Its Usually Found On A Mammogram
For most women, DCIS is picked up on routine mammograms. Typically, the mammogram finds a calcificationa small cluster of cells with abnormal shapes and sizesand then it is diagnosed after a biopsy, says Dr. Meyers.
Occasionally, though, DCIS grows large enough that it forms a noticeable lump. Some people with DCIS may also have unusual nipple discharge, or a condition called Pagets disease that causes skin around the nipple to become thick and dry.
Tests At The Breast Cancer Clinic
If you have suspected breast cancer you’ll be referred to a specialist breast cancer clinic for further tests. This referral will be because of your symptoms or because your mammogram has shown an abnormality,
Mammogram and breast ultrasound
If you have symptoms and have been referred to a specialist breast unit by your GP, you’ll probably be invited to have a mammogram if you are over 35 years old. This is an X-ray of your breasts. You may also need an ultrasound scan.
If your cancer was detected through the BreastCheck screening programme, you may need another mammogram or ultrasound scan.
Ultrasound uses high-frequency sound waves to produce an image of the inside of your breasts. It helps to determine the nature of a lump or of the abnormality. It may be needed to find out if a lump in your breast is solid or contains liquid.
Your breasts are made up of thousands of tiny glands that produce milk. This glandular tissue contains a higher concentration of breast cells than other breast tissue, making it denser.
Dense breast tissue can make a mammogram difficult to read. Lumps or areas of abnormal tissue are harder to spot.
Younger women tend to have denser breasts. This is why mammography is not routinely performed in women under 35 years. As you get older, the amount of glandular tissue in your breasts decreases and is replaced by fat. This means your breasts become less dense.
What Are The Risk Factors For Breast Cancer
Like many conditions, risk factors for breast cancer fall into the categories of things you can control and things that you cannot control. Risk factors affect your chances of getting a disease, but having a risk factor does not mean that you are guaranteed to get a certain disease.
Controllable risk factors for breast cancer
- Alcohol consumption. The risk of breast cancer increases with the amount of alcohol consumed. For instance, women who consume two or three alcoholic beverages daily have an approximately 20% higher risk of getting breast cancer than women who do not drink at all.
- Body weight. Being obese is a risk factor for breast cancer. It is important to eat a healthy diet and exercise regularly.
- Breast implants. Having silicone breast implants and resulting scar tissue make it harder to distinguish problems on regular mammograms. It is best to have a few more images to improve the examination. There is also a rare cancer called anaplastic large cell lymphoma that is associated with the implants.
- Choosing not to breastfeed. Not breastfeeding can raise the risk.
- Using hormone-based prescriptions. This includes using hormone replacement therapy during menopause for more than five years and taking certain types of birth control pills.
Non-controllable risk factors for breast cancer
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What Are The Symptoms Of Inflammatory Breast Cancer
Symptoms of inflammatory breast cancer include swelling and redness that affect a third or more of the breast. The skin of the breast may also appear pink, reddish purple, or bruised. In addition, the skin may have ridges or appear pitted, like the skin of an orange . These symptoms are caused by the buildup of fluid in the skin of the breast. This fluid buildup occurs because cancer cells have blocked lymph vessels in the skin, preventing the normal flow of lymph through the tissue. Sometimes the breast may contain a solid tumor that can be felt during a physical exam, but more often a tumor cannot be felt.
Other symptoms of inflammatory breast cancer include a rapid increase in breast size; sensations of heaviness, burning, or tenderness in the breast; or a nipple that is inverted . Swollen lymph nodes may also be present under the arm, near the collarbone, or both.
It is important to note that these symptoms may also be signs of other diseases or conditions, such as an infection, injury, or another type of breast cancer that is locally advanced. For this reason, women with inflammatory breast cancer often have a delayed diagnosis of their disease.
Tests To Determine Specific Types Of Treatment
You’ll also need tests that show whether the cancer will respond to specific types of treatment. The results of these tests can give your doctors a more complete picture of the type of cancer you have and how best to treat it. The types of test you could be offered are discussed below.
In some cases, breast cancer cells can be stimulated to grow by hormones that occur naturally in your body, such as oestrogen and progesterone.
If this is the case, the cancer may be treated by stopping the effects of the hormones, or by lowering the level of these hormones in your body. This is known as “hormone therapy”.
During;a hormone receptor test, a sample of cancer cells will be taken from your breast and tested to see if they respond to either oestrogen or progesterone. If the hormone is able to attach to the cancer cells , they’re known as “hormone receptor positive”.
While hormones can encourage the growth of some types of breast cancer, other types are stimulated by a protein called;human epidermal growth factor receptor 2 .
These types of cancer can be diagnosed using a HER2 test, and treated with medication to block the effects of HER2. This is known as “biological” or “targeted” therapy.
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Treatments To Reduce Your Risk
If you have a greatly increased risk of developing breast cancer, for example, a BRCA gene carrier, treatment might be available to reduce your risk. This applies to a very small minority of women.
Your level of risk is determined by factors such as your age, your family’s medical history, and the results of genetic tests.
You will usually be referred to a specialist genetics service if it’s thought you have a significantly increased risk of breast cancer. Healthcare professionals working at these services might discuss treatment options with you.
The 2 main treatments are surgery to remove the breasts or medication. These are described in more detail below.
There’s Dimpling On Your Breast Skin
Noticing some dimpling in the skin of one of your breasts might not seem like a big deal, but it could be a sign of breast cancer, says the Mayo Clinic. The issuewhich is called peau d’ orange, due to its resemblance of the texture of an orange peelcould be a sign of a more invasive type of breast cancer.
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How Do I Avoid A Misdiagnosis
Patients should always stay informed about their health and know what age-based screening tests are required, as well as what screenings they should have based on various risk factors. It is also important to be direct with your doctor and communicate any symptoms you may have that could be a sign of breast cancer, and make sure your concerns are taken seriously and addressed.
How Is Inflammatory Breast Cancer Different From Other Types Of Breast Cancer
When compared to other forms of the disease, inflammatory breast cancer:
- Looks different — often there are no lumps, but your breast might appear red, swollen, or inflamed
- Is harder to diagnose — it doesnât show up well on a mammogram
- Is more aggressive and spreads more quickly than other types
- Tends to be diagnosed at a younger age, especially among African-American women
- Is more likely to affect overweight women
- Is often further along when itâs diagnosed
- Sometimes has spread past the breast when itâs diagnosed, which makes it harder to treat
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How Is Inflammatory Breast Cancer Treated
Because this form of cancer spreads quickly, youâll need an aggressive treatment plan. It may include:
- Chemotherapy. This drug treatment is given before surgery to shrink the tumor and make the cancer operable. It also lowers the chance the cancer will come back.
- Surgery. A mastectomy may be performed after chemotherapy. This procedure removes all of your breast.
- Targeted therapy. If the cancer cells have too much of a protein called HER2, you may be given drugs specifically for that.
- Hormone therapy. Certain medications may be given if the cancer cells have hormone receptors. These medicines block the receptors so they canât attach to the hormones.
- Radiation . Often, radiation treatments are given after chemotherapy and surgery to lower the chance of the cancer coming back.
- Immunotherapy. These drugs use your immune system to help fight cancer. You might get them for advanced types of inflammatory breast cancer.
Talk to your doctor about clinical trials. Clinical trials test new drugs to see if they are safe and if they work. Theyâre often a way for people to try new medicine that isn’t available to everyone. Your doctor can help find a trial that might be a good fit for you.
Stages Of Inflammatory Breast Cancer
This type of cancer is usually in one of three stages:
- Stage IIIB: All Inflammatory breast cancers start in this stage since they involve the skin of your breast.
- Stage IIIC: This cancer has spread to lymph nodes around your collarbone or inside your chest.
- Stage IV: The cancer has spread outside your breast and nearby lymph nodes to other parts of your body.
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Men And Breast Cancer Warning Signs
Breast cancer isnt typically associated with people who were assigned male at birth. But male breast cancer can occur in rare instances at any age, although its more common in older men.
Many people dont realize that people assigned male at birth have breast tissue too, and those cells can undergo cancerous changes. Because male breast cells are much less developed than female breast cells, breast cancer isnt as common in this part of the population.
The most common symptom of breast cancer in people assigned male at birth is a lump in the breast tissue.
Other than a lump, symptoms of male breast cancer include:
- thickening of the breast tissue
- nipple discharge
- redness or scaling of the nipple
- a nipple that retracts or turns inward
- unexplained redness, swelling, skin irritation, itchiness, or rash on the breast
Most men dont regularly check their breast tissue for signs of lumps, so male breast cancer is often diagnosed much later.
You Have Sore On Your Breast That Won’t Heal
Whether it’s on your breast or on your nipple, a sore that won’t seem to heal is something to pay close attention to. “It may be a sign of Paget’s disease of the breast, a rare form of breast cancer,” says Alvarez. “This disease originates in the nipple. It’s not usually invasive and is most commonly diagnosed in patients in their 70s and 80s.” And for warning signals of other types of serious conditions, check out These Are All of the Cancer Warning Signs Hiding in Plain Sight.
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How Do You Know If You Have Cancer
There are over 200 different types of cancer that can cause many different symptoms. Sometimes symptoms are linked to certain cancer types. But signs can also be more general, including weight loss, tiredness or unexplained pain.
You dont need to try and remember all the signs and symptoms of cancer, but we have listed some key ones to give you an idea of the kind of things to be aware of. These symptoms are more often a sign of something far less serious but if it is cancer, spotting it early can make a real difference.
Remember,;anyone can develop cancer, but its more common as we get older. Most cases are in people aged 50 or over. Whatever your age, its always best to listen to your body and talk to your doctor if something doesnt feel quite right. Whether its a change thats new, unusual, or something that wont go away get it checked out.
Some possible signs of cancer like a lump are better known than others. But just because some symptoms are more well known, doesnt mean theyre more important, or more likely to be cancer. If you spot anything that isnt normal for you dont ignore it. Whether its on this list or not, get it checked out.
Stage 3 Breast Cancer
- Stage 3A:
- The cancer has spread to 49 axillary lymph nodes or has enlarged the internal mammary lymph nodes, and the primary tumor can be any size.
- Tumors are greater than 5 cm, and the cancer has spread to 13 axillary lymph nodes or any breastbone nodes.
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Does A Benign Breast Condition Mean That I Have A Higher Risk Of Getting Breast Cancer
Benign breast conditions rarely increase your risk of breast cancer. Some women have biopsies that show a condition called hyperplasia . This condition increases your risk only slightly.
When the biopsy shows hyperplasia and abnormal cells, which is a condition called atypical hyperplasia, your risk of breast cancer increases somewhat more. Atypical hyperplasia occurs in about 5% of benign breast biopsies.
Signs And Symptoms Of Breast Cancer
In its early stages, breast cancer may not cause any symptoms. In many cases, a tumor may be too small to be felt, but an abnormality can still be seen on a mammogram.
If a tumor can be felt, the first sign is usually a new lump in the breast that was not there before. However, not all lumps are cancer.
Each type of breast cancer can cause a variety of symptoms. Many of these symptoms are similar, but some can be different. Symptoms for the most common breast cancers include:
- a breast lump or tissue thickening that feels different than surrounding tissue and has developed recently
- breast pain
- changes to the appearance of the skin on your breasts
- a lump or swelling under your arm
If you have any of these symptoms, it doesnt necessarily mean you have breast cancer. For instance, pain in your breast or a breast lump can be caused by a benign cyst.
Still, if you find a lump in your breast or have other symptoms, you should see your doctor for further examination and testing.
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Inflammatory Breast Cancer Symptoms
Unlike other breast cancers, inflammatory breast cancer ;rarely causes breast lumps and may not appear on a mammogram. Inflammatory breast cancer symptoms include:
- Red, swollen, itchy breast that is tender to the touch
- The surface of the breast may take on a ridged or pitted appearance, similar to an orange peel
- Heaviness, burning, or aching in one breast
- One breast is visibly larger than the other
- Inverted nipple
- No mass is felt with a breast self-exam;
- Swollen lymph nodes under the arm and/or above the collarbone
- Symptoms unresolved after a course of antibiotics
Unlike other breast cancers, inflammatory breast cancer usually does not cause a distinct lump in the breast. Therefore, a breast self-exam, clinical breast exam, or even a mammogram may not detect inflammatory breast cancer. Ultrasounds may also miss inflammatory breast cancer. However, the changes to the surface of the breast caused by inflammatory breast cancer can be seen with the naked eye.
Symptoms of inflammatory breast cancer can develop rapidly, and the disease can progress quickly. Any sudden changes in the texture or appearance of the breast should be reported to your doctor immediately.
For women who are pregnant or breast-feeding, redness, swelling, itchiness and soreness are often signs of a breast infection such as mastitis, which is treatable with antibiotics. If you are not pregnant or nursing and you develop these symptoms, your doctor should test for inflammatory breast cancer.
Symptoms Of Angiosarcoma Of The Breast
Another rare form of breast cancer, angiosarcoma forms inside the lymph and blood vessels. Only a biopsy may definitively diagnose this type of cancer. Angiosarcoma can cause changes to the skin of your breast, such as the development of purple-colored nodules that resemble a bruise. These nodules, if bumped or scratched, may bleed. Over time, these discolored areas may expand, making your skin appear swollen in that area. You may or may not have breast lumps with angiosarcoma. If you also have lymphedema, which is swelling caused by a buildup of lymphatic fluid, angiosarcoma may occur in the affected arm. Cancer treatment sometimes damages the lymph vessels, which may lead to lymphedema.
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Symptoms Of Secondary Breast Cancer
Secondary breast cancer means that a cancer that began in the breast has spread to another part of the body. Secondary;cancer can also be called advanced or metastatic cancer.
It might not mean that you have secondary breast;cancer;if you have the symptoms described below. They can be caused by other;conditions.
What Is The Chance I Could Die In The Next 5 Years
The average 5-year survival rate for all people with breast cancer is 89%. The 10-year rate is 83%, and the 15-year rate is 78%. If the cancer is located only in the breast , the 5-year survival rate is 99%. More than 70% of breast cancers are diagnosed at an Early Stage.
All survival statistics are primarily based on the stage of breast cancer when diagnosed. Some of the other important factors are also listed below that affect survival.
Stage 0;breast cancer can be also described as a pre-cancer. If you have DCIS you can be quite confident you will do well. DCIS does not spread to other organs. What can be concerning is when an invasive cancer grows back in the area of a prior lumpectomy for DCIS. This type of local recurrence does carry a risk to your life. Luckily, this does not happen frequently. Also, be aware that those who have had DCIS in the past are at a higher risk for developing an entirely new, invasive breast cancer. Take our video lesson on Non-Invasive DCIS to learn more.
Stage I;invasive breast cancer has an excellent survival rate. The chance of dying of Stage I breast cancer within five years of diagnosis is 1 to 5% if you pursue recommended treatments.
Stage II breast cancer is also considered an early stage of breast cancer. There is a slightly increased risk to your life versus a Stage I breast cancer. Altogether, the risk of Stage II breast cancer threatening your life in the next 5 years is about 15%.
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