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CME: Advances in the Prevention, Diagnosis and Treatment of Breast and Gynecologic Cancers

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Breast cancer patient receives rapid diagnosis and treatment at Breast Health Center

In February 2009 Danielle Horsley discovered a suspicious mass in her right breast. Within 24 hours of discovering the lump in her breast, her gynecologist referred her to a team of specialists at the Shands Jacksonville Advanced Breast Imaging Center located in Jacksonville, Florida. She was quickly diagnosed and treated for an aggressive form of breast cancer. Today, Danielle has a renewed sense of hope. For more information about the Shands Jacksonville Advanced Breast Imaging Center located in Jacksonville, Florida please visit jax.shands.org

WomenStories: Initial Discovery and Diagnosis of Breast Cancer II

The first chapter in a series by WomenStories videos, created and produced by breast cancer survivors and medical professionals, are intended for women newly diagnosed with breast cancer. Check out www.womenstories.org for more information.

Breast Cancer Diagnosis

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Home Page > Health > Breast Cancer Diagnosis

Breast Cancer Diagnosis

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Posted: Nov 04, 2010 |Comments: 0
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Where do you begin? Breast cancer is a hazard that can come unexpectedly. The medical community knows very well that there are several symptoms that can tell yhou have breast cancer. There are some symptoms that you can just diagnose on your own. Check if there’s a lump in one of your breasts or on both breasts, Check if the color of the skin is hardening or changing.

During this time, it will be a big help if your health insurance provider is a reliable company that you no longer have to fight for your benefits and get the necessary treatment. Most health insurance companies are avoiding the responsibility of covering the costs of the treatment since this is a long-term treatment that involves a lot of money.

If after you’ve done a self-diagnosis at home for your existing symptoms, get in touch with a medical physician for proper diagnosis. Most women will make an annual appointment with their medical health care physician just to put their mind at ease.

There are some women who choose not to go through mammogram. Perhaps it is a matter of preference and the history of other women in the family. However, even the health insurance provider will recommend an annual mammogram in the event that a tumor is developing.

The best time to do this is while the tumor is still very small that it can just be removed easily without posing threat to the patient. The actual process from start to finish will incorporate your medical physician and your health insurance provider discussing the terms of what you will need.

This will also incorporate all the health care incidental testing that is yet to be taken and the possibilities of x-rays if necessary. The whole process requires a lot of patience from you. The tests needs time to be analyzed and your medical doctor needs to find the best way for you to overcome it.

Everyone involved will be working diligently for the best possible outcome and it all begins with you. Once the medical health care physician and your health insurance provider agree to a workable treatment plan in your behalf, you will be contacted and the treatment will begin.

From this point forward, you will have to be honest with yourself and with your medical health care physician in order for the treatments to continue on schedule.

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Home Page > Health > Men’s Health > Breast Cancer Information for diagnosis

Breast Cancer Information for diagnosis

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Posted: Jan 28, 2011 |Comments: 0
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Although the exact causes of breast cancer have yet to be identified, the risk increases gradually with age and for certain people there may be a family hereditary (genetic) component. Other risk factors may include a long menstrual cycle, early onset of menses, or late menopause; first pregnancy after age 31 ; a high-fat diet; endometrial or ovarian cancer; radiation exposure; estrogen therapy; antihypertensive therapy; alcohol and tobacco use; and preexisting fibrocystic disease. The recent discovery of the breast cancer gene BRCA 1 confirms the theory that the disease can be inherited from either the mother or the father. About half of all breast cancers develop in the upper outer quadrant. Growth rates vary. Theoretically, slow-growing breast cancer may take up to 8 years to become palpable at 3/8 “(1 cm). It spreads by way of the lymphatic system and the bloodstream through the right side of the heart to the lungs and to the other breast, chest wall, liver, bone, and brain. Signs and Symptoms Early detection and treatment are extremely important in curing breast cancer.”diagnosis: a preface to an autopsy”
“To confess ignorance is often wiser than to beat about the bush with a hypothetical diagnosis.”
“Being a reporter is as much a diagnosis as a job description” The warning signs and symptoms of breast cancer could include the following: Change in the size or shape of the breast Lump or thickening of tissue in the breast or armpit Dimpled or pulling of the skin over the breast Nipple discharge Retraction of the nipple Scaliness of the nipple Pain or Tenderness Abnormality on a mammogram Diagnostic tests Mammography, the essential test for breast cancer, can reveal a tumor that is too small to palpate. Fine-needle aspiration and excisional biopsy provide cells for histologic examination to confirm the diagnosis. Ultrasonography can distinguish between a fluidfilled cyst and a solid mass. Chest X-rays can pinpoint metastases in the chest. Scans of the bone, brain, liver, and other organs can detect distant metastases. Laboratory tests, such as alkaline phosphatase levels and liver function, can uncover distant metastases. Hormonal receptor assay can determine whether the tumor is estrogen or progesterone-dependent. This test guides decisions to use therapy that blocks the action of the estrogen hormone that supports tumor growth. Treatment The choice of treatment usually depends on the stage and type of disease, woman’s age and menopausal status, and disfiguring effects of surgery. Therapy may include any combination of surgery, radiation, chemotherapy, and hormone therapy. Surgery includes lumpectomy, partial mastectomy, simple or total mastectomy, modified radical mastectomy, and radical mastectomy. Lumpectomy. (say: lum- pek -tuh-mee), which removes the cancerous tumor from the breast. A woman usually has this surgery when the cancer is found early and when the lump is small and in only one part of the breast. Partial mastectomy (also known as segmental mastectomy or quadrantectomy) removes one-quarter or more of the breast. Simple or total mastectomy is the removal of the breast but not the lymph nodes or pectoral muscles. Modified radical mastectomy is the removal of the breast and some of the axillary lymph nodes. Radical mastectomy is the removal of the breast, pectoralis major and minor, and axillary lymph nodes. The use of this surgery has declined. Before or after tumor removal, primary radiation therapy may be effective for a patient who has a small tumor in early stages without distant metastases. Radiation therapy can also prevent or treat local recurrence. Preoperative breast irradiation also helps to sterilize the field, making the tumor more manageable surgically, especially in inflammatory breast cancer. Various cytotoxic drug combinations may be administered either as adjuvant therapy or as primary therapy. The patient may base her decision to undergo chemotherapy on several factors, including the cancer’s stage and hormonal receptor assay results. Chemotherapy commonly relies on a combination of drugs, such as cyclophosphamide, fluorouracil, methotrexate, doxorubicin, vincristine, paclitaxel, and prednisone. A typical regimen is cyclophosphamide, methotrexate, and fluorouracil; it’s used in premenopausal and postmenopausal women. Hormonal therapy lowers levels of estrogen and other hormones suspected of nourishing breast cancer cells. For example, antiestrogen therapy (specifically tamoxifen, which is most effective against tumors identified as estrogen receptor-positive) is used in postmenopausal women. Breast cancer patients may also receive estrogen, progesterone, androgen, or antiandrogen aminoglutethimide therapy. The success of these therapies provides growing evidence that breast cancer is systemic, not local, and has led to decline in ablation surgery. Prevention Doctors and scientists are working on finding cures for all types of breast cancer. They are researching new medicines that may even help prevent the disease. But in the meantime, it’s important for women to catch the disease early. Regular mammograms – together with monthly breast self-exams – are the best ways for women to protect themselves. You may want to ask the women you care about if they are taking these important steps.

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Breast Cancer Diagnosis and Symptoms and Complications

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Breast Cancer Diagnosis and Symptoms and Complications

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Posted: Feb 22, 2011 |Comments: 0
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Symptoms and Complications
The appearance of a lump or mass in the breast is found 9 times out of 10 during a self examination. There is usually no pain, but the mass may cause an unusual sensation in the place where it is located.

When a tumour appears in the milk ducts, bleeding can occur from the nipple. The size or shape of the breast may change. In addition, the nipple may enter into or skin may shrink, causing the formation of a dimple. The appearance of a lump or swelling in the armpit, or a redness or swelling of the breast are other symptoms.

While these might be early signs of breast cancer but may also indicate another non-cancerous. In fact, about 8 out of 10 are not cancerous. It should however consult a doctor to pinpoint the exact cause of the hump.

The most serious complication of breast cancer metastasis. Metastases occur when some cells from a tumour break off and travel to other parts of the body via the blood or lymphatic vessels to invade tissue in locations distant sometimes. When metastases are formed from cells of breast cancer, they are most often in lymph nodes, lungs, liver, bones, brain and skin. Several years may pass – even after the diagnosis and treatment of breast cancer – before the cancer that has spread from the primary tumour.

When metastases are discovered, the cancer has probably already spread to other places, even if these tumours are not detected.

Diagnosis
It must be checked by your doctor a suspicious mass in your breast. Besides a complete physical examination, the doctor will also perform a mammogram, which is to say at a low dose X-rays may show abnormalities in the breast. An ultrasound can sometimes be performed to determine if the lump is a fluid-filled cyst or a solid mass. A biopsy may be necessary even if the lump tactile does not appear on the mammogram.

Fluid may be collected in a cyst with a needle to determine if it contains cancer cells. A solid mass should be analyzed under a microscope. To this end, we must perform a needle biopsy, a core biopsy or surgical biopsy.

In the case of needle biopsy, a thin needle is inserted into the lump to extract cells. Core biopsy involves removing a sample of breast tissue and cells to examine. The biopsy involves removing the entire mass and a certain amount of healthy tissue nearby. This procedure is performed under local or general anaesthesia.

Cancer cells may be subjected to examination to detect the presence of oestrogen receptors or progesterone. In addition, we may conduct further tests – including radiography, bone scan, ultrasound, computed tomography or magnetic resonance imaging – to see if the cancer has spread to other organs or tissues.

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