Support Groups
Talking about your disease
and treatment with others who share common experiences and problems can be helpful. See: Cancer support group
Outlook (Prognosis)
How well you do after being treated for breast cancer depends on many things. The more advanced your cancer, the poorer the outcome.
The 5-year survival rate
refers to the number of patients who live at least 5 years after their cancer is found. According to the American Cancer Society
(ACS), the 5-year survival rates for persons with breast cancer that is appropriately treated are as follows:
- 100% for stage 0
- 100% for stage I
- 92% for stage IIA
- 81% for stage IIB
- 67% for stage IIIA
- 54% for stage IIIB
- 20% for stage IV
Possible Complications
New, improved treatments are helping persons with breast cancer live longer than ever before. However, even with treatment, breast cancer can spread to other parts of the body
. Sometimes, cancer returns even after the entire tumor is removed and nearby lymph nodes are found to be cancer-free.
You may experience side effects or complications from cancer treatment. For example, radiation therapy
may cause temporary swelling of the breast, and aches and pains around the area. Ask your doctor about the side effects you may have during treatment.
When to Contact a Medical Professional
Contact your health care provider
for an appointment if:
- You have a breast
or armpit lump
- You are a woman age 40 or older and have not had a
mammogram in the last year
- You are a woman age 35 or older and have a
mother or sister with breast cancer, or have already had cancer of the breast, uterus, ovary
, or colon.
- You do not know how or need help learning
how to perform a breast self-examination
Prevention
Many risk factors -- such as your genes
and family history -- cannot be controlled. However, a healthy diet and a few lifestyle changes may reduce your overall chance of cancer in general.
Breast cancer is more easily treated and often curable if it is found early.
Early detection involves:
- Breast
self-exams (BSE)
- Clinical breast exams by a medical professional
- Screening mammography
Most experts recommend that women age 20 and older examine their breasts once a month during the week following the menstrual period.
Women
between the ages 20 and 39 should have a doctor examine their breasts at least once every 3 years. After age 40, women should a clinical breast
exam every year.
Mammography
is the most effective way of detecting breast cancer early.
Screening recommendations:
- The American Cancer Society
recommends mammogram screening every year for all women age 40 and older. The National Cancer Institute
(NCI) recommends mammogram screening every 1-2 years for women age 40 and older.
- If you are high risk
, experts say you should start getting a mammogram at age 30. Certain women at high risk
of breast cancer should also have a breast MRI along with their yearly mammogram. Ask your doctor if you need an MRI
.
- For those at high risk, including those who have or had a close family member with the disease
, annual mammograms should begin 10 years earlier than the age at which the relative was diagnosed.
Questions have been raised about the benefit of screening mammography
in women under age 50 and over the age of 69. Annual mammograms in women between 50 and 69 have been show to save lives. But while screening can also detect early breast cancer in younger and older women, it has not been shown to save lives.
This is a topic filled with controversy. A woman needs to have an informed and balanced discussion with her doctor, along with doing additional reading and researching on her own, to determine if mammography
is right for her.
Women at very high risk for breast cancer may consider preventive (prophylactic) mastectomy
, which is the surgical removal of the breasts. Possible candidates for this procedure may include those who have already had one breast
removed due to cancer, women with a strong family history of breast cancer, and persons with genes
or genetic mutations that raise their risk of breast cancer.
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