Breast cancer

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Written by Lin Yang
Breast Surgery
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Breast Cancer Screening Methods

Breast cancer screening methods start with manual palpation to check for lumps. Second, mammography is used, which is the most effective method for early diagnosis of breast cancer with a sensitivity of 80%-90%. Additionally, breast ultrasound and B-ultrasound examinations can be performed, which are simple, safe, and non-invasive. Another available method is breast MRI, which provides more accurate differentiation between benign and malignant tumors. Lastly, a biopsy using a hollow needle can also be done.

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Written by Yan Chun
Oncology
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Symptoms of male breast cancer

The clinical symptoms of male breast cancer are generally similar to those of females, mainly presenting as painless, progressive enlargement of breast lumps. These breast lumps usually occur under the areola, and some patients may experience nipple inversion or abnormal nipple discharge. Many breast lumps tend to have unclear boundaries with surrounding tissues and often adhere to the skin or chest muscles. Many patients with male breast cancer experience metastasis to the axillary lymph nodes, causing the metastatic lymph nodes to enlarge and become painful, local lymphatic drainage obstruction, and causing local upper limb swelling and pain. Moreover, some male breast cancer cases have metastasized to the lungs, presenting clinically with symptoms such as coughing and chest pain related to the respiratory system. Some patients with male breast cancer have liver metastasis, clinically presenting with pain in the liver area, decreased appetite, and abnormal coagulation functions.

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Written by Zhang Chao Jie
Breast Surgery
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Breast cancer IIA is stage 2.

Breast cancer stage IIa is considered early stage. Breast cancer is classified into stages 0, I, IIa, IIb, III, and IV. Stage III is further divided into IIIa, IIIb, and IIIc. Strictly speaking, breast cancers at stage IIa and earlier are considered early-stage breast cancer, while stage III is considered locally advanced breast cancer, including IIIa, IIIb, and IIIc, and stage IV is considered advanced breast cancer. However, since most operable breast cancers, which include up to stage IIIa (stages 0, I, II, and including IIIa), generally have favorable treatment outcomes, many research institutions and medical organizations in Western countries define all stages up to IIIa as early-stage breast cancer. Therefore, breast cancer stage IIa is classified as early-stage cancer.

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Written by Zhang Chao Jie
Breast Surgery
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Breast Cancer Metastasizes to Which Locations

Breast cancer metastasis generally follows the following sites due to its anatomical structure and specific characteristics. The most common sites are the axilla, the contralateral breast, the contralateral axilla, and the areas above and below the clavicle, which is also known as the pipa bone, referring to the areas above and below the pipa bone. As for distant organs, based on the frequency or likelihood of occurrence, the most common are the lungs, bones, liver, and the brain, specifically within the head. These are referred to as the lungs, bones, liver, and head, which are the places most prone to distant organ metastasis.

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Written by Lin Yang
Breast Surgery
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Symptoms of breast cancer metastasis

Symptoms of breast cancer metastasis first involve the lymph nodes, with multiple enlarged lymph nodes that can be felt beneath and above the collarbone. These can be diagnosed as metastases from breast cancer using color Doppler ultrasound and cytopathology puncture. The second symptom is bone metastasis. If there is pain in the pelvic or rib area, and an increase in alkaline phosphatase in the blood biochemistry, high suspicion of bone metastasis should be considered. It is necessary to conduct a PADCT or bone scan for further confirmation. If symptoms like coughing, expectorating phlegm, and blood-tinged sputum appear, lung metastasis should be considered, requiring further diagnosis with a CT scan.

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Written by Zhang Chao Jie
Breast Surgery
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Breast cancer surgery accompaniment for a few days

The duration of postoperative care for breast cancer surgery depends on the extent of the surgery. This includes modified radical mastectomy, classic radical mastectomy, and surgeries that preserve both the breast and the axilla. For surgeries that preserve the breast and axilla, patients typically recover quickly, and generally, providing care for three to five days is more than sufficient. However, to ensure patients feel comforted and cared for, it's common to provide care starting the day before surgery until the patient is discharged. Postoperative care tends to be longer for modified radical mastectomies that include axillary clearance, as care is needed until the patient can fully manage the arm on the operated side on their own. Therefore, the care duration varies depending on the individual and their recovery. Thus, the shortest duration of care is usually for surgeries that preserve both the breast and axilla, typically sufficient within three to five days.

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Written by Gong Chun
Oncology
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What are the symptoms of breast cancer?

The first sign of breast cancer can be a lump in the breast, where lumps might be palpable in the upper outer quadrant of the breast; the second symptom might be nipple discharge or bleeding; the third symptom might be pain in the breast; the fourth symptom might involve changes in the skin of the breast, such as the skin becoming rough and possibly developing an orange peel texture; the fifth symptom might be nipple retraction and changes in the areola.

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Written by Gong Chun
Oncology
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Early-stage breast cancer symptoms

Early-stage breast cancer may exhibit several symptoms. The first is the presence of breast lumps. The second symptom might be nipple discharge, which can be serous, watery, or milky in nature. The third symptom might involve changes in the skin over the breast tumor, including skin adhesion, such as dimpling, engorgement of superficial veins, skin reddening, localized increase in temperature, and an orange-peel texture. The fourth symptom includes abnormalities of the nipple and areola, potentially featuring nipple retraction, erosion of the nipple, thickening of the nipple epithelium, and reddening. The fifth symptom could be breast pain.

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Written by Lin Yang
Breast Surgery
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What are the symptoms of breast cancer?

Breast cancer is most commonly found (60% of cases) on the outer boundary of the breast. Its symptoms often include a single, painless, small lump that is hard, with an uneven surface and an irregular shape. The boundaries of the lump are not clearly distinguishable from the surrounding tissue, and it cannot be easily moved within the breast. The skin over the lump may show signs of redness, swelling, dimpling or orange-peel-like changes. Additional symptoms might include dimpling, ulceration, and other abnormalities. The lump may be associated with changes in the same side nipple, such as bloody discharge, and enlarged lymph nodes can sometimes be felt under the armpit.

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Written by Liu Liang
Oncology
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Thymus cancer and breast cancer differences

Thymic cancer, which refers to the malignant tumor that occurs in the thymus, predominantly presents as squamous cell carcinoma. It generally arises in the mediastinum, with clinical symptoms such as chest pain, cough, and breathing difficulties. Breast cancer, on the other hand, refers to the malignant tumor occurring in the breast tissue, with invasive ductal carcinoma being the most common type. Its symptoms often include unintentionally discovered breast lumps, or metastasis to axillary lymph nodes, felt as enlargement of these nodes. Therefore, these two diseases differ in their sites of origin, symptoms, pathological types, and treatments.