breast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
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In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.
Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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