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Treatment of Tumors
Treatment of Treatment of Breast Cancer
Treatment of Lumpectomy
Breast Reconstruction Procedure
Treatment of Cone Biopsy
Breast Implant Surgery
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I found the answers provided by the Dr. Harpreet to be very helpful, practical and sensible. Was very much useful
Chemotherapy can be frightening, and the very thought of going through it can be an ordeal for most people. Many resources and tips can be used to minimize the discomfort and lessen the burden. Let us have a look at a few of these:
- Support network: Chemotherapy can be physically daunting and more than the treatment a person needs all the emotional and moral support he/she can get. Have friends and family always by your side. You can have peace of mind when there is a person you can trust and bank upon in taking care of you.
- Discuss the medication with your oncologist: Before understanding the treatments have a detailed discussion about the current medication you are undergoing, as this may hamper the chemotherapy treatment. The dosage has to be adjusted accordingly.
- Keep the body hydrated: Your body gets dehydrated on the day of the treatment. Please ensure that the body is properly hydrated and plenty of fluids are there in the body.
- Be comfortable: Taking chemotherapy can have an effect on your morale. Hence make sure that you are keeping yourself occupied with books and games or your favourite music to while away the time.
- Wear comfortable clothes: This makes all the difference in the treatment as having loose fitting clothes can relieve pressures in your mind. Always choose clothes that you are comfortable in.
- Ask questions: Chemotherapy treatments can and will cause side effects. Hence ask and keep yourself updated as much as possible. More importantly, after the treatment ask questions on the possible recuperation period and how best to go about it.
- Symptoms of nausea and vomiting: It is natural that most of the patients feel light headed or have a vomiting sensation when undergoing the treatment. Always make sure that the doctor or the nurse knows about it. Make yourself as comfortable as possible. Some medications to prevent nausea can be had along with the chemotherapy drugs.
- Avoiding infection: Chemotherapy affects the immune system of the body. Hence it can get easily susceptible to diseases. Have general cleanliness around your surroundings. Avoid crowds if possible and keep your hands always clean and wear clean, comfortable clothes that don't stick to the body.
- Right diet: Chemotherapy makes you prone to weight loss. Hence having the desired nutritional levels is mandatory. Consult a dietician and eat healthy. It is not advisable to gain weight either during or after chemotherapy.
- Adequate Rest: Our body needs all the rest that it can get when undergoing chemotherapy. Make sure that the body gets proper sleep and is relaxed. You can try for meditation and simple yoga exercises that can help in rejuvenating the body.
- Skin Care: Prolonged treatment can affect the moisture content in the skin. Have a good skin cream and lotions handy to take care of it. In some cases, chemotherapy causes hair fall. Make sure that a proper wig or a treatment plan is made beforehand to take care of the issues.
Chemotherapy treatment can be emotionally daunting. Having a few precautions like the ones stated above can make all the difference in how successful we are in coping with it.
Cosmesis refers to the preservation, restoration of a body part in it’s original form. Breast cosmesis is an important aspect and an endpoint of breast conserving therapy. The surgeons who carry out surgeries related to breast removal or upliftment, need to be precise in getting the other breast in exact shape to maintain symmetry. Their next priority is to make everything look good in the process.
Cosmesis plays a critical role in a woman’s physical and emotional recovery. Being fully treated and getting themselves out of danger is always the first priority but once women are out of danger, they would obviously be concerned about their looks, hence good cosmesis is a necessity.
Factors Affecting Good Cosmetic Outcome
Cosmetic outcome which follows the breast-conserving surgery is dependent on various factors like:
- Location of the lump or tumor
- Weight of the specimen excised upon,
- Number of surgical procedures followed,
- Volume of breast operated upon,
- Length of scar
- Adjuvant treatment in the form of chemo or radiotherapy followed after the surgery
Though the best method to assess good cosmesis in breast cancer surgery is still not clear but there are certain objective and subjective methods in combination, known to give a fairly good assessment of cosmesis.
Methods and materials involved to determine good cosmetic outcome
The general methods followed to ensure good cosmesis are Breast Retraction Assessment (BRA) and percentage Breast Retraction Assessment (pBRA). These are the objective measurements of the amount of breast retraction, determined primarily by comparing positions of nipple in relation to the sterna notch between the treated breast and contralateral breast.
The pBRA technique has been proved to have low intra and interobserver variability. Lower values of percentage Breast Retraction Assessment have been shown to correlate with improved cosmetic outcomes, hence making percentage Breast Retraction Assessment a reliable and an objective measure of cosmesis.
How is cosmetic assessment generally done?
In a particular case, evaluation of cosmesis was done before treatment, around 6-8 weeks post-treatment, 3-4 months post treatment, 6-8 months post-treatment, then every 6 months period for next 4-5 years and finally the assessment was down to yearly basis. The qualitative evaluation of cosmesis involved comparing treated breast with the untreated breast using the rating system.
The global cosmetic result, appearance of the scar made due to surgery, breast size, breast shape, colour of the skin, location of the areola and nipple and shape of the nipple and areola. All these were scored on a 4-point scale,
- Excellent result with no difference
- Good result with slight difference
- Fair result with moderate difference
- Poor result with huge difference
Physical measurements to calculate Breast Retraction Assessment and percentage
Breast Retraction Assessment were taken in a live example, while patients were in a seated position with both arms at the side of the body. Both the assessments were determined prior to the treatment as well as at the follow-up. As Percentage Breast Retraction reports retraction in terms of percentage, so it was used for analysis. On each occasion both the patients and physician reported the perceived cause of cosmesis as mainly because of radiation, surgery, unknown or no significant change.
I am feeling lump in my breast and it is hurting alot. It is untouchable. And my next period is 15 days away.
Hi, My daughter is diagnosed with invasive lobular carcinoma in her Left breast. Dr. has suggested to remove the full breast.
Hello Sir / Madam My wife got discharge from its left side breast nipple. When we squeeze it the liquid coming out from her left side nipple. What is the reason behind that. Is it a symptoms of breast cancer?
I am 23 years old and I have a lump in my left breast since 5 years. It is 5 cm in length. I does not pain over there but now a days my back pains a bit and sometimes armpit. Is the because of that or some other reason?
The cancer which forms in the cells of the breasts is breast cancer. It is one of the most common forms of cancer to affect women after skin cancer. Support for breast cancer awareness and proper funding for research on the issue has ensured that proper awareness is created for getting it diagnosed properly and then carry out the treatment in an appropriate manner. Fortunately, due to the fact that people all around have become aware of how cancer occurs, what are symptoms which they should be aware of and then for the doctors, what should be the ideal way for exact diagnosis, so that they can treat patients and help them recover, survival rates have increased dramatically and thus number of deaths associated with it is on the decline.
Types of breast cancer
There are different types of Breast Cancer, some are more common than others. Some of the most common types are detailed below:
- Invasive ductal carcinoma: This type of breast cancer starts in a duct of the breast and grows into the tissue surrounding it. It is one of the most common forms of breast cancer. Around 80% of invasive breast cancers are invasive ductal carcinoma.
- Invasive lobular carcinoma: Invasive lobular carcinoma begins in the milk producing glands of the breast and spreads all around with time.
Now let’s take a look at some of the less common types of breast cancer:
- Mucinous carcinoma: The mucus producing cancer cells generally give rise to mucinous carcinoma.
- Inflammatory breast cancer: When a woman suffers from inflammatory breast cancer, the skin of the breast would appear red and she would feel warm. The changes occur because the cancer cells block the lymph vessels.
- Paget’s disease of the nipple: This type of cancer begins in the ducts of the breast, getting spread to the nipple and the region surrounding the nipple. Women affected by this type of cancer can easily notice crusting and reddish tinge around the nipple.
Signs & symptoms of breast cancer
After having looked at the different types of breast cancer, let us now come to the main topic of discussion, the signs and symptoms of breast cancer.
- The different signs and symptoms of breast cancer are discussed below:
- A change in size or shape of the breast
- A lump or if an area feels thicker in comparison to the rest of the breast, then it’s a clear indication of cancer.
- A woman could feel that there is chance of breast cancer, if the texture of the skin changes.
- There will be a reddish tinge or rash on the skin or the area around the nipple, to suggest that breast cancer is a possibility.
- If you realize that liquid is oozing out from the nipple, even without getting it squeezed, then that is also a clear symptom for cancer.
- If you feel that area either in the armpit or around the collarbone, is swollen, it’s a signal for breast cancer.
I am 32 old female and I have a lump in my right breast. It formed when I am breast feeding my baby. That time I consulted doctor she said do not worry it is a milk lump it will clear once you feed regular to your baby .now she is 4 yrs. But still lump is not clear. What should I do？please suggest.
Breast Reconstruction refers to a surgical procedure used for restoring a woman’s breast to a normal shape and size, either after mastectomy, which involves removal of entire breast or after lumpectomy, when a part of the breast is removed. The reconstruction is done by using a patient’s own tissue or by using implants.
Breast Reconstruction is considered to be an integral part of the healing and recovery process but it’s not an ideal option for everyone. The most important thing is that the reconstructive efforts should not cause interference or complicate breast cancer treatment.
When is breast reconstruction done?
Breast Reconstruction can be done at different times, mainly depending on what would ideally work for a particular situation of a candidate affected by cancer. It is generally conducted at the same time as mastectomy surgery, which involves removal of entire breast. This is known as immediate reconstruction. Right after the removal of breast by the breast cancer surgeon, reconstruction is conducted by the plastic surgeon, either with tissue from any other location on a woman’s body or with an implant. Only one surgery is required to get all these things done.
Immediate reconstruction is not always possible if additional treatments such as chemotherapy or radiation therapy is required. Under those circumstances, a surgeon would recommend that one should wait till all these treatments are finished before going ahead with the reconstruction. A patient might also get recommendation, wherein a surgeon might opt to conduct partial reconstruction and conduct the other part after chemotherapy.
Factors influencing the timing of reconstruction
- Stage of Cancer: Stage I or stage II breast cancer patients who choose mastectomy, where they prefer removal of entire breast, are less likely to require radiation or any other treatment. These candidates are ideal for immediate reconstruction. In case of stage III or stage IV patients, for whom radiation therapy is mandatory due to the size of the cancer, doctors might recommend to delay reconstruction till all other cancer treatments are completed.
- Facilities or availability of experts in a particular area: Women might look to delay reconstruction till they find surgeons with expertise in this field. Otherwise it’s a risky proposition.
- Time for making a decision: The time a woman takes in order to take a decision regarding mastectomy or lumpectomy is a major factor which influences, when exactly the reconstruction surgery would be conducted. Thinking long-term is always desirable than to opt for something which would only give you relief for a short duration.
- Overall health: If a woman has diabetes, circulatory problems or any other disorder, the doctor might want her to recover completely from entire breast removal process, before going for reconstruction.
Risks associated with breast reconstruction
Breast Reconstruction Risks are mainly dependent on existing medical problems of patients. Patients would be at high risk for complications if they have diabetes, excess body weight and high blood pressure. Women who have had lumpectomy and radiation therapy done to their chests, are also prone to high risk for complications. In case you have a concern or query you can always consult an expert & get answers to your questions!
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.
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.
In case you have a concern or query you can always consult an expert & get answers to your questions!