“Nothing bothered”: scheduled mammogram saved the patient’s life

How to prevent or diagnose breast cancer early

According to the World Health Organization, breast cancer is the most common type of cancer in women. The risk of life in a healthy woman is 6-12%, and in 8 out of 10 cases the disease is diagnosed after 50 years. And although independent examinations give a lot, only a doctor will be able to notice small tumors and prescribe additional examinations to confirm or disprove suspicions.

Tigran Emilevich Khangeldyan, a functional diagnostician at the Open Clinic on Mira Avenue, explains what tests are done on women of a certain age to prevent the development of unpleasant diseases or to diagnose them early.

“Recently, a 57-year-old woman came to see me just to have a preventive mammogram. She takes good care of her health, undergoes regular examinations and as part of such an examination she decided to check the condition of the mammary glands.

Nothing bothered her, there were no suspicious formations. A preliminary ultrasound of the mammary glands also did not reveal any problems.

The patient underwent a mammogram, which revealed a strong suspicion of a tumor in the left breast. And immediately we sent the woman to a breast oncologist, in pursuit, and she advised her to undergo a biopsy. On the same day, the patient underwent trefin biopsy under ultrasound control, the resulting material was sent for histological examination. Unfortunately, the suspicion that the formation is malignant was confirmed. However, the good news is that this cancer was detected at an early stage. The woman underwent sectoral resection and radiotherapy, so everything went well. After all, when breast cancer is detected in the early stages, the prognosis is favorable: the surgical techniques used make it possible to save the organ. Breast cancer detected at an early stage is curable in 98% of cases.

Ultrasound, mammography and magnetic resonance imaging are the main methods of preventive breast examination. The choice of method depends on the specific condition and health indicators of the patient. Thus, for young girls, as a rule, an ultrasound is recommended and after 35 years a mammogram is indicated. At the same time, the latter may be minimal information about certain diseases and serious inflammatory processes in the body. Then it is worth using MRI, the most modern and accurate diagnostic method.

Starting at the age of 35, every woman must undergo a mammogram every 2 years. Mammography of both mammary glands is performed in two views with double reading x-rays, which practically eliminates the shortcomings and allows you to completely prevent the development of breast cancer. If 40 years ago, before the introduction of mammography, breast cancer in our country was detected in stage 1–2 only in 13–16% of cases, now it is 70%. Mammography is the gold standard for the screening of all known cancers, even those that are not visible on ultrasound or magnetic resonance imaging. This study is performed on modern mammography devices, which allow high-quality images to be taken at a very low dose load.

And yet, many women neglect such screening tests. As a result, one-third of breast cancer cases are detected in advanced third or fourth stages. Only about 10% of breast cancers are detected during a clinical trial. Therefore, to date, breast cancer remains the leading cause of death in women of reproductive age 35-55 in the country – about half the cases die. For comparison: in the US, over 90% of breast cancers are diagnosed in stages 1-2. 98% of patients survive.

The risk of the disease is increased in people who had cancer in childhood and underwent radiotherapy. who have a history of ovarian cancer, as well as any benign diseases of the mammary glands and ovaries, especially those who have had surgery. Risk factors include absence or delayed delivery, lack of breastfeeding, delayed menopause. metabolic syndrome (overweight).

Environmental risk factors and lifestyle also play a huge role. For example, a variety of high-calorie, high-fat foods. Physical inertia. Circulatory rhythm disorder caused, for example, by a night work schedule.

We must remember that before the first manifestations of the disease, 5-10 years may pass from the moment of mutation in the cells. Therefore, it is extremely important to be examined regularly so that the doctor can notice even the slightest changes in the breast tissue. Women who undergo regular checkups, 100% will not fall into advanced stages.

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Be careful with yourself, do not neglect to go to the diagnostician. Take the necessary tests in time and follow the doctor’s instructions. We are waiting for your emails info@mk.ru. And on Wednesday, April 13, we will talk to a gastroenterologist about gastrointestinal problems.

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