Breast Cancer

Breast Cancer: A palpable mass in the breast? – 2022

breast cancer

Breast Cancer: A palpable mass in the breast?

Knowing how your breasts normally look is an important part of breast health. Finding breast cancer as early as possible gives you the best…

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Approach To Palpable Breast Masses – Diagnosis Guidelines


A palpable mass in the breast?

Knowing how your breasts normally look is an important part of breast health. Finding breast cancer as early as possible gives you the best chance of successful treatment. But knowing what to look for does not replace regular mammograms and other screening tests. Screening tests can help find breast cancer in the early stages before it shows any symptoms.

The most common sign of breast cancer is a new palpable lump or mass. A painless, hard mass with irregular borders is more likely to be cancerous; however, breast cancer can also be soft, rounded, or painful. For this reason, breast diseases should be controlled by a health professional specialized in this field and evaluated by a breast radiologist if possible.

Is every palpable mass in the breast cancer?

Most breast masses are not cancer (benign). However, some of them should be taken as samples and examined in the laboratory for cancer.

Cystic Disease of the Breast

Most diagnosed masses are fibrous and/or cystic. These are the changes that occur with the benign (benign) mass that occurs in the breast tissue (formerly called fibrocystic changes). Fibrous is a (fibrous) tissue in the form of a wound, while a cyst is a fluid-filled sac. The diagnosis is made depending on some symptoms such as breast mass, swelling, tenderness or pain. These symptoms tend to get worse just before a woman’s menstrual period. Lump in the breasts and sometimes a distinct or slight discharge from the nipples may be noticed.

Fibroadenoma and intraductal papilloma in the breast

Benign breast tumors, such as fibroadenoma or intraductal papilloma, develop abnormally but are not cancerous and do not spread to organs other than the breast. It is not life threatening for the patient. However, cases of benign breasts are important. Because the risk of developing breast cancer is high. For this reason, it would be a good decision to remove the tumors by surgical intervention as a result of the necessary examinations.

Is early diagnosis and screening possible in breast cancer? What is mammography? How is it diagnosed?

In this section, we introduce the tools, application methods and practitioners used to reach diagnosis in breast cancer.

The purpose of screening tests for detecting early-stage breast cancer is to diagnose cancer before its symptoms appear. Screening means detecting a disease such as cancer in people who do not show any symptoms using testing and examination methods. Early detection refers to the approach used to detect breast cancer early before it occurs.

Visible symptoms before screening tests are performed indicate that the detected breast cancer has already spread beyond the breast. In contrast, if breast cancer is detected during screening tests, the tumor is smaller and confined to the breast. The size and extent of spread of breast cancer are the most important factors to be used to form an idea about the course of the disease.

Diagnosing breast cancer at an early stage significantly increases the number of treatment options and the chances of successful treatment and survival.

If breast cancer is detected in the early stages before it spreads, more than 90% of patients lead a normal life.

Breast can be preserved in patients diagnosed before the tumor reaches large sizes. For this reason, the awareness of individuals about early diagnosis and the sensitive attitudes of doctors on this issue are extremely important.

There are some methods used for early diagnosis of breast cancer;

  • Personal (self-made) breast checks
  • Clinical (doctor-made) breast check-ups
  • Mammography / breast ultrasound
  • Other required screening tests

We no longer recommend breast self-examination for the early diagnosis of breast cancer. Because it has been seen that this approach is not effective in the early diagnosis of breast cancer, does not reduce the loss of life due to breast cancer, and leads to unnecessary anxiety and unnecessary advanced medical research. For this reason, we recommend women to be aware of their breasts, not breast self-examination. It is enough to look in the mirror once a month and see if there is a visible change in your breast.


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