Breast cancer begins with abnormal cells in the development of breast tissue. It may be confined to the breast and can spread over your chest or in other parts of your body. The most common form of breast cancer begins in the pipes designed to carry milk to the nipple. But cancer can also occur in small pouches that milk production, called lobules, or in other breast tissue. Breast cancer varies greatly and the treatment options are selected on your individual needs.
Breast cancer can occur in various forms, including the following five types:
- Breast cancer in situ DCIS and LCIS – Many breast cancers detected early, usually by mammography are classified as in situ or invasive breast cancer. These early cell changes may develop into invasive cancer. Two types of breast cancer in situ are:
- DCIS (ductal carcinoma in situ) means that abnormal cells are found only in the lining of a milk line of the chest. These abnormal cells have not spread outside the channel. There are different types of DCIS. If not removed, some may change over time and are invasive cancers, while others are not. DCIS is sometimes call intraductal carcinoma.
- LCIS (lobular carcinoma in situ) means that abnormal cells are found in the lining of a milk lobule. Although LCIS is not considered as the actual breast cancer at this stage non-invasive, it is a warning sign of an increased risk of developing invasive cancer. LCIS is sometimes found in a biopsy for a fixed or other unusual changes detected on a mammogram.
- Invasive breast cancer – this cancer forms in the milk ducts or lobules and spread to the breast tissue around them. Tumors can be found during an exam or breast cancer screening, such as a mammogram. The size of the tumor, what it looks like under the microscope and whether it has spread to the lymph nodes determines the severity of the cancer, the therapies and treatments will make the difference.
- Metastatic breast cancer – metastatic cancer begins in the breast, but spreads outside the breast through the blood or lymph system to other organs. Women usually develop metastatic disease in the months or years after the diagnosis of breast cancer. This most common cancer spreads beyond the breast of the bones of a patient, lung, liver and brains.
- Locally advanced breast cancer – Inflammatory breast cancer is a rare but very serious and aggressive form of breast cancer. The breast may be red and warm. A patient may see ridges, welts or hives on the breast or wrinkled skin can. It is sometimes misdiagnosed as an infection.
- Periodic Breast cancer – Recurrent disease means that the cancer came back or returned after treatment. It may come back in the chest, in the soft tissue of the breast or chest wall, or in another part of the body.
Symptoms
Early breast cancer usually does not cause pain. In fact, when breast cancer first develops, there may be no symptoms at all. But as the cancer grows, it can cause changes to look for:
- A lump or thickening in or near the breast or the armpit area
- A change in size or shape of the breast
- Nipple discharge or tenderness of the nipple pulled back (inverted) in the breast
- Ridges or pitting of the breast, making the skin appear on the skin of an orange
- A change in appearance or feel of the skin of the breast, nipple or areola, such as heat, swelling, redness or flakiness
Diagnosis
If cancer is found in your breast, your doctor will want to know the stage or extent of the disease. Staging is a careful attempt to find if the cancer has spread, and if so, what parts of the body. Your doctor may use blood and imaging tests to learn the stage of the disease. Treatment decisions depend on these findings. Read Staging: Specific Patterns of breast cancer to learn more about staging system.
The first step in work-up of breast cancer is usually a physical exam by a doctor or nurse practitioner. Mammography and ultrasound can be important additions to the physical examination. On the basis of these evaluations, the decision is taken to confirm a clinical impression of a tissue biopsy.
Imaging
Imaging is an important component used to diagnose breast cancer and to assess the stage and extent of disease in patients with breast cancer. Three major forms of imaging in this capacity: Mammography, breast ultrasound and magnetic resonance imaging (MRI). Based on these exams, your doctor may determine that no treatment is required or may recommend further tests or therapy.
- Screening Mammography – A mammogram is a low dose x-ray of the breast. This is the best test we have to screen women for breast cancer. Screening Mammography is one of two “pictures” of each breast. If an area on the mammogram looks suspicious or is not clear, additional mammograms with different views may be needed. Annual mammography screening is recommended for all women over 40 years old.
- Diagnostic mammography – This is a mammogram used to solve problems, rather than for screening. For example, if a patient has a lump in her breast, a focused examination of this area is conducted. This also occurs when a particular conclusion is followed in the chest in time. A diagnostic mammogram is adapted to the case of the patient is carefully monitored by a radiologist who interprets the images and determine whether a need for further testing.
- Ultrasonography – Using high frequency sound waves, ultrasonagraphy can often show whether a lump is solid or filled with fluid. This test can be used together with diagnostic mammography or MRI to answer questions about an area of the breast. Because it uses sound waves instead of X-rays, ultrasound provides information that is different and often complementary to the mammogram.
- Breast MRI – Magnetic Resonance Imaging (MRI) can be used to specifically look at the chest. Each exam produces hundreds of images of the breast, cross-sectional in all three directions (side to side, top-to-bottom, front to back), which are then read by a radiologist. It is non-invasive and no radioactivity is involved. The technique assumes that there is no health risk in general. The hope is that these non-invasive studies will contribute to our progress in learning how to predict the behavior of tumors, and the choice of appropriate treatments. Breast MRI is an evolving technology and should not be standard screening and diagnostic procedures, to replace, such as clinical and self-exams, mammogram, fine needle aspiration or biopsy. For more information about breast MRI, visit the UCSF Breast MRI website.
Biopsy
One method to see whether a fixed or abnormal breast tissue by having cancer is a biopsy. During a biopsy, a surgeon, a pathologist or a radiologist removes a part or all of the suspicious tissue. The suspect tissue is examined under a microscope by a pathologist who checks for cancer cells and makes the diagnosis. The following are different types of biopsies and how you can best prepare yourself for each of them. The following are different types of biopsies.
- Fine Needle Aspiration (FNA) biopsy – a woman suddenly FNA samples using a thin needle that a small mark no larger than a needle stick from a blood test leaves. FNA often shows us a lump diagnosis within two to three days. Read Fine Needle Aspiration Biopsy for breast cancer diagnosis to learn more about the procedure and what to expect.
- Stereotactic Core Biopsy – This procedure was developed as a less invasive way to diagnose tissue samples to obtain. It is the removal of tissue with a biopsy needle while your breast is compressed in a manner similar to a mammogram. This biopsy requires less recovery time than surgery and does not cause significant scarring. You and your doctor and radiologist may consider this procedure as a deviation on a mammogram that cannot be felt. Your radiologist decides whether this procedure is technically possible for your condition and your physician decide if it is appropriate for your situation. Read Stereotactic Core Biopsy for breast cancer diagnosis to learn more about the procedure and what to expect.
- Needle (Wire) Localization Biopsy – This type of biopsy using a needle and thread to locate the abnormal tissue and surgery to remove it. Needle localization is performed when an exemption on a mammogram that cannot be felt. It is an outpatient biopsy is done in two steps on the same day. Read Needle (Wire) Localization biopsy for breast cancer diagnosis to learn more about the procedure and what to expect.
Related posts:
- Breast Cancer Diagnosis
- Breast Cancer Diagnostic
- Breast Cancer Test
- Breast Cancer Staging
- Breast Cancer Signs
- Lobular Breast Cancer
- Breast Cancer Information
- Breast Cancer News
- Sign of Breast Cancer
- Breast Cancer Symptoms
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