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One in eight women in the United States will be diagnosed with breast cancer in her lifetime. Breast cancer is the most commonly diagnosed cancer in women. Breast cancer is the second leading cause of cancer death among women.AnatomyA healthy female breast is made up of 12–20 sections called lobes. Each of these lobes is made up of many smaller lobules, the gland that produces milk in nursing women. Both the lobes and lobules are connected by milk ducts, which act as stems or tubes to carry the milk to the nippleWe have several lymphatics leading towards them(afferent) and one or two leading away(efferent). ? Lymph From the breast drains into: 1)Axillary Lymph Nodes 2)The internal mammary lymph Nodes 3)some lymph also reaches supraclavicular, cephalic, posterior, intercoastal ,sub diaphragmatic and sub peritoneal lymph nodesThe breast, like any other part of the body, consists of billions of microscopic cells with specific functions. These cells usually multiply in an orderly fashion – new healthy cells continue to divide and replace the ones that have died.However, sometimes cells develop abnormalities (mutations). This occurs when the genes that usually check that cells are replicating correctly fail to detect mutations. When this happens, instead of abnormal cells dying, they continue to divide and multiply, sometimes growing quite rapidly.Still this growth may not be cancerous; it could be what’s called a non-invasive tumour where it remains contained in the duct or in the lobe. Some breast lumps are not cancer, such as cyst or fatty tumours which are benign.A tumour is considered cancerous if it is able to invade surrounding tissue. These cancers might require treatment because if they continue to grow and spread, they could become life-threatening.Breast cancer usually begins in the ducts that carry milk to the nipple or within smaller structures of the lobes. Although many types of breast cancer can cause a lump in the breast, not all do. A small number of cancers start in other tissues of the breast; they are called sarcomas and lymphomas and are not really thought of as breast cancers.            I went to breast cancer center in our area ,I surprise what kind of benefit offer to the patient in our city ,I want to share what I see there :Cancer Information Specialists are available 24/7 to answer your questions about: Specific cancersTreatment optionsSide effectsCoping with cancerMedicinesPain controlClinical trialsPreventionScreeningQuitting tobaccoPublicationsbreast cancer awareness groups publish a large number of patient education brochures and pamphlets, books, and professional journals to help patients, families, and health care professionals. These include books on specific cancer types, coping issues, and prevention; cookbooks; textbooks; and other publications specifically for health care professionals. Three clinical journals (Cancer, Cancer Cytopathology, and CA-A Cancer Journal for Clinicians) are also available Hair loss and mastectomy products: Some women use wigs, hats, breast forms, and bras to help cope with the effects of treatment. Our breast cancer awareness groups , offer “tlc” Tender Loving Care® catalog offers these products, as well as helpful articles.Our breast cancer care in st louis mo….offer benefit to the patient . from Team-Approach to Treatment For years, patients have benefited from our multidisciplinary approach to treating breast cancer. It starts with our weekly Breast Tumor Conference where our oncologists, radiologists, breast surgeons, pathologists, and the nursing team meet to review your case and determine the best treatment regimen. We believe that you deserve this coordinated approach. This extends to our commitment to bring cutting-edge radiation and medical oncology treatment, with dedicated medical resources, to you in a way that is coordinated and seamless.Breast Cancer Patients Benefit from Team-Approach to Treatment For years, patients have benefited from our multidisciplinary approach to treating breast cancer. It starts with our weekly Breast Tumor Conference where our oncologists, radiologists, breast surgeons, pathologists, and the nursing team meet to review your case and determine the best treatment regimen. We believe that you deserve this coordinated approach. This extends to our commitment to bring cutting-edge radiation and medical oncology treatment, with dedicated medical resources, to you in a way that is coordinated and seamless.Our breast cancer awareness groups in St louis also  offer  Advanced Breast Program helps:Decrease the diagnosis-to-treatment time – we understand that waiting only increases the anxiety for most people. That’s why we’ll see new patients within 48 hours to start planning treatment. Navigate providing easy access to care – our nurse navigator is trained in breast health and assists patients by coordinating their appointments with our specialists and other services, as needed, such as therapists and social services. Our nurse navigators serve as the patient’s advocate coordinating care across our multidisciplinary team. Increase patient satisfaction – our breast center received recognition from the PRC (Professional Research Consultants), which conducts monthly BJC/Missouri Baptist patient satisfaction surveys. For 2009 and 2010, the Breast HealthCare Center received: And also we have in our city another they offer  Screening and diagnostic in digital mammography3D Chemosynthesis mammographyBreast ultrasoundStereotactic and ultrasound guided core biopsiesNeedle localizationsEducation/support through our Cancer Information CenterMRIMobile mammography services  I want to add to my paper some information about mammographyAnd the question what mammography is usefulMany breast centers still use analog mammograms, meaning the images are printed on film. However,digital mammography is now available, allowing for the radiologist to capture and manipulate the images so abnormalities can be seen more easily.A mammogram is an X-ray examination of the breast. It is used to detect and diagnose breast disease in women who either have breast problems, such as a lump, pain, or nipple discharge, as well as for women who have no breast complaints.A mammogram is an x-ray of the breast. While screening mammograms are routinely administered to detect breast cancer in women who have no apparent symptoms, diagnostic mammograms are used after suspicious results on a screening mammogram or after some signs of breast cancer alert the physician to check the tissue.This image is a mammogram of a normal fatty breast, typical of older women, that does not have a lot of dense tissue. A mammogram searching for abnormal lesions,benign lumps, or breast cancer is more accurate when performed on women with non-dense breasts, usually older women.In its early stages, breast cancer usually has no symptoms. As a tumor develops, you may note the following signs: A lump in the breast or underarm that persists after your menstrual cycle. … Although lumps are usually painless, pain or tenderness can be a sign of breast cancerthe early signs of breast cancerSwelling of all or part of a breast (even if no distinct lump is felt)Skin irritation or dimpling (sometimes looking like an orange peel)Breast or nipple pain.Nipple retraction (turning inward)Redness, scaliness, or thickening of the nipple or breast skin.Don’t forget day for National Breast Cancer AwarenesThe risk for breast cancer increases with age; most breast cancers are diagnosed after age 50. Genetic mutations. Inherited changes (mutations) to certain genes, such as BRCA1 and BRCA2. Women who have inherited these genetic changes are at higher risk of breast and ovarian cancer.National Breast Cancer Awareness Month*National Liver Cancer Awareness Month.National Mammography Day (October 20)Also I want to remind thatJanuary – Cervical Health Awareness Month.February – American Heart Month.February – Teen Dating Violence Awareness Month.March – Colorectal Cancer Awareness Month.April – Alcohol Awareness Month.May – National Physical Fitness and Sports Month.May – Melanoma/Skin Cancer Detection and Prevention Month.I proud to visit our breast cancer group in our community , and met Dr. Stephanie Schnepp , dr Schnepp is a surgeon in Saint Louis, Missouri and is affiliated with multiple hospitals in the area  Reference :    American society of  clinical oncology  ASCO     

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