Early evaluation is essential

03/07/2022

With the cases of breast cancer rising increasingly in India as compared to the western countries, it’s evident that we need to take care of our breasts similar to the way we look after other organs of the body.
According to the World Health Organization, in 2018, approximately 627,000 women died from breast cancer globally that is approximately 15 per cent of all cancer deaths among women.
So, a breast lump is no doubt a serious condition and could be the initial symptom of breast cancer. But at the same time, it is important to remember that all breast lumps are not cancerous. Particularly in younger women, breast lumps may be an indicator of a benign condition.
However, one should get it evaluated by a doctor if you feel a new lump or if the breast tissue feels different from the regular texture.
How does breast tissue normally feel?
Our breasts are a combination of tissues which vary in texture and consistency.
These may be fatty, glandular and connective tissue. During a woman’s menstrual cycle, the texture & consistency of these tissues may also change thereby making the breast tender. Breast tissues also undergo modifications with age.
When to see the doctor?
You find a new breast lump or thickening that feels different from the surrounding tissue
There is a change in the size, shape or appearance of the breast
Breast pain stays for a longer time ie more than one menstrual cycle
There is some change in the skin near the breast, such as itchiness, redness, scaling or puckering
The nipple has become little inverted or there is abnormal discharge from the nipple
Procedures to evaluate a breast lump
Your doctor might ask you to get some tests done in order to confirm the diagnosis of the breast lump. These include:
Mammogram
Breast Ultrasound
Breast MRI
Breast Biopsy
Follow-up after breast lump evaluation is essential
If the breast lump isn't cancerous, your doctor will decide whether you need short-term monitoring with clinical breast exams or repeat breast imaging. You may have to see the doctor again in two to three months. The doctor will monitor again if there have been changes in your breast.
If the diagnosis is in question or the clinical breast exam and the mammogram show areas of suspicion, but the biopsy reveals benign tissue—you'll be referred to a surgeon or other specialist for further consultation.
If the breast lump is cancerous, you'll work with your doctor to create a treatment plan. The stage and type of breast cancer will decide the further treatment procedure. Generally, surgery is performed if the lump is proven to be cancer. The surgeon before performing the surgery will explain appropriate surgical options and provide you with the information necessary to make this decision. You may have several consultations with other physicians for additional treatment, including radiation therapy and chemotherapy or hormone therapy.
The Writer is Dr Anjali Kumar Sr Consultant Gynaecologist & Obstetrician and Founder at Maitri Woman's Health

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