All Posts tagged check your breasts every month

Breast Cancer Awareness: Knowing the difference between a cyst and a tumor

breast cancer awarenessLumps in the breast or armpit area should always be treated as serious matters. Performing self-exams or having a clinical exam or mammogram performed in a timely manner can lead to early detection and treatment, which can greatly increase chances of survival.

However, lumps in the breast or armpit aren’t always dangerous. Some lumps can be cysts, which may feel like a lump but is actually a small sac filled with fluid. Cysts may appear singularly or in a cluster.

Is it a cyst or tumor?

To determine if a lump is a cyst or a tumor, a healthcare professional will perform an ultrasound. This scan will allow the professional to see if the sac is hollow or filled with fluid, determining if the patient needs any sort of treatment or if the issue will resolve itself on its own.

If the lump is fluid filled, it may not require any treatment, and may also swell and retract based on the hormone cycle of the patient and the patient’s menstrual cycle. If the cyst becomes bothersome, it can be drained by a professional by first applying local anesthetic and then removing the fluid with a needle and syringe. Some cysts will re-fill, requiring them to be removed surgically or simply left alone to recede on their own.

If there is a history of cancer within the family, cysts can act as a risk factor, indicating the possibility of cancer starting in the patient’s body. However, most cysts do not indicate cancer and are almost never associated with a high risk of cancer.

Types of tumors

Breast tumors can be identified as malignant, a mass of cancerous cells that can invade and damage surrounding tissue, or benign, a mass of cells usually unaggressive towards surrounding tissue that will not continue to grow.

A tumor is often biopsied to discover whether it is malignant or benign, or if it needs to be removed from the body before it affects any other areas. Metastatic cancer is when malignant tumors spread to other parts of the body through the lymph nodes, or lymphatic system, and form secondary tumors.

Tumors are classified by grade based on the severity of the cell mutation and the likelihood that it will spread throughout the body. Breast cancer is graded on a scale of one to three with one being the lowest stage of aggression and three being the highest.

Low-grade tumors, ranked at a one, most closely resemble normal tissue, whole high-grade tumors ranked at a three look the least like normal tissue and can be extremely aggressive.

Tumor grading can help best determine a treatment plan, however tumor grades should NOT be confused with stages of cancer.

For more information on stages of breast cancer, search our patient education section of our website or visit the National Breast Cancer Foundation’s page.

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The importance of a monthly breast self-examination

ID-100111147-breastexamYou probably mean to do your breast self-exam (BSE) every month, but it often slips your mind, right? Or maybe you’ve heard that some people don’t think BSE is helpful in detecting breast cancer early and increasing the likelihood of survival. But experts still believe that BSE is a useful and essential screening strategy, especially in conjunction with regular physical exams by a doctor and mammography. Why?

Sure, there are statistics that say things like:

  • About 20% of the time, breast cancers are found by physical examination rather than by mammography
  • Nine out of 10 breast masses are detected through BSE.

But put aside the numbers and the science. The point is, in order to keep yourself healthy, you need to know your body better than anyone else! And being proactive with your health means doing whatever you can to lower your chances of developing breast cancer—which includes making sure that if breast cancer does develop it is caught early, in a treatable stage. With early detection and treatment, the five-year survival rate for breast cancer soars to more than 90%. Plus, performing your monthly BSE will help to determine what is normal for your breasts, and help you recognize a change.

The experience can be frustrating—for example, you may feel things but not know what they mean. But the more often you do it, the more you’ll learn about your own breasts and what’s normal for them, and the easier it will be for you to tell if something different or unusual is going on.

Perform your BSE 6 days after your period or on the first day of the month, if you no longer have periods. Remember that everyone’s breasts are different, and that any changes you see or feel can be related to aging, your menstrual cycle, pregnancy, menopause or hormone use.  Regular BSE will help to identify changes that require further evaluation and possible treatment.

What should you look for?

  • Lumps, hard knots or thickening in the breast or underarm area
  • Unusual swelling, warmth, redness or darkening that does not go away
  • Change in the size or shape of your breast
  • Dimpling or puckering of the skin
  • An itch, scaly sore or rash on the nipple
  • Pulling in of the nipple or other parts of the breast
  • Nipple discharge that starts suddenly or is bloody
  • Pain that is localized in one area and that does not vary with your monthly cycle

Nobody wants to think about getting cancer. But the fact is, taking the time to check yourself out is your best defense when it comes to caring for your health. If you have any questions about how to perform your BSE, ask your doctor – or call Chouchani, Sayegh and Bagnarello, MD.  We’d be happy to offer any help you need.


Photo courtesy of freedigitalphotos.net.

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