Breast Cancer

The first sign of breast cancer is often a painless lump. But early breast cancer is often found on a mammogram before a lump can be felt.

Other symptoms of breast cancer may not appear until the cancer is more advanced. These include:

• A thickening in the breast or armpit.
• A change in the size or shape of the breast.
• Changes in the skin of the breast, such as a dimple or skin that looks like an orange peel.
• A change in the nipple, such as scaling of the skin or a nipple that turns in.
• A green or bloody fluid that comes from the nipple.
• A change in the color or feel of the skin around the nipple (areola).

Symptoms such as changes in the skin of the breast or the nipple may be a sign of inflammatory breast cancer.

Depending on your age and risk factors, the doctor may recommend that you have an ultrasound or a mammogram. A mammogram can often find a lump that is too small to feel.

During a regular physical exam, your doctor can check your breasts for lumps or changes. You also may find a lump on your own.

If there are concerns, the doctor will check to see if there is cancer by looking at a sample of cells (biopsy). The results of the biopsy help your doctor know if you have cancer and what type of cancer it is.

You may have other tests to find out the stage of the cancer. The stage is a way for doctors to describe how far the cancer has spread.

Treatment for breast cancer is based on the type and stage of the cancer and other things, such as your overall health. The main treatment is:

Surgery.

The doctor may remove just the part of the breast that contains the cancer (breast-conserving surgery). Or the doctor may remove the whole breast (mastectomy). Some lymph nodes under the arm may also be removed and checked for cancer.

Other treatment options may include:

Radiation therapy.

This uses high-dose X-rays to destroy cancer cells and shrink tumors.

Chemotherapy.

These medicines kill fast-growing cells, including cancer cells and some normal cells.

Endocrine therapy.

These medicines block hormones that cause certain cancers to grow. This helps slow or stop cancer growth.

Other treatment options may include targeted therapy or immunotherapy. A clinical trial may be a good choice.

Your doctor will talk with you about your options and then make a treatment plan.