Doctor HealthHealth Tips

Other than skin cancer, breast cancer is the most common type of cancer among women. Breast cancer mostly occurs in women over the age of 50, and the risk is especially high for women over age 60. Breast cancer is also found to occur more often in white women than African American or Asian women.

Each breast has 15 to 20 sections called lobes. Within each lobe are many smaller lobules (milk producing glands). Lobules end in dozens of tiny bulbs that can produce milk. The lobes, lobules and bulbs are all linked by thin tubes called ducts (milk passages that connect the lobules and the nipple). Fat surrounds the lobules and ducts. These ducts lead to the nipple in the center of a dark area of skin called the areola. There are no muscles in the breast, but muscles lie under each breast and cover the ribs.

Each breast also contains blood vessels and lymph vessels. The lymph vessels carry colorless fluid called lymph, and lead to small bean-shaped organs called lymph nodes. Clusters of lymph nodes are found near the breast in the axilla (under the arm), above the collarbone, and in the chest. Lymph nodes are also found in many other parts of the body.

Mastitis is an infection of the tissue of the breast that occurs most frequently during the time of breastfeeding. This infection causes pain, swelling, redness, and increased temperature of the breast. It can occur when bacteria, often from the baby’s mouth, enter a milk duct through a crack in the nipple. This causes an infection and painful inflammation of the breast.

Breast infections most commonly occur 1-3 months after the delivery of a baby, but they can occur in women who have not recently delivered as well as in women after menopause. Other causes of infection include chronic mastitis and a rare form of cancer called inflammatory carcinoma.

• The breast is composed of several glands and ducts that lead to the nipple and the surrounding colored area called the areola. The milk-carrying ducts extend from the nipple into the underlying breast tissue like the spokes of a wheel. Under the areola are lactiferous ducts. These fill with milk during lactation after a woman has a baby. When a girl reaches puberty, changing hormones cause the ducts to grow and cause fat deposits in the breast tissue to increase. The glands that produce milk (mammary glands) that are connected to the surface of the breast by the lactiferous ducts may extend to the armpit area (axilla).

• A breast infection that leads to an abscess is more serious. If left untreated, an abscess, which is an infection within an enclosed space that forms a collection of pus, can develop in the breast tissue. This type of infection may require surgical drainage.

In breast cancer, cancer cells in the breast tissue divide and grow in an uncontrolled manner. About 20% of breast cancers originate in the milk-producing glands, also called lobules. About 80% originate in the mammary ducts, the milk passages that connect the lobules and the nipple. Cancerous tumors in the breast usually grow very slowly. By the time one is large enough to be felt as a lump, it may have been growing for as long as ten years.

There are two kinds of breast cancer, invasive breast cancer and non-invasive carcinoma in situ.

Invasive breast cancer
Invasive breast cancer is the more serious of the two types. It occurs when abnormal cells from inside the lobules or ducts spread into the surrounding breast tissue. This enables the cancer to spread to the lymph nodes and, in advanced stages, to areas such as the liver, lungs, and bones.

A previous assumption was that breast cancer started as a very small tumor in the breast tissue and grew bigger. It eventually spread to nearby lymph nodes, and then to distant lymph nodes. Finally, it metastasized in other parts of the body. Now, doctors think that cancer cells can spread from the breast through the blood and lymphatic system at early stages of the disease, even though these spreading cancer cells do not always survive.

A phrase that you may hear from your doctor is the term ‘locally advanced’ breast cancer. This is usually refered to as cancer has not spread to another area in the body. However the following issues may have occurred:

• The cancer in the breast may be bigger than 5 centimetres across
• The cancer may have spread into the skin or muscle of the chest, or
• There may be cancer in the lymph nodes under the arm

Locally advanced breast cancer can be any of the above or all of these issues listed. Locally advanced could mean either stage II or stage III breast cancer.

What is the breast?

The breast is a collection of glands and fatty tissue that lies between the skin and the chest wall. The glands inside the breast produce milk after a woman has a baby. Each gland is also called a lobule, and many lobules make up a lobe. There are 15 to 20 lobes in each breast. The milk gets to the nipple from the glands by way of tubes called ducts. The glands and ducts get bigger when a breast is filled with milk, but the tissue that is most responsible for the size and shape the breast is the fatty tissue. There are also blood vessels and lymph vessels in the breast. Lymph is a clear liquid waste product that gets drained out of the breast into lymph nodes. Lymph nodes are small, pea-sized pieces of tissue that filter and clean the lymph. Most lymph nodes that drain the breast are under the arm in what is called the axilla.

What is breast cancer?

Breast cancer happens when cells in the breast begin to grow out of control and can then invade nearby tissues or spread throughout the body. Large collections of this out of control tissue are called tumors. However, some tumors are not really cancer because they cannot spread or threaten someone’s life. These are called benign tumors. The tumors that can spread throughout the body or invade nearby tissues are considered cancer and are called malignant tumors. Theoretically, any of the types of tissue in the breast can form a cancer, but usually it comes from either the ducts or the glands. Because it may take months to years for a tumor to get large enough to feel in the breast, we screen for tumors with mammograms, which can sometimes see disease before we can feel it.

Breast cancer occurs when cells in the breast begin to grow out of control enabling them to invade nearby tissues or spread throughout the body. Collections of these out of control tissues are called tumors. However, not all breast tumors are considered cancerous since certain types of large cells just cannot be spread or threaten a person’s life and this kind of tumor is called benign tumor. On the other hand, the tumors that can spread all throughout the body or invade nearby tissues are considered cancerous cells and are malignant. Cancer cells usually comes from either ducts or glands in the breast that is why it may take months or even years for a tumor to be notice in the breast. Breast tumors are screened with the use of mammograms that are rather accurate in screening tumor or cancer cells.Women are much prone to develop breast cancer that men. Only 1% to 2% of men have been known to have cases of breast cancer. The early onset of menstruation in women at the age of 12 increases the risk for a breast cancer on the other hand an early menopausal period may reduce the risk of breast cancer. The risk for women to have breast cancer increases with age in fact a study shows that women over 50 are more likely to develop breast cancer. Nevertheless, the incidence of breast cancer among younger women is also increasing in an alarming rate that is why more women of ages 20s to 30s have subjected themselves to be diagnosed.Breast cancer is not only acquired but also can be inherited. For women who have genetic mutation such as BRCA1 or BRCA2 has an 80% risk of developing breast cancer. Women who have first-degree relative diagnosed to have breast cancer increase their risk of also acquiring breast cancer. Moreover, women with first-degree relative that are diagnosed to have breast cancer before menopause increase the risk for them in acquiring breast cancer.Some factors contribute to the occurrence of breast cancer and these are as follows: smoking, alcohol and radiation exposure. Women who are smoking will increase their chances to have breast cancer. Aside from that, high intakes of alcohol have been found to be a source of breast cancer. Radiation exposure is another factor that contributes to breast cancer. Studies have shown that women as well as children who have undergone high-dose radiation therapy have a much higher chance of having breast cancer.