Thursday, June 25, 2009

Breast Cancer

CAUSE
The cause of breast cancer is not known and while it can also occur in men, the much higher occurrence in women implicates estrogen.
Today, breast cancer, like other forms of cancer, is considered to be the final outcome of multiple environmental and hereditary factors.

Breathing secondhand smoke increases breast cancer risk by 70% in younger, primarily pre-menopausal women.
A newly released study indicates a correlation between the drop in breast cancer and the drop in women taking HRT.

SIGNS AND SYMPTOMS
Breast cancer elicits so many fears, including those relating to surgery, death, loss of body image and loss of sexuality, however it is more easily treated and often curable if it is found early, therefore regular self examination and screening is essential. Breast cancer usually shows as a lump or thickening in the breast tissue, although most breast lumps are not cancerous.

Certain predisposing factors are clear.
Women at high risk are those who:
Have a family history of breast cancer.
Have long menstrual cycles, began menses early or menopause late.
Have never been pregnant
Were first pregnant after age 31.
Have had unilateral breast cancer.
Have endometrial or Ovarian cancer.
Were exposed to low level ionizing radiation.
Many other possible factors are still under investigation including, obesity, alcohol and environmental factors.

Those with lower risk include women who:
Were pregnant before age 20.
Have had multiple pregnancies.
Are native American or Asian.

Breast cancer occurs more often in the left breast and in the upper quadrant.
Indications of breast cancer other than a lump may include changes in breast size or shape, skin dimpling, nipple inversion, or spontaneous single-nipple discharge.

TYPES
When breast cancer cells invade the dermal lymphatics, small lymph vessels in the skin of the breast, its presentation can resemble skin inflammation and thus is known as inflammatory breast cancer (IBC). Symptoms of inflammatory breast cancer include pain, swelling, warmth and redness throughout the breast, as well as an orange peel texture to the skin referred to as peau d'orange.