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| What is breast cancer? |
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It is a general term for different types of cancer of the different breast tissue cells.
Basically, abnormal cells multiply uncontrollably and form a tumour i.e. a lump of extra tissue.
Lumps can be benign (non-cancerous) which are harmless and can be removed or malignant (cancerous).
Malignant (cancerous) tumours must receive immediate attention as they can spread to nearby tissues or they can break away from the primary tumour and invade other parts of the body to form secondary tumours (metastases). |
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| Types of tissue cells contained in the breast that can become cancerous: |
| Besides blood vessel the breast also contains: |
- 15 to 20 sections or lobes, each lobe has many smaller lobules or glands.
- Milk ducts that transport milk from the glands to the nipples.
- Fatty tissue and ligaments (Stroma), which surrounds the ducts and lobules.
- Lymph vessels that carry the tissue fluid (lymph), as well as immune cells, to the lymph nodes (small glands which are clusters of immune system cells).
- The lymph node clusters that drain away from the breast are located under the arm, above the collarbone, in the chest and in other parts of the body.
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| What are the symptoms to watch out for? |
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- Any lumps or swelling in the breast area or under the arm.
- Unusual discharge from the nipple.
- Change in any area of the skin of the breast or the appearance of the nipple.
- Change in contour, texture or temperature of the breast.
- Other symptoms can include swelling, discomfort, pain or tenderness of the breast.
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| Diagnosis of breast cancer: |
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| The diagnosis starts with yourself – see your doctor as soon as you become aware of any of the symptoms. |
| Breast cancer is usually diagnosed with the ‘triple assessment’:
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- The doctor will take a full history of the patient and do a thorough physical examination.
- A radiologist does a mammogram and/or an ultrasound.
- The cells of the lump may be withdrawn by using a fine needle and tested.
If the assessment indicates that the lump may possibly be cancerous or if there is still doubt in this regard, a biopsy is done i.e. all or part of the lump is surgically removed for examination. |
| Treatment of breast cancer: |
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| Treatment largely depends of the type of cancer and what stage it has reached. |
| The treatment could be either: |
- Local treatment (i.e. surgery or radiation to remove or destroy the cancer cells in the breast and adjacent lymph nodes) usually when the disease is in the early stages.
- Systemic (i.e. chemotherapy or hormonal treatment) usually administered when the disease has reached a more advanced stage.
- Mastectomy i.e. removal of the breast or as much of the breast tissue as necessary to curb metastasising.
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| Breast-Self Examination |
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| Why is breast self-examination (BSE) important? |
By doing BSE regularly you will get to know the structure of your breasts and how your breasts normally feel and you will therefore be able to detect changes when they occur.
Remember, the sooner breast cancer is diagnosed, the better your chances of beating it. |
| When should breast self-examination be done? |
- Women should start BSE at the age of 20.
- Examine breasts once a month.
- Do the examination one week after the end of menstruation; the reason being that during your period, your breasts most likely are tender.
- If you no longer menstruate, choose a certain day of the month in which to do it.
- If you are taking hormones, ask your doctor about what time of the month you should to self-examination.
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| How to do BSE |
| To check for any changes in size, shape and the contour of each breast and to look for puckering, dimpling or other changes of the skin texture: |
Stand in front of a mirror and do the following:
- Raise your arms above your head.
- Clasp your hands behind your head and press them forward.
- Place your hands on your hips and lean forward while pulling your shoulders and elbows forward.
- Squeeze both nipples to check for discharge
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| To check breast and underarm area for lumps: |
Standing up or in the bath or shower:
- Raise one arm and put it behind your head.
- Working in sections from the armpit towards the nipple and back again.
- Using the middle three fingers of your other hand, feel the tissue by pressing your fingers in small, overlapping areas.
- Starting in the underarm area, move the fingers pressing downward until they are below the breast and then move them towards the nipple.
- Then move your fingers back towards to outer edge until the whole area has been covered.
- Rest your arm on a firm surface and do the same in the underarm area.
- Circular movements: Beginning at the outer edge of the breast, move your fingers in circular movements. Then Move around the breast in increasingly smaller circles gradually going towards the nipple.
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| Note: |
- Powder or lotion can make it easier to move the fingers over the skin or do this in the bath or shower when the skin is wet and soapy.
- Start the BSE using light pressure, then repeat it using slightly more pressure and then finally with firm pressure to feel the deeper tissue.
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| Lying down (this position flattens the breast and makes it easier to check). |
- Lie down flat on your back with your arm tucked behind your head with a pillow or folded towel under you shoulder, repeat the examination as with the fingers of the other hand.
- Do the same with the other breast.
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| Reconstructive surgery: |
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| The option of reconstructive surgery is available for women who have had breast cancer. The reconstruction is aimed at giving the woman matching breast shapes that look very natural. |
| Where to get help and advice: |
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| The Cancer Association of S.A. (CANSA) National Toll-Free Help-line no. 0800-226622 |
| The Hospice Society of South Africa – consult your telephone directory for the telephone number of the local hospice. Enquire about Support Groups in your area. |
| For information on other Women's Health issues, click on the links below: |
Cancer of the cervix
Menopause
Osteoporosis
Cancer of the Ovaries
Cancer of the Vulva
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