Treatment of Breast Cancer

Stages Breast cancer has several stages starting from early to advanced stage. You can detect early stage after a few weeks of development. At the advanced stage cancer spread to other organs. Depending on the stage the treatment varies. Reoccurrence of breast cancer happens in case of malignant tumors.

Where it can spread It can spread to the back and hip bones, lungs, liver and brain.

What are the treatments for breast cancer? Breast cancer is treated by surgery, radiation, chemotherapy and hormonal therapy. Generally two or more treatments are combined together for better effect. Doctors combine surgery, chemotherapy, hormonal therapy and radiation. The treatment varies depending on many factors like the patient, the stage of breast cancer and instance of reoccurrence.

Surgery: Lumpectomy or the removal of the lump is a technique in surgery. Doctor may need to remove lymph nodes from your armpit or breast depending on the stage.

Chemotherapy: Drugs and medicines are used which restrict or stop cancer cell growth. These medicines may also reduce the size of the lumps and tumors. Some medicines even kill the tumours.

Hormonal therapy: Doctors use some anti-estrogen, aromatase inhibitors or LHRH analogues to stop the hormone estrogen production and effects. Estrogen is a sex hormone found in women body which helps in growth of the breast cancer. When Estrogen is stopped then the growth of the tumours also ceased.

Radiation therapy: X-rays or other high-energy rays are used to kill the cancer cells. These rays are applied to the tumours and surrounding areas.

Bikash is an MBA who works as an freelance writer. He worked for on eof the best private banks in India. He has been writing for the last 5 years. He has worked with many US,UK and Indian clients.

Visit him at http://bikiassam.tripod.com

Breast Cancer - Myths

Myth: An individual will probably get breast cancer if her mother or grandmother had it.

If an individual's mother or grandmother has had breast cancer does not necessarily mean that they will end up with it even though they are in a higher risk group. Most women who end up getting breast cancer do not have a family history of it. It is recommended that you have a mammogram done if your mother, sister, grandmother or daughter had or has breast cancer.

Myth: Breast cancer is caused by the birth control pill.

This is not true. Contraceptive pills have small quantities of the hormones progesterone and estrogen which is often linked with increased risk of breast cancer. Despite the presence of these two hormones and the prolonged use for a period of 10 years and more it does not cause breast cancer. Birth control pills have some benefits too. They are, they decrease the risk of endometrial and ovarian cancer, they relieve pelvic inflammatory disease, menstrual disorders and they improve the bone mineral density.

Myth: Only women get breast cancer - Men do not get the disease.

This is not true. Though the percentage is smaller men do get breast cancer, therefore, it is important for men too to exam themselves monthly and report any changes noticed to their doctor immediately. In 2004, it was estimated that around 1450 men with breast cancer and that 470 will eventually die from it.

Myth: Lawn chemicals, pesticides and dry cleaning services cause breast cancer.

A few small studies have shown this as a possibility but larger studies on this subject have indicated otherwise.

Myth: You are likely to get breast cancer if you have a risk factor.

This is not so. Even if you have a breast cancer gene abnormality, which is one of the stronger risk factors, it does not mean you will end up with cancer. 40% to 80% of women with an inherited genetic abnormality, that is, BRCA1 or BRCA2 may sometime in their life develop breast cancer. 20% to 60% will not develop it. The presence of all other risk factors poses very little threat.

Myth: If you have a lump in your breast you will get breast cancer.

This is not so as it is found that eight out of ten lumps are not malignant or cancerous. If you discover any abnormalities or even a persistent lump in your breast it is best you consult your physician at once as early detection would result in better treatment and recovery.

Myth: Breast cancer will end up in death.

This is not so. 80% of the breast cancer diagnosed women show no spread of the cancer cells beyond the breast or to nearby lymph nodes. Also 80% of these women continue to live for a further five years and some even longer.

Myth: Younger women run a higher risk of breast cancer than older women.

As a woman gets older the risk of her getting breast cancer is also higher as age is one of the strongest risk factors for breast cancer. It is therefore important for a woman starting from the age of about forty to self examine her breasts monthly for any lumps or irregularities; get regular mammograms and a clinical breast examination done yearly in order to detect an early development of cancer. Women in the age group 20 - 40 should also carry out monthly self breast examination and clinical breast examinations every three years or so.

Michael Russell

Your Independent guide to Breast Cancer

Breast Cancer Surgery

Apart from the physical scars, most of the discomfort and physical changes from the treatment are only temporary. Once the cancer patient has worked hand in hand with her physician to come up with an effective treatment plan, the physician can provide assessments of the potential side effects and recovery time that the she will likely experience in relation to specific social responsibilities and future career.

The standard surgery for local control of breast cancer involves the removal of cancerous breast tissue. The underlying thorax muscles (pectoralis major and pectoralis minor), are left unresected. This advancement in breast cancer surgery has significantly reduced postoperative pain and recovery time, but, more importantly, patients are spared the long term disability of having muscles resected. If you underwent a lumpectomy (surgical removal of a small tumor or lump, which may or may not be benign or malignant) without lymph node dissection (a surgical procedure in which the lymph nodes are removed and examined to see whether they contain cancer), you will most likely have surgery and be discharged on the same day. Recovery from surgery will take much longer if the axillary lymph nodes are also removed. With the removal of the axillary lymph nodes, lymph flow of the breast is partially interrupted and a soft rubber tube is placed in the wound, which will serve as a temporary lymph fluid drainage. The length of hospital stay for lumpectomy and lymph node dissection or breast resection with lymph node removal is usually one to two days.

The temporary drain from the lymph node empties into an expandable container about the size of a softball. The container is usually emptied daily and the amount of fluid disposed is recorded. Several days postoperatively, the amount of fluid rapidly decreases, at which time the surgeon removes the drain. In the presence of dissected lymph nodes, most surgeons would advise immobilization of the affected arm, as much as possible, for a couple of days after the surgery to allow for quick wound healing and to keep lymphatic flow as minimal as possible. Once the drain is out with the surgical wound visibly healing, it is beneficial to begin gentle and progressive exercises of the arm to prevent limitation of joint motion from scarring and contracture. Some surgeons advise their patients to do active exercises, while others refer them for physical therapy, especially those patients who have undergone lymphadenectomy (surgical removal of the lymph nodes). It is usual for the cancer patient to discuss with her surgeon what the best option would be for her.

After the lymph node resection, most patients will experience numbness in the armpit area due to the cutting of the nerves around the armpit region. Sensory function will often return after several months postoperatively when the nerves have grown back and regenerated. On the other hand, some patients will have permanent numbness and sensory impairment here. For those who experience this disappearance of sensation, one must be extra careful particularly in shaving underarm hair. It would be wise to use an electric razor when doing this.

With lymphadenectomy, a small percentage of patients develop an obstructed vein along the inner side of the affected upper arm that feels like a thin cord and will likely restrict arm movement. If this happens, thermotherapy, specifically heat therapy and stretching exercises should be done to achieve the full range of arm movement again.

Michael Russell

Your Independent guide to Breast Cancer

Breast Cancer - 101

The cancer is a term for diseases in which abnormal cells divide uncontrollably invading near by tissue and spreading to other parts of the body via blood stream or lymphatic system.

Similarly, in breast cancer, a single cell begins to divide and grow abnormally. This is the most common kind of cancer in women. Besides being women, age is the other important factor for developing breast cancer. The breast is made up of lobes and ducts. Each breast has 15 to 20 sections called lobes, which have many smaller sections called lobules. Lobules end in dozens of tiny bulbs that can produce milk. The lobes, lobules, and bulbs are linked by thin tubes called ducts.

The breast cancer is classified into:

-Ductal carcinoma in situ (DCIS)
-Lobular carcinoma in situ (LCIS)
-Inflammatory breast cancer
-Recurrent breast cancer

The most common type of breast cancer is ductal carcinoma, which begins in the cells of the ducts. Cancer that begins in the lobes or lobules is called lobular carcinoma and is more often found in both breasts than are other types of breast cancer. Inflammatory breast cancer is an uncommon type of breast cancer in which the breast is warm, red, and swollen. Recurrent breast cancer that has come back after it has been treated. Early detection through regular breast self-exams and a regular program of mammogram and physical exams show excellent results in curing it. Breast self exam is the process developed by the American cancer society for women to examine the breasts monthly. This process can reveal breast problem. Any swelling or unusual lumps or hardness in the breast is the indication of breast disease and a reason to rush to your doctor.

There are various factors, which increases the chance of getting disease as a breast cancer. Like:

1) Older age
2) A mother or sister with breast cancer.
3) Drinking alcoholic beverages.
4) Being white.
5) Treatment with radiation therapy to the breast/chest.

Women who have an altered gene related to breast cancer and who have had breast cancer in one breast have an increased risk of developing breast cancer in the other breast. These women also have an increased risk of developing ovarian cancer, and may have an increased risk of developing other cancers.

Tests related to detect and diagnose breast cancer are:

1) Mammogram – In which X ray is done of the breast.

2) Biopsy - The removal of cells or tissues so they can be viewed under a microscope by a pathologist to check for signs of cancer. If a lump in the breast is found, the doctor may need to cut out a small piece of the lump.

3) Estrogen and progesterone receptor test: A test to measure the amount of estrogen and progesterone (hormones) receptors in cancer tissue. If cancer is found in the breast, tissue from the tumor is examined in the laboratory to find out whether estrogen and progesterone could affect the way cancer grows. The test results show whether hormone therapy may stop the cancer from growing.

There are different 4 types of treatment option for breast cancer patients:

1) Surgery- Most patients with breast cancer have surgery to remove the cancer from the breast.

2) Radiation therapy - Radiation therapy is a cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells.

3) Chemotherapy -Chemotherapy is a cancer treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping the cells from dividing.

4) Hormone therapy - Hormone therapy is a cancer treatment that removes hormones or blocks their action and stops cancer cells from growing. Hormones are substances produced by glands in the body and circulated in the bloodstream.

For latest information about Breast Cancer please visit medicineworld.org. You can get more information through dedicated breast cancer message board, breast cancer support forum at bcancer.com

Breast Cancer Symptoms

Breast cancer is the most common form of cancer in women, and one of the most common types of cancer in general. It is estimated that one in seven women that live to age 90 will develop breast cancer. It is especially prevalent in some families, making the statistics a bit skewed.

If you have a family history of breast cancer, your chances of developing the disease are much greater. It’s therefore a good idea to stay especially vigilant for breast cancer symptoms.

Breast cancer symptoms don’t often manifest themselves until the cancer is already in its later stages of growth, and may have already metastasized to other more vital areas of the body. That is why it is so important for women to regularly get checked. Mammograms may be unpleasant, but late stage breast cancer symptoms are worse.

The most clear and common breast cancer symptom is of course a lump in your breast. It is important to keep in mind that not all lumps are cancerous. Most women will develop numerous lumps in their breasts throughout their lives; they are especially common during periods of rapid hormonal changes such as puberty, and menstruation. Some women will have more lumps than others.

A more severe breast cancer symptom will be pain in your breasts. A cancer that has grown large enough to impinge on nerves will be a noticeable lump in a self check or mammogram, so hopefully you’ll catch anything before it gets to the point of causing pain. If one or both of your breasts are in pain, again its important to keep in mind that you don’t necessarily have breast cancer. During puberty and periods of hormone fluxes, tenderness of the breasts is common. Also pregnancy, and some medications can cause pain or tenderness in your breasts.

Even though most cases of breast cancer are diagnosed in women over 40, women in their teens and twenties are occasionally diagnosed as well. Most people don’t know that about one percent of the cases are in men. Starting from puberty, it is a good idea to start checking yourself for lumps.

Remember, during this period you’re likely to find a lot of lumps that are harmless. With some experience and some consultation with your doctor, you’ll soon get an idea of the kinds of lumps that are normal, and the kinds of lumps that may be breast cancer symptoms.

For more current health articles on all subjects, please see: Current Health Articles Natural Health Directory

Breast Cancer Treatments

In this article I am going to cover options for treating breast cancer, once it has been diagnosed.

Unlike years ago when options for treatment were few and not very effective, today there are many options for treating breast cancer, many with excellent results and chances for full recovery, depending on the type of breast cancer and how advanced it is.

Here is a brief overview of your options today.

1. Local Regional Treatment. This is actually treatment of the lymph nodes in the area surrounding the breast as well as the breast itself. If metastatic disease is present then the treatment is given to specific areas. One of these methods is radiation therapy or radiotherapy. Much to womens’ surprise there are very few side effects from this therapy and they are restricted to the area being treated. Radiotherapy is an effective way to destroy the cancer cells and provide the best chance that the cancer will not come back.

Another method of this type of treatment is surgery which is usually the last recourse when all other methods have failed. With surgery in many cases reconstruction is needed afterwards as often part or all of the breast needs to be removed, which is called having a mastectomy. However, even this radical a surgery is not as drastic as it was years ago. Today every attempt is made to preserve as much of the healthy breast as possible.

2. Systemic Treatments. This is where the whole body is treated as a system.

The most common systemic treatment is chemotherapy. The purpose of chemotherapy is to get rid of any cancer cells that may have spread from the breast to other areas of the body. The reason chemotherapy works and also the reason it is so hard on your body is because it attacks the rapidly dividing cancer cells in your body. Unfortunately cancer cells are not the only cells in your body that divide, thus the reason that chemotherapy can have such a sickening effect on a person. Still, chemotherapy is not as hard to go through today as it was years ago and is an important insurance policy against the spread of the disease, especially to the lymph nodes, which in many cases is fatal.

Another treatment that isn't as common is tamoxifen, which is a very powerful drug. This drug reduces the risk of breast cancer returning after surgery and even reduces the risk of a woman ever getting breast cancer. However the side effects, though not fatal, can be very serious and uncomfortable. They include blood clots and uterine cancer, hot flushes, early menopause, problems with fertility, nausea and vomiting, weight gain, mood swings, depression and loss of energy.

3. Alternative and Holistic Treatments. These are treatments where the body, mind and spirit are all treated. Unfortunately there is very little medical evidence to show that these treatments are effective. Some of these alternative methods include acupuncture, meditation, relaxation techniques, and the use of flaxseed and black cohosh. Flaxseed supposedly reduces the growth and spread of breast cancer. Black cohosh is supposed to stop the hot flushes associated with those who have breast cancer. Again, there is nothing to support either of these claims.

Years ago breast cancer was pretty much a death sentence. Today with the effective and relatively safe treatments that have been developed a woman can not only survive breast cancer but also have a normal healthy life afterwards.

Michael Russell
Your Independent guide to Breast Cancer

Diagnosis of Breast Cancer

The first step to getting a diagnosis is detection. Monitoring your own breast tissue contains 3 main components including a) Breast Self-examination b) Clinical Breast Exam and c) Mammography.

A woman may notice abnormalities while doing a self-exam. By examining your breasts every month, you will become familiar and be able to detect changes better. The following are the steps to perform breast self-examination.

a) Breast Self-Examination

1) Put your hands on hip while standing in front of a mirror to visually examine your breasts. Then stand with your hands behind your head with fingers interwoven and look for changes in size, lumps, shape, contour, color, dimples or inverted nipples.
2) Press each nipple to see if there is a discharge.
3) Lie down putting a pillow under your left shoulder. Place your left hand under your head while lying down. Using your right hand, fingers flattened together into a pad form and press on the top portion of the left breast in a circular motion to examine the outer, then the inner circle of the breast including nipple. Use light pressure for area under skin’s surface. Then add a little more pressure to feel halfway into the flesh. Finally, use deep pressure to feel down the ribs. Examine the breast and chest area under your armpit. With the same way, repeat on the right side using your left hand.

With the above self-examination method, you should be able to feel any unusual lump or thickening tissues or skin.

b) Clinical breast Exam

This is conducted during your annual gynecological examination. Your doctor will place pressure on your breasts in circular motion the pads of his or her fingers. You will have one hand tucked under your head while the other breast is being examined.

c) Mammography

Mammography is able to detect any cancerous growth before it can be felt by a manual

exam. It is an X-ray image of the breast. A screening mammogram is done when a clinical breast exam is normal. It consists of two views of each breast including:

a) An up and down view and

b) Side to side view.

A diagnostic mammogram is performed to evaluate any abnormality found during a breast exam. Mammograms may sometimes cause discomfort because the breasts must be compressed until the skin is taut. Mammograms can detect breast calcifications made of minute amounts of calcium that cannot be detected by self or clinical exams. Generally, a radiologist can make a prediction on the likelihood of a lesion is malignant based on a screening mammograms. For women who already have symptoms suggestion of breast cancer (e.g. a palpable lump), diagnostic mammographics is necessary as they include additional views to give a more accurate prediction as to the likelihood of cancer.

Jennifer Comm is a registered nurse and acclaimed author with over 20 years of health care experience.

Free Tips on Breast Cancer

Breast Cancer Statistics - How Breast Cancer Survival Rates Increased 50%

Breast cancer statistics show that over 1.2 million persons will be diagnosed with breast cancer worldwide this year, according to the World Health Organization. For breast cancer and prevention, it has long been known that regular physical activity has been shown to decrease the likelihood of having breast cancer. What has not been known or studied has been the effect of regular physical activity on the breast cancer survival rates or likelihood of death in women that already have breast cancer. That is, until now.

The breast cancer statistics and findings as reported by the American Medical Association’s Journal of the American Medical Association (JAMA) in May 2005 were astounding! Certain participants in the study of women with Stage I, II or III breast cancer achieved a 50% reduction in the death rate from breast cancer.

Here are these breast cancer statistics: the journal reported that in the study 2,987 female registered nurses had been diagnosed with breast cancer during the years 1984-1998. What the study found was that the women who had physical activity equivalent to walking at a steady pace of 2.0-2.9 miles per hour for 3-5 hours a week had a death rate of only 50% of the death rate of women who had physical activity equivalent to walking less than one hour a week. The conclusion of the breast cancer statistics in the study was that physical activity after breast cancer has been diagnosed may reduce the risk of death from breast cancer. The study found that there was little evidence of any relation between increased physical activity and increased benefit.

It’s time to dust off those walking shoes!

As a physical activity, walking can be done almost anytime by anyone anywhere. All that’s needed is a good pair of walking shoes. Walking is fun and reduces stress. As for injuries, walking has the lowest injury rate of all the various kinds of exercise.

You can walk with a partner, friend, family member or dog, maybe even a neighbor's dog. Or you can walk with your favorite headset and music. If you are walking outdoors with a headset, keep one ear open to hear the sounds around you.

As for basic walking tips:

· As you begin regular walking, take it easy. Standard advice is to check with your physician before starting any exercise program. If it’s been years or decades since you walked regularly, perhaps you can begin with 5 minutes of walking and slowly increase your time and distance.

· Walking at a pace of 75–95 steps a minute will have you walking at a speed of about 2-3 miles per hour.

· Walk with your head up, looking out in front of you. Do not walk looking down right in front of you except to navigate any obstacles.

· Really take it easy the first 5 minutes of walking to warm up. Afterwards, gently stretch for 5–10 minutes while your muscles are warm.

· Practice good walking form. Your arms should swing naturally in the direction you’re walking, not from side to side across your body. Your foot should strike the ground on your heel, then a rolling motion forward toward the ball of your foot, then pushing off with your toes.

And here are some basic walking shoes tips:

· Buy your walking shoes from a sporting shoes store with large selections. That will give you plenty of choices. And buy your walking shoes later in the day when your feet will be larger.

· Buy cushioned, supportive walking shoes. To see if a shoe is supportive, do this test -- take a shoe and turn it upside down. Holding each end of the shoe, try to fold it. If you find the shoe bends in the middle, then that shoe is not a supportive shoe. A supportive shoe should bend where your foot normally bends, near your toes.

· You should allow the width of your index finger between the end of your shoe and the end of your longest toe, or about one-half inch.

· Buy two pairs of walking shoes, one for home and one for the car or workplace. And if one pair gets wet, you can use the other pair that day.

Walking is the closest thing to the perfect exercise. In today’s fast-paced society, regular walking can be a welcomed break from the stress of the day. Maybe you’ll get to know your neighborhood or neighbors better. There may be walking trails you’ve never seen but wanted to.

Wherever and however you choose to walk, not only can the experience be fun, you’ll know you’re being good to your body in a variety of ways. Besides the incredible breast cancer statistics and findings of the breast cancer study, walking helps with weight control and bone strength, elevates mood, helps build and maintain healthy muscles, joints and heart. With so many great health benefits, why not get started walking today!

Copyright 2005 InfoSearch Publishing

Olinda Rola is President of InfoSearch Publishing and webmaster of http://www.safemenopausesolutions.com - a website of natural solutions for a variety of health problems. For information about preventing breast cancer, visit Breast Cancer and Prevention to read more.