The Signs and Symptoms of Breast Cancer – More than 250,000
women in the United States will be diagnosed with some form of breast cancer
this year -- that’s approximately 1 in 8 women. Breast cancer typically appears
in cells lining the breast’s milk ducts, or in the glands that produce milk.
Cancer cells formed in the breast can spread through to other places in the
body via the lymph nodes.
While the vast majority of cases of breast cancer are
diagnosed in women, more than 2,000 new cases of breast cancer are diagnosed in
American men each year. For either sex, symptoms of breast cancer may be
detectable through breast self-exam, or doctor’s exam and mammography. The most
common sign of breast cancer is a lump found in the breast or armpit area.
Because symptoms of breast cancer may be related to noncancerous breast
conditions, further testing is almost always required to confirm a diagnosis.
The American Cancer Society recommends yearly mammograms for
women starting at age 40 and continuing for as long as a woman is in good
health.
Finding a Lump or Hard Knot
Breast tissue is naturally lumpy, but some women may detect
a lump or knot that feels harder or thicker than surrounding tissue. Not every
lump is cancerous. Some lumps are related a woman’s menstrual cycle and
disappear after menstruation, or a lump may indicate a benign cyst. However,
whenever you notice any type of unusual growth, see your health care provider.
Dimpled Skin
Dimpled or puckered skin can be a sign of breast cancer, as
can large, visible pores or the skin taking on an orange-peel-like appearance.
If your breast or breasts show any of those indicators, don't wait. Call your
physician.
Skin Signs
If you notice patches of skin on your breast, nipple or
areola-- the darkened skin surrounding the nipple -- pay close attention. If
those areas become scaly, itchy and red or darkened or your breast feels warm
where irritations have broken out, it's best to notify your health care
provider.
Changes in Breast Size
If you are not breastfeeding, a sudden swelling in one or
both breasts may indicate a blockage that causes lymph fluid to back up. A
problem with your lymph nodes may also appear as swelling in your collarbone or
armpits. If one or both breasts shrink unexpectedly, it may be a sign that
significant hormonal changes, which can be a trigger for cancer.
It’s normal to have one breast that is slightly larger than
the other, but if you notice a recent change in your breasts , bring this up
with your doctor.
Nipple Changes
Some types of breast cancer cause the nipple to retract or
completely invert. But that doesn't mean you have cancer. Conditions such as
pregnancy, breastfeeding and aging can cause changes. Some people are born with
inverted nipples, too.
Nipple Discharge
A discharge from your nipple, whether clear or bloody, may
indicate a tumor. But an infection or an injury to your breast can be the cause
of the discharge too. It helps to be aware of any discharge and to keep track
of it. If it persists, check with your doctor.
Breast Pain
Breast pain makes the list of common symptoms, but be aware
that while some breast cancers cause pain in the breast, most do not. Studies
have shown that only about 5 percent of women diagnosed with breast cancer had
pain as their main symptom.
Risk Factors
Approximately 15 percent of women who develop breast cancer
also have a first-degree relative -- mother, sister, daughter -- who had a
breast cancer diagnosis. The strong family connection may be connected to an
inherited mutation of the BRCA1 or BRCA2 gene.. Researchers estimate that
having either a BRCA1 or BRCA2 mutation raises women’s risk of developing
breast cancer by 45 to 65 percent.
Age is also a factor. Breast cancer rates generally start to
rise after age 40, but about two out of every three cases of invasive breast
cancer, a more serious form of breast cancer, are found in women 55 or older.
White women are more likely to develop breast cancer after age 45, compared
with African-American women. Before age 45, however, African-American women are
not only more likely than white women to develop breast cancer, but are also
more likely to die from it. Asian, Latin American and Native American women are
all at lowered risk for the disease.
If you smoke or are obese, you raise your risk of breast
cancer no matter what your age.
Getting a Jump on the Disease
Women as young as 20 should make a clinical breast exam a
part of her routine when seeing the doctor. After age 40, the American Cancer
Society recommends women have a breast exam by a health professional every
year, including a screening mammogram. Women of all ages are encouraged to
conduct frequent breast self-exams to help detect changes between exams.
The first step after a problem is detected is a biopsy,
which can pinpoint the problem better. Any treatment depends on whether there's
an actual tumor, calcifications and if cancer has spread to the lymph nodes.
Treatment options can vary from surgery to remove a single tumor to hormone
therapy, radiation and chemotherapy either as a standalone treatment or in
combination.
Getting Help
In its earliest stages, breast cancer symptoms may not be
apparent except through an exam by your doctor. If you think you are risk for
breast cancer, put your mind at ease by contacting your medical provider and
getting checked. Your doctor can also show you how to perform breast self-exams
at home.
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