Breast Cancer (Facts, Stages) (cont.)
Jerry R. Balentine, DO, FACEP
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Breast cancer facts
- What is breast cancer?
- What are the different types of breast cancer? Where does breast cancer come from?
- What are the statistics on male breast cancer?
- What causes breast cancer?
- What are breast cancer risk factors? How do you get breast cancer?
- What are breast cancer symptoms and signs?
- What tests do physicians use to diagnose breast cancer?
- How are breast cancer stages determined?
- What are breast cancer survival rates by stage? What is the prognosis of breast cancer?
- What are breast cancer treatments?
- Is it possible to prevent breast cancer?
- What research is being done on breast cancer? Is it worthwhile to participate in a breast cancer clinical trial?
- I may have breast cancer. What questions should I ask my doctor?
- Is the doctor sure I have breast cancer?
- What type of breast cancer do I have?
- What difference does a precise breast cancer diagnosis make?
- What has been done to exclude cancer in other areas of the same breast or in my other breast?
- What type of medical team do I need for the most accurate breast cancer diagnosis?
- Is my family history relevant to my breast cancer diagnosis?
- What other studies should be done on my breast tissue biopsy?
- How urgent is it that I make decisions and begin breast cancer treatment?
- Should I stop taking hormone replacement therapy (HRT) after a breast cancer diagnosis?
- Even though my breast tumor does not have hormone receptors, should I take tamoxifen to reduce the risk of a new tumor?
- I have a ductal carcinoma in situ (DCIS), a type of localized cancer. Why have I been advised to have a mastectomy when other women with invasive breast cancer have lumpectomies?
- Should I start chemotherapy before surgery for breast cancer?
- If I am advised to have a mastectomy, what are the risks and benefits of immediate breast reconstruction?
- Should breast cancer patients have their lymph nodes removed?
- What is a sentinel lymph node biopsy, and what are its benefits and risks?
- Are there any other questions I should ask my doctor about breast cancer?
- Breast Cancer FAQs
- Find a local Oncologist in your town
What are breast cancer symptoms and signs?
The most common sign of breast cancer is a new lump or mass in the breast. In addition, the following are possible signs of breast cancer:
- Thickening or lump in the breast that feels different from the surrounding area
- Inverting of the nipple (as a change from previous appearance)
- Nipple discharge or redness (especially any bloody discharge)
- Breast or nipple pain
- Swelling of part of the breast or dimpling
- Changes in the skin of the breast
One should discuss these or any other concerning findings with a health-care professional.
What tests do physicians use to diagnose breast cancer?
Although breast cancer can be diagnosed by the above signs and symptoms, the use of screening mammography has made it possible to detect many of the cancers early before they cause any symptoms.
The American Cancer Society (ACS) has the following recommendations for breast cancer screenings:
Women should have the opportunity to begin annual screening between 40-44 years of age. Women age 45 and older should have a screening mammogram every year until age 54. Women 55 years of age and older should have biennial screening or have the opportunity to continue screening annually. Women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or longer.
Mammograms are a very good screening tool for breast cancer. As in any test, mammograms have limitations and will miss some cancers. An individual's family history and mammogram and breast exam results should be discussed with a health-care provider.
The ACS does not recommend clinical screening exams in women of any age.
Women at high risk (greater than 20% lifetime risk) should get an MRI and a mammogram every year. Women at moderate risk (15%-20%) should talk to their doctor about the benefits and limitations of adding MRI screening to their yearly mammogram.
Find support and advances in treatment.