Krishna Pran Breast Cancer Care Charitable Trust  
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
FREQUENTLY ASKED QUESTIONS
At KPBCCCT, we hope to answer some of your most important questions about breast cancer while providing support and hope for those who have been diagnosed. If you have questions, you have come to the right place. Listed below are answers to some of the most frequently asked questions about breast cancer.
 
What does Breast Cancer mean?
   
Breast cancer means a cancerous (causing infiltration and destruction of tissue) growth that originates in breast tissue.
 
Whom does it affect the most?
   
The risk of breast cancer increases with increasing age, mostly among females.
 
How does Breast Cancer progress?
   
Usually an excess of estrogen stimulates the growth of the tumour.
 
What are the causes of Breast Cancer?
   
The causes are:
  • Positive family history.
  • Early menarche
  • Late menopause.
  • First child after thirty years of age.
  • Excessive body fat.
  • Prolonged use of oral contraceptive pills.
  • Hormone replacement therapy (HRT) for 10 years or more.
  • Oncogenes
 
What are the symptoms of Breast Cancer?
   
The symptoms are:
  • A painless lump in the breast Dimpling of the skin in the area of the lump that looks like orange peel.
  • Inversion of the nipple.
  • A bloodstained nipple discharge.
  • Pain in breast. In Paget's disease: patch of dry, flaky skin on the nipple. A change in the appearance or texture of the breasts.
  • Cachexia
  • General symptoms: malaise (weariness)
  • loss of appetite
  • fatigue
  • thirt
  • fever
 
Can a healthy diet help prevent breast cancer?
   
A nutritious, low-fat diet with plenty of fruits and vegetables can help reduce the risk of developing breast cancer. A high-fat diet increases the risk because fat triggers estrogen production that can fuel tumor growth.
 
How often should I do a breast self-exam (BSE)?
   
Give yourself a breast self-exam at least once a month. Look for any changes in breast tissue, such as changes in size, a lump, dimpling or puckering of the breast, or a discharge from the nipple. If you discover a persistent lump in your breast or any changes in breast tissue, it is very important that you see a physician immediately. However, 8 out of 10 lumps are benign, or not cancerous.
 
How Often Should I Go To My Doctor For A Checkup?
   
You should have a physical every year. If any unusual symptoms or changes in your breasts occur before your scheduled visit, do not hesitate to see the doctor immediately.
 
What Kind Of Impact Does Stress Have On Breast Cancer?
   
Although some studies have shown that factors such as traumatic events and losses can alter immune system functions, these studies have not provided any evidence of a direct cause-and-effect relationship between stress and breast cancer. An area currently being studied is whether or not stress reduction can improve immune response and slow progression in women diagnosed with breast cancer.
 
Staging
   
The international TNM classification is recognized for staging: T- Extent of primary tumour
  • T1 to T3 shows the increase in the extent or size of the tumour.
  • N- Involvement of nodes
  • N1 to N3 shows the increasing node involvement.
  • M- Presence of metastases (distant spread)
  • M0 no metastases
  • M1 presence of metastases.
 
What investigations are done?
   
The tests conducted are :
  • Mammography
  • Radiology
  • USG
  • CT scan
  • CT scan
  • Lymphangiogram
  • Fine Needle Aspiration Cytology [FNAC]
  • Aspiration
  • Biopsy
  • Estrogen Sensitivity
  • Biochemical screening
 
What are the treatment measures?
   
TreatmentDepends on: TNM stage Estrogen sensitivity

Includes
  • Surgery
  • Radiation therapy
  • Chemotherapy
  • Hormone therapy, or
  • Most often, a combination of these.
Management of pain through
  • Oral analgesics and localized techniques of pain relief.
  • Antibiotics, in case of presence of infection.
 
What is the prognosis?
   
Prognosis is good, if early diagnosis is followed by prompt radical cure. Prognosis worsens with increasing stage of the cancer.
 
How can the disease be prevented?
   
The disease can be prevented through regular self-examination of breasts for lump. If there exists a positive family history of breast cancer then regular mammography should be conducted after the age of 30 years.
 
Important things one should know about Breast Cancer?
   
One needs to know about the complementary therapies that can help in the healing process.
  • Relaxation exercises
  • Meditation
  • Psychological counseling.
  • Family and colleagues support.
Terminal care
  • Psychological support
  • Appropriate nutrition
  • Treatment of cough, pruritis and nausea
  • Family and friend's support
 
   
Q. there is a very small red mark on my left breast away from nipple.i just cant remember for how long this mark has been there.is it have any dangerous sign.also sometimes i feel severe pain im my both breats specially when i put off my bra i night.is it normal or bcoz of tight bra?
   
Ans. Ordinarily, red spots on the skin are not dangerous if they have been there for long time and are not changing in size or color. So I would advise you to take note of any change over the next several months and have it checked by your local doctor in case it changes. About the pain in the breasts, it is not uncommon especially in younger women(<50 years of age) and does not require anything particular done as long as it is stable and a mild pain. But if it is increasing in severity, I would suggest that you ask your doctor to do a physical examination and make sure that you do not have any lumps in your breast(s).
Dr. Sewa S. Legha, MD
This Information is only for Public Awareness. For more details please consult the Doctor.

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