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How is breast cancer diagnosed?

Asked by Female, 58 ยท 3 months ago

Breast cancer is diagnosed through a combination of physical examination, imaging tests, and laboratory investigations. Your doctor first performs a breast exam to check for any lumps, skin changes, or nipple discharge. Imaging tests, such as mammograms, breast ultrasounds, or MRIs, help identify suspicious areas. If an abnormality is detected, a biopsy is performed, where a small tissue sample is taken from the breast and examined under a microscope to confirm the presence of cancer cells. Additional tests, such as hormone receptor studies and imaging scans, may be done to determine the cancer type, stage, and the most suitable treatment plan. Early diagnosis significantly improves the chances of successful treatment.
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  1. Initial Clinical Evaluation

    • Conduct a detailed medical history and physical breast examination to identify any lumps or changes.
  2. Imaging Tests

    • Mammography: Primary screening tool for women over 50 to detect abnormalities.
    • Ultrasound: Used to evaluate suspicious areas, especially in dense breast tissue.
    • MRI: Recommended for high-risk patients or to assess cancer extent.
  3. Tissue Sampling (Biopsy)

    • Fine Needle Aspiration (FNA): Minimally invasive cell extraction.
    • Core Needle Biopsy: Provides larger tissue samples for diagnosis.
    • Surgical Biopsy: Removes part or all of a suspicious lump if needed.
  4. Pathology Analysis

    • Examines biopsy samples to confirm cancer type and grade.
  5. Additional Tests

    • Hormone Receptor Testing: Checks for estrogen/progesterone receptors to guide treatment.
    • HER2 Testing: Identifies excess HER2 protein, influencing therapy choices.
  6. Referral to Specialists

    • Oncologists, radiologists, and breast surgeons play key roles in diagnosis and treatment planning.
  7. Summary and Next Steps

    • Diagnosis is stepwise; early detection improves outcomes. Seek timely medical consultation if symptoms arise.

Answered 3 months ago

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