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Breast Malignacy

Breast malignancy, commonly known as breast cancer, refers to the uncontrolled growth of abnormal cells in the breast tissue. This can occur in different parts of the breast, such as the ducts (ductal carcinoma), lobules (lobular carcinoma), or other tissues. Here’s a comprehensive overview:

Types of Breast Cancer:-

  • Ductal Carcinoma In Situ (DCIS):

    • A non-invasive cancer where abnormal cells are found in the lining of a breast duct but have not spread outside the duct.
  • Invasive Ductal Carcinoma (IDC):

    • The most common type of breast cancer. It starts in the ducts and then invades nearby tissue.
  • Invasive Lobular Carcinoma (ILC):

    • Starts in the lobules (milk-producing glands) and can spread to nearby tissues.
  • Inflammatory Breast Cancer:

    • A rare and aggressive form that causes the breast to become red, swollen, and warm.
  • Triple-Negative Breast Cancer:

    • Lacks three typical receptors known to fuel most breast cancers: estrogen, progesterone, and the HER2 protein. It is more difficult to treat.
  • HER2-Positive Breast Cancer:

    • Has higher levels of the HER2 protein and can be more aggressive but may respond well to targeted therapies.

Symptoms:-

  • A lump or mass in the breast or underarm.
  • Change in size, shape, or appearance of the breast.
  • Dimpling or puckering of the skin.
  • Inversion of the nipple or nipple discharge.
  • Redness or scaling of the nipple or breast skin.
  • Swelling of part or all of the breast.

Risk Factors:-

  • Genetic Factors: BRCA1 and BRCA2 gene mutations.
  • Family History: Having a close relative with breast cancer.
  • Age: Risk increases with age.
  • Hormonal Factors: Early menstruation, late menopause, hormone replacement therapy.
  • Lifestyle Factors: Obesity, alcohol consumption, lack of physical activity.

Diagnosis:-

  • Clinical Breast Exam: Physical examination by a healthcare provider.
  • Mammogram: X-ray of the breast.
  • Ultrasound: Uses sound waves to create images of the breast tissue.
  • MRI: Magnetic resonance imaging for detailed images.
  • Biopsy: Removing a small sample of breast tissue for laboratory testing.

Staging:-

Breast cancer is staged from 0 to IV, considering the size of the tumor, involvement of lymph nodes, and whether it has spread (metastasized) to other parts of the body.

Treatment:-

  • Surgery: Lumpectomy (removal of the tumor) or mastectomy (removal of the breast).
  • Radiation Therapy: Using high-energy waves to target and kill cancer cells.
  • Chemotherapy: Using drugs to kill cancer cells or stop their growth.
  • Hormone Therapy: For cancers that are hormone receptor-positive.
  • Targeted Therapy: Drugs that target specific characteristics of cancer cells, such as HER2.
  • Immunotherapy: Helps the immune system recognize and attack cancer cells.

Prevention and Early Detection:-

  • Regular Screening: Mammograms and clinical breast exams.
  • Lifestyle Changes: Healthy diet, regular exercise, limiting alcohol intake, and maintaining a healthy weight.
  • Genetic Testing: For those with a family history of breast cancer.

Early detection and a comprehensive treatment plan tailored to the individual are crucial for improving the prognosis and survival rates for those with breast cancer.

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