Breasts are mammary glands that produce milk, It consists of milk ducts that connect the mammary glands and the nipples., Breast cancer mostly occurs in milk ducts and mammary glands.. Like other cancers, breast cancer, if not treated properly, spreads throughout the body through the bloodstream and lymphatic vessels, leading to serious side effects.. We will learn about breast cancer, which threatens women’s health..
– Caused by genetic abnormalities and estrogen
Breast cancer is known to be the most common cancer among women not only in Korea but also worldwide.. In particular, compared to other countries, Korea has a high rate of breast cancer., Mortality rate is very low. This shows that the survival rate of breast cancer is increasing due to active health screenings, early diagnosis, and standard treatment.. A few years ago, actress Angelina Jolie made headlines when she underwent a preventive mastectomy because she had a gene that causes breast cancer.. In a genetic abnormality test done because of family history, BRCA1, BRCA2 Two genetic mutations were found:. There are many genetic abnormalities that can cause hereditary breast cancer., Among them, it is the most frequently found anomaly BRCA1, BRCA2 It is a genetic mutation.. BRCA Breast cancer caused by a genetic abnormality accounts for all breast cancers. 7% take the grade.
BRCA If you have a genetic abnormality, you are more likely to develop breast cancer 70% to the point, The average probability is a woman 3%It is very high compared to. In these cases, if a prophylactic total mastectomy is performed, breast cancer can be prevented. 100% Although I can’t stop it, breast cancer risk 90% can be reduced. However, it is known that the survival rate is not clear.. Patients who have undergone prophylactic mastectomy are satisfied with being relieved of excessive anxiety about the risk of breast cancer and health., There will be times when you regret a decision that cannot be taken back..
Prophylactic postoperative surgery·Feelings of loss of femininity as well as complications related to anesthesia, Problems with sexual relationships, Side effects such as daily stress and loss of confidence may occur, so decisions should be made after sufficient consultation with the medical staff..
The most important cause of breast cancer is estrogen, one of the female hormones.. Long-term exposure to high levels of estrogen can increase the risk of developing breast cancer.. Factors associated with this include early menarche, late menopause, Obesity in postmenopausal women, Hormone replacement therapy, etc., No childbirth experience, When the age of first full-term delivery is high, Oral contraceptive use can have an effect.. In addition, women with a family history of breast cancer 1In the case of a celebrity 1.8vessel3In the case of a celebrity 3.9on board, The risk associated with breast cancer is known to be increasing. In addition, a high fat diet or obesity, drink, Smoking is also related..
– Monthly self-examination is effective
In the early stages of breast cancer, there are usually no symptoms and it is often discovered accidentally during screening.. Among symptomatic breast cancer, a painless lump is the most common symptom.. In addition, there may be bloody discharge from the nipple., Nipples are inverted or, Inflammation or depression in the skin of the chest, There is a change in color, If you have a lump in your armpit, you should get tested.. It is important to do a self-examination by feeling your own breasts to find out if there are any lumps or other irregularities.. It is a good method that costs nothing and is risk free.. Breast self-examination is done monthly after menstruation. 2~7after work, It is best to do it when the breasts are at their softest., It is recommended that women who have had a hysterectomy or who have gone through menopause do a self-examination on a specific day each month.. Check the overall appearance of the breast in front of the mirror, and if you suspect that there is a lump, gently press the breast and move the breast to see if there is a lump., Check if the skin on the breast is thick..
– Diagnosis and testing of breast cancer
The most basic breast exams are mammography and breast ultrasound.. A mammogram is currently the most basic screening method., up and down, right and left 2eggplant x-ray take a picture, If necessary, images necessary for diagnosis can be obtained by imaging in different ways, such as magnification and direct examination of a specific part of the breast.. However, in the case of a dense breast, the accuracy of the test can be reduced, so a breast ultrasound is also performed..
Breast ultrasound is useful for finding masses that are not visible even through mammography in dense breasts with abundant mammary tissue., It is often used to detect breast cancer early in Koreans, who have an average high incidence of thick breasts.. Malignant and benign tumors are confirmed by ultrasound results. 60~80% It is possible to make a difference, If there are malignant results or there is a high possibility, a biopsy is performed., If there are no malignant results, a follow-up examination is performed.. If you are diagnosed with breast cancer, your breast will be examined to determine the extent of cancer resection. MRI Do an investigation. To find out if it has spread to other parts of the lung, CT, belly CT, bone scan Additional functions such as.
To prevent breast cancer, it is more important to get tested regularly.. 30After 3 years, check your breasts every month with a self-examination.35From age 3 onwards 2A clinical examination by a breast cancer specialist is recommended every year.. and 40From age 3 onwards 1~2It is recommended to have a clinical examination and a mammogram every year..
– surgery, anticancer, Radiation therapy course
Standard treatment methods include surgery, anticancer, There is radiation therapy. Surgical treatment includes breast surgery and axillary lymph node removal.. Breast surgery is performed to remove breast cancer, the main lesion, depending on the size of the breast cancer., Depending on the location, it is divided into partial mastectomy and total mastectomy.. Cancer that occurs in our body often spreads to the surrounding areas through lymph vessels and lymph nodes., In the treatment of breast cancer, lymph node dissection is performed according to the extent of axillary lymph node metastasis.. Sentinel lymph node biopsy is routine for patients in whom lymph node metastasis is not clinically suspected., If axillary lymph node metastasis is confirmed, the axillary lymph node must be removed completely. ‘Axillary lymph node enucleation surgery‘implement.
Radiation therapy is used as adjuvant therapy after breast cancer surgery., Local or bone recurrence after surgery, It is done as part of palliative treatment in cases of metastasis to the brain.. Radiation therapy to the entire breast is required for all patients who have undergone a partial mastectomy., Patients who have undergone total mastectomy may also consider radiation therapy to the breast and axillary lymph nodes depending on postoperative results..
Chemotherapy is for patients whose tumor size has shrunk before surgery or who have a high risk of recurrence after surgery., It is performed on patients whose cancer has metastasized to other organs.. Different medicines are used, mostly 2Administer more than one drug together or in sequence.
– Breast reconstruction performed at the same time as breast cancer surgery
Breast reconstruction, which is surgery to bring the breast back to near normal after breast cancer surgery, is usually done at the same time as breast cancer surgery.. Maximizing cosmetic effects by reducing the number of surgeries and maintaining the original skin and breast shape as much as possible.. For patients who have had a mastectomy, the loss of one breast can cause more psychological pain than breast cancer.. Therefore, various efforts are being made to improve the aesthetic satisfaction and quality of life of these patients by actively trying breast reconstruction surgery for these patients..
Various side effects can occur after breast cancer surgery, but the symptom to watch for is lymphedema, which is swelling in the arm on the side of the operation.. Lymphedema is a symptom that occurs when axillary lymph nodes and lymph vessels are removed and lymph fluid within the tissue is not absorbed properly.. Since there is no effective treatment, it is best to take precautions to prevent lymphedema from occurring in the first place.. To prevent lymphedema, it is necessary to take precautions, such as not to measure blood pressure, draw blood, or receive an injection in the arm on the operated arm, and to exercise for re- animation.
Jinah Kwon, Professor of Surgery, Ulsan University Hospital
(Data provided: Gyeongnam Branch of the Korea Association of Health Management)
2024-09-25 08:48:22
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