Does breast cancer have a genetic component?

Written by Fan Hong Qiao
Breast Health Department
Updated on September 18, 2024
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Breast cancer is somewhat related to genetics and has a certain familial predisposition. It manifests as a higher incidence rate in relatives with breast cancer, especially in closer blood relations, and daughters may develop the disease at an earlier age than their mothers. There is also a higher risk of bilateral occurrence and a tendency for other malignant tumors to develop in different parts of the body. Additionally, if a family has at least two sisters with breast cancer and their mother is not afflicted by the disease, the susceptibility of this family is about three times higher than average, commonly occurring after menopause, and usually affecting one side. Of course, the influence of human genetic factors on the development of breast cancer is multifaceted. The occurrence of breast cancer is affected not only by genetic factors but also by many other factors, which have a cumulative effect of risks. It is recommended that individuals from families with a history of breast cancer should undergo regular screening, improve their lifestyle, and avoid the accumulation of risk factors, which can also enable earlier detection and treatment of breast cancer that has already developed.

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Types of breast cancer surgery

Breast cancer surgery types are generally still dominated by modified radical mastectomy. Modified radical mastectomy can be divided into two types; one preserves both the pectoralis major and pectoralis minor muscles, and the other removes the pectoralis minor muscle but preserves the pectoralis major muscle. Another option is breast-conserving surgery, which is feasible for tumors smaller than three centimeters and at least two centimeters away from the nipple. Nowadays, sentinel lymph node biopsy has become popular. If it proves that the sentinel lymph node has no metastasis, a single mastectomy can be performed.

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What should not be eaten with breast cancer?

There are specific considerations regarding foods that should be avoided for breast cancer patients. Foods, medications, or health supplements containing sex hormones are absolutely prohibited. The most common source of sex hormones in food is the use of placenta for nourishment, which is a common practice among the Chinese populace but is strictly forbidden in this case. Medications typically involve contraceptives, so it is crucial, especially in younger breast cancer patients, to consider non-medication-based contraception and avoid unplanned pregnancies — these are absolute taboos. Additionally, foods low in fats and cholesterol are not entirely prohibited but should be consumed in moderation.

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Symptoms of breast cancer recurrence

The symptoms of recurrent breast cancer are related to the location and form of recurrence. For example, if breast cancer recurs at the chest wound site, the symptoms typically manifest as local lumps or localized ulcers, erosion, and bleeding. If the recurrence is in the lungs, liver, or brain, it usually appears in the form of tumors. Early lung tumors do not show symptoms, but if it invades the pleura and causes pleural effusion, it can lead to shortness of breath or chest pain. If a tumor grows too large on the liver, it can cause abdominal pain or symptoms like loss of appetite, unwillingness to eat, and other complications associated with liver diseases. If it metastasizes to the head, symptoms such as dizziness, headaches, and a feeling of pressure in the eyes may occur. If it spreads to the bones, it can cause pain in the affected bone or fractures.

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How is breast cancer treated?

For the comprehensive treatment of malignant (breast cancer), it needs to be specifically addressed based on case analysis, considering the patient's physical condition, economic factors, and other circumstances. There isn't a one-size-fits-all treatment plan suitable for everyone, as each case requires specific analysis. The treatment options for breast cancer include, firstly, surgery, which can be either a mastectomy or breast-conserving surgery, depending on lymph node metastasis and pathological staging. The second option includes radiation therapy, the third is endocrine therapy, the fourth is chemotherapy, the fifth is targeted therapy, and the sixth and subsequent options may include immunotherapy.

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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.