Mandatory breast density reporting legislation: The law outpaces science, and not in a good way

breast cancer on mammogram Mandatory breast density reporting legislation: The law outpaces science, and not in a good way
Breast Cancer

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

Breast cancer is represented macroscopically nodular and diffuse forms, along with cancer from the nipple and the nipple in the field (Paget's disease of the breast). For the nodular cancers are seen as an the node developing a diameter up to several centimeters. In some instances, a strong knot, is permeated with whitish layers tissue penetrating in the surrounding fat, in other people - a soft, juicy on the cut, splits easily. Diffuse cancer of prostate is covered for a considerable distance, the contours in the tumor are marked bad. Sometimes the cancer invades your skin and forms around the surface of decaying mushroom formation - a cancerous ulcer. In certain cases, the tumor spreads across the surface in the breast and all sorts of the iron is included with a dense shell.

In histological structure are the following types of cancer of the breast:

• noninvasive: intralobular and intraduct;

• infiltrative.

Noninvasive cancer of the breast could be intralobular (lobular carcinoma in situ), and intraduct (ductal carcinoma in situ).

Infiltrating (invasive) cancer is seen as a varying examples of tissue and cell irregularities, which in a position to distinguish different amount of malignancy. This type of cancer include, specifically, infiltrating ductal and lobular carcinoma, which often contains the structure of scirrhus, and also Paget's disease.

Causes of Breast Cancer.

The reasons for breast cancers often are hormonal changes inside the body: the entry into menopause, should there be an engaged restructuring with the hormonal regulation of the woman, the ovaries lose their activity, decreased manufacture of progesterone and estrogen, our bodies is going through, "hormonal crisis." The mammary gland and endometrium (lining in the uterus) are most responsive to these changes, the breast type tissue starts to dissolve and become replaced by fat.

Scientifically established the female hormones estrogen-, plays a key role inside the growth and development of breast cancers. The excess hormones inside 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 the birth and prolonged breastfeeding (over 1 year) to cut back the risk of developing cancer of the breast. On the other hand, abortion lead to hormonal "explosion" in the woman's body that can trigger the development of tumors. So far there's no consensus concerning the impact for the development of tumors of hormonal contraceptive drugs, however it is considered that these drugs reduce the potential risk of developing cancer of the breast, but increase the potential risk of developing cancer from the female genital organs, and osteoporosis. In addition predisposition to breast cancer may cause harmful environmental factors: the environment, and also inflammatory diseases previously deferred breast - mastitis.

In addition, patients using a family of first-degree relatives with cancer of the breast (mothers and sisters) likelihood of developing a tumor increasing by more than half - familial varieties of cancer.

Benign breast diseases such as fibrocystic breast disease, or fibroadenoz intraduct papillomatosis alone don't lead to cancer, but simultaneously, create an unfavorable background for its development.

The cause of breast cancer may be the effects of radiation, like 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 result in cancer in the breast and female the reproductive system, having an excess dimply skin inside the body, it is a separate endocrine organ and actually starts to actively produce hormones-estrogens, whose action and provokes the development of tumors.

Symptoms of Breast Cancer

There are many forms with the growth of cancer of the breast:

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

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

In certain instances, cancer of the breast manifests within the form of metastases in the lymph nodes about the affected side, often doesn't detect the tumor itself - show hidden cancer of the breast.

For small tumors with the breast, any symptoms arise. The most observant ladies and their husbands can easily detect tumor site within the gland by accident, but in a very large breast to detect small size hard knot. Revealed a knot may be painful when pressed, round, smooth and agile, this speaks for a benign tumor. Signs of malignancy other: a good knot to touch the stone, its surface is uneven, it really is stationary or slightly shifted, may be firmly fixed towards the surrounding tissue or skin, usually painless, can reach a substantial size (a lot more than three to five cm and infrequently 10-15 cm).

Need to evaluate the surface in the skin over the tumor: the malignant process will probably be observed retraction of the skin, picking up inside the folds, wrinkles, a signal of "lemon peel" - an area swelling with the skin over the tumor, might be a direct tumor invasion to the skin surface, then it will become a bright red color and sprawl as "cauliflower."

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