{"id":183,"date":"2019-11-15T14:16:13","date_gmt":"2019-11-15T14:16:13","guid":{"rendered":"https:\/\/zeepedia.com\/?p=183"},"modified":"2020-02-13T10:03:20","modified_gmt":"2020-02-13T10:03:20","slug":"breast-cancer","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/diseases\/breast-cancer\/","title":{"rendered":"Breast Cancer"},"content":{"rendered":"\n<p>Breast cancer is the most common form of cancer after prostate cancer.\u00a0There are different types of breast cancer.\u00a0Most people get rid of the disease after treatment if breast cancer is detected early.\u00a0There are also treatments that can make you live a good life for a long time if the breast cancer is discovered later and has been able to spread.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms of Breast Cancer<\/h2>\n\n\n\n<p>In the beginning, breast cancer usually gives no symptoms.\u00a0After a while, you may have one or more symptoms.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Lump in the chest or armpit<\/h3>\n\n\n\n<p>A\u00a0lump in the chest or armpit can be breast cancer.\u00a0This is especially true if you are older and if the tuber is new and it has been a few weeks without it appearing to be about to disappear.<\/p>\n\n\n\n<p>Lumps that disappear after a menstrual period are usually harmless.&nbsp;It is not possible to determine with your fingers whether a lump is a cancerous tumor.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Retracted nipple<\/h3>\n\n\n\n<p>The breast may look different than it usually does.&nbsp;The skin or nipple may be retracted.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Unusual symptoms<\/h3>\n\n\n\n<p>Having pain is an unusual <strong>symptom of breast cancer<\/strong>.\u00a0It is much more common than it depends on the menstrual cycle.\u00a0The week before\u00a0menstruation, the breasts may feel swollen, tense and sore.\u00a0Such regular changes are harmless and usually present in both breasts.<\/p>\n\n\n\n<p>Other unusual symptoms are having a wound that does not heal or redness of the skin without injuring yourself.\u00a0The breast can flush, become swollen and sore if, for example, you breastfeed and get\u00a0milk compression.<\/p>\n\n\n\n<p>It is also an unusual symptom that the skin on any part of the breast becomes thicker with small pits.<\/p>\n\n\n\n<p>Fluid from the nipple is an unusual <span style=\"text-decoration: underline;\">symptom of breast cancer<\/span>.\u00a0The liquid may be bloody, brownish or translucent watery.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">When and where should I seek care?<\/h2>\n\n\n\n<p>If you think you have breast cancer,\u00a0contact a\u00a0health care\u00a0provider.\u00a0In some places, you can seek specialized outpatient care without the need for referral.\u00a0It may be, for example, at a breast clinic or the surgeon&#8217;s reception at a hospital.<\/p>\n\n\n\n<p>You can contact many receptions by\u00a0logging in.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Investigations<\/h2>\n\n\n\n<p>You are offered an examination according to a standardized course of care if the doctor suspects that you have breast cancer.&nbsp;Standardized care&nbsp;is a way of organizing the investigation so that it goes as quickly as possible.&nbsp;Among other things, there are times set for the examinations you may need.&nbsp;The doctor writes a referral and tells you why you should be investigated, what it means and when you can be told if you have cancer or not.<\/p>\n\n\n\n<p>It is often quick to get calls for examinations in a standardized course of care.\u00a0It is good if you are clear about how the staff most safely reach you so that you do not miss any time.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The doctor feels on the breasts and lymph nodes<\/h3>\n\n\n\n<p>A doctor knows the breasts and lymph nodes\u00a0in the armpit, at the clavicles and on the neck.\u00a0The doctor may ask you to answer various questions, for example:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>How is your mens bike?<\/li><li>Do you have a close relative who has had breast or\u00a0ovarian cancer?<\/li><li>Do you\u00a0use birth control pills, or do you get any other hormone therapy, for example, due to menopause?<\/li><\/ul>\n\n\n\n<p>It is also important to tell about previous hormone treatments that have ended.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Mammography<\/h3>\n\n\n\n<p>A full\u00a0mammogram can be done from both breasts.\u00a0This means that more x-rays are taken than in the mammography health check called screening.\u00a0Women\u00a0between the ages of 40 and 74 are regularly called for such health checks.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ultrasonography<\/h3>\n\n\n\n<p>You are examined with\u00a0ultrasound if there is a lump or if the mammography images show any deviation.\u00a0You may also be examined with ultrasound if mammography images are difficult to assess because you have dense glandular tissue.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Cell samples and tissue samples<\/h3>\n\n\n\n<p>A sample from the tuber can be examined under a microscope to see if there is cancer.&nbsp;Sometimes cells from the tubercle are sufficient, sometimes a slightly larger tissue sample is needed.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Surveys to see if cancer has spread<\/h3>\n\n\n\n<p>You may need to investigate more if you have cancer and the cancerous tumor is large or if there is evidence that cancer has spread to the lymph nodes in the armpit.\u00a0The studies can show if cancer has spread to other parts of the body as well.<\/p>\n\n\n\n<p>It is common to need to be examined with\u00a0computed tomography.\u00a0You may also need to have your liver examined with\u00a0ultrasound.\u00a0The skeleton may also need to be examined.\u00a0It is done with a\u00a0magnetic camera\u00a0or with skeleton scintigraphy.<\/p>\n\n\n\n<p>In skeletal scintigraphy, a small dose of a radioactive tracer is injected into the blood.\u00a0The tracer searches for areas in the skeleton where some type of injury may exist, for example, due to cancer.\u00a0It is visible when you are examined with a special camera called a gamma camera.\u00a0The radioactive tracer disappears quickly from the body.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment for Breast Cancer<\/h2>\n\n\n\n<p>A group of different specialists advises each other on which <strong>treatment for breast cancer<\/strong> will be best for you based on your research results.\u00a0Your doctor will tell you what treatment the specialists recommend.<\/p>\n\n\n\n<p>What treatment you can receive depends, among other things, on what kind of breast cancer you have, what stage it is in and how you feel otherwise.\u00a0In this chapter, you can read more about the different treatments.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The breast is operated on<\/h3>\n\n\n\n<p>Most people who get breast cancer are operated on.&nbsp;Sometimes a part of the breast is operated on, other times the entire breast needs to be removed.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">The armpit is also operated<\/h4>\n\n\n\n<p>Most <strong>breast cancer<\/strong> surgery is performed simultaneously in the armpit.\u00a0There are lymph nodes that need to be examined.\u00a0The lymph nodes are removed if cancer has spread there.\u00a0It is called axillary evacuation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Drugs for breast cancer<\/h3>\n\n\n\n<p>You will be treated with medication before surgery if the cancer tumor needs to shrink.&nbsp;It can be done with cytostatic drugs that are sometimes combined with targeted drugs.&nbsp;Sometimes the cancer tumor can shrink with drugs that affect your hormones.<\/p>\n\n\n\n<p>It is more common to receive <em>treatment for breast cancer<\/em> with drugs after surgery.\u00a0The purpose is to remove cancer cells that may be left in the body.\u00a0Treatment can reduce the risk of relapse and increase the chance of you getting rid of the disease.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Drugs with cytostatic drugs<\/h4>\n\n\n\n<p>Cytostatic drugs are a group of drugs that can inhibit cancer cells in different ways.\u00a0You get cytostatic drugs in cures.\u00a0The most common is to get six courses of cytostatics with a three-week break between the courses.<\/p>\n\n\n\n<p>Cytostatic drugs are usually given as a drop directly into the blood.\u00a0It is common to get a combination of different cytostatic drugs as it usually gives a better effect.\u00a0Some common drugs are those containing epirubicin, doxorubicin, cyclophosphamide, 5-FU, docetaxel or paclitaxel.<\/p>\n\n\n\n<p>The treatment with cytostatic drugs can make you sensitive to infections, feel sick or get dry mucous membranes.&nbsp;Some suffer from pain in the body or numbness in the fingers and toes.&nbsp;There are good drugs to both prevent and mitigate most of the side effects.<\/p>\n\n\n\n<p>It is common for the hair to fall off but it almost always comes back after the treatment.&nbsp;You can get a wig&nbsp;that you try out before treatment begins.<\/p>\n\n\n\n<p>The treatment can also make you feel tired.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Drugs for breast cancer affected by hormones<\/h4>\n\n\n\n<p>It is common for the hormone estrogen to cause breast cancer to grow.\u00a0There are drugs that target the hormone estrogen in various ways, so-called anti-hormonal drugs:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Medicines containing the active substance tamoxifen block the effects of the estrogen you have in your body.\u00a0Then the cancer cells are prevented from growing and proliferating.<\/li><li>Medicines belonging to the aromatase inhibitor group prevent the production of estrogen that you have in your body fat even after menopause.\u00a0Aroma inhibitors have no effect if you still have menstruation because the ovaries produce estrogen then.\u00a0Sometimes you can get medicines with goserelin if you still have menstruation but need aromatase inhibitors.<\/li><li>Medicines containing goserelin shut off estrogen production in the ovaries.\u00a0It can be used with tamoxifen, or sometimes with aromatase inhibitors if you are under 40 years of age.<\/li><\/ul>\n\n\n\n<p>It is common to need treatment with anti-hormonal drugs for five years, sometimes ten years.&nbsp;It is important to follow the treatment without interruption.<\/p>\n\n\n\n<p>The drugs can cause you to get menopause-like problems even if you have already been in&nbsp;menopause.&nbsp;Common symptoms are sweating, hot flashes and dry mucous membranes of the genital area.&nbsp;You may get joint pain if you are treated with aromatase inhibitors.<\/p>\n\n\n\n<p>Talk to your doctor about the side effects.&nbsp;You may be able to change your medication or receive treatment that mitigates the side effects if you have any problems.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Targeted drugs for breast cancer that are HER2 positive<\/h4>\n\n\n\n<p>Targeted drugs are drugs that affect any particular property of the cancer cells.&nbsp;HER2-positive breast cancer contains a protein called HER2.&nbsp;The protein allows the cancer cells to grow faster.&nbsp;Growth can be stopped with the help of targeted drugs.&nbsp;They contain antibodies that block the protein.<\/p>\n\n\n\n<p>Some need treatment both before and after surgery, some first and then receive treatment.<\/p>\n\n\n\n<p>You will receive the <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/trazimera\/\">trastuzumab<\/a> and pertuzumab antibodies along with cytostatic drugs if <span style=\"text-decoration: underline;\">treatment for breast cancer<\/span> begins before surgery.\u00a0After surgery, trastuzumab usually continues for one year.<\/p>\n\n\n\n<p>You will receive trastuzumab if you need treatment only after surgery.&nbsp;The first treatments are usually combined with cytostatic drugs.<\/p>\n\n\n\n<p>Trastuzumab can be given as a drop or injection into the subcutaneous tissue.&nbsp;Pertuzumab is given as a drop directly into the blood.&nbsp;The most common thing is to get treatment every three weeks.<\/p>\n\n\n\n<p>Treatment can affect the heart of some people.&nbsp;It is treatable and usually disappears after treatment.&nbsp;Your heart is examined several times during the course of treatment.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Drugs that strengthen the skeleton<\/h4>\n\n\n\n<p>Treatment with drugs belonging to the&nbsp;bisphosphonate&nbsp;group&nbsp;can strengthen the skeleton&nbsp;and reduce the risk of the disease coming back and affecting the skeleton.<\/p>\n\n\n\n<p>You may need treatment if you have passed menopause and the risk is greater than cancer will return.\u00a0The risk is greater, for example, if cancer had spread to the lymph nodes in the armpit.\u00a0You receive the treatment as a drop in the blood once a month.<\/p>\n\n\n\n<p>You need to be examined by a dentist before treatment begins.&nbsp;This is because bisphosphonates can cause jaw damage if you have had problems with, for example, tooth loss.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">radiotherapy<\/h3>\n\n\n\n<p>It is common to receive\u00a0radiotherapy\u00a0after an operation, especially if only part of the breast has been removed.\u00a0Radiation treatment after surgery reduces the risk of the cancerous tumor coming back into the breast.<\/p>\n\n\n\n<p>You can also receive radiotherapy if the lymph nodes contained cancer cells.&nbsp;You will then receive radiation treatment to both the chest and the areas of the lymph nodes that are close to the chest.<\/p>\n\n\n\n<p>Radiation treatment you usually get every weekday for three to six weeks.\u00a0Sometimes the treatment is longer, for example, if it is difficult to determine if all the cancer was removed at the time of surgery or if you are younger than 50 years.\u00a0The risk of relapse is higher if you are younger than 50 years.<\/p>\n\n\n\n<p>Radiation treatment can, among other things, make the skin irritated and sore while the treatment is in progress.&nbsp;It is good to lubricate the skin every day with unscented skin cream.&nbsp;The radiated area may also become slightly swollen.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Follow-up after treatment<\/h2>\n\n\n\n<p>You may make an initial return visit two to three weeks after the operation to check the wound.\u00a0The follow-up you need next depends on the type of cancer tumor you had and what other types of treatment you receive.<\/p>\n\n\n\n<p>Follow-ups are organized in different ways in different parts of the country.\u00a0Sometimes a doctor at the surgeon or cancer clinic is responsible for the visits, sometimes a\u00a0contact nurse.\u00a0Cancer clinics are the same as oncology clinics.<\/p>\n\n\n\n<p>Most people are usually called for a return visit one year after treatment is completed.&nbsp;The breasts are examined with&nbsp;mammography.&nbsp;A doctor, contact nurse or other specially trained nurse knows both breasts and examines if there are&nbsp;swollen lymph nodes&nbsp;in the armpits or neck.<\/p>\n\n\n\n<p>At the follow-up, you can also get help with any side effects of the treatment, such as\u00a0lymphedema or skin disorders after radiation.<\/p>\n\n\n\n<p>Sometimes follow-ups continue for a few years.\u00a0Most need only be examined with mammography every year or every two years.\u00a0It may be enough to participate in screening with mammography that you are called to regularly if you are a\u00a0woman and 40-74 years.<\/p>\n\n\n\n<p>You get special notice if you are, for example, younger than 40 years or older than 74 years or if you are a\u00a0man.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Contact your healthcare provider if you have new symptoms<\/h3>\n\n\n\n<p>It is more common for you to find out if you have new symptoms than to discover them at a follow-up.&nbsp;Immediately contact the healthcare provider if one or more of the following is true:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You have some symptoms from the chest, such as a lump in the chest or around the chest.<\/li><li>You have been suffering from, for example, the skeleton for more than two weeks.<\/li><li>You have a cough that doesn&#8217;t go over.<\/li><li>You feel unusually tired.<\/li><\/ul>\n\n\n\n<p>The contact nurse can answer questions even between the follow-ups and can quickly arrange a visit so you can be examined.\u00a0Contact a\u00a0health care center instead of the contact with the contact nurse has ceased because it has been a long time since the surgery.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The breast cancer may come back<\/h3>\n\n\n\n<p>It is called relapse if breast cancer comes back after treatment.\u00a0Relapse can mean different things.\u00a0Cancer may come back in the chest that you have left or in the lymph nodes in the armpit.<\/p>\n\n\n\n<p>Cancer can also come back as metastases.\u00a0It is the same as daughter tumors and means that cancer has spread to other parts of the body, such as the skeleton, liver or lungs.<\/p>\n\n\n\n<p>Metastases in other parts of the body than the breasts reduce the chances of getting rid of cancer, but there are good opportunities to curb the disease.<\/p>\n\n\n\n<p>Many can live a good life for several years even if the disease cannot be removed.&nbsp;Distributed breast cancer is also called chronic breast cancer.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">The risk of relapse decreases over time<\/h4>\n\n\n\n<p>The risk of relapse depends on several different characteristics of breast cancer.\u00a0Here are some examples:<\/p>\n\n\n\n<p>The risk of recurrence is less the smaller the cancer tumor.<\/p>\n\n\n\n<p>The risk of relapse is less if the lymph nodes are free of cancer.<\/p>\n\n\n\n<p>Breast cancer that is independent of hormones: Relapse after five years is very rare.<\/p>\n\n\n\n<p>Breast cancer dependent on hormones: The risk of relapse may persist even after more than ten years.&nbsp;The risk is small if the cancer was only present in the breast without spreading to the lymph nodes.&nbsp;The risk of relapse is reduced if you take drugs that affect the hormones.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Breast cancer if you are pregnant<\/h2>\n\n\n\n<p>The doctor will decide in consultation with you which treatment will be best if you are pregnant and have breast cancer.&nbsp;The treatment depends on several things:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>How serious is the cancer tumor?<\/li><li>What are the risks to the child?<\/li><li>What do you want?<\/li><\/ul>\n\n\n\n<p>If you have a partner or other close relatives, it is good if they can also be part of the decision.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Surveys if you are pregnant<\/h3>\n\n\n\n<p>You can be examined with\u00a0mammography and\u00a0ultrasound even if you are pregnant or breastfeeding.<\/p>\n\n\n\n<p>You can submit\u00a0cell samples or tissue samples.\u00a0There may be a risk that it will leak milk from the place where the sting is made if you breastfeed.<\/p>\n\n\n\n<p>The lungs can be x-rayed\u00a0and the liver can be examined with ultrasound to see if cancer has spread.\u00a0You can also be examined with a\u00a0magnetic camera\u00a0even though you are pregnant.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Treatments if you are pregnant<\/h3>\n\n\n\n<p>Treatment depends on when in pregnancy the <em>breast cancer<\/em> is detected.\u00a0It can be\u00a0operated\u00a0during all parts of pregnancy.\u00a0After the 16th week of pregnancy,\u00a0chemotherapy\u00a0can be given.\u00a0Then the risk is very small for the fetus to be affected by the treatment.<\/p>\n\n\n\n<p>Treatments that need to wait after delivery are\u00a0radiotherapy, anti-hormonal therapy, and targeted therapy.<\/p>\n\n\n\n<p>Treatments that need to wait after delivery are\u00a0radiotherapy, anti-hormonal therapy, and targeted therapy.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What is Breast Cancer?<\/strong><\/h2>\n\n\n\n<p>Breast cancer is the second most common cancer disease, after\u00a0prostate cancer.\u00a0More than 8,000 people get breast cancer every year.\u00a0It is unusual, but sometimes you can get cancer in both breasts and therefore the number of diagnoses is slightly more than the number of people who get breast cancer.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Cancer of the milk aisles is most common<\/h3>\n\n\n\n<p>Breast cancer can occur in different parts of the breast:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Ductal cancer is breast cancer in the milk ducts that lead breast milk through the nipple.\u00a0It is the most common form of breast cancer.<\/li><li>Lobular cancer is the cancer of the milk glands that form breast milk.<\/li><\/ul>\n\n\n\n<p>Cancer can also occur in the connective tissue and the fatty tissue between the mammary glands.\u00a0It&#8217;s called\u00a0sarcoma.\u00a0Lymph\u00a0node cancer\u00a0can also occur in the breast.\u00a0Both diseases are very rare in the breast.\u00a0They are not treated as breast cancer.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Different types of breast cancer<\/h3>\n\n\n\n<p>There are different types of breast cancer.\u00a0They are treated differently.\u00a0It is almost always possible to be completely free of all types of breast cancer if the cancer is detected at an early stage.\u00a0Otherwise, it is usually possible to slow down the disease for a long time.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Luminal cancer is affected by hormones<\/h4>\n\n\n\n<p>Luminal cancer is the most common form of breast cancer.&nbsp;Eight out of ten breast cancer tumors are luminal.&nbsp;The cancer is dependent on sex hormones to grow, such as estrogen and progesterone.&nbsp;Luminal cancer is divided into luminal A and luminal B.<\/p>\n\n\n\n<p>Luminal A develops a little slower.&nbsp;It is common to need surgery and to receive radiotherapy and hormone therapy.<\/p>\n\n\n\n<p>Luminal B develops faster.\u00a0It is common to need to be operated on and receive radiation therapy, cytostatic therapy, and anti-hormonal therapy.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">HER2-positive breast cancer<\/h4>\n\n\n\n<p>About every eighth breast cancer is HER2 positive.&nbsp;The cancer cells have an extra amount of a protein called HER2 that allows the cancer tumor to grow faster.&nbsp;It is common to have to be operated on and receive radiotherapy.&nbsp;You also need treatment with cytostatics and targeted treatment with antibodies.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Triple-negative breast cancer<\/h4>\n\n\n\n<p>Approximately every tenth breast cancer tumor is triple-negative.\u00a0This means that it grows independently of estrogen, progesterone or HER2.\u00a0The treatment consists of cytostatics, radiotherapy, and surgery.\u00a0It may be good to do an investigation to find out if breast cancer is hereditary.\u00a0The risk of it is greater if you have triple-negative cancer.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Different stages of breast cancer<\/h3>\n\n\n\n<p>Breast cancer is usually divided into different stages.&nbsp;How far a stage is can vary greatly even between different people who have the same type of breast cancer.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Precursor &#8211; cancer in situ<\/h4>\n\n\n\n<p>The earliest form of breast cancer is called cancer in situ.\u00a0Then cancer still only grows in the place where it originated.\u00a0It is a precursor to breast cancer.\u00a0Most have no symptoms, but mammography can detect cancer in situ.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">The first stage &#8211; cancer grows in the breast<\/h4>\n\n\n\n<p>The cancerous tumor can grow through the wall of the milk duct or the mammary gland into the fat or connective tissue in the breast.&nbsp;This means that the cancer is invasive.&nbsp;Sometimes it is possible to feel a lump, but many breast cancer tumors are only a few centimeters even when invasive.&nbsp;Then they are usually unable to feel.&nbsp;However, they can be detected by mammography.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">The second stage &#8211; cancer may have spread to lymph nodes<\/h4>\n\n\n\n<p>The cancer tumor can be up to five centimeters.&nbsp;It may have spread along the lymph vessels to the lymph nodes.&nbsp;The lymph nodes&nbsp;are found in the armpit.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Third stage<\/h4>\n\n\n\n<p>The cancerous tumor is larger than five centimeters or it has grown into the skin or chest.&nbsp;It may also have spread to several lymph nodes in the armpit.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">The fourth stage &#8211; cancer forms metastases in other parts of the body<\/h4>\n\n\n\n<p>The cancer cells grow into blood vessels so that the disease spreads to other parts of the body and forms new cancer tumors.&nbsp;It&#8217;s called daughter tumors or metastases.&nbsp;Metastases may be present in, for example, the skeleton, lungs or liver.<\/p>\n\n\n\n<p>Metastases are most often formed when the cancerous tumor has been in the breast for several years and when it has grown and become several centimeters large.&nbsp;But it can also take both shorter and longer time for breast cancer to spread.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Breast cancer can be detected early<\/h3>\n\n\n\n<p>It is important that you go when you are called for screening with\u00a0mammography.\u00a0Mammography can detect the earliest forms of <span style=\"text-decoration: underline;\">breast cancer<\/span> that give no symptoms.\u00a0You get regular calls for screening if you are a\u00a0woman\u00a0and between 40 and 74 years.<\/p>\n\n\n\n<p>Feel the breasts&nbsp;regularly.&nbsp;It may not replace screening with mammography, but you can more easily notice changes if you learn how your breasts usually feel.<\/p>\n\n\n\n<p>Contact your health care provider if you have any symptoms, even if you have recently been on a mammogram screening.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is the cause of breast cancer?<\/h2>\n\n\n\n<p>It is never possible to say exactly why a person has had cancer.&nbsp;However, there are things that can increase the risk of getting breast cancer.&nbsp;Many risk factors can not be done, others can be affected.<\/p>\n\n\n\n<p>Before the age of 40, breast cancer is uncommon.&nbsp;Then the risk increases.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The hormone estrogen affects<\/h3>\n\n\n\n<p>Much estrogen in the body over long periods increases the risk of breast cancer.&nbsp;Getting men early and getting into menopause late means that estrogen affects the body extra long.<\/p>\n\n\n\n<p>Hormone therapy for a long time against menopausal disorders increases the risk of breast cancer.\u00a0The risk of cancer is probably very small if you receive hormone therapy for less than five years.\u00a0The risk of breast cancer increases slightly if you use\u00a0birth control pills\u00a0for a long time, for example, longer than five years.\u00a0The risk is reduced if you stop taking the pill.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Dense breasts &#8211; a lot of breast tissue<\/h3>\n\n\n\n<p>Dense breasts increase the risk of breast cancer.&nbsp;It is not clear why this is so.&nbsp;Dense breasts mean you have a lot of breast tissue.&nbsp;You cannot decide for yourself if you have tight breasts, but it is visible on mammography images.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Overweight, alcohol and not moving<\/h3>\n\n\n\n<p>Being overweight&nbsp;after&nbsp;menopause&nbsp;increases the risk of breast cancer.<\/p>\n\n\n\n<p>Breast cancer is one of the cancers most affected by\u00a0alcohol.\u00a0The risk increases the more you drink.<\/p>\n\n\n\n<p>Being still a lot probably increases the risk, no matter what you weigh.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Breast cancer can be hereditary<\/h3>\n\n\n\n<p>Between five and ten percent of all breast cancers are hereditary.&nbsp;Heredity is found in the succession.&nbsp;You may not get breast cancer even if you have inherited the tendency.&nbsp;It is common for people with hereditary breast or&nbsp;ovarian cancer to become&nbsp;sick when they are 40 years or younger.<\/p>\n\n\n\n<p>There are some known breast cancer genes.&nbsp;There are genes with a defect that can cause breast cancer.&nbsp;But the known breast cancer genes do not explain all hereditary breast cancer.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The risk can be investigated<\/h3>\n\n\n\n<p>You can get a&nbsp;referral&nbsp;to a special reception that investigates hereditary cancer if you have one or more close genetic relatives who have had breast or ovarian cancer.&nbsp;Such receptions are found in several places in the country.&nbsp;By close relatives is meant children, parents, siblings, grandparents, grandparents or siblings of the parents.<\/p>\n\n\n\n<p>It can be especially important to get an investigation if you or your relative have had the disease at age 40 or earlier.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Special checks if you have a hereditary predisposition<\/h3>\n\n\n\n<p>You may be given special checks if you have a hereditary predisposition to breast cancer or close genetic relatives who have breast or ovarian cancer.\u00a0Then the breasts are examined with\u00a0mammography\u00a0and\u00a0ultrasound, among other things.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Surgery can prevent you from getting hereditary cancer<\/h3>\n\n\n\n<p>You can have your breasts removed for safety if you have an inherited risk of breast cancer.&nbsp;You can also remove the ovaries.&nbsp;You can still get breast or ovarian cancer despite an operation but the risk is very small.<\/p>\n\n\n\n<p>A thorough investigation is done before deciding on an operation that can prevent you from getting breast or ovarian cancer.&nbsp;You can meet different specialist doctors and also a curator or a psychologist if you need to.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Pregnancy and breastfeeding can protect against breast cancer<\/h3>\n\n\n\n<p>Being pregnant reduces the risk of breast cancer.\u00a0The risk is reduced for each pregnancy.\u00a0Most seem to reduce the risk of early first pregnancy, before the age of 25.<\/p>\n\n\n\n<p>Breastfeeding also reduces the risk of breast cancer, but not as much as being pregnant.<\/p>\n\n\n\n<p>You have lower levels of estrogen in your body if you are pregnant or breastfeeding.&nbsp;Pregnancy and breastfeeding also appear to make the mammary glands mature in a way that makes them more resistant to being transformed into cancer cells.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How is life affected by breast cancer?<\/h2>\n\n\n\n<p>For most people who have had breast cancer, there are no physical or practical obstacles to continuing life as it was before the illness message.<\/p>\n\n\n\n<p>It varies from person to person how much sick leave is needed if you are entitled to it.\u00a0Most people who receive cytostatic treatment need to be fully registered while the treatment is in progress.\u00a0Some who receive radiotherapy may work part-time while the treatment is in progress.<\/p>\n\n\n\n<p>It is common to be able to return to everyday life when treatment with cytostatic or radiotherapy is completed.\u00a0This also applies if you need to continue with anti-hormonal or antibody therapy.\u00a0You may need to increase working hours a little at a time if you have been on sick leave.\u00a0Here you can read more about\u00a0sick leave.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Sometimes the treatment needs to take a long time<\/h3>\n\n\n\n<p>Some treatments need to go on for a long time, for example, treatment with antihormonal drugs.&nbsp;Treatment can cause troublesome side effects.<\/p>\n\n\n\n<p>You may feel more motivated to follow the treatment if you know more about how it works.&nbsp;One way is to get help from a patient association.&nbsp;There you can talk to someone who has received the same treatment and who can tell you what it means.<\/p>\n\n\n\n<p>Talk to your doctor or&nbsp;contact nurse&nbsp;if the side effects bother you, there are often good ways to relieve them.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Help if you are in pain<\/h3>\n\n\n\n<p>Sometimes you may be in pain, even for a while after the treatments.&nbsp;There are various help and treatments available, depending on why it hurts.&nbsp;Learning more about why it hurts can also relieve the pain.<\/p>\n\n\n\n<p>It is important to measure the pain and effect of the pain relief you receive so that you can receive as much help as possible.\u00a0There are various tools to measure\u00a0pain.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Feelings and self-image can be affected<\/h3>\n\n\n\n<p>You may get a prosthesis, partial denture or breast reconstruction to replace all or part of the breast that has been removed.<\/p>\n\n\n\n<p>The loss of a body part can still create feelings of sadness.\u00a0You may feel different from your body.\u00a0It can affect self-esteem and sexuality.\u00a0There is help to get.\u00a0<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">So you can keep the energy<\/h3>\n\n\n\n<p>You feel better, you get less pain and you can do more if you take care of yourself.&nbsp;Touch yourself&nbsp;as much as you can.&nbsp;Choose a physical activity that you enjoy and feel you can handle.<\/p>\n\n\n\n<p>Ask your doctor for a\u00a0referral\u00a0to a physiotherapist if you need help.\u00a0Physiotherapists are sometimes called physiotherapists.\u00a0Also, try to\u00a0eat well and to rest well.\u00a0Avoid resting for a long time.\u00a0Rather rest several short moments.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">It is important that you recover<\/h3>\n\n\n\n<p>Life can feel different even if everything has gone well and you can live as you did before the illness and treatment.&nbsp;You always have the experience of what you have been with.&nbsp;It is common for these to feel painful periods.&nbsp;It usually gets better, although it can take time.&nbsp;Some feel vulnerable and worried long after treatment is over.<\/p>\n\n\n\n<p>It is important that you recover in a way that suits you.\u00a0Do things you like.\u00a0Spend time with people who feel good to you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Fertility and pregnancy after breast cancer<\/h2>\n\n\n\n<p>Some treatments can impair fertility, regardless of your gender.&nbsp;It can still be possible to get a pregnancy.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Important with birth control if you do not want to get pregnant<\/h3>\n\n\n\n<p>Use&nbsp;birth control&nbsp;if you have had breast cancer and want to avoid a pregnancy.&nbsp;Talk to your doctor if you need hormonal contraceptives.<\/p>\n\n\n\n<p>You can be fertile even if one or more of the following is true:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You have been treated with cytostatic drugs.<\/li><li>You will be treated with tamoxifen.<\/li><li>You have an irregular while or no while.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Keep the possibility of getting pregnant<\/h3>\n\n\n\n<p>You can save eggs or embryos before the cancer treatment so you can get pregnant afterward.\u00a0The preparations needed may mean that cancer treatment is delayed a little.<\/p>\n\n\n\n<p>Your cancer doctor and a gynecologist will meet with you and your potential partner so that you can talk about the opportunities and risks of fertility treatment that apply to you.<\/p>\n\n\n\n<p>You are offered to freeze semen if you are\u00a0male.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Pregnancy after breast cancer<\/h3>\n\n\n\n<p>The hormones needed to conceive are at the same time risk of breast cancer.\u00a0But the risk of relapse seems low if you become pregnant after being treated for breast cancer.\u00a0It shows the research results that exist.<\/p>\n\n\n\n<p>You may be able to go to specialist maternity care if you become pregnant after having breast cancer.<\/p>\n\n\n\n<p>Talk to your doctor if you want to get pregnant and have had breast cancer.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Cancer treatment can affect both fertility and the fetus<\/h4>\n\n\n\n<p>Cytostatics&nbsp;impair fertility.&nbsp;But often it is only temporary.&nbsp;The first three to twelve months after treatment can be difficult to get pregnant.&nbsp;Some who receive cytostatic treatment arrive in the&nbsp;menopause&nbsp;prematurely.<\/p>\n\n\n\n<p>Tamoxifen can harm the fetus.&nbsp;Therefore, you need to pause treatment for two to three months before trying to get pregnant.&nbsp;You can start with tamoxifen again when the baby is born and when you are not breast-feeding.<\/p>\n\n\n\n<p>Radiation therapy&nbsp;does not affect fertility.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Breastfeeding after breast cancer<\/h3>\n\n\n\n<p>It is possible to breastfeed even if some of the breasts has been removed.\u00a0Radiation treatment can make it less come with milk, but only in the treated breast.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Getting a sick message<\/h2>\n\n\n\n<p>There are many ways to respond to a cancer message.&nbsp;It is common to need a lot of time to talk to your doctor and other healthcare professionals about what the message means.<\/p>\n\n\n\n<p>If possible, please let a relative accompany you.&nbsp;The related person can act as a support and help to remember what has been said.<\/p>\n\n\n\n<p>You can also ask to receive the information in writing so that you can read it peacefully.\u00a0Ask questions if you don&#8217;t understand.\u00a0You have the right to receive\u00a0information in your own language.\u00a0You also have the right to receive\u00a0interpreting assistance if you have a hearing impairment.<\/p>\n\n\n\n<p>In many hospitals, there are special nurses called\u00a0contact\u00a0nurses who can provide support and also help with various practical things.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">You can get help in several places<\/h3>\n\n\n\n<p>Talk to the contact nurse or the hospital&#8217;s curator if you feel anxious or have questions.&nbsp;You can also contact for example Cancer Counseling, Cancer Foundation or any of the patient associations that exist for people with breast cancer.<\/p>\n\n\n\n<p>It is common to feel easier once treatment has begun and you know what is going to happen.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Children need to know<\/h3>\n\n\n\n<p>A minor child has the right to receive information and support based on his or her own needs if a relative is ill.&nbsp;You can get help with what you can say if you want to tell the child yourself.&nbsp;Often it is good to make children as involved as possible, no matter how old they are.&nbsp;That doesn&#8217;t mean you have to tell everything.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Be involved and influence your care<\/h2>\n\n\n\n<p>You have the right to be involved in your care as far as possible.\u00a0The healthcare staff should tell you what treatment options are available.\u00a0They should make sure you understand what the different options mean, what side effects are available and where you can get treatment.\u00a0This way you can help decide on your treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">You can get a new medical assessment<\/h3>\n\n\n\n<p>You may get a\u00a0\u00a0new medical assessment from another doctor if you have a life-threatening or particularly serious illness.\u00a0Obtaining another doctor&#8217;s assessment can help you, for example, if you are unsure of which treatment or treatment is best for you.\u00a0<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Make a care plan<\/h3>\n\n\n\n<p>You can make a care plan together with the contact nurse, the doctor and other staff.\u00a0The care plan should contain information that is important to you, such as contact information and how to get the rehabilitation you need.\u00a0Here you can read more about the contact nurse and the care plan.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Being related<\/h2>\n\n\n\n<p>It can feel difficult to be close to someone who is sick.&nbsp;It is common to want to support while you yourself have a strong concern and feel bad.<\/p>\n\n\n\n<p>People in your vicinity can be supported.\u00a0It often becomes easier for others to help you by telling them how it feels.\u00a0You can also talk to the contact nurse if you are close and need supportive calls.<\/p>\n\n\n\n<p>You can get relief if you help take care of or support the sick person.&nbsp;You can also get support, for example in the form of calls or help with practical things.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Breast cancer is the most common form of cancer after prostate cancer. There are different types of breast cancer. Most people get rid of the disease after treatment if the breast cancer is detected early. There are also treatments that can make you live a good life for a long time if the breast cancer is discovered later and has been able to spread.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2,22,542],"tags":[44],"class_list":["post-183","post","type-post","status-publish","format-standard","hentry","category-diseases","category-cancer","category-types-of-cancer","tag-cancer"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/183","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=183"}],"version-history":[{"count":7,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/183\/revisions"}],"predecessor-version":[{"id":3677,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/183\/revisions\/3677"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=183"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=183"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=183"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}