As it is known, the breast is a gland consisting of mammary glands and ducts that carry the milk to the nipple. Breast cancer occurs when the cells lining these mammary glands or ducts proliferate uncontrollably as a result of various factors. The most common is the ductal type originating from the breast ducts.
IS EVERY MASS DETECTED CANCER?
Of course it is not. The majority of palpable masses are benign, non-cancerous masses. Although it varies depending on the age of the woman, this rate is between 10% and 20%. However, the first symptom seen in almost 70% of patients with breast cancer is palpable masses.
The majority of palpable masses in their twenties are benign breast masses called fibroadenomas. These are mostly painless, mobile, well-contoured masses. While they may disappear over time, they may also grow. The treatment is follow-up for small ones and surgical removal for large ones.
In the thirties and forties, the majority of palpable masses in the breast are cysts. These are painful, more than one in both breasts, have smooth contours and are of different sizes. Especially in menstruating women, these cysts grow larger and become painful during the menstrual period. At the end of menstruation, the pain may decrease and disappear. Follow-up is also recommended for these. However, very large ones are monitored by aspirating the inside with a syringe, and biopsy is recommended if necessary.
If the palpable mass is hard, has irregular edges, has a rough and mobile surface, and is adherent to the breast tissue or skin, it is necessary to consult the relevant physician.
ATTENTION TO THESE SYMPTOMS!
If even one of the following symptoms is present, it is necessary to consult a breast surgeon or general surgeon.
* In the breast or palpable mass, hardness or swelling in the armpit (It is important that the mass does not slide under the hand and that its surroundings are not smooth)
* Nipple discharge, especially one-sided and bloody
* Nipple discharge retraction, collapse
* Breast enlargement and deformity
* Persistent wound or rash on the breast skin
* Crusts and rashes on the nipple
WHAT ARE THE RISK FACTORS IN BREAST CANCER?
* The most important k risk factor is gender.
* Age, especially over fifty.
* Genetics, family history of having breast cancer in a first-degree relative.
* Early menstruation, late menopause. The earlier a woman gets her first menstrual period and the later she is in menopause, the more estrogen hormone she will be exposed to, and the higher her chances of getting cancer.
* Hormonal treatment for many years after menopause.
* Diet with low consumption of vegetables and fruits.
* Lack of physical activity.
The first thing to do after the examination of a palpable mass is to examine the mass with ultrasound. If necessary, mammography examination should be performed, taking into account the patient's age and risk, and it should not be forgotten that; Self-breast examination is very important in early diagnosis. Each breast that is detected should be shown to a specialist and followed up with a biopsy when necessary.
In my next article, I will explain how to perform breast self-examination and follow-up.
And it should not be forgotten that the unlimited love and affection they have in their hearts. We cannot thank our women enough for their patience. If a woman wants, she can fit a world of love into her big heart. A woman is a mother, a friend, a friend, a lover, a sister, love, affection, patience and most importantly, life. Stay healthy by paying attention to social distance, mask and hygiene.
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