13 Şubat 2018 Salı

The 11 most important questions about breast cancer

The most common in women cancer type breast cancer causing millions of people to lose their lives every year in the world. One of every 10 females in our country is exposed to breast cancer at a time of his life, revealing the seriousness of the taboo.

Memorial Foggy Hospital Department of General Surgery Professor. Dr. Abdullah İğci, "Breast Cancer Awareness Month, answered the most frequently asked questions about the subject.

Breast cancer is responsible for 33% of all female cancers and 20% of cancer-related deaths. In cancer-related deaths, it is the second most common cancer after lung cancer.

Since breast cancer increases with age, every woman after 40 years should have regular breast exam and mammography once a year. Breast cancer can be completely cured by early diagnosis.

For this reason, each month, self-control of the breast is vital to early diagnosis. Having adequate and accurate information on breast cancer is also an important factor increasing the chance of success in treatment.

Are all the masses in the meme been cancer?

More than 90% of the masses in the meme are not cancer. These can usually be cysts growing in the breast, benign tumors, or the mammary gland itself can become mass like. Since the internal structure of the breast is very intense before the beginning of the period, the breast checks performed during this period may constitute a mass existence thought.

Do the fibrocysts turn into cancer?

Fibrocysts are physiological changes in the breast and are not considered diseases. For this reason, there is no risk of becoming a cancer. During the existence of fibrocystic structures, mammary cancer may develop but these are not the causes. In the case of stress, sadness and distress, the number of fibrocysts increases and this leads to tension. Caffeine use, too salty and fatty foods, triggers this tension. The increase of fibrocysts causes pain in the mammary.

Does fibroadenoma become cancerous?

Fibroadenoma is a benign tumor. The surrounding area is encapsulated and it is not possible to spread it around. The risk of developing breast cancer in this, the risk of developing cancer from normal breast tissue. As the diameter increases, the risk increases by 1-2%. Fibroadenom can grow to some extent due to soy consumption and contraceptive use, but it can not be said to be a cancer-causing effect.

What are the most important risk factors for breast cancer?

The biggest risk factor for breast cancer is being a woman. Female gender refers to a 100-fold increased risk. The risk for menopausal women is even higher. The increase in the duration of exposure to the estrogen hormone increases the risk of breast cancer development. It is an important risk factor to have radiotherapy in the chest region and especially to be treated before the age of 15 years. Long-term consumption of high-fat foods and 1-2 cups daily alcohol Consumption of breast cancer is effective in the increase.

Which is the best time for self-examination?

Women should start breast self-examination after 20 years of age. Self-breast control is not recommended because of the confusing and panic-like effect of young women under 20 years of age with low risk of breast cancer. The ideal time for breast examination is 4-5 days after menstrual period.

When should the first mammography and breast ultrasound be done?

Groups with breast cancer stories in the family 26 and families with high rates of familial breast cancer can make mammograms once every 32-34 years and then in the following years up to 40 years. After 40 years of age, mammography should be done regularly every year.

Does the mammogram affect cancer formation?

In the past, even in mammograms where patients are suspected of exposure to high-dose radiation, 30-year patient follow-ups have proven that the radiation received does not present a danger to the body at a significant level. Today's digital mammography technology uses 10 times less radiation than the past. The most important detail that the caregiver should pay attention to when taking regular mammography is to give the device a good quality and healthy image. Because inadequate and poor quality images can cause a very important tumor in the neck to be skipped. Mammographic findings, which have a very important share in the early diagnosis of breast cancer, are better selected with good quality films. Even changes in breast tissue can be caught by digital mammography before they become cancerous.

What is the surgical approach to breast cancer today?

Breast cancer surgery is currently performed, if the patient is medically fit and there is no risk factor, breast conserving surgery is performed. If the patient's mammogram is taken, a new breast can be made when some risk factors are left after the second year. Because the loss of the mammary gland due to breast cancer, or later having a breast again, psychologically relieves the patient, helps to adapt to social life easier and improves treatment success.

In recent years, the patient has had to take a mammary skin protective mastectomy, and then immediately reconstruction is done.

Breast conservation in young patients, breast cancer in elderly patients?

Such a medical opinion is certainly not true. Breast is an important object for women of all ages. There is no rule or such an understanding that the fetus of elderly patients will be taken. If appropriate, the breast of a woman aged 70-80 can also be maintained, considering the shape, shape, and prevalence of the tumor.

What are the criteria for breast conserving surgery?

It is necessary that the patient does not want to take the breast and prefer breast conserving surgery. This is the most basic right of the patient. In this case, the doctor should first consider breast conserving surgery. The cancer must be in a region. If the tumoral tumor is not too large, the size of the breast and the proportion of the cancer must be found. If the cancer is large breast is small, all of the breast must be removed. Underarm metastases do not prevent breast conserving surgery.

In which situations is the breast taken absolutely?

It is not possible to have breast conserving surgery in patients with cancer that is common in many parts of the mammary gland with common tumors in the breast. In this case, the breast must be taken absolutely. If the patient's mammogram is widespread and badly calcified, if breast cancer is thought to cause it to start in many foci, the breast removal of these patients should be planned. Patients who have previously undergone radiotherapy on the chest wall should undergo mastectomy because of the necessity of re-radiotherapy after breast-conserving surgery.


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