection and management of the tumor.
Early detection Breast cancer can be detected in an early stage if women are taught to self-examine their breast. In case of detection of any breast lump or of any slightest suspicion, mammography should be done to rule out any tumor. Mammography is a good tool to diagnose this type of cancer.
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Cause
The cause is not fully understood. The
usual suspects in breast cancers are genetics, exposure to
ionizing radiation and xenoestrogens that cause mutations in the
DNA, while decreasing the body's capacity to repair the damage.
However, there are other things that act as promoters of the
disease, such as age, alcohol, smoking, artificial light, obesity
and having the first child at late age.
Gaining weight, especially after the
menopause, has a tremendous influence on the risk of developing
breast cancer. An international team of scientists has recently
found that losing 10 pounds between the ages of 18 and 30 lowers
the risk of cancer by as much as 65%, while gaining 10 pounds
increases the risk of developing cancer after the age of 40.
The international study was conducted on a group of 2,000 women
carrying the BRCA1 and 2 genes and focused on their weight at the
ages of 18, 30 and 40. What scientists found was that women who
lost weight, especially after having given birth to children, had
better chances of avoiding the mutation of genes that causes
breast cancer.
Another important study has focused on the diet of women after
breast cancer surgery. According to this study, women who had
followed a low-fat diet saw a 24 percent decrease on average in
the risk of breast cancer recurrence. The biggest boon went to
women suffering from estrogen receptor negative cancer, who saw a
42 percent drop in the risk of recurrence.
For this reason doctors and cancer experts advise women to keep
an eye on their weight, because letting things go out of hand
could turn out to have fatal consequences later on. A low-fat
diet, plenty of exercise and healthy foods are one of the best
ways women can make life easier for themselves. A normal body
weight also helps fight cancer, diabetes, high blood pressure,
heart disease and other conditions.
Diagnosis The findings that denote a cancer are single, non-tender and firm to hard mass with ill-defined margins. This can be later confirmed by mammography and biopsy. After the cancer has been diagnosed staging is done to find out the best treatment option as well as the prognosis.
Management The management of breast cancer rests basically on two things. The first is the treatment and second is the counseling. The treatment can further be divided into three: medical, radiation, and surgery. The medical treatment consists of drugs such as tamoxifen, which is an anti estrogen, aromatase inhibitors such as aminoglutethimide and monoclonal antibodies such as trastuzumab. But similar to other drugs they have their own side effects profile. The side effects associated with tamoxifen are increased vaginal bleeding, endometrial cancer and cataracts. The aromatase inhibitors have the side effects of leg cramps, jaundice and weight gain while the monoclonal antibodies may cause sterility or certain birth abnormalities. Generally the radiation and surgery are the modalities, which are needed for the treatment to ward off the body of the cancerous growth.
Counseling This is one of the most important parts of the treatment both before and after the surgery. The patients are to be taught that this is only another disease, which has treatment available, and persons can lead a normal life after that.
Latest research Latest research is being done on both the surgery and the medicine. For the surgery, surgeons are trying to find out the best way of surgery so that post surgery the patients have minimal disabilities. Similar medicines with lesser side effects are being researched.
If you have questions related to this article you
may e-mail me at doctor@soontongkiong.com quoting the contents of
the article.
About the author
DR SOON is a medical practitioner. He holds four degrees. MBBS
(University of Malaya), MBA (University of East Asia), LLB (Hons)
(University of Wolverhampton), Master of Medicine (Edith Cowan
University
:Dr SOON is the owner of AskMyVisitor.com and MyScriptDoctor.com
where you can find the most up-to-date advice and information
on
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