Breast Cancer Metastasizes to Which Locations

Written by Zhang Chao Jie
Breast Surgery
Updated on November 12, 2024
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Breast cancer metastasis generally follows the following sites due to its anatomical structure and specific characteristics. The most common sites are the axilla, the contralateral breast, the contralateral axilla, and the areas above and below the clavicle, which is also known as the pipa bone, referring to the areas above and below the pipa bone. As for distant organs, based on the frequency or likelihood of occurrence, the most common are the lungs, bones, liver, and the brain, specifically within the head. These are referred to as the lungs, bones, liver, and head, which are the places most prone to distant organ metastasis.

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Early-stage breast cancer symptoms

Early-stage breast cancer may exhibit several symptoms. The first is the presence of breast lumps. The second symptom might be nipple discharge, which can be serous, watery, or milky in nature. The third symptom might involve changes in the skin over the breast tumor, including skin adhesion, such as dimpling, engorgement of superficial veins, skin reddening, localized increase in temperature, and an orange-peel texture. The fourth symptom includes abnormalities of the nipple and areola, potentially featuring nipple retraction, erosion of the nipple, thickening of the nipple epithelium, and reddening. The fifth symptom could be breast pain.

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What should I do if I have advanced breast cancer with breast necrosis?

Firstly, radiotherapy can be used, localized radiation therapy, which will achieve certain local control effects. It can also provide surgical opportunities for some breast cancer patients who are otherwise inoperable. Additionally, it can relieve pain, reduce compression symptoms, and stop bleeding in ulcerated cancer lesions, thereby improving the patient's quality of life. If chemotherapy is possible, it should be pursued as it can reduce distant and extensive metastases. Then, if surgery is feasible, the ulcerated or already healed surgical incisions can be excised and sutured to improve the patient's quality of life.

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Symptoms of breast cancer metastasis

Symptoms of breast cancer metastasis first involve the lymph nodes, with multiple enlarged lymph nodes that can be felt beneath and above the collarbone. These can be diagnosed as metastases from breast cancer using color Doppler ultrasound and cytopathology puncture. The second symptom is bone metastasis. If there is pain in the pelvic or rib area, and an increase in alkaline phosphatase in the blood biochemistry, high suspicion of bone metastasis should be considered. It is necessary to conduct a PADCT or bone scan for further confirmation. If symptoms like coughing, expectorating phlegm, and blood-tinged sputum appear, lung metastasis should be considered, requiring further diagnosis with a CT scan.

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Where does breast cancer usually hurt?

Breast cancer generally is painless, early stages present as a painless, solitary, small lump that is hard and has an uneven surface, with unclear boundaries with the surrounding tissue and is difficult to move within the breast. It is usually discovered accidentally by the patient or while bathing. As breast cancer continues to grow, it invades the Cooper's ligaments, causing contraction, hence the skin over the lump often appears puckered, a sign commonly referred to as dimpling, indicative of early-stage breast cancer. As the cancer progresses, it often causes the breast to shrink and harden, elevates the nipple, and may involve the milk ducts, leading to nipple retraction or indentation. It can also significantly increase in size within months, causing the affected breast to become larger and protrude. Breast cancer, invading the chest muscles and fascia, may fix the lump to the chest wall, making it difficult to move.

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Is IDC breast cancer easy to treat?

Breast cancer IDC refers to invasive ductal carcinoma. Its treatments currently include surgical treatment, chemotherapy, radiotherapy, endocrine therapy, and biological therapy. However, the specific treatment plans and prognoses are influenced by many factors. These factors include pathological causes, hormone receptors, as well as the patient's age, pregnancy or lactation period, tumor grading and staging, specific pathological types, and other factors. Therefore, it is essential to visit the breast surgery department of a reputable hospital for systematic and comprehensive treatment to achieve the best therapeutic effects.