Dr. Isaac Roisman M. D. , Dip. Surg.

breast cancer on male Dr. Isaac Roisman M. D. , Dip. Surg.
Breast Cancer

Among all cancers in women, he takes the initial place. In most cases, breast cancer develops inside the presence of precancerous changes. This is primarily a benign mammary dysplasia and papilloma ducts.

Breast cancer is represented macroscopically nodular and diffuse forms, and also cancer with the nipple and also the nipple from the field (Paget's disease from the breast). For the nodular cancers are seen as an the node using a diameter all the way to several centimeters. In certain cases, a tight knot, is permeated with whitish layers tissue penetrating in to the surrounding dimply skin, on other occasions - a soft, juicy for the cut, splits easily. Diffuse prostate type of cancer is roofed to get a considerable distance, the contours in the tumor are marked bad. Sometimes the cancer invades the skin and forms about the surface of decaying mushroom formation - a cancerous ulcer. In some cases, the tumor spreads along the surface in the breast and all the iron is covered using a dense shell.

In histological structure include the following types of breast cancers:

• noninvasive: intralobular and intraduct;

• infiltrative.

Noninvasive breast cancers may be intralobular (lobular carcinoma in situ), and intraduct (ductal carcinoma in situ).

Infiltrating (invasive) cancer is seen as a varying levels of tissue and cell irregularities, which permitted to distinguish different a higher level malignancy. This type of cancer include, specifically, infiltrating ductal and lobular carcinoma, which often has the structure of scirrhus, along with Paget's disease.

Causes of Breast Cancer.

The reasons for cancer of the breast often are hormonal changes in the body: the entry into menopause, if you find a dynamic restructuring in the hormonal regulation of the woman, the ovaries lose their activity, decreased output of progesterone and estrogen, your body goes through, "hormonal crisis." The mammary gland and endometrium (lining of the uterus) are most tuned in to these changes, the breast growth actually starts to dissolve and turn into replaced by fat.

Scientifically established that the female hormones estrogen-, plays an important role inside the development of breast cancer. The excess hormones in the body results in a favorable background for developing the condition. The least active hormones estrogen behave in pregnancy and after birth - during breastfeeding. It is proved that this birth and prolonged breastfeeding (a lot more than twelve months) to relieve the potential risk of developing breast cancers. On the other hand, abortion result in hormonal "explosion" in a woman's body that will trigger the growth and development of tumors. So far there's no consensus in regards to the impact about the growth and development of tumors of hormonal contraceptive drugs, but it is considered that these drugs reduce the risk of developing cancer of the breast, but increase potential risk of developing cancer with the female genital organs, and osteoporosis. In addition predisposition to cancer of the breast could cause harmful environmental factors: the environment, along with inflammatory diseases previously deferred breast - mastitis.

In addition, patients using a category of first-degree relatives with breast cancers (mothers and sisters) probability of creating a tumor increasing by greater than half - familial kinds of cancer.

Benign breast diseases such as fibrocystic breast disease, or fibroadenoz intraduct papillomatosis alone usually do not cause cancer, but simultaneously, create an unfavorable background for the development.

The reason behind breast cancers could be the outcomes of radiation, including irradiation in the chest for other diseases (lung tumors, the lymphatic system), prolonged and frequent chest X-ray studies on inflammatory diseases or pulmonary tuberculosis.

Constitutional obesity can lead to cancer of the breast and female reproductive :, by having an excess fat inside body, it becomes a different endocrine organ and starts to actively produce hormones-estrogens, whose action and provokes the development of tumors.

Symptoms of Breast Cancer

There are some forms in the growth of cancer of the breast:

- Nodular form, the most typical, is seen as an a dense knot of 0.5 to 5 cm or more, it can be seen as a all in the following symptoms;

- Diffuse. All of them are very aggressive, grow quickly, almost lightning speed, the tumor without clear boundaries, "spreading" in the breast and skin. For the first 2 forms are characteristic indications of inflammation: pain of the breast, a bright red color in the skin it raises body's temperature to 39 degrees C. In view of the symptoms often occur, and errors in diagnosing patients treated for inflammatory diseases, which can be named and so are known as these forms cancer of the breast. When tubular carcinoma breast cancer cover like a "skin" of the company's contracting and decreasing in size.

In certain cases, breast cancer manifests inside the form of metastases in the lymph nodes about the affected side, often fails to detect the tumor itself - show hidden cancer of the breast.

For small tumors with the breast, any symptoms arise. The most observant females and their husbands have the ability to detect tumor site inside the gland unintentionally, but in a large breast to detect small size hard knot. Revealed a knot might be painful when pressed, round, smooth and agile, this speaks for a benign tumor. Signs of malignancy other: a strong knot to touch the stone, its surface is uneven, it can be stationary or slightly shifted, can be firmly fixed to the surrounding tissue or skin, usually painless, can reach an important size (a lot more than three to five cm and often 10-15 cm).

Need to assess the surface of the skin over the tumor: the malignant process will likely be observed retraction with the skin, picking up inside folds, wrinkles, an indicator of "lemon peel" - a nearby swelling of the skin within the tumor, might be a direct tumor invasion to the skin surface, then it is a bright red color and sprawl as "cauliflower."

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