17/02/2023
"๐๐ผ๐ ๐๐ผ ๐ธ๐ป๐ผ๐ ๐ถ๐ณ ๐๐ต๐ฎ๐ ๐น๐๐บ๐ฝ on your chest is breast cancer"
๐๐ค๐ข๐ ๐ฌ๐ค๐ข๐๐ฃ ๐ฌ๐๐ค ๐๐ง๐ ๐๐ฃ ๐ฉ๐๐ ๐ฌ๐ค๐ง๐จ๐ฉ ๐๐๐จ๐ ๐ค๐ ๐๐ง๐๐๐จ๐ฉ ๐๐๐ฃ๐๐๐ง ๐ค๐ง ๐๐ฃ ๐ฉ๐๐ ๐ก๐๐ฉ๐-๐จ๐ฉ๐๐๐ ๐ค๐ ๐๐๐จ๐๐๐จ๐ ๐๐ฃ๐ ๐๐๐๐๐ฃ๐ค๐จ๐๐จ, ๐๐ง๐ ๐๐๐ช๐จ๐๐ ๐๐ฎ ๐ก๐๐ฉ๐ ๐๐๐ฉ๐๐๐ฉ๐๐ค๐ฃ ๐ฌ๐๐๐๐ ๐ฉ๐๐๐ฃ ๐ง๐๐จ๐ช๐ก๐ฉ๐จ ๐๐ฃ ๐ก๐ค๐ฌ ๐จ๐ช๐ง๐ซ๐๐ซ๐๐ก ๐ง๐๐ฉ๐๐จ [1] ๐๐๐๐จ๐ ๐ฅ๐๐ฉ๐๐๐ฃ๐ฉ๐จ ๐ฌ๐๐ง๐๐ฃโ๐ฉ ๐๐ฌ๐๐ง๐ ๐ฉ๐๐๐ฉ ๐ฉ๐๐ ๐ก๐ช๐ข๐ฅ ๐ค๐ฃ ๐ฉ๐๐๐๐ง ๐๐๐๐จ๐ฉ ๐ฌ๐๐จ ๐ ๐จ๐๐๐ฃ ๐ค๐ ๐๐๐ฃ๐๐๐ง ๐๐ก๐ง๐๐๐๐ฎ.
Since many breast cancer symptoms arenโt noticeable without professional screening, itโs important to undergo early detection because itโs crucial in getting better treatment.
One of the most common and non-visible symptoms of breast cancer is lumps. However, not all lumps are cancerous and more than 80 percent of them end up being benign [2]. When breast cancer is detected early, thereโs a 5-year relative survival rate of 99 percent [3]. Early detection consists of doing monthly self-exams, regular clinical breast exams, and mammograms.
Performing breast self-exams can be a useful way to find if you have a lump.
Hereโs how you can do a breast self-exam [4]:
๐ฆ๐๐ฒ๐ฝ ๐ญ. With a mirror, look at your breast with your shoulders straight and your arms on your hips. Your breast should be their usual size, shape and color. There shouldnโt be any distortion or swelling. If you see any changes, consult your doctor as soon as possible.
๐ฆ๐๐ฒ๐ฝ ๐ฎ. Raise your arms and look if there are changes. See if thereโs any signs of fluid coming out of one or both ni***es.
๐ฆ๐๐ฒ๐ฝ ๐ฏ. While lying down, feel your left breast using your right hand, and use your left hand to feel your right breast. By using the first few finger pads of your hand, start gently pressing on your breasts with a circular motion, from top to bottom, side to side, from your collarbone to the top of your abdomen, and from your armpit to your cleavage.
๐ฆ๐๐ฒ๐ฝ ๐ฐ.Lastly, while standing or sitting, raise your left arm straight upwards, stretch out and use your right hand to feel your left breast. Then, by using your first few finger pads, do the same circular motions described on step 3, and repeat the process on your right breast.
If you feel a lump, remember that more than 80 percent of them turn out to be benign or not cancerous. Usually, these can either be caused by normal hormonal changes or benign breast conditions or injuries. [5] However, it is still wise to consult your doctor to get your lumps checked.
Although there are other methods of detecting breast cancer, like mammographic examination, experts say self-examination is still the best method of detection for breast cancer. According to a study, women often detected breast cancers themselves, either by self-examination or by accident. The study also emphasized that despite the increased use of mammography in screening breast cancer, most breast cancers are detected by patients themselves [5].
๐ข๐๐ต๐ฒ๐ฟ ๐บ๐ฒ๐๐ต๐ผ๐ฑ๐ ๐ผ๐ณ ๐ฒ๐ฎ๐ฟ๐น๐ ๐ฑ๐ฒ๐๐ฒ๐ฐ๐๐ถ๐ผ๐ป
In breast evaluation, there are two types: screening evaluation and diagnostic evaluation.
Screening evaluation is for those who donโt have breast problems and is used to check for cancer in normal women while diagnostic evaluation is for those who already have a breast problem like a lump or abnormal ni**le discharge. [6]
Here are the ways breast cancer is detected for both women and men:
๐๐น๐ถ๐ป๐ถ๐ฐ๐ฎ๐น ๐ฏ๐ฟ๐ฒ๐ฎ๐๐ ๐ฒ๐
๐ฎ๐บ (๐๐๐). This method is a physical exam where your healthcare provider checks for breast problems or any abnormalities. This exam is divided into three components: inspection, palpation, and lymph node exam [7].
According to the American College of Obstetricians and Gynecologists, women between ages 29 and 39 should have CBE every 1 to 3 years while women after age 40 should have it every year. [6]
๐ ๐ฎ๐บ๐บ๐ผ๐ด๐ฟ๐ฎ๐บ. This is the most common imaging test or x-ray of your breasts. A mammogram can find cancer or other problems easily [4]. In fact, this method can show breast lumps up to 2 years before they can be felt [8].
There are two types of mammograms: screening and diagnostic. A diagnostic mammogram can help determine if there are symptoms present that are indicating presence of cancer. It also provides a more detailed x-ray of the breast compared to the screening mammogram [9].
Experts recommend women ages 50 to 72 to be screened every 2 years while women ages 45 to 54 should have a yearly screening [6].
๐จ๐น๐๐ฟ๐ฎ๐๐ผ๐๐ป๐ฑ. When your doctor finds something suspicious during your screening mammogram, sometimes they might request an ultrasound. A breast ultrasound is a diagnostic exam where it can detect if the lump found is a solid mass, a cyst, or a combination of the two. Cysts are not usually cancerous but solid lumps may be a sign of cancerous tumor [10].
๐ ๐ฅ๐. Like the ultrasound, MRI is a diagnostic exam where it can get a more detailed image and perspective of your breasts. MRI can scan your breast tissues and make detailed pictures of areas in your breasts which can help if those tissues are normal or diseased [11].
๐๐ถ๐ผ๐ฝ๐๐. This is the most common method to confirm if you have breast cancer. This is a test where breast tissues or fluids are extracted from the suspicious area and examined under a microscope to check for the presence of breast cancer [12].
Whether you or a loved one is at risk or worried of getting breast cancer, you should be aware of the ways you can get tested. Breast cancer can be found after symptoms appear while sometimes patients donโt have symptoms at all. This is why the sooner breast cancer gets detected, the easier it is to get the best available treatment.
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๐ฅ๐๐๐๐ฅ๐๐ก๐๐๐ฆ:
1. Rivera Franco M., Leon-Rodgriguez E., Delays in Breast Cancer Detection and Treatment in Developing Countries. US National Library of Medicine National Institutes of Health. [Internet] 2018. [cited 30 September 2020] Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5802601/
2. Burstein H. What Does a Breast Lump Feel Like? Dana-Farber Cancer Institute. [Internet] 2020. [cited 1 October 2020] Available from: https://blog.dana-farber.org/.../what-does-a-breast.../
3. American Cancer Society. Early Detection. National Breast Cancer Foundation, Inc. [Internet] [cited 30 September 2020] Available from: https://www.nationalbreastcancer.org/early-detection-of.../
4. Breast Self-Exam. BreastCancer.Org. [Internet] [cited 30 September 2020] Available from: https://www.breastcancer.org/symp.../testing/types/self_exam
5. Roth M., Elmore J., Yi-Frazier J., Reisch L., Oster N., Miglioretti D. Self-Detection Remains a Key Method of Breast Cancer Detection for U.S. Women. Journal of Womenโs Health. US National Library of Medicine National Institutes of Health. [Internet] 2011. [cited 30 September 2020] Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3153870/
6. Breast Health: 3-Step Plan for Preventive Care. John Hopkins Medicine. [Internet] [cited 30 September 2020] Available from: https://www.hopkinsmedicine.org/.../breast-health...
7. Introduction to Breast Exam. Stanford Medicine 25. [Internet] [cited 30 September 2020] Available from: https://stanfordmedicine25.stanford.edu/.../BreastExam.html
8. Breast Cancer Screening & Diagnosis: How Doctors Find It. WebMd. [Internet] [cited 30 September 2020] Available from: https://www.webmd.com/breast-cancer/breast-cancer-detection
9. Diagnostic Mammogram. National Breast Cancer Foundation, Inc. [Internet] [cited 30 September 2020] Available from: https://www.nationalbreastcancer.org/diagnostic-mammogram
10. How Does An Ultrasound Help To Diagnose A Breast Lump? National Breast Cancer Foundation. [Internet] [cited 30 September 2020] Available from: https://www.nationalbreastcancer.org/breast-ultrasound
11. How Does A Breast MRI Help To Diagnose Breast Cancer? National Breast Cancer Foundation, Inc. [Internet] [cited 30 September 2020] Available from: https://www.nationalbreastcancer.org/breast-mri
12. What Is A Breast Biopsy? National Breast Cancer Foundation, Inc. [Internet] [cited 30 September 2020] Available from: https://www.nationalbreastcancer.org/breast-cancer-biopsy
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