MedLife doctors explain all you need to know about breast cancer and its prevention

October is dedicated to breast cancer awareness and prevention, this being the most frequently diagnosed type of cancer, worldwide. According to the data, in 2020, more than 2.26 million breast cancer cases (11.7%) were diagnosed worldwide, exceeding the cases of lung cancer (2.20 million, 11.4%). In Romania, 12.085 new cases of breast cancer were recorded in the same year.
Despite the negative statistics, the bright side is that early detection of breast cancer can save lives. That is why self-examination and routine breast check-ups are highly important, as they can help detect cancer as early as possible, leading to a less aggressive treatment and increased cure rates.
Below, the MedLife doctors present the most important information on breast cancer, its diagnosis and prevention.
Causes
Like any other type of cancer, breast cancer is caused by several factors acting simultaneously. Although many factors involved in the occurrence of breast cancer have been identified (estrogen in excess, smoking, obesity, mutations in genes known as BRCA, etc.) and many others are pending validation as risk factors, many other factors that may increase the risk of breast cancer remain unknown.
Currently, the most likely hypothesis is that this type of cancer is caused by a complex interaction between the genetic component and the environment.
Risk factors
- family history: if a female member of the family was diagnosed with breast cancer, the risk of developing this condition increases. The more relatives in the family with breast cancer, the higher the risk.
- age: statistically, it is known that the most cases of breast cancer occur after 50 years.
- first menstruation before 12 years
- menopause after 55 years
- obesity: the more so if it occurs after menopause. The explanation is that the excess fat tissue increases the estrogen level, leading to a higher risk of developing breast cancer.
- benign breast conditions, as well as precancerous conditions
- chest radiation (especially before 30 years)
- diet rich in fat, proteins, and refined sugar
- pollution (the incidence of breast cancer is higher in industrialised countries where the degree of pollution is higher)
- alcohol use (one or more alcoholic drinks per day increase the risk of breast cancer occurrence)
- birth control pills are considered an important risk factor when administered before the first pregnancy, or for more than 10 years.
Thus, the risk factors for breast cancer can be hormone, environment, genetic, lifestyle related.
This doesn’t mean that the persons with no risk factors cannot develop the disease.
Symptoms
The most frequent manifestation of breast cancer is the appearance of a lump, meaning a painless, hard mass, with irregular edges. Most likely, such a mass can be cancerous. But this doesn’t mean that the soft, painless, round masses cannot be cancerous.
Only the investigations recommended by the oncologist can tell what kind of lesion that is.
Other symptoms:
- partial or total swelling of the entire breast, even in the absence of a lump
- changes in the breast size, shape or appearance
- changes in the breast skin (“orange peel” appearance)
- nipple retraction
- breast or nipple pain
- nipple discharge
- redness, scales, streaks, thickening of nipples or breast skin
- existence of one or more lumps under the arm
- persistent breast discomfort
Diagnosis
The breast cancer diagnosis is determined following the clinical exam of the breast in conjunction with specific imaging exams. The most important investigations are:
Mammography: the best method for detecting cancer in early stages. Mammography is recommended to women over 40 years old, although there may be cases when the doctor can recommend this investigation earlier, if the patient has important risk factors.
Ultrasound (preferably associated with elastography): a diagnostic method based on ultrasounds, complementary to mammography, able to differentiate between a solid mass and a cyst. Ultrasound is a painless investigation recommended to women under 35 years of age, with breasts too dense to be investigated via mammography.
Biopsy: the biopsy usually establishes the cancer existence with certainty. Biopsy involves the collection of tissue samples and their microscopic examination. This investigation can also tell what type of cancer has been identified and the tumour grade.
Magnetic resonance imaging (MRI): is the most sensitive investigation used in breast cancer diagnosis. MRI is recommended to persons with a dense structure of the mammary gland, as well as to persons with breast implants or with multiple microcalcifications.
Prevention
The most important breast cancer prevention measures are:
- regular check-ups for women in risk groups;
- urgent visit to the doctor in case of changes at breast level;
- balanced diet;
- maintaining a normal weight (especially after menopause);
- regular physical activity;
- no alcohol.
Depending on the age, the following investigations are recommended:
Under 30 years
- self-examination
- clinical exam of breast, every year
- breast ultrasound, at 3 years
Between 30 and 40 years old
- self-examination
- clinical exam of breast, every year
- breast ultrasound, every year
Over 40 years old
- monthly self-palpation of breasts
- mammography, at 2 years
- breast ultrasound, every year
Women with no risk factors are recommended to do a medical check-up of breast, every 3 years. This consultation involves breast self-examination and imaging tests (breast ultrasound, mammography) in centers specialized in breast pathology.
Comprehensive coverage of medical services for the prevention, diagnosis, and treatment of breast cancer at MedLife
Within the MedLife network, we offer patients complete services for the prevention, diagnosis, and treatment (pharmacological, surgical and radiotherapeutic) of this condition, in outpatient or in hospital setting: consultations, clinical and laboratory investigations, imaging, surgery and medical rehabilitation services.
The patient may benefit from:
Prevention services: specialist consultations, imaging, and laboratory tests in the national network of MedLife clinics and laboratories, as well as in partner facilities.
Medical oncology as day hospitalization at MedLife Titan Hospital, MedLife Brașov Oncology Hospital (OncoCard), MedLife Craiova, MedLife Sibiu, Neolife Bucharest Băneasa and Neolife Iași.
Oncological surgery with all facilities in the MedLife hospital network (Spitalul MedLife Medical Park, MedLife Brașov Oncology Hospital (OncoCard), MedLife Lotus, MedLife Brașov, MedLife Polisano, MedLife Genesys, MedLife Humanitas).
Chemotherapy and radiotherapy treatments in MedLife Brașov Oncology Hospital (OncoCard), MedLife Polisano Oncology Center in Sibiu, Neolife București-Băneasa Medical Center, Neolife București-Enayati, Neolife Iași, Neolife Vâlcea and Neolife Brăila, MedLife Titan (only chemotherapy).
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Aici puteți să solicitați o programare pentru serviciile noastre de oriunde vă aflați, fără telefon și fără vizită în clinică.
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