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ER (Estrogen Receptor) Health Feed

Risk Factors Of Breast Cancer!

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
The risk factors include:

- advanced age
- obesity
- smoking
- excessive alcohol
- hormone replacement therapy
- menstruating at an early age or late menopause
- family history of breast cancer
- having no children

Fibroadenomas - Causes And Symptoms

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Gynae, FCPS - Gynae, DNB - Obs & Gynae
Gynaecologist, Mumbai
Fibroadenomas - Causes And Symptoms
Fibroadenomas are benign non carcinogenic tumors that occur in the breasts of women. Although the condition may affect females of any age; spanning from pubescent girls to middle aged ladies, yet it is most commonly diagnosed in young women below 30 years of age. Fibroadenomas can be described as a stiff, smooth, supple marble under the skin of your breasts, which move when touched. These tumors which occur in varied sizes, may shrink or expand with time. Diagnosing through biopsies and treatment by surgeries are commonly employed for such a condition.

Types of Fibroadenomas
Fibroadenomas are of two types: simple fibroadenomas and complex fibroadenomas. The simple tumors are usually harmless and almost look the same under the lens of a microscope. On the other hand, the complex tumors are comprised of macro cysts (large fluid-filled sacs) and calcifications (deposits of calcium) which can slightly increase the chance of breast cancer.

What is the primary cause of Fibroadenomas?
Doctors aren't able to pinpoint the chief cause of fibroadenomas, but they have reasons to believe that the condition may pertain to the reproductive hormones. The condition may occur during pregnancy or during the use of hormone therapy, owing to which, the tumors may increase in size. The tumors are usually seen to shrink postmenopause, when the hormone levels start to dwindle.

Fibroadenomas are apparent and you may be able to detect them even without a doctor. The marble like tumor within your breasts are usually:
1) Painless
2) Firm
3) Rubbery and elastic
4) Easily movable

These tumors can range from being too small to as big as 3 inches or more in diameter. These lumps, which are usually harmless may be a cause of concern if they start to grow or change. Consulting a doctor is duly advised in such cases.

Risks
Fibroadenomas, only in the rarest cases, increase the likelihood of breast cancer. A complex fibroadenoma comprising of cysts or thick tissues called calcifications may aggravate your condition. Causes of concern could be if the tumor pains, a family history of cancer or an event of a questionable biopsy report.

I am a unmarried girl and taking sevista tablet 30 mg for fibroadenoma can you please tell me the effects and side effects of using sevista 30 mg.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Majority of the time it is used for controlling uterine bleeding- effect Side effects- contraceptive (not imp to u as u r unmarried), Other mild side effects possibilities are - Acne , Water retention , Heavy menstrual periods ,Breast tenderness.
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Hi doctor, My mom was diagnosed with breast cancer and went through Surgery, Chemo,radiations and treatment ended in May. After that she started getting severe leg and hand pain. Oncologist suggested Pregaba tablet but she is still getting severe pain. Please let me know if this is common after chemo or anything wrong?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Most of medical challanges need doctor to listen to detailed medical history in form of questions and answers, examination of patient and sometimes reports so meet concerned doctor.
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Breast Cancer - Know The Causes Behind It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Oncologist, Pune
Breast Cancer - Know The Causes Behind It!
Breast Cancer is a type of cancer which develops in the cells of the breasts. It is second most common form of cancer after skin cancer, among women in the United States of America. As there has been an increase in the support for breast cancer awareness and proper funding for research has helped to make advancement in the diagnosis of the disease and also in the treatment options. As people and doctors have become more aware of what leads to breast cancer, the precautions which women should consider taking so that they can prevent themselves from getting affected by the diseases and the types of treatment to be followed by the doctors, so that they can put women on the path to recovery, the deaths associated with the disease have come down.

So, even if somebody is diagnosed with cancer, their chances of survival are extremely high nowadays. Before going into the causes of breast cancer, let s take a look at some of the symptoms which act as indications to suggest that there is a possibility of women getting affected by breast cancer.

Causes
Medical science, technology has advanced to a great extent and there has been campaigns on breast cancer awareness. Despite all the progress, still doctors are not clear as to why do cancerous cells in the breast begin to multiply at abnormal rates from time to time. There are certain factors due to which this happens. Let s discuss in detail:

Age: Age is a big factor behind breast cancer. As women grow older, chances of them becoming prone to developing cancerous cells in the breasts grow. Unfortunately, age is something beyond anyone s control.
Medical history: Medical history plays a big role in breast cancer occurring in women. If a woman has had cancer in one breast, chances are high that she would develop cancerous cells in her other breast as well.
Family history: Another big factor behind a woman getting plagued by the dreadful disease of breast cancer, is the history of her mother, sister or daughter have already been engulfed by the disease.
Being exposed to radiation: Exposing yourself to radiation treatments would always increase the chances of getting affected by breast cancer.
Obesity: Being overweight is never a good thing. A whole lot of problems occur due to this, cancer being one of them.
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My mom (age 58) is facing breast cancer from last month. The breast cancer tumor operation is success. Now as per Doctor suggested need to chemo (6) therapy. But she is facing Diabetes and HBaS positive. So please advice how to reduce pain to her? Can I go for Ayurvedic treatment or start with chemotherapy? Your advice is important for me. Thanks in advance.

MD - Radiotherapy, MBBS Bachelor of Medicine and Bachelor of Surgery
Oncologist, Navi Mumbai
Please follow the treatment as advised by your oncologist. Your doctor can manage or modify chemotherapy as per her diabetes or Hepatitis etc. Ayurvedic treatment can not replace chemotherapy. So please don’t skip chemotherapy. Please discuss all issues with your oncologist.
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Breast Cancer - 7 Treatment Modalities That Can Be Of Help!

MBBS, MD - Radiotherapy, DM - Medical Oncology
Oncologist, Hyderabad
Breast Cancer - 7 Treatment Modalities That Can Be Of Help!
Treatment for breast cancer depends on the type of cancer, hormone sensitivity, size, grade and stage of cancer. A doctor considers the overall health of the patient and the patient s individual preference before recommending a treatment plan. While there are many treatments options available for breast cancer, surgery is by far the most popular option for most patients. Along with surgery, some other treatments that a patient undergoes include radiation, chemotherapy and hormonal therapy.

Surgery options

Lumpectomy: This is a procedure wherein the surgeon cuts the tumour and removes some of the surrounding healthy tissue in order to ensure that cancer does not spread to the healthy cells after the surgery. This procedure is applicable for small tumours.
Mastectomy: This is a procedure in which all tissues of the breast are removed. This includes lobules, fatty tissue, ducts, areola, and nipple. In a skin-sparing mastectomy, all of the breast skin, except the nipple and the areola, is preserved, which makes the reconstruction process easier.
Sentinel node biopsy: Since the sentinel lymph nodes are the first place that cancer is likely to spread, a doctor might suggest a sentinel node biopsy if cancer has spread to the lymph nodes. If no trace of a cancer cell is found in the nodes, it is unlikely that any more nodes need to be removed.
Removal of breasts: Many women who have cancer in one breast often choose to remove both the breasts in order to avoid the risk of cancer spreading. While a family history of breast cancer can greatly increase the chance of breast cancer in a woman, statistics show that most women who have cancer in one breast do not develop cancer in the other one.
Radiation: This is a process where a high-powered beam of energy is directed at the cancer cells to kill them. This method is often used after a lumpectomy. Radiations are of two types external beam and brachytherapy. Some side effects of this treatment include fatigue, hair fall, loss of appetite and rashes.
Chemotherapy: Chemotherapy is the treatment of cancer by cytotoxic and other drugs. This is often recommended by doctors when there is a good chance of the cancer cells spreading to other locations of the body. This form of treatment is often recommended before the surgery to shrink a tumour or restrict the growth of cells.
Hormone therapy: Hormonal therapy is used to treat cancers that have hormonal sensitivity. They can be used before or after the surgery in order to ensure that cancer does not reoccur. Some of the treatment methods in this section include medication that restricts hormones from getting attached to the cancer cells, medications that restrict the body to produce oestrogen post-menopause and a medication that destroys cancer receptors.

Breast Cancer - Know Everything About It!

MBBS, DGO
Gynaecologist, Delhi
Breast Cancer - Know Everything About It!
Breast cancer is a type of cancer which occurs due to the development of cancerous cells in a person's breasts. Women are usually affected by breast cancer and breast cancer is one of the most common forms of cancer after skin cancer. Usually fatal if not diagnosed in its early stage, breast cancer is a very serious medical ailment. Read on more to find all about the different symptoms, causes, preventive measures and treatment of breast cancer.

Symptoms

Breast cancer has a few distinct characteristics and if you have a few or all the following symptoms you could be more likely to suffer from breast cancer.

The formation of a lump in your breast which is different from the surrounding tissue and usually more thickened.
The discharge of bloody fluid material from the nipples.
Sudden change of the size, shape and appearance of the breast.
Certain distinct changes to the skin over the breast for example an indentation in the skin similar to that of a dimple.
Appearance of an extra nipple which is inverted.
If the darkened area around the nipples known as the areola is flaking or peeling off.
Causes

Studies and researches remain inconclusive on what causes breast cancer. Breast cancer occurs due to abnormal division of the cells located in the breast which over time accumulate and form lumps. They
might spread to other parts of the body. Breast cancer is caused mainly due to a complex interaction of personal genetics, environment and lifestyle choices. Breast cancer can also be caused due to genetics as about 5% to 10% of cases are due to gene mutations which pass onto generations.

Risk factors

There are certain factors which increase the probability of contracting breast cancer. Increasing age, personal and family history of breast cancer, obesity, radiation exposure, pregnancy at an older age, post-menopausal hormone therapy are some of the factors that increase the chances of breast cancer.

Treatment

Several forms of surgical methods exist to treat breast cancer. Depending on the condition and spread of the disease a suitable surgery is performed. These include mastectomy, lumpectomy, axillary lymph node dissection and removal of both breasts. Other forms of treatment include chemotherapy or the use of high doses of drugs to destroy cancerous cells. Radiation therapy where X-rays are used to destroy the cancer cells is also effective.
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Breast Cancer- How To Diagnose And Treat It?

MBBS, MS - General Surgery
General Surgeon, Hyderabad
Breast Cancer- How To Diagnose And Treat It?
Breast cancer is characterized by an abnormal multiplication of cells in the tissues of the breast. The disease is the second most common cancer in women, and mostly affects women in the age group 55-65. However, the disease may occur in men as well.

Causes-

The exact cause of breast cancer is not known as of now. Some of the factors that influence multiplication of cells are your genes and the environment. Other factors such as late menopause, being subjected to hormone therapy post-menopause and dense breast tissues can be other triggers for this disease.

Symptoms-

The symptoms of breast cancer are:

Discharge from your nipples
A swelling in the breast
You may have a lump in your armpits
The skin around the breast may become flaky
The skin around the breast may be irritated
Treatments-

The treatment depends on the size, grade and stage of the breast cancer. The sensitivity of the cancerous cells to the hormones in the body is also considered in this regard. The various treatment methods are:

Surgery: There are multiple types of surgeries which may be used to treat breast cancer. In some cases, only a small area of the breast may be removed if the size of the tumor is small. Sometimes, mastectomy is performed where the entire breast tissue has to be removed.
Chemotherapy: Chemotherapy is a type of treatment in which the cancerous cells are targeted by using certain drugs which are injected in to the body. However, chemotherapy has its own share of side effects such as hair loss, sudden and drastic weight loss and persistent fatigue.
Radiation Therapy: This procedure involves using radiations such as x-rays to destroy cancer cells in the body. This procedure is carried out with the help of a machine that focuses radiation on the affected areas of the body. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
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