QA with Lori van Dam, Interim CEO for Susan G. Komen Massachusetts® The Harbus

breast cancer awareness QA with Lori van Dam, Interim CEO for Susan G. Komen Massachusetts® The Harbus
Breast Cancer

Among all cancers in women, he takes the first place. In most cases, breast cancers develops within 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 with the breast). For the nodular cancers are seen as an the node using a diameter as high as several centimeters. In certain instances, a tight knot, is permeated with whitish layers tissue penetrating in the surrounding fat, in other people - a soft, juicy on the cut, splits easily. Diffuse prostate cancer is included for the considerable distance, the contours in the tumor are marked bad. Sometimes the cancer invades skin and forms on the surface of decaying mushroom formation - a cancerous ulcer. In certain cases, the tumor spreads along the surface of the breast and the iron is included with a dense shell.

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

• 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 characterized by varying examples of tissue and cell irregularities, which allowed to distinguish different amount of malignancy. This type of cancer include, particularly, infiltrating ductal and lobular carcinoma, which usually contains the structure of scirrhus, as well as Paget's disease.

Causes of Breast Cancer.

The causes of cancer of the breast often are hormonal changes in the body: the entry into menopause, if you have an energetic restructuring in the hormonal regulation with the woman, the ovaries lose their activity, decreased creation of progesterone and estrogen, one's body is certainly going through, "hormonal crisis." The mammary gland and endometrium (lining of the uterus) are most tuned in to these changes, the breast growth starts to dissolve and turn into replaced by fat.

Scientifically established how the female hormones estrogen-, plays an important role inside development of cancer of the breast. The excess hormones inside the body creates a favorable background for developing the sickness. The least active hormones estrogen behave in pregnancy and after birth - during breastfeeding. It is proved how the birth and prolonged breastfeeding (more than 12 months) to reduce the potential risk of developing breast cancers. On the other hand, abortion cause hormonal "explosion" in a woman's body that could trigger the development of tumors. So far there is absolutely no consensus in regards to the impact on the progression of tumors of hormonal contraceptive drugs, yet it's considered that these drugs reduce the potential risk of developing breast cancers, but increase the risk of developing cancer from the female genital organs, and osteoporosis. In addition predisposition to breast cancer can cause harmful environmental factors: the environment, and also inflammatory diseases previously deferred breast - mastitis.

In addition, patients having a group of first-degree relatives with breast cancer (mothers and sisters) likelihood of making a tumor increasing by greater than half - familial forms of cancer.

Benign breast diseases for example fibrocystic breast disease, or fibroadenoz intraduct papillomatosis alone do not cause cancer, but concurrently, create an unfavorable background due to the development.

The reason for cancer of the breast may be the results 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 cause cancer of the breast and female reproductive system, with the excess dimply skin inside the body, it will become 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 several forms with the growth of breast cancers:

- Nodular form, the most frequent, is characterized by a dense knot of 0.5 to five cm or maybe more, it's seen as a all from the following symptoms;

- Diffuse. All of them are very aggressive, grow quickly, almost lightning speed, the tumor with no clear boundaries, "spreading" in the breast and skin. For the first 2 forms are characteristic signs and symptoms of inflammation: pain of the breast, a bright red colorization of the skin it raises body temperature to 39 degrees C. In view of those symptoms often occur, and errors in diagnosing patients treated for inflammatory diseases, that are named and they are referred to these forms breast cancer. When tubular carcinoma cancer of the breast cover as a "skin" of the company's contracting and decreasing in proportions.

In certain instances, breast cancer manifests within the form of metastases inside the lymph nodes for the affected side, often ceases to detect the tumor itself - show hidden cancer of the breast.

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

Need to evaluate the surface of the skin within the tumor: the malignant process will likely be observed retraction from the skin, obtaining inside the folds, wrinkles, a signal of "lemon peel" - a neighborhood swelling of the skin within the tumor, can be a direct tumor invasion to your skin layer surface, then it becomes a bright beautiful red colors and sprawl as "cauliflower."

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