Breast tumor is divided into two types:
1. Benign (constitute 80% of cases)
2. Malignant (constitute 20% of cases)
Breast Cancer is considered the most common malignancy in women. Its prevalence is 10%.
Breast Cancer has no definite causes, but there are some factors which increase its incidence and this includes:
1. Age: The incidence of the disease increase with age, however, about 20% of cases occurred before age of 40.
2. Delivery History: The incidence of the disease decrease with increase of number of deliveries.
3. Breast Feeding: Breast feeding decrease the incidence of the disease.
4. Menstrual History: The increase in age of menarche and early menopause before 45 years old decrease the incidence of breast cancer.
5. Family History: Positive family history of breast cancer increase the incidence of the disease.
6. Present History: The occurrence of breast cancer in one breast increase the possibility of incidence of the disease in the other side by 5 times.
7. Hormone and Contraceptive Pills: Recent studies proved that no increased risk of breast cancer due to the use of the contraceptive, but some studies says that it was noticed that there is increase in risk of breast cancer in females less than 19 years old using oral contraceptive continuous for more than 4 years.
- Radiation: Exposure to high radiation could increase the risk of breast cancer.
- Weight: The higher the weight the higher the possibility of incidence of the disease in women after menopause.
- Food: Fatty foods also one of the cause of incidence of breast cancer.
Symptoms of Breast Cancer:
- Painless Breast Lump
- Breast has yellowish liquid or bloody discharges
- Disfiguring of the nipple
- Change of the skin shape & color
- Axillary lymph node enlargement
Early diagnosis is the most important factors in treating breast cancer.
Methods of Early Detection
1. Self Examination
Should be done regularly once per month to observe the breast and to observe any changes in the position or color of the skin. This is preferably to be done 2-3 days after the end of menstrual cycle after the breast congestion subsides.
A. First Step: stand in from of the mirror and observe any changes in position or color of the skin, swelling or shrinkage.
B. Second Step: put your hands behind your head and observe breast shape.
C. Third Step: observe the breast after putting the hands at your waist and push shoulders and elbow to the front.
D. Fourth Step: lift your left arm and try to examine your left breast with right hand using 3 or 4 finger. Begin with circular movement from out inward and look for any lump. Repeat these steps and do the right breast examination.
E. Repeat step D after lying down putting your left hand on head.
2. Regular examination by the doctors. If you suspect any changes or abnormalities.
3. Mammogram is important in early diagnosis.
4. Ultrasound (U/S) breast is important for early detection of small breast limps.
- Surgical Treatment
- Hormonal Treatment
Screening Program for Breast Cancer
I. 20-35 Years Old
Self Examination to be done once per month
Clinical examination by the doctors every 3 years
II. 35-50 Years Old
Self examination every month
Clinical examination every year
Mammogram every two years
Breast U/S every two years
III. 50 Years Old
Self examination monthly
Yearly clinical examination by the doctors
Yearly mammogram and Breast U/S
United Doctors Hospital provides program for early detection of Breast Cancer that includes:
- OB/G Consultation
- Surgical Consultation
- U/S Breast