Four misconceptions about breast cancer prevention and treatment

  Breast cancer is a common malignant tumor in women, and about 1.2 million women around the world suffer from breast cancer every year. I hope this article can draw women’s attention to breast health.  Myth 1: Breast cancer prevention only needs to start after giving birth or in middle age?  The peak incidence age of breast cancer is between 40 and 60 years old. Many people think that breast cancer is a disease that is only prevalent in middle-aged and older women, but in fact, young women are at the same risk of breast cancer as older women. Recent studies have shown that the incidence of breast cancer among women in major cities such as Shanghai and Guangzhou is increasing year after year and is trending younger. Among the breast cancer patients admitted to our hospital, there are many young white-collar workers in their 20s and 30s. Compared with middle-aged women, young women have almost no experience in breast self-protection, and many of them have not yet established the awareness of self-testing and regular check-ups. Especially for unmarried women, they are too shy and lack of knowledge to take the initiative to seek medical treatment, which often misses the best time for treatment. In the tertiary prevention of breast cancer, the focus is on early diagnosis and early treatment, which should be done through regular self-examinations, regular special medical checkups and medical examinations by specialists, especially for women who have a family history of breast cancer or are at high risk of breast cancer. Mammogram once a year.  Myth 2: You only need to choose between breast ultrasound and mammography?  Many people think that they only need to choose one of ultrasound or mammography for breast screening. Ultrasound and mammography are two different types of examinations, each with its own advantages and focus. Color Doppler flow imaging can detect abnormal blood flow signals in tumors and analyze the number of blood vessels in and around breast masses, their distribution, blood flow speed, blood flow quantification and penetrating vessels through spectrum to identify the benignity and malignancy of breast masses, but color ultrasound is less sensitive to early cancerous lesions that have not formed masses. However, ultrasound is less sensitive to early cancer foci that have not formed masses, and it is difficult to detect small tumors and cannot detect microcalcifications. Mammography can detect breast lumps that cannot be touched by doctors, especially for large breasts and fatty breasts, and its diagnostic ability can be as high as 95%, and its sensitivity and specificity for malignant tumors manifested by calcified foci are very strong. It is the first choice and the easiest and most reliable non-invasive test for the diagnosis of breast diseases. Therefore, these two examinations are complementary and irreplaceable, and are the two necessary examinations for breast health checkups. The correct breast checkup should be a monthly breast self-examination with the correct techniques, regular specialist breast examinations at specialist clinics, and then routine breast ultrasound and mammography (mammography is mostly for women over 40 years old).  Myth 3: Breast pain is the precursor of breast cancer, so if the breast does not hurt, there is no need to worry?  Many women think that breast cancer is mainly manifested by breast pain, so the first thing they worry about is whether they have breast cancer or not. In fact, the first common symptom of breast cancer is the discovery of painless lumps, while breast pain is often a common manifestation of breast enlargement. The pain of breast enlargement is usually cyclical breast pain, which can be accompanied by breast lumps and changes with menstrual cycle and emotions. But regular breast checkups are necessary for early detection of breast lesions. You cannot assume that if your breasts don’t hurt, you don’t need to worry about the occurrence of breast tumors.  Myth 4: Breast cancer can only be solved by “everything”?  When many people talk about the treatment of breast cancer, the first thing that comes to their mind is the removal surgery. In fact, the treatment of breast cancer is mainly a comprehensive treatment based on surgery. With the advancement of technology, surgery is no longer a blanket removal of the whole breast, but depending on the condition, breast-conserving surgery, immediate or postponed reconstruction of the breast, sentinel lymph node biopsy and other advanced surgical procedures can be chosen. Therefore, early detection is very important for tumor control. The earlier the detection, the better the treatment effect, not only curing the disease, but also obtaining a good breast appearance effect, reducing trauma, and reducing the impact on patients physiologically and psychologically.