The lack of typical symptoms of early breast cancer, so patients with breast cancer treatment, mostly during the late period, and therefore improve the slight early stage breast cancer symptoms and minimal signs of awareness and identification is critical.
The earliest clinical symptoms of breast cancer is a breast tumor is most common reasons for patient treatment. But in fact when the mass formation, the carcinoma is no longer confined to the breast lobular and ductal carcinoma in situ epithelium, it has soaked into the gland duct epithelial basement membrane and the stroma, causing varying degrees of tissue response associated with carcinoid tumor continues to split the growth, will form a mass, only the tumor developed to a diameter of 1 cm or so, when can we more easily palpable, when half of the patients have been shifted, so there is not the breast lumps the only early symptoms of breast cancer. According to the characteristics of women in the general tips to early detection of breast cancer, in addition to breast lumps, the yet to look for other anomalies and mild clinical symptoms and signs, such as the limitations of breast thickening of the breast, nipple discharge, nipple skin desquamation or long-term erosion, nipple pain, so as to foster early detection of breast cancer symptoms and signs of different concepts, must not simply to examine the basis for the diagnosis of breast lumps in order to reduce misdiagnosis.
The vast majority of breast lumps are located in the outer breast quadrant, followed by the top or within the upper quadrant and the central, inner quadrant and the bottom of the next rare. Tumor morphology and hardness and the pathological type of breast cancer, is generally mostly solitary mass, its shape is often irregular, partial round or oval, texture hard, but the medullary carcinoma, lobular carcinoma on the more soft – , mucinous carcinoma than the tough, cystic adenocarcinoma of the capsule was sexy. Breast lumps activity also has characteristics, such as tumor formation, tumor confined to the breast parenchyma, check the free promotion, but this activity is to promote, together with the surrounding tissues. Such as carcinoid tumor has invaded and nipple and skin caused by adhesions, then the mass activity again with the nipple, the skin is consistent, and there nipple retraction and skin dimples sign appears. If the carcinoma violation of pectoralis major fascia, mass was significantly affected by the activities of limited invasion to the chest muscles or the chest wall, then the mass would hardly move. Thus, according to mass activity can determine the extent of advanced cancer.
Breast persistent pain is a symptom of advanced breast cancer, it is well known. But early breast cancer, breast pain will appear, which is characterized by a very mild pain, mostly dull pain, pain, tingling, or pulling pain. Some scholars believe that breast pain is the first symptom of early breast cancer, accounting for about 1 / 3, which has attracted people’s attention. Therefore, breast pain and should not be considered to be physiological breast pain, should be further examination, especially in postmenopausal women with obvious breast pain, should arouse a high degree of vigilance and to exclude the possibility of breast cancer.
Localized breast cancer can cause the breast skin changes, and has two features. First, the “dimple sign”, that is, violations of breast tissue and breast carcinoma suspensory ligament and make it shorter, resulting in here to pull inward rather mild skin retraction, resemble dimples, but also early signs of breast cancer. The second is “orange peel syndrome”, that is subcutaneous and intradermal carcinoma Run lymphatics, causing lymph reflux disorder, localized skin edema at the skin pores are visible, kind of shaped like orange peel is a sign of advanced breast cancer.
There are all kinds of breast cancer caused by changes in nipple shape, to change its shape and carcinoid tumor occurring on site. Carcinoma occurred in the nipple or under the areola around the nipple will be retracted and fixed, such as occurred in the peripheral quadrant of the breast, it can cause nipple fixation, distortion, warpage and so on. A small number of breast cancer patients with nipple discharge may appear as the first symptom, especially ductal carcinoma in situ. Mostly serous bloody nipple discharge, will occur at the side of the nipple, a single duct, characterized by spontaneity.
In addition, the advanced breast cancer, breast skin can be transferred to the skin “satellite nodules”, skin flush, and ulceration.

June 15th, 2010 at 9:53 am
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