According to the statement, in breast cancer, where full recovery is possible with early diagnosis and treatment, awareness and protection with accurate information are vital.
Breast cancer, which occurs with the uncontrolled proliferation of cells in the breast tissue, has a risk of being seen in one out of every 8 women. Moreover, contrary to what is known, the risk of breast cancer increases with age.
Bayındır Kavaklıdere Hospital General Surgery Department Head Assoc. Dr. Hüseyin Altınyollar discussed the well-known misconceptions about breast cancer. Stating that age is one of the most important risk factors for breast cancer, Altınyollar said:
“The risk of developing breast cancer is 1 in 2212 at age 30, 1 in 233 at age 40, 1 in 69 at age 50, 1 in 38 at age 60, 1 in 27 at age 70, and 1 in 10 at age 80. When it comes to risk factors, one of the first things that comes to mind is genetic predisposition. However, this does not mean that only those with a family history of breast cancer are at risk. Although having a family history of breast cancer increases the risk of developing cancer, about 80 percent of cases develop in those who do not have any risk factors. In addition, only 5-10 percent of breast cancers have genetic abnormalities. Two genes, BRCA1 and BRCA2, have been proven to be associated with breast cancer. Only 0.1 percent of women carry this gene, and only 5 percent of breast cancers are known to be associated with BRCA1 and BRCA2 gene carriers.”
“Breast cancer does not always occur with a mass”
Stating that about 80 percent of breast masses consist of benign lesions, Altınyollar said, “Although the mass is one of the most important symptoms of cancer, some women with a diagnosis of breast cancer may not have a significant mass. Therefore, in the presence of some symptoms, a doctor should be consulted. Swelling in the breast, breast Symptoms such as shrinkage of the skin, orange peel appearance, redness, change in the shape of the breast, crusting, peeling, change in the shape of the nipple, nipple collapse, nipple discharge are indicators that require examination. Because early detection of cancer greatly increases the chances of cure.” made its assessment.
Noting that the majority of nipple discharges are related to benign breast diseases, Altınyollar said, “White, yellow, green discharges from both breasts that are not spontaneous (comes when squeezing the breast) do not indicate cancer. However, clear discharges such as blood and water are not considered abnormal. Cancer is detected in only 10 percent of the discharges. Most of the bloody discharges are caused by papillomas in the milk duct, which is a benign breast disease. However, if you are over 40 years old, if the discharge is unilateral, occurs on its own or is accompanied by a mass, you should definitely consult your doctor.” warned.
“Painful mass can also indicate cancer”
Altınyollar stated that although fibrocystic changes are usually painful, approximately 10 percent of breast cancers also have pain.
“For this reason, examination should not be neglected by relying on pain. Fibrocystic changes are benign changes and do not increase the risk of breast cancer. However, these changes and the density of breast tissue may prevent cancer from being seen on mammography. Therefore, breast cancer is suspected in women with fibrocystic changes and if mammography findings are normal, breast ultrasound, breast Additional tests such as MRI may be needed. Although mammography is the gold standard for detecting breast cancer, it cannot detect breast cancer 100 percent. The accuracy rate of mammography in detecting breast cancer in all age groups is about 80 percent. The patient’s age, breast tissue density and menopausal status affect the accuracy of mammography. In cases where the irregularity in the breast and the surrounding breast tissue are of the same density, mammography may not be able to distinguish the mass. Therefore, even if the mammogram is normal, your doctor’s physical examination is always more valuable.”
Referring to the misconceptions about mammography, Altınyollar said, “It is completely wrong that mammography causes breast cancer or the spread of breast cancer. Mammography is a safe method. The mammography devices used today give very low doses of radiation. This amount does not cause any harm to the breast tissue and the body. “For this reason, you can safely have mammography. In addition, mammography is one of the most important methods for early diagnosis of breast cancer. Neither the beam taken in mammography nor the compression of the breast tissue for mammography will definitely cause the spread of breast cancer.” used his statements.