Vice-Principal, Anwar Khan Modern Medical College
Professor Dr. Hosne Ara Tahin Charu
Retired Principal, Dhaka Medical College
Every year in October or October, Pink is being celebrated as the World's Breast Cancer Awareness Day. When it is a little aware, it is possible to prevent breast cancer and its complexity and death risk, if it is diagnosed early and earlier. Although there is no correct statistics in Bangladesh, the results of the available findings show that about 44,000 women are suffering from breast cancer every year, and 10 to 14000 deaths occur in these cases.
If a woman lives up to the age of 90, she may have a breast cancer of 8 percent. Women around the world are affected by 25-26% of cancer and 13-15% of them face death.
Who are at risk of breast cancer
* Age - Breast cancer is higher than 50 years of age. Breast cancer is not known to be under 25 years old.
* First women's menstrual cycle: If at the age of 11, menstrual cycle increases the risk of breast cancer. Likewise, if menopause or hypertension closes at an advanced age, breast cancer increases.
* The age of the first child: The risk of breast cancer is higher than those who gave birth to the first child after the age of 35 years.
* If there is a history of other female members, mothers, aunts, and breast cancer in their family, they may have a higher risk of breast cancer.
* Genetic mutations such as BRCA1, BRCA2, gene mutation, if breast cancer is high.
* Dynasty: White women are more likely to have breast cancer than blacks.
* The mothers who breastfed properly, they are unmarried, who have breast cancer compared to those who do not breastfed.
* Those who have had a biopsy earlier on the breast, have had any other beneficial lasioan in their breast cancer.
* Obesity, excessive drinking, reduced labor intensity, increases the incidence of breast cancer by 1-2 times.
* Any type of radiation increases the risk of breast cancer.
* One breast cancer is more likely to cause cancer of another breast.
Breast Cancer Symptoms
* Wheezing, stove, whole, tumor, inflammation, anywhere in the nipple. Be aware that most wheel, hinges, or whole bainine or cancer is not.
* Breast pain.
* Nipple skin, skin pores around the bottle, change of color, grain granule
* The nipple bone penetrates inside.
* There is no blood, juice, bladder, no swelling, hose, wheel under the nipple with nipple bone.
* Symptoms of breast cancer spreading (usually in lung, liver, bone, brain) depends on symptoms. If you have been suffering from lungs, breathing difficulties, chest pain, cough, blood mixed cough, bone pain, broken bones and broken bones. If the liver is infected, jaundice, liver failure, suddenly being unconscious when the brain is infected, disappearance, dizziness, headache, blurred vision etc.
* If lymph node is infected, lymph node is bigger or swollen.
* Along with all types of cancer, such as weight loss, blood loss, depressed, lack of appetite, hunger.
Diagnosis
* Breast cancer diagnosis is the stand of the breast in front of the breast exam itself. The first one breast after the other breast, the armpit underneath. Lightly pressing the breast with the palms should feel like there is no wheel, hinge, whole. Then it is necessary to look at the skin, the spatula, the color change, the grains, the spots, and the inside.
* Mammography, FNAC, as the doctor advises.
* After the diagnosis of primary disease, biopsy should be done for staging, grading of cancer.
* CT scan, MRI cancer is spread to see how much it has spread.
* Blood routine hemoglobin, TC, DC, ESR.
* Blood and juices of bits, cytology test, if found out.
* Examine genetic tests such as BRCA1, BRCA2
* Special tests such as HER 2
Medical
* Surgery is the main treatment, through this, the whole, wheel, shack is cut with some good tissues around the neighborhood.
* For advanced cancer, cut the surgery to the patient, cut the breast, lower the fat lymph node under the armpit.
* Radiotherapy and chemotherapy.
* Hormone therapy that will be positive / positive.
* Immunotherapy
* HER 2 positive if treated with Hersapatin / TRUSTUZUM
Prevention
* Smoking, avoid alcoholism.
* Do not give birth to a child at a higher age.
* Not accepting estrogen, hormone replacement therapy, low birth control pills, or breastfeeding, breastfeeding to the baby properly.
* Regular checkup and followup for those whose families have more breast cancer.
* FNAC is positive if the breast is cut.
* After 35 years make mammography every year.
* Any wheel, stove, whole, under the armpit, there is a shaft, full, FNAC, and biopsy on the wheel.
* Increase physical labor.
* Stay free from radiation.
* If the nipple enters the inner side, if you have curly hair, orange hair around the bud, or if there is a discharge of color, then get advice from the doctor soon
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