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Breast Cancer

Breast Cancer Treatment

The course of treatment for breast cancer depends on various factors, including the stage and type of cancer, your overall health, and your preferences. Here’s an overview of common treatment options:

Surgery

The most common treatment for breast cancer is surgery to remove the cancerous tissue. The type of surgery performed depends on the extent of the cancer:

  • Lumpectomy: Removal of the tumour and a small margin of healthy tissue surrounding it. Often followed by radiation therapy.
  • Mastectomy: Removal of the entire breast can be performed with or without reconstruction of the breast.
  • Lymph node surgery: Removal of lymph nodes in the armpit to check for cancer spread.

Radiation Therapy

High-energy rays are used to destroy cancer cells and prevent them from recurring. Radiation therapy can be administered after surgery (to eliminate any remaining microscopic cancer cells) or before surgery (to shrink the tumour and make it easier to remove).

Chemotherapy

Medications are used to kill cancer cells throughout the body. Chemotherapy can be given before surgery (neoadjuvant) to shrink the tumour or after surgery (adjuvant) to reduce the risk of recurrence.

Hormone Therapy

For hormone receptor-positive cancers, medications can block the effects of oestrogen or progesterone on cancer cell growth. Hormone therapy can be taken as pills or injections for several years.

Targeted Therapy Drugs

These drugs target specific molecules or pathways involved in cancer cell growth and survival. They may be used in combination with other therapies for HER2-positive cancers or other specific subtypes.

Immunotherapy

A relatively new approach that helps the body’s immune system recognize and attack cancer cells. Immunotherapy is still under development for breast cancer but may play a role in future treatment options.

Reconstruction

Breast reconstruction surgery can be performed after a mastectomy to restore the appearance of the breast. Reconstruction can be done at the time of mastectomy or in a separate procedure later.

Regular follow-up care is crucial for monitoring the patient’s recovery, managing any side effects, and checking for signs of recurrence. Follow-up typically includes physical exams, imaging tests, and laboratory tests to ensure that any changes are detected early and managed effectively.

Frequently Asked Questions

Can men get breast cancer?

Yes, while breast cancer is much more common in women, men can also develop breast cancer. It is important for men to be aware of changes in their breast tissue and consult a healthcare provider if they notice any abnormalities.

What lifestyle changes can help during and after breast cancer treatment?

Maintaining a healthy diet, staying physically active, managing stress through mindfulness or therapy, and avoiding tobacco and excessive alcohol can help improve overall health and recovery during and after treatment.

What are the side effects of breast cancer treatment?
  1. Feeling extremely thirsty 
  2. Passing pee more frequently than usual, especially at night
  3. Extreme fatigue
  4. Weight loss and muscle mass loss
  5. Cuts or ulcers that take a long time to heal
  6. Impaired vision due to frequent vaginal or penile thrush

Diabetes must be detected as soon as possible because if left untreated, it will become increasingly difficult to manage and can also cause other problems like a diabetic foot or kidney failure in some cases.

How does breast cancer affect fertility and pregnancy?

Some breast cancer treatments can affect fertility. It's important to discuss fertility preservation options with a healthcare provider before starting treatment. Breast cancer can be diagnosed during pregnancy, and treatment plans are carefully tailored to protect both the mother and the baby.

What is the role of genetic testing in breast cancer?

Genetic testing can identify mutations in genes like BRCA1 and BRCA2 that increase the risk of breast cancer. Knowing one's genetic risk can guide preventive measures and inform family members of their potential risk.

Are there different stages of breast cancer, and what do they mean?

Yes, breast cancer is staged from 0 to IV, indicating the extent of the cancer. Stage 0 is non-invasive, while stage IV indicates metastatic cancer that has spread to other parts of the body. Staging helps determine the best treatment approach.

Can breast cancer recur after treatment, and how is recurrence monitored?

Yes, breast cancer can recur. Regular follow-up visits, imaging tests, and self-examinations are crucial for monitoring recurrence. Early detection of recurrence can lead to more effective management.

What is the impact of breast cancer on long-term health and quality of life?

Long-term health effects can include chronic pain, fatigue, and emotional challenges. Quality of life can be improved through comprehensive survivorship care plans, which address physical, emotional, and social aspects of recovery.

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