Breast Cancer is the 2nd largest detected cancer after lung cancer. Its one of the leading cause of
mortality and morlidity rates among women of all age groups mainly after 20 years both in developed
and developing countries.
Developing countries have high fatality rate and poor outcome has it is noticed in late or advanced
stages.
Breast cancer means tumours develop in inner tissues of breast. If its develops in
Lobule - lobular carcinoma
Ducts – Ductal carcinoma
Risk factors
Hereditary or genetic factors
Harmonal regulations (mainly after menopause)
Sex harmones
Poor physical activity
Dietary factors ( high fat and sugar intake)
Obesity
Alcoholism and cigarette smoking
Exposure to harmful radiations
Exposure to chemicals and pesticides
Age ( incidence is more among 50+ yrs)
Height – taller women than normal have slightly greater risk
Jobs – according to Canadian researchers,women who worked at night prior to first pregnancy are at risk.
But all these are risk factors exact cause is unknown.
Seven warning signs of cancer
Lump,hard knot or thickening inside the breast or under arm area.
Swelling, warmth,redness or darking of the breast.
Change in shape and size of the breast.
Dimpling and puckering of the skin.
Inverted nipples
Discharges from the nipples.
Pain in one spot which is not reducing.
In some cases, these changes are not cancer, it may be benign breast.
Diagnosis
Breast cancer can be detected through:
Mammography – it helps in screening the problems in breast tissues.it is to be carried out
after the age of 40 years and to be continued further every year. It is not recommended
before 40 years of age.
CBE ( Clinical breast examination)- should be conducted by health care providers as a part of
periodic health exam. Women in the age of 20 to 30 should under go CBE every three years
and every year after 40 years.
Breast self examination- examination of breast by self, which plays an important role in early
detection. It should be practised from the age of 20 years.
Breast ultrasound
Biopsy-a sample of breast tissues are removed surgically and sent to lab for analysis.
Breast MRI.
Oral pill- a latest screening test, it can make more accurate with the help of pill „that light up“
the breast tumour cells. This is presented in 251 National meeting Exposition of American
chemical society in San Diego,CA.
Breast self examination
It is one of the realistic approach to detect breast cancer in early stages. BSE plays a major role in
developing countries as mammography screening may not be available in local health care units. So
its a keen need to educate people to inculcate the practice of BSE for early detection, also should
reduce the myths and misconception about self exam.
Our goal is to encourage competent performance that will affect the efficacy of BSE , this helps for
better detection.
FIVE EASY STEPS TO PERFORM BSE
On Shower
On shower when the skin is slippery it is to perform and its effective too.
Step 1: use your right hand to feel your left breast, pad up your second, third and fourth finger of right
hand firmly press every part of your breast in circular motion from nipples to outward till the arm
pits(under arms) or examine up and down motion so that it covers the entire breast. Repeat the same
for other breast with left hand. Check for any lumps, hard knot or thickening of tissues. Be sure that
you feel all tissues, use light pressure, medium pressure for middle tissues and firm pressure for deep
tissues till you feel your ribcage.
In Front of Mirror
Step 2: Biggin to look at your breast in mirror with shoulders straight. See for symmetry, size, shape and
nipple discharges. If you see following changes bring them to your health adviser attention.
Dimpling
Puckering
Swelling of the skin
Inverted Nipple
Rashes
Redness
Step 3: Now rise your hands and arms over your head, see for the above mentioned changes.
Step 4: Next place your hands on your hips and press firmly. Now see for symmetry and shape of your breast.
On laying down:
Step 5: In laying down position exam your breast. While examine right breast place a folded towel
under your right arm, then start performing same as step 1 procedure. Repeat the same on left breast
also.
Record the date of examination, repeat the procedure on the same date every month.
Preventive measures
Avoid alcohol and carcinogens
Avoid fatty foods, preservatives and smoked food items
Reduce sugar intake.
Involve in physical exercises
Treatment
Surgery
Biological therapy
Harmonal Therapy
Chemotherapy- Killing the cancer cells through medications. This treatment is used in
metastatic cancers, if tumours are large or in case of reoccurance.
Radiation therapy- a controlled dose of radiations are passed to the tumour cells to destroy.
This is mainly preferred after surgery and chemotherapy, to destroy left out cancer cells.
Cancer cells can be killed in two hours
New study shows that cancer cells can be killed in two hours. It is discovered by Mathew Gdovin, an
associative professor in UPSA department in Biology.
Gdovin found a new, non-invasive method to kill cancer cells. It is very useful in triple negative breast cancer which had very poor outcome.
The method involves injecting a chemical compound nitrobenzaldehyde, in to the tumour cells and allowed to diffuse.
A beem of light is then tabuted to the tissues, causing the cells to become acidic inside and essentially
“Commit suicide“ according to researchers. Within two hours, up to 95% of cells will be destroyed.
Chemotherapy targets all cells in the body and certain chemotherapeutics keeps cancer cells acidic
as a way to kill. This leads to hair loss in patients and they become sickly.
Gdovin hopes that his non invasive method will help the cancer patients with tumours in areas have
proven problematic for surgeons, such as the brain stems, iota or spine.
References
1. Journal of clinical oncology, vol 34, No. 15 (May 20 Supplement), 2016
2. Journal of national medical foundation.
3. Levis, Heitkemer, et al. text book of “medical surgical nursing“.
4. www.breastcancer.org
5. www.wikipedia.org
6. www.bmccancer.biomedcenter.com
7. www.ncbi.nlm.nih.gov
8. www.medicalnewstoday.com
mortality and morlidity rates among women of all age groups mainly after 20 years both in developed
and developing countries.
Developing countries have high fatality rate and poor outcome has it is noticed in late or advanced
stages.
Breast cancer means tumours develop in inner tissues of breast. If its develops in
Lobule - lobular carcinoma
Ducts – Ductal carcinoma
Risk factors
Hereditary or genetic factors
Harmonal regulations (mainly after menopause)
Sex harmones
Poor physical activity
Dietary factors ( high fat and sugar intake)
Obesity
Alcoholism and cigarette smoking
Exposure to harmful radiations
Exposure to chemicals and pesticides
Age ( incidence is more among 50+ yrs)
Height – taller women than normal have slightly greater risk
Jobs – according to Canadian researchers,women who worked at night prior to first pregnancy are at risk.
But all these are risk factors exact cause is unknown.
Seven warning signs of cancer
Lump,hard knot or thickening inside the breast or under arm area.
Swelling, warmth,redness or darking of the breast.
Change in shape and size of the breast.
Dimpling and puckering of the skin.
Inverted nipples
Discharges from the nipples.
Pain in one spot which is not reducing.
In some cases, these changes are not cancer, it may be benign breast.
Diagnosis
Breast cancer can be detected through:
Mammography – it helps in screening the problems in breast tissues.it is to be carried out
after the age of 40 years and to be continued further every year. It is not recommended
before 40 years of age.
CBE ( Clinical breast examination)- should be conducted by health care providers as a part of
periodic health exam. Women in the age of 20 to 30 should under go CBE every three years
and every year after 40 years.
Breast self examination- examination of breast by self, which plays an important role in early
detection. It should be practised from the age of 20 years.
Breast ultrasound
Biopsy-a sample of breast tissues are removed surgically and sent to lab for analysis.
Breast MRI.
Oral pill- a latest screening test, it can make more accurate with the help of pill „that light up“
the breast tumour cells. This is presented in 251 National meeting Exposition of American
chemical society in San Diego,CA.
Breast self examination
It is one of the realistic approach to detect breast cancer in early stages. BSE plays a major role in
developing countries as mammography screening may not be available in local health care units. So
its a keen need to educate people to inculcate the practice of BSE for early detection, also should
reduce the myths and misconception about self exam.
Our goal is to encourage competent performance that will affect the efficacy of BSE , this helps for
better detection.
FIVE EASY STEPS TO PERFORM BSE
On Shower
On shower when the skin is slippery it is to perform and its effective too.
Step 1: use your right hand to feel your left breast, pad up your second, third and fourth finger of right
hand firmly press every part of your breast in circular motion from nipples to outward till the arm
pits(under arms) or examine up and down motion so that it covers the entire breast. Repeat the same
for other breast with left hand. Check for any lumps, hard knot or thickening of tissues. Be sure that
you feel all tissues, use light pressure, medium pressure for middle tissues and firm pressure for deep
tissues till you feel your ribcage.
In Front of Mirror
Step 2: Biggin to look at your breast in mirror with shoulders straight. See for symmetry, size, shape and
nipple discharges. If you see following changes bring them to your health adviser attention.
Dimpling
Puckering
Swelling of the skin
Inverted Nipple
Rashes
Redness
Step 3: Now rise your hands and arms over your head, see for the above mentioned changes.
Step 4: Next place your hands on your hips and press firmly. Now see for symmetry and shape of your breast.
On laying down:
Step 5: In laying down position exam your breast. While examine right breast place a folded towel
under your right arm, then start performing same as step 1 procedure. Repeat the same on left breast
also.
Record the date of examination, repeat the procedure on the same date every month.
Preventive measures
Avoid alcohol and carcinogens
Avoid fatty foods, preservatives and smoked food items
Reduce sugar intake.
Involve in physical exercises
Treatment
Surgery
Biological therapy
Harmonal Therapy
Chemotherapy- Killing the cancer cells through medications. This treatment is used in
metastatic cancers, if tumours are large or in case of reoccurance.
Radiation therapy- a controlled dose of radiations are passed to the tumour cells to destroy.
This is mainly preferred after surgery and chemotherapy, to destroy left out cancer cells.
Cancer cells can be killed in two hours
New study shows that cancer cells can be killed in two hours. It is discovered by Mathew Gdovin, an
associative professor in UPSA department in Biology.
Gdovin found a new, non-invasive method to kill cancer cells. It is very useful in triple negative breast cancer which had very poor outcome.
The method involves injecting a chemical compound nitrobenzaldehyde, in to the tumour cells and allowed to diffuse.
A beem of light is then tabuted to the tissues, causing the cells to become acidic inside and essentially
“Commit suicide“ according to researchers. Within two hours, up to 95% of cells will be destroyed.
Chemotherapy targets all cells in the body and certain chemotherapeutics keeps cancer cells acidic
as a way to kill. This leads to hair loss in patients and they become sickly.
Gdovin hopes that his non invasive method will help the cancer patients with tumours in areas have
proven problematic for surgeons, such as the brain stems, iota or spine.
References
1. Journal of clinical oncology, vol 34, No. 15 (May 20 Supplement), 2016
2. Journal of national medical foundation.
3. Levis, Heitkemer, et al. text book of “medical surgical nursing“.
4. www.breastcancer.org
5. www.wikipedia.org
6. www.bmccancer.biomedcenter.com
7. www.ncbi.nlm.nih.gov
8. www.medicalnewstoday.com