Breast cancer is the most common malignant disease in women. Almost 7,000 turn the disease every year with their feet upside down. What can be done to reduce the risk of the disease to a minimum?
The familial incidence of breast and ovarian tumors, BRCA1 and BRCA2 gene mutation, poor diet, low age on menstruation, or the high age of transition, late or no maternity, and much more can play cards in cells that will ruin uncontrollably and be created breast cancer. There are many myths about this terrible disease. “Personally, I most probably find myself in the belief that breast cancer may be the cause of cancer. Here I explain to women that it is not so that after the injury they are only interested in their breasts and find what they would not find before. The trauma often leads to damage to the fragile newly created vessels of the already existing, but usually non-palpable tumor, which is so bloody and becomes more palpable, “explains the head of the radio diagnostic department and the Mamocentre of the Ústí nad Labem clinic EURO CLINICUM MU Dr. Petr Váša.
“There is a higher risk woman in this case, but she does not have to get sick at all. It is important to take regular breast examinations in order to find the smallest possible tumor when the chances of your healing are almost 100%! “, Adds MUDr. Yours.
The frequent warning signs that a woman should bring to a professional examination include a fixed palpable bulge, a stretching skin, a bloody nipple outlet, a change in skin color, underarm armpits, and others. (For more details about the signs, read this article.) “The symptoms described above may occur alone or in combination. First-stage illness does not usually hurt, so it’s so-free. Pain is more likely to occur at an advanced stage of the illness, “adds Mammacentra Head Physician Green Lane MUDr. Alena Bílková, Ph. D.
1. Thick Bulk And Other Changes
As soon as you notice similar symptoms, order the nearest doctor – every day counts. It is always better if the diagnosis is not finally confirmed than when the illness that takes the lives undergoes. What happens when, despite all the attention, effort, and preventative measures, can cancer clutter your devastating claw? “At the time of diagnosis and diagnosis, every woman is taken care of and the optimal treatment is usually designed. This is determined by the consensus of experts – mostly surgeon, radiologist, oncologist and pathologist. If this is not the case, the woman has to consult her doctor, usually a gynecologist or a general practitioner, who directs her to a specialized breast clinic, “explains MUDr. Yours.
For example, you can find a list of infoline and consultants here. The treatment of tumors is thus always built on the cooperation of more specialists from several disciplines. “Access to treatment is always individual and in this spirit we talk about personalized medicine. Different age groups of course are different, especially women under the age of 35 and also premenopausal require special procedures. For this purpose, the so-called Complex Oncological Centers (KOC) have been developed that provide highly specialized and comprehensive treatment for these serious oncological diseases, “explains the physician. A list of complex oncology centers can be found.
2. Gone with tumor cells
The most frequent treatment methods are chemotherapy, radiotherapy and surgical treatment. “Besides them, today there is a great development of biologic treatment, that is, that has a targeted effect on tumor cells and does not damage other tissues. Gene therapy is still in its infancy and is being used only experimentally, “says the head of the Breast Unit Prague Center in Prague MUDr. Miroslava Skovajsová, Ph. D. Chemotherapy is the most common method of first choice. It involves administering substances that destroy the rapidly growing cells. It is very aggressive because it disposes tumor cells but also other rapidly dividing tissues (hair follicles, intestinal lining, hematopoietic bone marrow cells, etc.).
3. It fights the whole organism
Some tumors can not be treated with chemotherapy and the situation needs to be addressed radically – for example by surgically removing the breast. Chemotherapy performed in cycles is then used together with irradiation as an adjunct therapy. Each cycle is scheduled to reduce the number of tumor cells in the body to approximately one hundredth. The next cycle should then be completed until the number of cells is again tenfold.
Treatment of malignant tumors is aggressive and the body of a woman, no matter how powerful, simply can not tolerate treatment without resistance. The side effects of chemotherapy or irradiation are well known. However, other complications may appear. As a result of surgical removal of lymph nodes in the armpit, for example, a lymphedema occurs. “It’s a swollen, swollen tissue that accumulates saliva (lymph). It is due to poor functioning of the lymphatic system. That is why we are more often encountering the so-called sentinel (guard) node operation, which is so gentle and minimal that the lymph drainage and lymphoedema is virtually unavailable, “explains the mechanism of one of the complications of MUDr. Yours. Patients with advanced cancers often develop bone metastases. “Bone metastases aggravate quality of life, morbidity and mortality. In the early stages, the patient may not recognize them, they are without symptoms, “explains the doctor.
4. How to breast self-testing
To conclude that something is happening, we can initially, thanks to our ability to distinguish changes by touch. We should not underestimate breast self-care – a good feeling is only a few minutes of time. And in case of doubt, it is always better to convince an expert that it is all to be, and to calmly “shave” without any point of order, rather than letting things be and experiencing a real trouble. “Preventive Breast Cancer can be found so early that it is not enough to show up at all,” says MUDr. Yours. Despite the massive promotion, there are still many women among us who do not know how to have their own breasts examined. One of the funny instructions is, for example, the one handed by the favorite Dr. House; you can find it on the website www.rucenaprsa.cz.
A campaign that was launched this March is also a personal note. The prominent actress Chantal Poullain warns against the risk of breast cancer together with the head of the Breast Unit Center MUDr. Miroslava Skovajsova, Ph. D. All information about the illness, including online counseling, can be found on www.bezrakoviny.cz. Choosing a counsel or information channel is up to you; it is important that you learn to self-study. Diagnosis of cancer is so much a psychological burden for a woman that expert intervention is often required to cope with her mental state.
“When it comes to suspicion or even confirmation of the existence of the tumor, it is not appropriate to fall into panic and pessimism, and it is advisable to inquire thoroughly about the extent, risk and chances of cure and try to cooperate fully with doctors to ensure that the treatment is carried out as planned and without unnecessary delay. intervention, the greater the chance of successful cure, and psychological disorders that last for more than 14 days, it is necessary to contact a psychologist or a psychiatrist, “says psychiatrist MUDr. Ivo Klár of the Green Line Polyclinic.
5. How to cope with the illness in the best way possible
Significant assistance to affected women, both during and after treatment, can be provided by self-help organizations associating disabled women and providing counseling, psychological assistance and group therapy, such as, for example, Capek, HELP or Amelia – specifically designed younger women affected by this disease. A more detailed overview or a list of similar organizations is provided by a specialist doctor who has information about the possibilities at your place of residence.
You will surely agree with me that a woman whose mother or grandmother has cancer is becoming more careful about her breasts. Do the Czechs behave responsibly towards their breasts? In the Czech Republic, more than half of women (56%) are responsible and regularly go to screening mammography. Still, there are still quite a large number of women who do not go for this examination for various reasons. “In Prague there is paradoxically a large proportion of women who do not go for preventive examinations (49%); on the other hand, the most responsible are women in Vysočina (74%), in Zlínský, Jihomoravský, Olomoucký, Hradecký and Pilsen regions (about 60%).
As far as the place of residence is concerned, I think rural women are just as responsible for screening as women from cities. Our screening workplace also includes quite a few young women between the ages of 30 and 40 for preventive ultrasound breast examination. I think these women are responsible for their health, regardless of their place of residence, “says MUDr. Bílková. The numbers of women who have come to an invitation from a health insurance company are, according to her words, not too high and fluctuating with regard to the regions.
“Generally, preventive breast examination on a mammography device is covered by health insurance from 45 years of age, at two-year intervals, without limitation of the upper age limit. In the 40-45 year period, it is usually a combination of mammography and ultrasound examination, and in women under the age of 40 we choose as a method of first choice ultrasound examination at one-year intervals. Often, however, an individual approach is chosen according to the doctor-mamodiagnostic recommendation, “adds MUDr. Yours.