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I found the answers provided by the Dr. Manish Bhatia to be very helpful. We went to cancer hospital they suggest to do oral surgery is it good r not
Detecting a lump on your breasts can be stressful for any women. Breast cancer is a common type of cancer and is said to affect primarily affect women though 1% of breast cancer cases affect men. Breast cancer can be categorized into different types based on their capability to affect surrounding tissues.
The most common amongst these are:
- Ductal carcinoma in situ
- Invasive ductal carcinoma
- Invasive lobular carcinoma
Breast cancer is caused by mutations of a person’s DNA cells. This could be inherited from one’s parents or acquired by an unhealthy lifestyle. These DNA mutations cause cells in the breast tissue to multiply rapidly and turn cancerous. The risk factors for breast cancer can be categorized as modifiable and non-modifiable.
Modifiable risk factors:
- Excessive alcohol consumption
- Use of combined hormone therapy after menopause
- Lack of exercise
Non-modifiable risk factors:
- Family Medical History
- Personal Medical History
- Atypical hyperplasia
- Early start of menstruation cycle
- Presence of dense breast tissue
- Inherited genetic mutations
As with any other type of cancer, the earlier it is diagnosed, the easier it is to treat. In its early stages, breast cancer is not painful and has negligible symptoms. In most cases, it is detected only by finding a lump on the breast or through a mammography. This lump may also be present in the armpit or above the collar bone. Some of the other symptoms of breast cancer include:
- Nipple inversion
- Discharge from the nipples
- Changes in the colour and texture of skin covering the breast
Breast cancer has five stages beginning from 0 and going up to 4. This is based on the size of the tumour, involvement of lymph nodes and whether or not metastasis has occurred.
- Stage 0: At this stage, the tumour does not affect the lymph nodes and has not metastasized. Thus at this stage, it is noninvasive.
- Stage I: In this case the tumour is smaller than 2 cm in diameter and has not spread to any of the surrounding tissues.
- Stage II: In this stage, the cancerous tumours are still fairly small in size but also affect the surrounding lymph nodes.
- Stage III: These tumours are larger than 5 cm in diameter and involve the lymph nodes to a greater extent.
- Stage IV: This is also known as metastatic breast cancer. In this stage, the cancer cells metastasize to other parts of the body.
Surgery is the most preferred form of treatment for breast cancer. This may be combined with radiation, chemotherapy, targeted therapy or hormone therapy depending on the stage and type of cancer, the patient's overall health, age and personal preferences. In case you have a concern or query you can always consult an expert & get answers to your questions!
Ovarian cancer is one of the most common cancers in women and occurs in the inner ovarian lining. It is not something that’s easily identified as it has no definite symptoms. In many women, it could be ignored until it has reached an advanced stage. Here, we have come up with a few facts about the causes, risk factors, symptoms, prognosis, and treatment for ovarian cancer.
There are no specific causes for ovarian cancer, other than a genetic condition. If there is a strong family history, it is advisable to talk to your doctor and see how you can use these to your advantage and reduce the risk of developing ovarian cancer. The following could be potential reasons that increase the risk of developing ovarian cancer.
- Postmenopausal women
- Menarche before 12 or menopause after 50
- Never having had a baby
- Use of hormones during menopause
As noted earlier, ovarian cancer does not have specific symptoms. But, a few symptoms could be such as the following.
- Regular bloated feeling in the abdomen
- Abdominal/pelvic pain
- Reduced eating capacity, as a feeling of fullness sets in
- Urination changes including increased frequency and increased urge
If these symptoms are present for 2 to 3 weeks and do not resemble the regular digestive or menstrual problems, it is advisable to get it medically checked. The difference would be that they appear suddenly, do not disappear, and also bring general lethargy, back pain, indigestion, painful sexual intercourse, and menstrual cycle changes.
Questions to ask after the tests
When these symptoms persist, and a medical checkup is undertaken, the patients can a few questions to know more. Know the internal speed. Has the disease involved one or both ovaries? This extent of spread within will determine whether one or both ovaries need to be removed. Find out any external signs, as ovarian cancers can spread to other parts, and they should be checked before treatment and planning the cure/procedure.
Any of the above treatment modes will have side effects in terms of reduced immunity, watching out for recurrence, hormonal effects, etc. Nausea and vomiting would be severe during the initial chemotherapy. Removal of hysterectomy would bring about hormonal changes and increase risk for breast cancer. Understanding these will help in identifying recurrence and altering lifestyle and following up after the treatment.
This would include changes including diet modification, adequate social support, and leading a healthy lifestyle to prevent recurrence.
Factors that can reduce the risk
- Having babies
- Tubal ligation or hysterectomy
- Use of oral contraceptive pills
In case you have a concern or query you can always consult an expert & get answers to your questions!
Liver cancer is when the cells in the liver grow uncontrolled. As the liver filters blood from all parts of the body, one of the most common reasons for liver cancer is perhaps metastasis, which is spread from other parts. Through the blood, cancer cells from other parts reach the liver for filtration and can then make the organ cancerous.
In addition to this, there are other risk factors that can lead to liver cancer. For example, people suffering from obesity, alcohol and tobacco abuse, viral hepatitis (B or C), chronic liver disease (especially in men, who are more prone than women to develop cancer), cirrhosis and someone who has a history of a prolonged use of steroids can suffer from the disease. Also, while liver cancer is very rare in the Americas, it is very common in Africa and Southeast Asia as the prevalence of hepatitis is higher in these regions.
When it comes to the symptoms, it’s acceptable that liver cancer is insidious, and the exact point of origin cannot be identified. It continues to grow until symptoms become evident, which are also nonspecific. Before analyzing your health on your own, it’s always recommendable to seek an expert’s final word on it. Let’s take a look at the top signs that might point out towards liver cancer.
- Abdominal pain: When you suffer a strong pain in the abdominal area, especially in the upper portion on the right side, it can signal a lump or a growing tumor in the liver. This can also be accompanied by middle or lower back pain.
- Weight loss: Many a time, women who suffer from a sudden loss of weight can be going through a deadly disease like this one. In most cases, these weight loss cases show no attempts on the patient’s side, that is, the weight loss occurred for unknown reasons. A loss of appetite, without any reasons, is another indicator. These can result due to unexplained reasons and should be taken seriously.
- White, chalky stools:This one is another tell-tale sign of liver cancer. Often, people tend to ignore stools in light, flaky colors. It is always better to consult a doctor, as you might be ignoring a sign of potential cancer.
- Bloating: When you feel certain heaviness or bloating in the upper part of the abdomen due to fluid accumulation it indicates, which is one of the indicators for testing liver cancer.
- Frequent body conditions: Apart from the above mentioned symptoms, one can also consider personal health history when facing any liver- related problems. Recurring severe nausea and vomiting and general signs of lethargy and weakness can also indicate liver cancer. Also, personal health history with claims the patient suffered from jaundice (due to the accumulation of bile pigments in the sclera and skin) can also be taken into consideration. If you wish to discuss about any specific problem, you can consult an Oncologist.
The skin has the largest surface area and is most exposed to the external environment. This exposure causes a lot of wear and tear, and one of the worse complications including melanoma, which is a form of skin cancer. Read on to know about its causes, caution signs to stay alerted and how to take care of the skin.
The skin has cells known as melanocytes which give it the color. Generally, the more the number of melanocytes, the darker is the person’s complexion. This pigment is also present in skin, hair, nails, and eyes. The moles are skins are areas of higher concentration of these cells. Africans moles can be a precursor to melanoma, but not all moles turn to melanoma.
- Exposure to ultraviolet rays from the sun. Fair-skinned people are at greater risk than darker complexioned people. A single sunburn experience can also increase the risk of developing melanoma
- Use of tanning beds, especially in people below 30, ups the risk of melanoma. Indoor tanning beds is classified as having the highest record by WHO
- Family history
- Ethnicity, with Hispanics at the greatest risk and African-Americans at the least risk
- For those who have risk factors for developing melanoma, a monthly self-exam is advisable. A formal annual exam with a dermatologist is also advised. This will help in early identification of the condition and lead to early treatment and containment.
- Melanoma is not restricted to the skin, can also occur in feet, eyes, and scalp
- Use a mirror to check all over the body
- If you have moles, watch for change in their size, shape, and regularity. Any change should be immediately checked for.
- If you see any new irregularities on the skin anywhere, get medical attention.
- Any sore that has not healed
- Any swelling that is near the mole or has not regressed
- Change in sensation including itching or pain
- A quick way to remember is to check for ABCDE: Asymmetry of the lesion, irregularity of the borders, change in color, diameter greater than six mm, and speed of evolution. Watching for these can help in early diagnosis.
Melanoma is directly linked to sun exposure, and so reducing sun exposure and taking adequate precautions can help in prevention.
- Avoid or reduce exposure to sun
- Use sunscreen religiously. The SPF should be at least 30 and should be reapplied every two hours
- Use a hat or cap, sunglasses, and cover up when out in the sun
- Be extra careful when out on the beach or in the mountains
- Avoid sun if possible between 10AM to 4PM
- Use tan removal agents after a sun exposure
If you wish to discuss about any specific problem, you can consult an Oncologist.