breast cancer It is the number 1 most common cancer in Thai women. There are currently 30-40 new cases per day and 10 deaths per day. The number of deaths is a worrying number. In other words, the number of deaths represents 25% of the number of new cases each day, indicating that some patients are late. and or slow healing
And although breast cancer patient statistics are mostly women aged 40 and over, there is a trend nowadays for breast cancer patients to start declining. Some were also taken over when they were only 20 years old. October is the month of International Breast Cancer Campaign which organizations around the world will join together to encourage everyone to be aware of the dangers breast cancer
How to reduce the loss of life from breast cancer is a screening test There is currently effective technology that allows us to detect it at an early stage, but if someone is diagnosed with cancer, don’t be discouraged. because at the moment there are treatment options that help the treatment results to be better than before meeting the needs of more patients from which specialized doctors Nawavej Hospital Let’s talk about this in detail, it is good information to share in the month of the Awareness Campaign on breast cancer.
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Dr. Chutinan Watcharakul, MD. Diagnostic Radiology Specialist and Breast Radiology Diagnostic Radiology Center Nawawet Hospital said women should be screened for breast cancer every year. that the doctor will examine with age-appropriate tools It is recommended that people aged 35 and over have a mammogram and ultrasound examination together becausemammographyUsed to looking at limescale, breast traction features Ultrasound is used to examine cysts and nodules.Both methods are used together to provide more accurate results. for those under 35 and without symptoms An ultrasound examination is recommended first.
“It is important to consult a specialist doctor. Especially ultrasound which requires experience in interpreting the results. In which Nawawet has a radiologist who specializes in mammography. and use modern mammography examination tools using a tomosynthesis machine that can simultaneously acquire 2D and 3D mammography images. It takes about 10 seconds for each shot to produce a sharper image. “
“It provides detailed and accurate diagnostic results as it can examine all the details of breast tissue. Clearly distinguish between normal tumors and breast cancers. And also differentiate fat Other tissues, including mammary ducts and glands, to look for the binding of deposits. very small and suspected abnormal calcium levels that may become cancerous in the future. This allows abnormalities to be detected at an early stage. Therefore, there is a very high probability of a cure. “
In addition, the Tomosynthesis work does not use a lot of pressure to reduce pain during the examination. and received a harmless amount of radiation If a suspected biopsy is found, the biopsy can be performed within the same day it was detected. If there are any abnormal cells, they can continue the treatment process. or follow immediately
‘Breast cancer surgery with more choices’
Dr. Piyasak Tharavanich, MD. Breast Surgery and Breast Augmentation Surgeon The Nawavej Hospital (Breast) Surgery Center said I want people with breast cancer to have encouragement and confidence in treatment. I want to have a mindset that breast cancer is treatable. Currently, statistics of stage 0 breast cancer patients have a 99% chance of being cured. Phase 1, 90% chance lost, Phase 2, 80-85% chance lost.
But it’s important to start with the right diagnosis. This requires a radiology specialist to diagnose, interpret the results, and indicate where the lesion is. When it was concluded that he was malignant, he entered the treatment process. In which Nawavej has a team of multidisciplinary doctors who will join together to determine which treatments need to be performed sequentially, surgery, medications, radiation or chemotherapy.
“In Breast Cancer Surgery Previously, we knew that there were two methods, namely the whole breast surgery. and breast-conserving surgery For people who do not want to lose their breasts But this method ensures that the remaining flesh of the breast has no suspicious lesions. And after the surgery, the breast tissue is still in shape. which should be cut off all the breast But the patient wants to reserve the breast, it can be done by administering the medicine first to reduce the size of the lump. to undergo surgery and the breast tissue remains.
or in the case of multiple lesions that need to be cut all over the breast But the patient wants to preserve the breast. He will remove the internal breast tissue, collect the skin, nipples and nipples, then take the patient’s tissues, such as abdominal fat, and insert or insert them instead of silicone. There is also surgery to prevent breast cancer. This reduces the chance of breast cancer by 95%, in cases where genetic tests reveal the presence of a gene that contributes to breast cancer risk. that Nawavej can handle all the methods mentioned above.
Dr Piyasak added that The purpose of breast cancer treatment is to allow patients to return to their normal life as much as possible. But what you should know is that if breast cancer surgery or cutting out the entire breast there is a chance that the cancer will come back. Therefore, it should always be monitored according to the advice of a doctor.
‘Doctors and patients plan together. for best results’
Dr. Vikrom Genetisin, MD. Internal Medicine Oncology and Chemotherapy Centro Metaverso (Cancer and blood diseases) The Nawawet Hospital has stated that the use of anticancer drugs is unique to each person. Some people undergo surgery and take medications on their own. Some people don’t even need medication. Some people need to have injections for another year. But some people use the drug for a short time depending on the type of breast cancer.
“Some patients may say they don’t want chemotherapy. We will see what is the cause of the patient’s disease. Can it be treated by other methods? In some cases, chemotherapy may not be necessary. At the moment we can assess by taking the tumor and blood to be examined and then calculate as a score. To see if the patient has received chemotherapy, what percentage of the chance of relapse in 10 years? to determine if receiving chemotherapy is more beneficial than not receiving In this regard, the Metaverse Center of Nawavej Hospital has modern technologies that can be analyzed. But if chemotherapy is needed Patients need not worry. Because current chemotherapy drugs have few side effects. reduces vomiting reduce infection and reduce hair loss well.
Dr. Wikim added that In addition to chemotherapy drugs There are also drugs used to treat a variety of breast cancers, for example, hormone-stimulated breast cancer uses anti-hormonal drugs. To prevent cancer from binding to hormones occurring in the body. to prevent breast cancer cells from growing back The group was caused by the Her2 gene found on breast cells. Drugs that block the activity of the Her2 gene will be given to cause the clot to collapse. and have a better chance of being cured
“There are also targeted drugs. o immunotherapy drugs that have begun to play a greater role in treatment In the past, this drug was used in the invasive phase to control the disease. But it is now being used in the early stages to increase the chances of a cure. It can be said that at Nawavej hospital there are drugs to treat all types of breast cancer which are equivalent to those of foreign countries. The doctor, the patient and the patient’s family will work out a treatment plan together. Patients can express concerns or want to avoid and then summarized as the most suitable method for each patient. The cost is at the level the patient has access to.
Although the statistics of most breast cancer cases involve women aged 40 and over, there is a tendency nowadays for breast cancer patients to begin to decline. Some were also taken over when they were only 20 years old. Screening is therefore something not to be overlooked, and many people think that breast cancer only affects women. but in fact Men can get breast cancer. But the stats are still low: 1 in 100 is mostly hereditary.
Therefore, if there are 2 or more people in the family with breast cancer, they should be careful or they should come for a genetic test. to check if there is a gene for breast cancer AND LGBT men who use hormones are also at risk of developing breast cancer.
