In outpatient service, it’s very common to hear patients’ following words: I have known for a long time that I have breast lumps. However, as they never caused any pain or itch, I didn’t go to hospital for health examination.
Therefore, I would like to take four true stories as examples:
1. A 60 year-old female who has had a lump in her right breast for 7-8 years: Her lump has significantly grown in the last half year. Recently, as she suffered lumbago and mobility limitation, she went to the hospital for health examination. According to the radiographic image of lumbar vertebras, bone metastases were found in her third, fourth and fifth lumbar vertebras. In addition, after relevant examination, a lump (9 cm X 10 cm X 11 cm) in her right breast was found.
2. A 64 year-old female: A half year ago, when she accidentally fell down, her left breast was dashed against the sofa armrest. At that moment, she felt some pain. In recent 3 months, the pain caused by her left breast has become obvious. In addition, she began to suffer lumbago and kyphosis. After relevant examination, a lump (5 cm X 7 cm X 6 cm) was found in her left breast. In addition, according to the radiographic image, bone metastases were found in her 9th, 10th and 11th thoracic vertebras and 1st, 2nd and 3rd lumbar vertebras.
3. A 67 year-old female who has suffered itches and eczema on her left nipple for 3 years: In the last month, she went to see a doctor because of tachypnea. After examination, it was found that pigment degradation of her left areola appears; her left nipple is missing; and there is a lump (4 cm X 5 cm X 6 cm) below her left areola. According to the B-scan ultrasonography, multiple liver metastases were found. In addition, according to the radiographic image of her chest, lung metastases were excessively found.
4. A 72 year-old female who accepted excision of left-side breast cancer 9 years ago: When she took a bus 3 months ago, the driver accidentally slammed on the brake. At that moment, someone’s elbow dashed against her right breast, which caused some pain. Then, she found that there was a purple lump in her right breast. She considered it as a hematoma. So, she used some antiphlogistic analgesic ointment for external application. Later on, she found that the lump grew bigger with some ulceration. After examination, it was found that there is a purple lump (8 cm X 6 cm X 7 cm) in her right breast. This lump has swollen above the skin with some ulceration on the surface. According to the B-scan ultrasonography, this lump is from the galactophore.
The above four examples are all cases of advanced breast cancer that I witnessed in outpatient service during the last half year. The common characteristics that these four patients all have are as follows:
1. they don’t pay due attention to the lump that doesn’t cause any pain or itch;
2. they didn’t go to hospital for examination in time, but made a judgment based on their feeling.
This situation finally delayed the appropriate treatment time. Therefore, everyone should learn a lesson from their cases.
Diet for Breast Cancer Prevention
Monthly breast self-examination
Women susceptible to breast cancer
Habits and customs that reduce your risk of breast cancer
Breast Cancer Diet
Breast Self Examination: Have you noticed any lumps on your breasts?
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