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Breast Cancer Awareness

Breast Cancer Awareness: Prevention and Timely Treatment

Breast cancer is one of the most common cancers found in women of all ages. However, awareness of the symptoms and warning signs allows for more effective prevention and treatment.

Initial Symptoms of Breast Cancer

It is important to check for abnormalities in your breasts, such as:

  • A lump or abnormality in the breast or armpit area.
  • Changes in the skin or nipple, such as dimpling of the breast skin, nipple retraction, or a rash.
  • Discharge of fluid or blood from the nipple.

How to Check for Breast Cancer

  • Breast Self-Examination (BSE):

    Breast self-examination is an important way to detect abnormalities that may indicate breast cancer in its early stages. It should be performed regularly every month, about 5–7 days after the menstrual period ends, as the breasts are typically less tender during this time. The steps for self-examination are as follows:

    1. Observe Breasts in the Mirror: Stand in front of a mirror with hands on your hips. Observe the shape, size, color, and nipple position of your breasts. If there are changes, such as uneven breast size, dimpling skin, or redness, observe further.
    2. Raise Arms Above Head: Raise your arms above your head and observe any changes in the breasts, especially any retraction of the skin or nipple.
    3. Check for Abnormalities by Touch: Lie flat on your back and use the pads of three fingers (index, middle, and ring finger) to touch the breast. Apply varying pressure to gently and deeply press the skin. Start from a circle around the outer breast and gradually move inwards to the nipple. Ensure you check the entire breast, including the armpit area.
    4. Gently Squeeze the Nipple: Gently squeeze the nipple to check for any discharge of fluid, whether it is milk or blood. If any abnormality is found, see a doctor immediately.
  • Mammogram Screening:

    Mammogram screening is a highly effective method for detecting breast cancer in its earliest stages. It uses X-rays to visualize the internal breast tissue and can detect lumps or abnormalities that may not be palpable by hand. The procedure for a mammogram is as follows:

    1. Recommended to Start Screening at Age 40 and Over: Women aged 40 and over should undergo regular annual mammograms. If there are risk factors, such as a family history of breast cancer, the doctor may recommend starting screening at a younger age.
    2. Screening Procedure: A mammogram takes approximately 15–30 minutes. During this process, your breast will be gently compressed between the mammography machine plates to spread the tissue, which helps obtain a clear image for detecting abnormalities. Breast compression may cause slight discomfort, but this process is crucial for detecting early signs of cancer.
    3. Preparation Before Screening:

      • Do not apply powder, lotion, spray, or deodorant to the body, neck, and armpit areas.
      • Wear two-piece clothing (separate top and bottom) for easy changing.
      • Avoid caffeinated beverages or foods, such as tea or coffee.
      • Bring previous results for easy comparison.
      • If you are pregnant or suspect pregnancy, please inform the staff before the examination.
      • Avoid screening 7 days before or after the menstrual period.
    4. Screening Accuracy: A mammogram can detect small lumps that may not be palpable, allowing the doctor to diagnose and initiate treatment sooner. If an abnormality is found that cannot be clearly identified by the mammogram, the doctor may recommend further tests, such as ultrasound or a biopsy, for confirmation.
  • Ultrasound Examination:

    Ultrasound uses high-frequency sound waves to create images of breast tissue. It is often used in conjunction with a mammogram to provide clearer detail, especially in women with **dense breast tissue**, where mammograms might struggle to visualize lumps. Ultrasound can accurately differentiate between solid masses and cysts.

  • MRI (Magnetic Resonance Imaging) Screening:

    MRI uses magnets and radio waves to create highly detailed images. It is suitable for high-risk individuals, such as those with a genetic history or very dense breast tissue. MRI can detect abnormalities that are not clearly visible on mammograms or ultrasounds.

Treatment of Breast Cancer by Stage

If breast cancer is detected in the early stages, the chances of a complete cure are very high. Treatment for breast cancer depends on the stage of the disease, the size of the tumor, and the spread of cancer cells. Treatment methods for each stage may include:

  1. Surgery:

    Surgery is the primary method for breast cancer treatment, available in various forms, such as:

    • Lumpectomy: Surgical removal of only the malignant lump, preserving most of the breast tissue. This method is common for early-stage cancer.
    • Mastectomy (Total Breast Removal): In cases where the cancer has spread or is large, total breast removal may be necessary. The doctor will assess suitability, and breast reconstruction may be performed later.
    • Lymph Node Surgery: If the cancer has spread to nearby lymph nodes, surgery may be required to remove the infected lymph nodes.
  2. Chemotherapy:

    Chemotherapy uses drugs to destroy cancer cells remaining after surgery or to inhibit cancer cell growth if the cancer has spread to other parts of the body. This method helps reduce the risk of cancer recurrence. However, chemotherapy may have side effects such as nausea, fatigue, hair loss, and low immunity. Doctors will assess suitability before treatment.

  3. Hormonal Therapy:

    If the detected breast cancer responds to hormones (such as estrogen or progesterone), hormonal therapy is used to prevent cancer cells from growing or spreading. This method is often used in patients with **Hormone receptor-positive** breast cancer. This medication helps reduce hormone levels or blocks hormone function in the body to stop cancer cell growth.

  4. Radiation Therapy:

    Radiation therapy is used to destroy cancer cells in specific areas. It is typically used after surgery to eliminate any remaining cancer cells and prevent cancer recurrence. Radiation is often used when the patient has undergone a lumpectomy but remains at risk of cancer cell spread. This method can help reduce the risk of recurrence.

  5. Targeted Therapy:

    In cases where the breast cancer has high levels of a protein called **HER2 (Human Epidermal Growth Factor Receptor 2)**, targeted therapy is used to block the function of this protein to prevent cancer cell growth. Targeted therapy generally has fewer side effects than chemotherapy because it specifically targets only cancer cells.

  6. Breast cancer treatment requires care from a specialized medical team to evaluate the most appropriate method for each patient. Treatment may involve a combination of methods, such as surgery, radiation, and chemotherapy. The treatment plan depends on the type and stage of the cancer, as well as the patient's physical condition.

Breast Cancer Prevention

Methods for reducing risk and recommendations for breast health screening: Breast cancer prevention can be achieved through careful health management, such as:

  • Regular Breast Examination Helps Reduce Risk:

    Regular monthly breast self-examination helps you become more familiar with changes in your body, especially checking for lumps, dimpled skin, or abnormal fluid discharge. Finding abnormalities in the early stages allows for timely treatment, reducing the chance of cancer spread.

  • Diet and Exercise Aid Breast Cancer Prevention:

    Consuming beneficial foods, such as fruits and vegetables rich in **antioxidants, vitamins, and minerals**, helps reduce the risk of cancer. Furthermore, regular exercise helps control weight and estrogen levels, which are risk factors related to breast cancer. Exercising for at least **30 minutes per day** also strengthens the immune system and reduces the risk of various chronic diseases.

    Examples of fruits and vegetables high in antioxidants that help reduce the risk of breast cancer:

    Vegetables
    • Broccoli
    • Spinach
    • Carrots
    • Kale
    • Tomatoes
    Fruits
    • Blueberries
    • Strawberries
    • Apples
    • Oranges
    • Pomegranates
  • Mammogram Screening is Essential for Prevention:

    Mammogram screening is a crucial tool for detecting breast cancer in the early stages, even without clear symptoms. A mammogram can detect very small lumps that cannot be felt by hand. It is recommended that women aged **40 and over**, or those at high risk, undergo annual mammograms to increase the chances of curing breast cancer in the early stage.