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Breast Cancer Signs and Symptoms

Researchers and physicians have made significant strides in improving breast cancer treatments. Despite access to better techniques and technology, early detection remains the best way to ensure positive outcomes. Awareness of breast cancer symptoms is essential.

For those diagnosed with breast cancer, Regional Cancer Care Associates can help. RCCA is a group of more than 100 medical oncologists and hematologists who treat patients who have solid tumors, blood-based cancers and benign blood disorders at 25 locations throughout New Jersey, Connecticut, Massachusetts, Maryland, and the Washington, DC area. They strive to educate patients while providing innovative care and cutting-edge diagnostics. Following, we discuss breast cancer symptoms and risk factors to help individuals make informed decisions regarding medical care.

What Is Breast Cancer?

Cancer is a condition caused by disordered cell growth. Normally, cells reproduce at the same rate as old cells die. This allows the cell total to remain constant. When cells become cancerous, however, they stop looking and behaving like normal cells. This includes reproducing at a much faster pace. This uncontrolled growth creates a constantly growing mass called a tumor.

Most breast cancer develops in either the lobules that produce milk or in the milk ducts, which convey milk to the nipple. If left untreated, cancer may metastasize or spread throughout the body. Lymph and blood vessels carry the abnormal cells to other organs, causing new tumors to grow.

Person performing self-examination for breast cancer
Physician discussing breast cancer treatment options with patient

Risk Factors for Breast Cancer

Anybody may be diagnosed with breast cancer. Certain individuals, however, may be at greater risk than others. Some breast cancer risk factors are under the person’s control, while others are not. Major risk factors for breast cancer include:

  • Age 50 or older
  • Being a woman
  • Early or late pregnancy
  • Previous breast cancer diagnosis
  • A parent, sibling, or child with breast cancer
  • Using hormonal contraceptives or post-menopause therapy medications
  • Genetic mutations, including BRCA1 and BRCA2
  • Exposure to radiation or industrial chemicals
  • Obesity, especially after menopause
  • Heavy alcohol use
  • Smoking

Individuals who are at risk of breast cancer should watch their health carefully to identify early signs of a problem. The earlier symptoms are detected, the more successful the treatment will be.

Breast Cancer Symptoms and Signs

It is important to note that the many women and men who experience one or more of the symptoms will not have breast cancer. Nonetheless, it is important to consult a physician about these symptoms, particularly if they are pronounced, arose suddenly, or have persisted for an extended period. Prompt evaluation will enable a doctor to address your concerns and to provide a treatment plan for whatever condition may be responsible for the symptoms.

Every case of breast cancer is unique. Some individuals experience no changes, while others may notice significant symptoms. In general, people should start by knowing how their breasts typically look and feel. Once a person is familiar with what is normal, it is easier to identify changes such as:

Common Breast Cancer Symptoms

  • A new lump in the breast or underarm area
  • Dimpled or puckered breast skin, often described as being similar to an orange peel
  • Thickening in part of the breast
  • Warmth, swelling, or redness in the breast
  • Changes in breast size or shape
  • Changes in nipple shape
  • Persistent pain in the nipple or breast
  • Nipple discharge when not pregnant or breastfeeding

Less Common Breast Cancer Symptoms

  • Dry, scaly, or flaky skin on the nipple
  • Pulling in (retraction or inversion) of the nipple
  • Sores or ulcers on the breast
  • Swollen lymph nodes in the breast or underarm area

Advanced Stage Breast Cancer Symptoms

  • Unexplained weight loss
  • Bone pain
  • Shortness of breath
  • Fatigue

Symptoms of Breast Cancer in Men

Breast cancer is most common in women. However, men can still develop the disease, especially if there is a family history. Breast cancer education is often lacking for men. This leads to later-stage diagnoses, as males do not always know what signs to look for. Men, especially those at risk, should watch for the following symptoms:

  • Nipple discharge
  • A new lump or thickening in the breast tissue
  • Changes in the nipple or breast size or shape
  • Changes in breast skin texture

Noncancerous Conditions That Mimic Breast Cancer

Not every change in the breast is caused by cancer. Breasts are commonly affected by menstruation, pregnancy, weight gain or loss, aging, or other factors. They may also be affected by one of the following non-cancerous breast conditions, which can resemble cancer:

Fibrocystic Breast Changes

Also called fibrocystic disease, this non-cancerous condition creates lumps of fibrous tissue. This is the same type of tissue found in scars and ligaments. It may also cause cysts, or round lumps filled with fluid. Cysts can become larger or more painful around a woman’s menstrual period.

Fibroadenomas

Fibroadenomas are non-cancerous lumps of fibrous and glandular tissues found in the breast. They feel smooth, round, and solid, can be moved around easily in the breast, and are not painful. However, they may cause discomfort before or during a woman’s period.

Mastitis

Mastitis is an inflammatory condition caused by infection in the breast. It typically occurs due to a clogged milk duct or to breaks in the nipple skin. The infected area becomes swollen, red, and painful, and may feel warm to the touch. Mastitis also often causes fever, headache, and flu-like symptoms.

Abscesses

Abscesses are pockets of pus that form in the breast. They are caused by infection from lactation, breastfeeding, or mastitis. Breast abscesses are red, swollen, painful areas on the breast that may feel hot to the touch. They may also cause nipple discharge and swollen lymph nodes.

Signs and Symptoms of Breast Cancer in Men

Although breast cancer is more common in women, men can still develop the disease. If a male patient has a family history of breast cancer, this can increase the chances of developing it in the future. Some signs of breast cancer in men include:
  • Nipple discharge
  • Breast lump or thickening
  • Changes in the nipple or breast skin

Conducting Breast Self-Examination

Breast self-examination involves feeling the breasts with the hands to look for unusual lumps and other symptoms of cancer. This should be done regularly. Frequent self-exams will improve a person’s familiarity with their breasts, making it easier to identify a change if one occurs. If a lump or other change is noticed, contact a physician for clinical examination.

Breast Cancer Diagnosis

Physicians use several methods to diagnose breast cancer. The specific approach used will depend on the symptoms, overall health condition, and any risk factors that affect the individual’s likelihood of developing cancer. Diagnostic procedures include:

Clinical Breast Exam

During this test, the physician uses their hands to feel the breasts for lumps. This may be used to confirm the results from the individual’s self-examination or to identify symptoms of breast cancer that the person may not have noticed.

Mammogram

A mammogram is an X-ray device specifically designed to evaluate the breasts. The breast is gently pressed between two plates, allowing X-rays to pass through the tissue for a clear image. Diagnostic mammograms are more thorough than routine screenings.

Ultrasound

Ultrasound imaging is sometimes used alongside mammograms. This technology uses sound waves to create an image of the breast’s internal structures and typically looks at specific areas rather than the whole breast. This provides a more detailed assessment of suspicious areas.

Biopsy

A biopsy involves removing a small amount of breast tissue or fluid, called a sample. The physician may use a hollow needle to take the sample, or he or she may perform a surgical procedure. The sample is then evaluated in a laboratory to help physicians learn more about the tumor’s characteristics.

Treatment Options for Breast Cancer

Once cancer has been diagnosed and its stage has been determined, physicians may recommend the appropriate treatment. There are many approaches to treating breast cancer, including:

Surgery

Breast cancer surgery is known as mastectomy. It involves cutting into the breast to remove cancerous tissues. Extensive cancer may be treated by removing the entire breast. If the person is at high risk for breast cancer recurring, a double mastectomy may be performed as a preventative measure.

Radiation Therapy

Radiation therapy uses high-energy beams to kill cancer cells. It may be used on its own but is frequently used in conjunction with surgery. Following tumor removal through surgery, radiation therapy can eliminate any cancerous cells that remain.

Chemotherapy

Chemotherapy uses a strong medication to shrink or kill cancer cells. It may be administered through an intravenous line or taken orally as a pill. Chemotherapy may be used alone, or it may be used after surgery or radiotherapy to kill cancer cells that survived the previous procedure.

Hormone Therapy

Hormone therapy blocks the body’s production of hormones that contribute to the growth of breast cancer, or it changes how those hormones work. This approach is not effective for all breast cancer types. For some, however, it can effectively stop cancer growth and kill the tumor.

Targeted Therapy

Targeted therapy uses medications that attack specific types of cancer cells. It is a more focused method than chemotherapy and may be recommended if chemotherapy does not work. It can also be used with other treatments to ensure all breast cancer cells are destroyed. RCCA aims to use targeted therapy when possible.

Living With Breast Cancer

Dealing with a breast cancer diagnosis can be difficult, both physically and emotionally. This is why patients with cancer should seek resources for support, including:

  • Support groups: Cancer support groups are composed of patients with a similar diagnosis, helping people feel less alone in their situation.
  • Loved ones: Family members and close friends can provide emotional encouragement and stress relief during a difficult time.
  • Education: By talking with physicians and learning more about their diagnosis, patients form a better understanding of their current condition and outlook.
  • Lifestyle: Eating healthy, staying hydrated, and exercising can improve a patient’s quality of life while reducing the chances of breast cancer returning.

Prevention and Risk Reduction

There are many ways in which people can reduce their risk of developing cancer. Following a healthy lifestyle with a good diet and plenty of exercise is an important step toward decreasing the likelihood of developing cancer. Quitting smoking and reducing alcohol consumption can also reduce the risk.

Individuals can also take measures to improve their chances of a successful treatment if cancer develops. The most important is early detection. Self-examination can help people identify signs of breast cancer. Regular mammogram screenings are also crucial for detecting cancer that has not yet created a noticeable lump. Consult a physician about what age is appropriate to start mammograms.

Receive Expert Breast Cancer Care in NJ, CT, and MD

Awareness of breast cancer symptoms is crucial to ensure an early diagnosis and the best outcomes from treatment. Regional Cancer Care Associates specialists provide care to more than 30,000 new patients and 265,000 established patients each year. RCCA physicians offer patients innovative therapies, including immunotherapies and targeted therapy, cutting-edge diagnostics as well as access to approximately 300 clinical trials in community-based centers close to home.

Frequently Asked Questions About Breast Cancer Symptoms

What are the early signs of breast cancer?

Early signs of breast cancer can include a new lump in the breast or armpit, thickening or swelling of part of the breast, puckered or dimpled skin similar to an orange peel, or other significant changes in the breast’s appearance. Breast cancer may also cause skin irritation or a strange nipple discharge.

Are breast lumps always cancerous?

No. Most breast lumps are benign, meaning they are non-cancerous. Lumps may be caused by a variety of conditions including cysts, fibroadenomas, inflammation, or abscesses. Some non-cancerous conditions can be dangerous, so it’s important to get any lump checked by a healthcare provider.

Can breast cancer cause pain?

Most cases of breast cancer are not painful. Some individuals, however, may experience persistent pain or discomfort. Persistent pain may also indicate a different underlying condition. Pain should always be evaluated by a healthcare provider to rule out dangerous conditions and help the individual find relief.

What does breast cancer look like on the skin?

Breast cancer often causes skin changes, including redness, dimpling, an orange-peel texture, or a scaly or flaky texture. These signs should be assessed by a doctor.

Are there non-lump symptoms of breast cancer?

Breast cancer can cause other symptoms, including a change in breast shape or size, changes in skin appearance, nipple discharge, or an inverted nipple. Late-stage breast cancer may also cause unexpected weight loss, bone pain, shortness of breath, and fatigue.

Don’t Ignore Breast Cancer Signs

If you’re experiencing any of these symptoms, consult with your doctor right away. With so many different types of breast cancer, only a medical professional can rule out the disease. If you are diagnosed with breast cancer, our comprehensive, patient-centered care at Regional Cancer Care Associates will help you fight this disease. For more information, contact us today to schedule an appointment at one of our 30 locations in New Jersey, Connecticut or Maryland.

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