Are You Breast Cancer Aware?

December 3, 2020

This breast cancer awareness month, Dr Mukta Nadig from Cloudnine Malleshwaram shares some very useful information that all of us should be aware of.

BREAST CANCER

Breast cancer is a kind of cancer that develops from breast cells. It refers to a malignant tumour that has developed from cells in the breast, usually in the cells of the lobules (milk-producing glands) or in the ducts (passages draining milk from lobules to nipples).It can also be found, albeit less commonly, in the stromal tissues (fatty and fibrous tissues of the breast).

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RISKS

In the US, breast cancer is the most common cancer in women --1 woman in 8 or 12% are at risk of getting breast cancer. This is the general risk for a woman. The older age group has a higher risk.

The crude breast cancer rate in urban Indian women is 25-30 and the age-adjusted rate is 30-35 new cases per 1,00,000 women per year. The rate of breast cancer is increasing - the average increase over a 30 year period in Mumbai was 11% per decade.

Breast cancer is increasing both in young (11% per decade) and old women (16% per decade). There are an estimated 1,00,000 -1, 25,000 new breast cancer cases in India every year.(Source http://articles.timesofindia.indiatimes.com/2012-10-21/special-report/34626683_1_breast-cancer-commonest-cancer-cancer-statistics)

RISK FACTORS: Below are the two types of factors

Which can be controlled

  • Weight – Being overweight especially after menopause means having more fat tissue which increases the estrogen levels which can increase breast cancer risk.
  • Diet – Red Meat or processed meats other sources of animal fats like dairy, cheese, milk, ice cream should be restricted. A low-fat diet rich in fruits and vegetable is recommended.
  • Exercise – 40 - 50 mins of physical exercise for 5 or more days in a week is recommended and is known to lower the risk of breast cancer.
  • Alcohol – Alcohol limits the liver's ability to control blood levels of estrogen hormone which increases the breast cancer risk. To restrict or avoid alcohol
  • Smoking – It is also associated with a small increase in the risk of breast cancer.
  • Exposure to estrogen – Long term intake of HRT or estrogen alone without breaks for more than 10 years increases the risk of breast cancer.
  • Stress and Anxiety – There is no clear proof of the relationship but “mindful measures” like yoga, meditation, prayer strengthen the immune system.

Which cannot be controlled

  • Gender – Woman's breast cells are constantly changing and growing under the influence of estrogens although there is a risk to the men also.
  • Age – Growing older increases the risk
  • Family History – History of cancer in first-degree relatives increases the risk as they may have inherited mutations in genes known as BRCA-1 or BRCA-2. For women with BRCA -1 risk by 70 years is 65%; BRCA -2 risk is 45%
  • Personal history of Breast cancer – If a woman has suffered from breast cancer there is a high recurrence risk.
  • Asian women have a slightly lower risk than Caucasian women
  • Natural exposure to estrogen – Like early puberty or late menopause
  • Pregnancy and Breast cancer – Women have never been pregnant or who have never breastfed are at an increased risk.

You Would Also Like To Read: What Does Breast Cancer Do During Pregnancy?

SYMPTOMS AND DIAGNOSIS

Varies from lumps to skin changes over the breast.

  • Breast self-examination should be a regular monthly healthcare routine for all women, especially the postmenstrual period.
  • If over 40, an annual mammogram and physical exam by the doctor should be done.

SCREENING AND TESTING

  • Mammograms
  • Ultrasound
  • MRI
  • CT-Scan
  • PET-Scan

TREATMENT

In recent years various options of life-saving treatments have become available. The best treatment plan should be decided jointly by the patient, patient's family and the doctor. Options could be;

  • Surgery – Breast-conserving surgery
  • Lumpectomy and Mastectomy
  • Prophylactic Surgery and Reconstruction of the breast
  • Chemotherapy
  • Radiation Therapy
  • Hormonal Therapy
  • Targeted Therapy
  • A complementary and holistic approach
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In essence, breast cancer has a very good prognosis if detected early and has almost 80%-90% survival. Cloudnine has introduced Well Woman checkups, which are essential preventive checkups for women of any age.

Learn more here. http://bit.ly/1aV7F69

Must Read: The Truth Behind Some Breast Cancer Myths

Dr Mukta Nadig ,

Senior Consultant,

Obstetrics and Gynaecology,

Cloudnine Hospital.

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Frequently Asked Questions

What is the main cause of breast cancer?

The exact cause of breast cancer is not known. However, research suggests that genetic susceptibility, lifestyle and interaction with environmental factors increase the risk of breast cancer. But it is unclear why people who do not have risk factors get cancer while others with risk factors never get it. So it can be concluded that breast cancer is caused through a complex interaction with the world around you and your genetic makeup.

Can you recover from breast cancer?

Yes. If it is caught early, you can recover from breast cancer. The survival rate is good if it is diagnosed early. That is because of regular screening, proper and early diagnosis, and treatment. Recovery from breast cancer also depends on the stage and type of cancer, your fitness level and how much it has spread.

Who is at high risk for breast cancer?

Women who are obese, have dense breast tissue, lead an inactive life, consume alcohol, smoke, consume unhealthy food, are exposed to radiation, and certain chemicals are at a high risk of breast cancer. Additionally, women over the age of 50, with a family history of breast cancer and who have undergone some forms of hormone therapy are at a higher risk of it.

Does breast cancer hurt?

No. Only breast cancer in the advanced stage may hurt. However, not all women who are diagnosed with breast cancer have breast pain. It can be a symptom of many conditions, including non-cancerous ones. So pain is not a great indicator, as most breast cancers are painless lumps. However, inflammatory breast cancer or cancer in advanced stages may hurt.

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