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Where Does Breast Cancer Pain Start

Treatment For Inflammatory Breast Cancer

How to understand about Breast Cancer | Dr. Neha Choudhary

The treatment for inflammatory breast cancer can be slightly different to other types of breast cancer.

Chemotherapy

You usually have chemotherapy as your first treatment. This is called neo adjuvant chemotherapy. It helps to control the cancer cells in the breast and reduces the swelling. It also aims to destroy any cancer cells that might have spread elsewhere in the body.

Surgery

After chemotherapy you have surgery unless there is a reason why this isn’t suitable for you. You are most likely to have your whole breast removed .

Some women might be able to have breast conserving surgery. For this type of surgery, the surgeon removes the area of cancer and a surrounding area of healthy tissue. But for most women, mastectomy is the best option.

The surgeon usually removes the lymph nodes under your armpit.

Radiotherapy

After surgery you have radiotherapy to the remaining breast tissue. This is to help stop the cancer coming back.

Other drug treatment you may have

You have hormone therapy tablets for some years if your breast cancer has hormone receptors. Your doctor might recommend that you also have targeted cancer therapy, such as trastuzumab and pertuzumab, if your cancer has receptors for those drugs.

Breast reconstruction

You may be able to have breast reconstruction after you have finished your treatment . Do ask your surgeon, they can tell you whether this is suitable for you.

What Should You Know About Pain Management For Breast Cancer

It is important that you always tell your doctor or other healthcare provider if you are having pain. Do not wait for them to ask you about pain.

Managing pain from breast cancer surgery

Breast cancer treatment often includes surgical procedures such as lumpectomy, breast removal, or breast reconstruction. Your doctor may remove one or more lymph nodes from your axillary area, which tends to be painful. The cuts from surgery may cause pain in the skin, breast nerves, or muscle. Degrees of pain or discomfort after surgery is to be expected. During surgery, the surgeon may inject a pain medicine into your surgical area to help decrease the amount of post-operative pain you experience.

Your doctor may also give you a prescription for opioid pain relievers to take for severe pain. He or she will suggest over-the-counter pain medicines such as ibuprofen, acetaminophen, or naproxen to take as a first measure. They will also discuss applying ice to the surgical area for comfort. Make sure that you check with your healthcare provider before taking any kind of medicine, even non-prescription items.

Post-operatively, wearing a soft bra that fastens in the front is comforting. After lymph node surgery, keeping the arm elevated on a pillow when sitting and placing a small lap pillow between your upper arm and lateral chest wall will help with arm pain and healing.

Managing pain from radiation therapy for breast cancer

Managing pain from chemotherapy for breast cancer

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.

Biopsy

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Statistics On Breast Cancer And Pain

A breast tumora hard clump of breast cancer cellsdoesn’t usually cause breast pain unless it reaches the size of 2 centimeters in diameter or greater. But a tumor can be larger than 2 centimeters and still not cause pain.

For many women, breast pain is not their reporting symptom. One study found that only 6% of women reported breast pain as their main symptom. While most women with breast cancer report that a breast lump was their main symptom, 1 in 6 report a different symptom, including breast pain.

What Are The Signs That Breast Cancer Has Spread

Where Breast Cancer Starts and Spreads

    Metastatic breast cancer is a secondary cancer the cancerous cells originate in breast tissue and then travel to other parts of the body. The most common areas of breast cancer metastasis are the bones, lungs and liver.

    Following an initial breast cancer diagnosis, a patient will receive a personalized monitoring plan for metastatic reoccurrence from their care team. Depending on the specific parts of the body affected, the symptoms of metastatic breast cancer can vary.

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    What Is Noncyclic Breast Pain

    Noncyclic breast pain is fairly uncommon, feels different than cyclical mastalgia, and does not vary with the menstrual cycle. Generally, the pain is present all the time and is in only 1 specific location.

    One cause of noncyclic breast pain is trauma, or a blow to the breast. Other causes can include arthritic pain in the chest cavity and in the neck, which radiates down to the breast.

    What Are Breast Lobes And Breast Ducts

    Each female breast contains 15-20 sections called lobes. Each lobe is made up of many smaller sacs called lobules . It is these lobules that produce milk in breastfeeding women. The lobes and lobules are connected to the nipple by tubes called ducts, which carry milk to the nipple. Milk flows through the nipple to the outside during breastfeeding.

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    Pagets Disease Of The Breast

    This is a rare skin condition that is sometimes a sign of an underlying breast cancer. The symptoms are a red, scaly rash on the nipple and surrounding area. This can be itchy and looks a bit like eczema. It is sometimes mistaken for eczema at first.

    See your doctor if you have any changes in the skin of your breast.

    Inflammatory Breast Cancer Symptoms

    Breast Cancer: Sign, symptoms & prevention

    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.

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    Grade Of Breast Cancer

    The grade describes the appearance of the cancer cells.

    • Low grade the cells, although abnormal, appear to be growing slowly.
    • Medium grade the cells look more abnormal than low-grade cells.
    • High grade the cells look even more abnormal and are more likely to grow quickly.

    Want to know more?

    Statistics On Breast Cancer & Pain

    A breast tumora hard clump of breast cancer cellsusually doesnât usually cause breast pain unless it reaches the size of two centimeters in diameter or greater. But a tumor can be larger than two centimeters and still not cause pain.

    In fact,only about 5% to 15% of women newly diagnosed with breast cancer complain of breast pain. Only 7% of those diagnosed with breast cancer seek a doctor because of breast pain, excluding other symptoms.

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    Hormones And Hormone Medicine

    Hormone replacement therapy

    Hormone replacement therapy is associated with an increased risk of developing breast cancer. However, the risk is a very low one.

    Contraceptive pill

    Women who use the contraceptive pill have a slightly increased risk of developing breast cancer. The risk starts to decrease once you stop taking the pill. Your risk of breast cancer is back to normal 10 years after stopping.

    What Factors Increase The Risk Of Developing Breast Cancer

    Daily Mirror

    Although there is no way to predict whether or not your pet may develop mammary cancer, some factors could increase its chances:

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    Types Of Breast Cancer

    There are two categories that reflect the nature of breast cancer:

    • Noninvasive cancer is cancer that hasnt spread from the original tissue. This is referred to as stage 0.
    • Invasive cancer is cancer thats spread to surrounding tissues. These are categorized as stages 1, 2, 3, or 4.

    The tissue affected determines the type of cancer:

    • Ductal carcinoma is a cancer that forms in the lining of the milk ducts. This is the most common type of breast cancer.
    • Lobular carcinoma is cancer in the lobules of the breast. The lobules are where milk is produced.
    • Sarcoma is cancer in the breasts connective tissue. This is a rare type of breast cancer.

    When you visit your doctor with concerns about breast pain, tenderness, or a lump, there are common tests they might perform.

    How Is This Related To Breast Cancer

    Those who have had breast cancer surgery are prone to rotator cuff problems. The more invasive the surgery, the more likely it is that they will have trouble. Some women experience lymphedema following surgery, which is a swelling of the lymph nodes that snake around the chest area and up to the arm pits. Some speculate that this contributes to rotator cuff pain after surgery.

    According to BreastCancer.org, rotator cuff pain after breast cancer surgery is a fairly common problem:

    • 85% of women have mild or worse shoulder problems six months after surgery
    • 50% of women reported moderate to severe shoulder problems six months after surgery
    • lymphedema, or swelling of the lymph nodes, was not the best indicator of shoulder problems, as 44% of women who did not havelymphedema still had shoulder problems six months after surgery

    So while the lymph nodes may be related to the problem, it does not appear that lymphedema itself is the only cause. Some of the many possible contributing factors are protective posturing , scar tissue formation , or radiation damage. Lymphedema may contribute by adding weight to an already overtaxed and underused muscle system around the time of surgery.

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    Breast Cancer Rib Pain

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    Diet And Vitamin Supplements

    Signs and Symptoms of Breast Cancer | Dana-Farber Cancer Institute

    While there is no strong evidence that specific dietary changes such as reducing the intake of methylxanthines found in caffeine, chocolate and red wine and the use of supplements such as vitamins B1, B6, and E improve symptoms, some women find them beneficial. Losing weight and stopping smoking may also be helpful.

    The simplest and perhaps most commonly used first line treatment for mastalgia is Evening Primrose Oil, which proves helpful for many women. This preparation should be taken at a dose of four 1000mg capsules per day. You will usually need to take evening primrose oil for about six months. If your pain improves during this time you may be able to halve the dose.

    It should be remembered by patients, that evening primrose is not a pain-killer, and must be taken every day. Normally no effect is noted for at least the first 2-4 weeks, after which time symptoms may begin to settle if treatment is effective. Approximately 50% of patients will respond to this form of therapy according to early studies, but this response rate has not been replicated in later research.

    In summary, despite the lack of overwhelming supportive data, evening primrose oil may be useful for some individuals, and given the limited untoward effects, is of value to at least try. Patient acceptance is generally high, as it is viewed as a natural substance rather than a hormone or drug.

    Pain medication

    Oral contraceptive pill

    Complementary therapies

    Other medications

    • Meet

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    Breast Lumps Or Lumpiness

    Many women find their breasts feel lumpy. Breast tissue naturally has a bumpy texture.

    Some women have more lumpiness in their breasts than others. In most cases, this lumpiness is no cause to worry.

    If the lumpiness can be felt throughout the breast and feels like your other breast, then its likely normal breast tissue.

    Lumps that feel harder or different from the rest of the breast or that feel like a change should be checked. This type of lump may be a sign of breast cancer or a benign breast condition .

    See a health care provider if you:

    • Find a new lump that feels different from the rest of your breast
    • Find a new lump that feels different from your other breast
    • Feel something thats different from what you felt before

    If youve had a benign lump in the past, dont assume a new lump will also be benign. The new lump may not be breast cancer, but its best to make sure.

    Statistics Dont Account For Late Recurrences

    When comparing triple-negative breast cancer to positive tumors, its important to keep in mind late recurrences. Most statistics are presented as five-year survival rate, and in this setting, triple-negative breast cancer can look more ominous. But looking at longer periods of time, say 20 years following diagnosis, this may be different.

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    Coping With Chest Wall Pain

    Any type of breast pain can be very distressing, and many women worry they may have breast cancer. However, in most cases pain in the breast isnt a sign of breast cancer.

    Having breast pain doesnt increase your risk of breast cancer. However, its still important to be breast aware and go back to your GP if the pain increases or changes, or you notice any other changes in your breasts.

    Further Tests For Breast Cancer

    Breast cancer

    If a diagnosis of breast cancer is confirmed, more tests will be needed to determine the stage and grade of the cancer, and to work out the best method of treatment.

    If your cancer was detected through the NHS Breast Screening Programme, you’ll have further tests in the screening centre before being referred for treatment.

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    If Your Breast Cancer Has Spread

    Even if your breast cancer has spread to other parts of your body, it does not necessarily mean its not treatable. If the cancer cannot be removed, the goal of treatment is to improve symptoms, improve quality of life and extend survival.

    Some women live with breast cancer for several years as they learn to adjust and accept that theyll be on treatment for an indefinite period of time, explains Dr. Roesch. Your cancer team will help you learn and cope with what you can expect on this journey.

    Local Or Regional Treatments For Stage Iv Breast Cancer

    Although systemic drugs are the main treatment for stage IV breast cancer, local and regional treatments such as surgery, radiation therapy, or regional chemotherapy are sometimes used as well. These can help treat breast cancer in a specific part of the body, but they are very unlikely to get rid of all of the cancer. These treatments are more likely to be used to help prevent or treat symptoms or complications from the cancer.

    Radiation therapy and/or surgery may also be used in certain situations, such as:

    • When the breast tumor is causing an open wound in the breast
    • To treat a small number of metastases in a certain area, such as the brain
    • To help prevent bone fractures
    • When an area of cancer spread is pressing on the spinal cord
    • To treat a blood vessel blockage in the liver
    • To provide relief of pain or other symptoms

    In some cases, regional chemo may be useful as well.

    If your doctor recommends such local or regional treatments, it is important that you understand their goalwhether it is to try to cure the cancer or to prevent or treat symptoms.

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