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breast cancer

Introduction

Breast cancer - a disease in which breast cells proliferate out of control. There are different forms of breast cancer. The type of breast cancer depends on which cells become cancerous. There are many places on the breast where breast cancer can begin. 

The lobules, ducts, and connective tissues form the three basic components of the breast. The milk glands are called lobules. Milk travels to the nipple through tubes called ducts. Everything is surrounded and held together by connective tissue, which is made up of fatty and fibrous tissue. Breast lumps usually start in the ducts or lobules. 

Blood and lymph vessels are two ways that breast cancer can travel outside the breast. Breast cancer is considered to metastasize when it spreads to all other parts of the body system.  Invasive ductal carcinoma is one of the most common types of breast cancer. Cancer cells begin in the milk ducts and spread to other areas of the breast tissue as they grow. Invasive cancer cells can also metastasize to other organs. 

Aggressive lobular carcinoma is the type in which the lobules are the starting point for cancer cells to spread from there to nearby breast tissue. Other organs in the body can potentially become infected with these invasive cancer cells.   

Global Prevalence

These data show the distribution of breast cancer incidence and deaths by region of the world. East Asia accounted for more than a quarter of all cases, with North America  second at 12.5%, South-Central Asia third at 11.3%, and Western Europe fourth at 7.5%. East, South-Central, and Southeast Asia together account for about half of all breast cancer deaths worldwide, while North America (7.1%) and Western Europe (6.4%) have the fifth and sixth highest death rates. Although Africa only has 8.3% of all breast cancer cases, 12.5% ​​of all breast cancer deaths in the world occur there.

global prevelance

National Prevalence

Breast cancer is the most common cancer in women worldwide. With  2.3 million expected new cases or 11.By 2020, 7% of all cancer cases will replace lung cancer as the world's most common cancer. According to epidemiological studies, the number of people with CB worldwide is expected to reach about 2 million by  2030. Between 1965 and 1985  the incidence in India increased dramatically by about 50%. An estimated 118,000 incidents (95% CI: 107,000-130,000) were reported in India in 2016, of which 98.1% were women and 526,000 were common cases (474,000-,574,000). Between 1990 and 2016, the age-standardized breast cancer rate in women increased by 39.1% (95% confidence interval, 5.1 to 85.5), and this increase was observed in all 50 states. According to Globocan 2020, B.C.E. caused 10.6% (90,408) of all deaths and 13.5% (178,361) of all cancers in India, with a cumulative risk of 2.81.

national prevelance of breast cancer
national prevelance of breast cancer

Risk Factors

  • With increasing age, the chance of breast cancer rises. Breast cancer is typically discovered after age 50.

  • Women who inherit abnormalities in specific genes, such as BRCA1 and BRCA2, are more likely to develop breast and ovarian cancer.

  • Women who begin menstruating before age 12 or wait until age 55 to begin menopause are exposed to hormones for a longer length of time, increasing their risk of breast cancer. 

  • As connective tissue predominates over fatty tissue in dense breasts, tumors may occasionally be difficult to detect on mammography. Breast cancer is much more likely to affect women who have dense breasts.

  • Breast cancer is much more likely to recur in ladies who've already experienced it. Breast cancers are improved in numerous non-cancerous breast situations including hyperplasia and lobular carcinoma in situ.

  • If a woman has a first-degree relative who has had cancer, her risk of developing breast cancer increases.

  • Breast cancer is more likely to develop in women during the course of their lives if they received radiation therapy to the breasts before age 30.

  • Between 1940 and 1971, some pregnant women in the United States received the medication diethylstilbesterol in an effort to avoid miscarriage. This is more likely to affect women who consumed this drug or whose mothers consumed it while carrying the child.

Symptoms

The notable symptoms of breast cancer are the following:

  • Newly discovered breast or armpit bulge.

  • Swelling of a breast region.

  • Breast skin irritation

  • In the breast or nipple area, there is flaky skin.

  • Nipple region discomfort.

  • Bleeding from the breast region

  • Any breast size or form modifications.

  • Pain in any breast region.

Diagnosis

  • Breast sonography - a device that produces sonograms—pictures of regions inside the breast—using sound waves.

  • Doctors might also additionally advocate diagnostic mammography when you have a breast issue, inclusive of lumps, or if a vicinity of the breast appears ordinary on a screening mammogram.   This particular X-ray of the breast is more in-depth.

  • Magnetic resonance imaging (MRI) - Areas within the breast may be captured in exceptional elements with the aid of using the MRI scan.

  • Biopsy involves taking tissue or fluid from the breast to be examined under a microscope and put through additional testing. Different types of biopsies exist.

Treatments

  • Surgery - a procedure where cancerous tissue is removed by doctors.

  • Chemotherapy is a way of using specific drugs to reduce or eradicate cancer cells. The drugs may be taken orally, administered intravenously, or occasionally both.

  • Hormone treatment prevents hormones that cancer cells require for growth from reaching them.

  • Biological Treatment collaborates with the immune system of your body to combat cancer cells or to manage the negative effects of other cancer treatments.

  • Radiation treatment destroys the cancer cells using high-energy beams that are comparable to X-rays.

References

  • World Health Organisation. (2021, March 26). Breast cancer. Www.who.int; World Health Organization. https://www.who.int/news-room/fact-sheets/detail/breast-cancer

  • Dhillon, P. K., Mathur, P., Nandakumar, A., Fitzmaurice, C., Kumar, G. A., Mehrotra, R., Shukla, D. K., Rath, G. K., Gupta, P. C., Swaminathan, R., Thakur, J. S., Dey, S., Allen, C., Badwe, R. A., Dikshit, R., Dhaliwal, R. S., Kaur, T., Kataki, A. C., Visweswara, R. N., & Gangadharan, P. (2018). The burden of cancers and their variations across the states of India: the Global Burden of Disease Study 1990–2016. The Lancet Oncology, 19(10), 1289–1306. https://doi.org/10.1016/s1470-2045(18)30447-9

  • World Health Organization. (2018). Cancer today. Iarc.fr. https://gco.iarc.fr/today/home

  • Wilkinson, L., & Gathani, T. (2022). Understanding breast cancer as a global health concern. The British Journal of Radiology, 95(1130). https://doi.org/10.1259/bjr.20211033

  • Rumgay, H., Shield, K., Charvat, H., Ferrari, P., Sornpaisarn, B., Obot, I., Islami, F., Lemmens, V. E. P. P., Rehm, J., & Soerjomataram, I. (2021). Global burden of cancer in 2020 attributable to alcohol consumption: a population-based study. The Lancet Oncology, 22(8), 1071–1080. https://doi.org/10.1016/s1470-2045(21)00279-5

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