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Breast Cancer

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Gurgaon
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Breast cancer is a cancer that develops from breast tissue. The signs of the disease may include a lump in the breast, change in shape of the breast, fluid coming from the nipple, dimpling of the skin and a few more. In case you trace any of the symptoms in your body, you should immediately visit a doctor and start with the treatment.
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Mujhe fubroadenoma hai mai 30 saal ki hu? Mere 14.5 mm ki gaatth h left breast me? Kya ye cancer h? Kya mai theek ho sakti hu. Iska ilaj homoeopathy me h ua elopathy me. please tell me answer.

BHMS
Homeopath, Noida
Who told you its fibroadenoma? If some doctor told you after checkup, then I would like to tell you that fibroadenoma is benign not cancer. So do not worry. Since when r you having this. Is it painful? For this homeopathic treatment is very effective For more details you can consult me.
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Hi doctor my mom went for breast surgery in Pondy. Before surgery he went 3 chemo to reduce tumor size. Then we came back to home town Tuticorin .Now the cell spread to liver. So present situation she cannot take food very weak can’t take chemo and oral tablet. Can you help me in this case for second opinion My Sister take care my mom. I am in Singapore Please help for opinion thanks.

MS(gen.surg), M.B.B.S.
General Surgeon, Kota
According to your query your mom having breast cancer with metastasis 1st you get ct scan abdomen nd thorax, if ca. Spread than go for chemotherapy. But for chemo medicine you should build up the pt it is necessory. Take analgesic nd multivitamins nd livozyme increase protein diet.
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My mother had a left side breast cancer &doctor recommend for biopsy &biopsy result say its er/pr/her- 2 neu before biopsy doctor said radiation not needed but after biopsy report he said firstly chemo have to be done of epirubicin 150 mg & endoxan 1000 mg of 4 cycles &then 12 cycles of trumab 440 mg &paclitaxel 125 mg weekly then surgery &after that radiation is also necessary so Dr. Please help me to give information that this treatment is given by Dr. Is correct or not for my mother.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Most of medical problems need personally taking detailed medical history and examination with need of new+old reports so meet concerned doctor-Oncosurgeon more so who is specialised in breasts. So instead of looking for answers from others stick to specialist.
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She is suffering from breast cancer since 2016 and undergone surgery. Recent pet scan shows spread of disease in lungs and intestine. No chemo or radiation has given yet! Please suggest the treatment.

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Breast Cancer Signs and Symptoms: Swelling of all or part of a breast (even if no distinct lump is felt) Skin irritation or dimpling (sometimes looking like an orange peel) Breast or nipple pain. Nipple retraction (turning inward) Redness, scaliness, or thickening of the nipple or breast skin. Nipple discharge (other than breast milk) The feel of a breast lump depends on its cause, location, and growth. They can vary greatly from painful, hard, and immobile to soft, painless, and easily moveable. According to BreastCancer.org, lumps are most likely to be cancerous if they do not cause pain, are hard, unevenly shaped, and immobile. Treatment: Early stage breast cancer can be cured in most women. ... However, it sounds like you are in a very early stage of the disease and you should have an extremely good chance of being cured. DCIS stands for ductal carcinoma in-situ, which means cancerous cells have started to grow within one of the milk-ducts of your breas
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She is my mother in law diagnosed breast cancer in 2016 and had surgery. Recent pet scan shows it's spread in lungs and intestines. No chemo or radiation therapy has been done till today. Kindly suggest the best treatment.

FACS, MBBS, MS - General Surgery
Oncologist, Gurgaon
Pl. Consult your onco doctor whether she is fit for chemotherapy or not treatment left is chemo ,hormone therapy for which you pl have to send me the detail reports including her previous biopsy report and her p.r or recepter study reoprt. Another important treatment is an alternative cancer medicine which shall give your mother in law a comfortable life for another two tears and even more. For detail contact me on
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Breast Cancer

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DNB - Medical Oncology
Oncologist, Noida
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There are many types of breast cancer that differ in their capability of spreading to other body tissues. Breast cancer symptoms and signs include : a lump in breast,breast sore or nipple and so on. Its important to consult the doctor in case of any such symptoms.
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Breast Cancer - A Brief Overview!

BAMS - Alternative Medicine, Bachelor of Naturopathy & Yogic Sciences (BNYS)
Alternative Medicine Specialist, Lucknow
Breast Cancer - A Brief Overview!
Breast cancer begins when cells in the breast(s) start to grow out of control. It is understood as being the most common cancer, seen predominantly in females, globally. It is reasonably treatable and often curable.

1. Type: Adenocarcinomas constitute more than 95% of breast cancers with infiltrating ductal carcinoma (IDC) being the most common form of invasive breast cancer.

Frequently occurring breast cancers present as one of the following types mainly

Ductal Carcinoma In Situ (DCIS): Is the most common type of non-invasive breast cancer and is confined to the milk ducts of the breast. There is no invasion in the basement membrane. Pure DCIS metastasizes rarely. Non comedo cribrioform carcinoma is the most common DCIS found which, when compared to the comedo type, is mostly non-aggressive.
Infiltrating Ductal Carcinoma (IDC): Represents majority (about 3/4th) of the breast cancers, and is known to metastasize commonly to bones, lungs and liver.
Lobular Carcinoma In Situ (LCIS): Develops in multiple lobules of the breast (bilaterally). LCIS is less commonly seen, compared to DCIS.
Infiltrating Lobular Carcinoma (ILC): Represent about a tenth of all breast cancers and tends to metastasize to other regions of the body.
Less commonly occurring breast cancers such as

Inflammatory Breast Cancer: Is relatively uncommon and are caused probably owing to viral infections. The breast is warm, red and swollen.
Paget s disease of the nipple: Is a rare form of breast cancer. It begins in the milk ducts and spreads to the nipple and areola.
Medullary Carcinoma
Mutinous Carcinoma
Tubular Carcinoma
Phylloides tumor etc all.
2. Gender: Affects the female populace predominantly. However, a small percentage of breast cancer is attributable to the male populace as well.

3. Etiology: No definite cause is known. However, diet, lifestyle, environment, hormonal/ reproductive factors, personal or family history of breast cancer especially in first degree relatives and also any benign breast disease history etc all are known to increase the risk of breast cancers. Specifically, excessive fatty diet, obesity, type 2 diabetes mellitus, benign breast disease, heredity/ inheritance of mutated breast cancer genes 1 (BRCA1) and 2 (BRCA2), smoking, alcohol intake, infertility, estrogen therapy/ hormone replacement therapy (long term) in post menopausal women, delayed age at first pregnancy, nulliparity (not having child), early menstruation, delayed onset of menopause, lactating mothers not breast feeding, exposure to ionizing radiation, sedentary lifestyle, depression, exposure to MMTV virus etc all can potentially increase the risk for breast cancer.

4. Features: Signs & symptoms, of breast cancer, manifest majorly in the following ways

Lump/ nodule in the breast that gets attached to the skin of the breast over time. The lump / nodule could be hard and painless with irregular edges or it could also be soft, rounded, tender and painful.
Enlarged lymph nodes in the axilla which are palpable.
Swelling of whole or a part of a breast. This is even if there is no distinct lump felt.
Retraction or thickening of the nipple(s).
Pain in the breast or nipple.
Discharge from nipple other than breast milk.
Irritation/ scaliness of skin over the breast.
Redness of nipples
Rarely, red, swollen and tender breast.
5. Screening: Is generally recommended for asymptomatic populations goal of which, as usual, is to be able to detect & diagnose breast cancer at an early stage which is potentially curable. It is mostly radiologic with mammography/ USG being instrumental in raising suspicions for further diagnostics (i.e. biopsy) that help detect breast cancer, if any, early.

6. Diagnosis: A self-examination/ clinical exam of the breast(s)/ axilla that reveals a palpable mass prompts the following diagnostics. Abnormal blood test results may be indicative of malignancy, but a follow up imaging/ biopsy is always the gold standard for accurate diagnosis.

Blood: ER/ PR/ HER2/neu, uPA, PAI-1, CA15-3, CA27.29 etc all tumor markers are helpful.
Imaging: Mammography/ USG Scan usually, as relevant. Again, CT Scan of abdomen & pelvis and chest, PET CT scan, bone scan etc all help detect metastasis, if any, for cancers in stage III & above.
Biopsy: either excisional, incisional, fine needle aspiration (FNA) or core biopsy technique, as contextually appropriate, is frequently employed and a histopathological examination (HPE) thereof clinches the diagnosis and the nature of the disease.
7. Treatment: Conventional treatment includes surgery, radiotherapy, hormone therapy/ chemotherapy as deems appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.

8. Prognosis: Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage breast cancer are more. The cure/ recovery chances are influenced by the type, grade, stage of cancer, recurrence and the patient s general health & vitality etc all. Above-mentioned apart, age, menopause status, lymph node status, ER/ PR/ HER-2/ neu status, size & extent of breast cancer etc all also influence the treatment outlook in breast cancer. The five year survival rate is strongly correlated with the stage of breast cancer.

9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an increased focus on protective factors and avoidance of the risk factors can be of help. An adherence to a Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising (for at least 30 minutes daily), de-stressing and relaxation is highly recommended for reducing the risks of breast cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. It is advisable to limit milk/ dairy, preferably of low fat content, to 1 to 2 servings max daily. Although alcohol is optional and is not for everyone, the consumption of the same, if any, has to be strictly in moderation, and is best avoided. Smoking is to be avoided as well. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly or are best avoided too. Limiting dosage/ duration of hormone therapy, if any, especially to counteract post menopausal symptoms and also avoiding exposure to radiation and environmental pollution can help reduce the risks of breast cancer. Apart from the above-mentioned, for high risk cases, a prophylactic oophorectomy, prophylactic radical mastectomy, long term hormone therapy etc all can help reduce the chances/ risks of developing breast cancer significantly. Breastfeeding is known to confer protection against breast cancer risk too.
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Ayushmann Khurrana's Wife Diagnosed With Breast Cancer; All About DCIS!

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Ayushmann Khurrana's Wife Diagnosed With Breast Cancer; All About DCIS!
Ayushmann Khurrana's Wife Tahira Kashyap revealed over the weekend that she has been diagnosed with breast cancer. The cancer was detected in her right breast; the other breast is unaffected by it. Specifically, she has been diagnosed with DCIS, which stands for ductal carcinoma in situ. DCIS was detected along with high-grade malignant cells.

She is being treated for it since last one week and is back to normal now.

Let s try to know more about this disease:

What is DCIS?

DCIS is a type of breast cancer. This is a non-invasive type of the disease. It is quite prevalent; one in five new breast cancer cases are of DCIS type. More than 60,000 cases of DCIS type of breast cancer are detected per year in the US alone.

In DCIS:

D stands for Ductal. This symbolises that cancer has started from milk ducts.
C stands for Carcinoma. This refers to any cancer that starts from skin or tissues. In case of breast cancer, this refers to the fact that DCIS starts from breast tissue.
IS stands for In-Situ. This means in its original place .
DCIS is called a non-invasive type of breast cancer because it hasn t yet spread to other tissues, apart from the original milk duct, where it originated.

How is DCIS Detected?

Like any other breast cancer, DCIS is also detected with the help of a Mammogram. A mammogram is like an X-Ray of the breasts. It reveals the presence of cancerous cells in the breasts. Mammograms have been becoming more accurate over time and have now better detection ratio.

But how to know if someone needs to get Mammogram done? The simplest test of that is regular self-analysis of breasts. If some nodules or hard parts are felt, then it is better to consult a doctor, who can further recommend a Mammogram.

Treatment Options for DCIS?

There are multiple treatment options for DCIS. The first option is a breast-conserving surgery. In this, the abnormal cells are removed. Also, tissue from some other body parts can be added to breasts to fill the void that is created. In case of Tahira Kashyap, tissues from her back were inserted into her breast.

Sometimes the surgery can also be combined with follow-on radiation treatment.

Is DCIS Fatal?

The good news is that DCIS is not life threatening. If it is detected early on, it can be easily cured. However, one negative aspect associated with DCIS is that a person who has DCIS has a higher probability of getting breast cancer. In fact, the recurrence ratio is around 30%. The recurrence can happen within 5-10 years.

If a patient got radiation therapy, along with the surgery, then chances of recurrence reduce to 15%.

Tahira Kashyap put out a long Instagram post about her condition. This was pretty brave on her part, as she not only acknowledged the presence of this disease, but also encouraged others to take this seriously, and get regularly tested.

DCIS is non-fatal but can be followed up by the more fatal forms of breast cancer. So, if there is any symptom of it, immediately contact the doctor to rule out the possibility of it.
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What Are The Ways to Diagnose Breast Cancer?

MBBS, DGO
Gynaecologist, Lucknow
What Are The Ways to Diagnose Breast Cancer?
Breast cancer is a form of cancer which develops from the breast tissue. Breast cancer is indicated by signs such as a lump in the breast, changes in breast shape, fluid flowing from the nipple, dimpling of skin, or the development of red scaly patches. Breast cancer is a fatal form of cancer in women and immediate diagnosis is required on observing the symptoms.

Diagnosis of breast cancer
Other than the regular breast screening, the diagnosis of breast cancer involves the following steps and methods:

Seeing your general practitioner (GP): It is very important to visit your GP soon after noticing the symptoms of breast cancer. Your GP will examine you properly and in case your symptoms need more assessment, he/she will refer you to a breast cancer clinic.
Mammogram and breast ultrasound: You will be required to have a mammogram, as recommended by a specialist breast unit. This is an X-ray of the breasts. An ultrasound scan may also be required. Breast ultrasound should be undertaken only if you are less than 35 years of age. This is because, young women have denser breasts and a mammogram is not as effective as ultrasound in the diagnosis of breast cancer. In ultrasound, high frequency sound waves are used for obtaining an image of your breasts. It is observed to notice any abnormality or lumps. A breast ultrasound is also important for determining whether a lump is solid or contains liquid.
Biopsy: In this diagnosis process, a sample of the tissue cells is taken from the breasts and tested under a microscope to find out if it is cancerous. A scan and needle test for the lymph nodes present in your armpit is also done to check whether they have also been affected. A biopsy is undertaken in several ways, depending upon the condition and severity. A needle aspiration biopsy is used for testing a sample of your breast cells without the removal of the tissues. This is the most common form of biopsy and it is also used for draining a small fluid-filled lump or benign cyst. During the process, you will be given a local anesthetic. Usually, a needle biopsy is carried out guided by an X-ray, ultrasound and an MRI scan as well. This helps in distinguishing it from non-invasive changes such as ductal carcinoma in situ.
Another form of biopsy used for the diagnosis of breast cancer is called vacuum assisted biopsy or mammotome biopsy. In this process, a needle gets attached to a suction tube, which helps in obtaining the sample and for clearing the bleeding.
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