Sunday, November 8, 2015



Signs  and symptoms

 Widespread use of screening mammograms has increased the number of breast cancers found before they cause any symptoms. Still, some breast cancers are not found by mammogram, either because the test was not done or because, even under ideal conditions, mammograms do not find every breast cancer.

The most common symptom of breast cancer is a new lump or mass. A painless, hard mass that has irregular edges is more likely to be cancerous, but breast cancers can be tender, soft, or rounded. They can even be painful. For this reason, it is important to have any new breast mass or lump or breast change checked by a health care professional experienced in diagnosing breast diseases.


 Women who detect any of the following signs or symptoms should tell their doctor (NHS, UK):


    *  A lump in a breast
    * A pain in the armpits or breast that does not seem to be related to the woman's menstrual period
    * 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 swelling (lump) in one of the armpits
    * An area of thickened tissue in a breast
    * One of the nipples has a discharge; sometimes it may contain blood
    *The nipple changes in appearance; it may become sunken or inverted
    *The size or the shape of the breast changes
    * The nipple-skin or breast-skin may have started to peel, scale or flake.


     
Sometimes a breast cancer can spread to lymph nodes under the arm or around the collar bone and cause a lump or swelling there, even before the original tumor in the breast tissue is large enough to be felt. Swollen lymph nodes should also be reported to your doctor.

Although any of these symptoms can be caused by things other than breast cancer, if you have them, they should be reported to your doctor so that he or she can find the cause.

How is breast cancer treated?

 

This information represents the views of the doctors and nurses serving on the American Cancer Society's Cancer Information Database Editorial Board. These views are based on their interpretation of studies published in medical journals, as well as their own professional experience.
This treatment information is not official policy of the Society and is not intended as medical advice to replace the expertise and judgment of your cancer care team. It is intended to help you and your family make informed decisions, together with your doctor.
Your doctor may have reasons for suggesting a treatment plan different from these general treatment options. Don't hesitate to ask him or her questions about your treatment options.
General types of treatment for breast cancer

The main types of treatment for breast cancer are:

    *Surgery
    *Radiation therapy
    *Chemotherapy
    *Hormone therapy
    *Targeted therapy
    *Bone-directed therapy

Treatments can be classified into broad groups, based on how they work and when they are used.

Local versus systemic therapy


Local therapy is intended to treat a tumor at the site without affecting the rest of the body. Surgery and radiation therapy are examples of local therapies.

Systemic therapy refers to drugs which can be given by mouth or directly into the bloodstream to reach cancer cells anywhere in the body. Chemotherapy, hormone therapy, and targeted therapy are systemic therapies.

Adjuvant and neoadjuvant therapy


Patients who have no detectable cancer after surgery are often given additional treatment to help keep the cancer from coming back. This is known as adjuvant therapy. Doctors believe that even in the early stages of breast cancer, cancer cells may break away from the primary breast tumor and begin to spread. These cells can't be felt on a physical exam or seen on x-rays or other imaging tests, and they cause no symptoms. But they can go on to become new tumors in nearby tissues, other organs, and bones. The goal of adjuvant therapy is to kill these hidden cells. Both systemic therapy (like chemotherapy, hormone therapy, and targeted therapy) and radiation can be used as adjuvant therapy.

Most, but not all, patients benefit from adjuvant therapy. How much you might benefit depends on the stage and characteristics of the cancer and what type of surgery you had. Generally speaking, if the tumor is larger or the cancer has spread to lymph nodes, it is more likely to have spread through the bloodstream, and you are more likely to see a benefit. But there are other features, some of which have been previously discussed, that may determine if a patient should get adjuvant therapy. Recommendations about adjuvant therapy are discussed in the sections on these treatments and in the section on treatment by stage.

Some patients are given treatment, such as chemotherapy or hormone therapy, before surgery. The goal of this treatment is to shrink the tumor in the hope it will allow a less extensive operation to be done. This is called neoadjuvant therapy. Neoadjuvant therapy also lowers the chance of the cancer coming back later. Many patients who get neoadjuvant therapy will not need adjuvant therapy, or will not need as much.

The next few sections offer general information about the types of treatments used for breast cancer. This is followed by a discussion of the typical treatment options based on the stage of the cancer (including non-invasive and invasive breast cancers), plus a small section on breast cancer treatment during pregnancy.


Source By.....http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-treating-general-info
http://www.medicalnewstoday.com/articles/37136.php

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