How does one get breast cancer?

Written by Gong Chun
Oncology
Updated on September 22, 2024
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How is breast cancer caused? Regarding the causes of breast cancer, the primary factor should be family history. If a first-degree relative has breast cancer, then the likelihood of developing breast cancer increases. The second factor is reproductive factors; for instance, if the age at menarche is quite young, menopause age is relatively late, menstrual cycles are short, there is no childbirth or the age at first full-term pregnancy is older, there are fewer childbirths, and there is a lack of breastfeeding, then the incidence of breast cancer is also higher. The third factor involves hormones, possibly related to endogenous hormones or exogenous hormones, such as those mainly associated with oral contraceptives used externally. The fourth major point is a high-fat diet, or habits like drinking alcohol, smoking, and a diet low in vitamins, which may increase the risk of breast cancer. The fifth point involves other factors, such as exposure to significant amounts of ionizing radiation, chemicals from cancer drugs, lack of physical exercise, and occupations, such as working in the beauty industry or pharmaceutical manufacturing, etc., which may also increase the chances of developing breast cancer.

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Written by Lin Yang
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early symptoms of breast cancer

Breast cancer, in the majority of cases, manifests as a painless lump, often accidentally discovered by the patient without any adverse discomfort. During self-examinations or routine screenings, a few patients might detect them. These lumps are commonly found in the upper outer quadrant, typically appearing as a single lesion on one side, with no obvious abnormalities on the skin. Dimpling, an orange-peel-like texture, the appearance of satellite nodules in later stages, nipple retraction, bloody discharge, and eczema-like changes can be observed. There is also swelling of regional lymph nodes.

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Early manifestations of breast cancer

Early-stage breast cancer is primarily characterized by a single, painless small lump, which is hard with unclear boundaries and a rough surface, blending indistinguishably with surrounding tissues and difficult to move within the breast. It is usually discovered accidentally or while bathing. Swollen lymph nodes may be present, and the nipple may be inverted with possible bloody discharge. As the tumor grows, it may invade the Cooper's ligaments, causing the skin to dimple, a condition known as peau d'orange. These are all early symptoms of breast cancer. If the condition progresses, it may lead to a skin texture resembling orange peel.

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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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Written by Lin Yang
Breast Surgery
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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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Does breast cancer require chemotherapy?

Not all breast cancer requires chemotherapy, which is just one method in the comprehensive treatment of breast cancer. Comprehensive treatment for breast cancer includes surgery, chemotherapy, radiotherapy, endocrine therapy, biological targeted therapy, and also traditional Chinese medicine treatment. Chemotherapy, in particular, can be described as a double-edged sword that kills both cancerous and normal cells. If the breast cancer is in an early stage, especially if the genetic typing is favorable, there might be an opportunity to forego chemotherapy. However, unfortunately, as of now, a significant portion of breast cancer cases still require chemotherapy. Therefore, it is necessary to communicate with professional doctors and analyze each specific case individually; one cannot generalize the treatment.