Currently, the chances of a cure for breast cancer are high, thanks to the early detection of tumor lesions.
The doctor Armando Tejerina, gynecologist and director of the Breast Pathology Center and president of the Tejerina Foundation, recommends a series of preventive measures and opens a door of hope thanks to the decrease in mortality in women diagnosed with breast cancer.
There are primary, secondary and tertiary prevention measures. Primary prevention is one that acts directly on the origin of cancer, but as its intimate mechanisms are still unknown, it is difficult to act on them. We can act avoiding obesity, stress situations, lifestyle habits, abnormal hormonal situations, and favoring the intake of a Mediterranean diet, rich in antioxidants, and a correct use of hormonal treatments.
Of every ten consultations for nodules, eight or nine are benign processes or without pathological significance. Noticing a lump in the breast sporadically or in the monthly periodic self-examination, makes the patient have to go to her specialist doctor, to be able to determine its nature, being benign in most cases.
Breast cancer is a disease that can be curable, if its diagnosis is initial. Today, thanks to the different therapies that exist, it is generally possible to have 70 percent of cases with a good prognosis in the first five years of treatment. Clinical studies have shown that performing Mammograms in women over 45 years of age or asymptomatic, reduces breast cancer mortality by 30 to 40 percent.
1. Is it true that nodules that hurt are not carcinogenic and that the 'bad' ones are those that don't hurt? In general, any nodule in the breast is usually painless, and only when accompanied by an associated inflammatory component can it cause discomfort, a very common situation in breast cystic processes, which are mostly benign. Nodules never hurt so much whether they are good or bad, except for those that are malignant that are already advanced or ulcerated tumors. It can also happen that the breast swells before the menstrual cycle, the woman notices a hardness and then it is her own gland and she does not have any nodules.
2. Is a mastectomy the best treatment option for breast cancer?Wide mastectomy, radical surgery, was a routine treatment in the 1960s and 1970s. Today, the most frequent surgical treatment is conservative or partial breast surgery in 70 percent. Only mastectomy is indicated in 30 percent of cases, that is, in diffuse, multicentric tumor processes and in special situations.
3. Can the woman choose her treatment? Yes, currently, it is the woman who can choose her treatment and choose to undergo radical surgery because this way she does not undergo chemotherapy, controls or possible risks or, for a conservative surgery. Therefore, the first thing we do is inform so that later it is the patient who decides between conservative treatment or more extensive surgery.
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