Breast cancer symptoms

Written by Zhang Chao Jie
Breast Surgery
Updated on November 25, 2024
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The symptoms of breast cancer depend on the severity of the cancer and whether there are any signs of metastasis or recurrence. It is important to emphasize that over 90% of breast cancer cases do not involve pain as a symptom. This means that the earliest symptoms of breast cancer are usually determined by whether the cancer is in its early or late stages.

Early-stage breast cancer may have no symptoms at all, or there may be signs such as a lump or hard nodule in the breast, discharge from the nipple, especially coffee-colored or bloody discharge. Late-stage symptoms can include changes in the skin of the breast resembling the texture of an orange peel, palpable large lymph nodes in the armpit that are hard but neither painful nor itchy. If the cancer has metastasized to the lungs, chest cavity, pleura, liver, bones, or head, symptoms might include chest pain, coughing, difficulty breathing, abdominal distention, bone pain or fractures, as well as headaches, eye pressure, and dizziness, among others.

Therefore, the symptoms of breast disease depend on whether the cancer is in its early stages; if it is in a late stage and has metastasized to other parts, corresponding symptoms will be present. It is also important to remember that early-stage breast cancer may not show any symptoms at all.

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Written by Lin Yang
Breast Surgery
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early symptoms of breast cancer

Breast cancer commonly occurs in the upper outer quadrant of the breast, with a hard, stone-like texture, mostly presenting as solitary masses that can be round, oval, or irregular in shape. These tumors have limited mobility and tend to adhere to the skin and surrounding tissues. However, the size of the mass does not change with menstrual cycles or emotional fluctuations, and it can grow rapidly in a short period. It predominantly affects middle-aged and elderly women. Additionally, mammography can reveal tiny calcifications, abnormal vascular patterns, and spiculated changes.

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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 Cui Yu Rong
Breast Surgery
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How long does breast cancer surgery take?

There are many types of surgery for breast cancer clinically, and the most commonly used currently are the modified radical mastectomy and breast-conserving surgery for breast cancer. The timing of the breast cancer surgery, the specific surgical method, anesthesia method, the proficiency of the surgeon, and whether rapid pathology is needed during surgery are all factors that affect the duration; therefore, the surgery time is not fixed. In most cases, the modified radical mastectomy for breast cancer takes about two hours. If rapid pathology is needed during the surgery, the time may also be extended accordingly, so it needs to be determined based on the specific situation.

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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 Fan Hong Qiao
Breast Health Department
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What is invasive breast cancer?

Invasive breast cancer is the most common tumor in women, accounting for 22% of all malignant tumors in females. Invasive breast cancer refers to a malignant tumor where cancer cells have broken through the basement membrane of the breast ducts or lobular alveoli and invaded the interstitium. The vast majority of invasive breast cancers are adenocarcinomas, originating from the epithelial cells of the breast parenchyma, especially from the terminal duct lobular units. Its characteristics include the tumor's infiltration into adjacent tissues and a marked tendency for distant metastasis.