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Breast cancer How to detect it early?


The risk of developing breast cancer increases with age. However, it is important to take into account other risk factors when developing breast cancer such as age, certain racial, hormonal, personal (abnormal breast structure) and family (first-order familial breast cancer) factors that can increase the frequency of occurrence of this disease.

The incidence of breast cancer between 20 and 35 years is very low and malignant lesions only appear in 3 to 5 percent of women between 30 and 35 years of age. However, benign cystic lesions and fibroadenomas are usually diagnosed, which do not present any pathology.

Out of every 10 consultations for nodules in the breast, from eight to nine, correspond to benign pathologies related to hormonal changes and the structure of the mammary gland itself.

However, when a woman notices a lump in breast sporadically or in the monthly periodic self-examination, it is recommended that you go to your specialist doctor to determine its nature, which is usually benign in most cases.

The chances of a cure for breast cancer increase when small lesions are detected and, today, thanks to increasingly early examinations, tumor lesions can be detected early.

For this reason, it is necessary for patients with high direct family risk in the mother or sisters to undergo a first study with baseline mammography at 35 years of age.

Periodic radiological controls, follow-up of pathological glandular structures and the screening they are the fundamental pillars for making very initial diagnoses, with cures above 90 percent, from the age of 45.

The risk of developing breast cancer increases after the age of 45, since nearly 40 percent of women diagnosed with breast cancer are under 50 years of age. For this reason, it is recommended that all women begin to have mammograms, from the age of 40, annually.

The early initial discovery of a lesion, which is diagnosed as small, is extremely important for healing in this type of cancer.

It is very important to bear in mind that breast cancer does not present any symptoms and that, despite the monthly self-examination campaigns, small lesions of 5 or 8 mm cannot be detected by palpation.

For a nodule to be felt by the woman herself, it must have a diameter greater than approximately 1 cm. However, radiological studies, that is, mammograms can reveal lesions smaller than 1 cm. In these cases, the diagnostic chances are 90 percent.

The mastectomy broad, radical surgery was a routine treatment in the 60s and 70s. Today, mastectomy is only indicated in 30% of cases, that is, in diffuse, multicentric tumor processes and in special situations. Most patients can have their chest reconstructed in the same surgical act.

Conservative or partial breast surgery is the treatment of choice in 70 percent of cases for two reasons. The first is due to radiological controls and modern diagnostic equipment (such as 2D mammography, 3D ultrasound, full-field Magnetic Resonance, and more recently tomosynthesis or 3D mammography), which allow the detection and treatment of smaller tumors. . The second consists of performing primary treatments, which are based on the reduction of the largest tumors with the chemotherapy neoadjuvant, to then subject them to partial surgery.

Advice: Doctor Armando Tejerina, specialist in Obstetrics and Gynecology, director of the Breast Pathology Center and president of the Tejerina Foundation.

You can read more articles similar to Breast cancer How to detect it early?, in the Cancer category on site.


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