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Wednesday, July 09, 2008

 

Knowing your enemy–breast cancer

 
The Philippines has now the highest incidence rate of breast cancer in the Asian region, and has the 9th highest incidence rate in the world today. Breast cancer is the leading killer of women ages 35 to 54 worldwide. According to the Philippine Breast Cancer Network, more than a million develop breast cancer without knowing it and almost 500,000 die from it every year. Incidence of the fatal disease has been rising for the past 30 years.

Cancer cells are abnormal cells that multiply uncontrollably. Cancer occurs when our immune system, which constantly destroys any defective cells as well as foreign organisms, fails to detect and eliminate them. Cancer cells invade and destroy surrounding healthy tissue. Left unchecked, cancer metastasizes, spreading to other organs.

Toxins, viruses, radiation can damage cells and turn them cancerous. Smoking, drug use, unhealthy foods, excessive drinking and lack of exercise can weaken one’s immune system as well as introduce carcinogens into the body. Also, vulnerability to cancer can be hereditary.

Symptoms

- More than 80 percent of breast cancer cases are discovered as a lump by the woman herself. This lump feels different than the surrounding breast tissue. Lumps found in lymph nodes located in the armpits or collarbone can also indicate breast cancer.

- Other indications include changes in breast size or shape, skin dimpling, nipple inversion, or spontaneous single-nipple discharge.

- Skin inflammation can indicate inflammatory breast cancer, symptoms of which inflammatory breast cancer include pain, swelling, warmth and redness throughout the breast, as well as an orange peel texture to the skin.

- Eczematoid skin changes such as redness and mild flaking of the nipple skin can be symptom of Paget’s disease of the breast. In advanced stages, symptoms can include tingling, itching, increased sensitivity, burning, and pain. There may also be discharge from the nipple. Approximately half of women diagnosed with Paget’s also have a lump in the breast.

- Breast cancer can also metastasize and spread to other organs. Common metastasis sites include bone, liver, lung and brain. Unexplained weight loss, fevers or chills, bone or joint, jaundice or neurological symptoms can all indicate cancer.

- Benign breast diseases such as mastitis and fibroadenoma of the breast are more common causes of breast disorder symptoms and warrant immediate medical examination.

Prevention

- Exercising three times a week for one hour each has been found to lower breast cancer by up to 40 percent. Breastfeeding and having children at a younger age also lower breast cancer risk.

- Plant estrogen intake such as those from soy products protect against breast cancer especially when taken regularly early in life.

- Folic acid (Vitamin B9), which helps repair damage in our DNA, also counter cancer. Citrus fruits, dark green leafy vegetables beans and peas are all rich in folate.

- Avoid smoking and secondhand smoke. Tobacco and its many components such as nicotine and tar are proven carcinogens. Moderate alcohol consumption. Avoid unprotected sex, drug use and other high risk behaviors.

- Know your family’s medical history. Having a history of breast cancer in one’s family greatly increases one’s risk and should make one extra vigilant.

- Regular medical and self-examination is vital. Immediate response is key to preventing cancer growth and metastasis.

   

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Severino O. Frayna Jr., Benjie Dela Rosa
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