Early-stage breast cancer symptoms

Written by Gong Chun
Oncology
Updated on September 26, 2024
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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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early symptoms of breast cancer

60% of early-stage breast cancer presents as a lump, most commonly in the upper outer quadrant. The primary symptoms include a painless, solitary, small lump that is hard, uneven in surface, irregular in shape, and not clearly demarcated from surrounding tissues. The lump is hard to move within the breast, indicating adhesion to the surrounding tissue. The skin over the lump may show signs of redness, swelling, indentation, orange peel-like texture, dimpling, and ulceration. Sometimes, there may also be nipple discharge, typically bloody, and early-stage enlargement of the axillary lymph nodes can occur.

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Written by Gong Chun
Oncology
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What are the symptoms of breast cancer?

The first sign of breast cancer can be a lump in the breast, where lumps might be palpable in the upper outer quadrant of the breast; the second symptom might be nipple discharge or bleeding; the third symptom might be pain in the breast; the fourth symptom might involve changes in the skin of the breast, such as the skin becoming rough and possibly developing an orange peel texture; the fifth symptom might be nipple retraction and changes in the areola.

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Breast Surgery
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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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Written by Gong Chun
Oncology
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Causes of Breast Cancer

The causes of breast cancer are not yet fully understood, but research has shown that the onset of breast cancer follows certain patterns and is related to various risk factors: The first is the age of onset for female breast cancer, which is generally low from ages zero to twenty-four, gradually increases after twenty-five, and peaks from fifty to fifty-four years old. So, the first factor is related to age; The second factor is genetics. If a mother or sister has breast cancer, then the individual’s likelihood of developing breast cancer may be higher, making family history a relevant factor; The third point involves risk factors related to the breast, including early menarche (before the age of twelve), late menopause (after the age of fifty-five), being unmarried, nulliparous, late marriage, and not breastfeeding. These factors also tend to increase the likelihood of developing breast cancer; The fourth point is that benign breast conditions, if not promptly diagnosed and treated, could potentially transform into malignant tumors; The fifth point includes potential exposure to radiation, long-term use of exogenous estrogens, postmenopausal obesity, chronic alcohol consumption, and an irregular lifestyle, all of which can also have an impact.

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Does breast mammography detect breast cancer?

Mammography primarily checks for any issues in a woman's breast, such as space-occupying lesions, which can be simply understood as a method specifically for screening breast cancer. Mammography is generally performed in the radiology department, where each breast is compressed using a flat panel, and then images are taken to look for any suspicious nodules. Generally speaking, it is adequate to perform this examination once a year. If one prefers not to undergo mammography, breast ultrasound can also be used to screen for breast cancer. If performed annually, it can effectively detect early cancerous changes or suspicious nodules, and if necessary, further treatment or assessment can be undertaken.