Does All Lymph Node-Positive Breast Cancer Patients Need Chemotherapy?


Breast cancer is the most common cancer that women are affected. In Western countries is more common in women over 50 years of age, but younger patients are in our country and in many cases due to lack of awareness of symptoms present in more advanced stages.


Breast cancer treatment

The earlier breast cancer is diagnosed, treatment is easier and more successful. That is why it is necessary for women to maintain their health, to know the facts about this disease.

Brochures, training in breast disease center (SID) is as follows:
The cause of breast cancer is still unknown and indeed all women are at risk of developing the disease, but the most important factors that increase the risk of breast cancer include:

  • Family history of breast cancer, especially in mother, sister or daughterimages (9)
  • History of breast cancer in one’s own
  • More than 35 years of age at first birth
  • Infertility
  • Early puberty
  • Late menopause
  • Obesity after menopause
  • High consumption of animal fat in the diet
  • Record high radiation to the chest
  • Some benign breast disease

It should be emphasized that the presence of one or all of these conditions in every individual means his absolute risk of the disease and these factors are merely “likely increase. In other words, people who have any of these conditions should be more likely to pay attention to their breast health.

Many breast cancer patients do not have any of the above factors, so all women are at risk.

It has the following symptoms may occur:

1 lump or breast cancer:
The most common symptom of breast cancer, there is a hard mass, single and without pain in the breast.
2. Nipple discharge:
Bloody nipple discharge, especially if bloody or watery and leaving them spontaneously and without pressure, need to be investigated for the presence of cancer.
3. Breast skin changes:
Any changes, including dimpling, swelling, discoloration or sores should be considered.
4. Nipple changes:
According to dents, redness, scaling and itching, deviation or any changes in the nipple are important.
5. Change in breast size:
Asymmetrical breast size is newly created, must be investigated.
6. Enlarged lymph nodes under the arm

Although breast cancer cannot be prevented with early diagnosis and timely, but it has a better chance of successful treatment of this disease.

Known methods for early detection of breast cancer that include:

  • BSE
  • Breast exam by doctor
  • Mammography


The best time to do the monthly exam, 2 to 3 days after the cessation of monthly bleeding. During menopause, pregnancy and lactation examination on the first day of each month or every other choice you can do.

Breast self-examination consists of two steps:

Look out in front of the mirror takes the following steps:
A. Put your hands on the sides of the body and breast suspended check for abnormal changes.

(B) Raise your hands flat on either side of the head and breasts, especially in terms of the sinking of the skin and nipple and other signs of unnatural look.

C hands on the waist button and pull your shoulders back and your breasts remand in this case carefully check the conditions before.

(D) To be bent and hands hanging on either side of your body in the mirror, look carefully at the appearance of the breast.

In each of these five cases, the breasts and the face and the look of them in terms of breast cancer symptoms mentioned before, check.

First, lie on your back for touching the breast. For a breast exam
Left, a small pillow under your left shoulder and the left hand under your head, so that the left breast is placed perfectly in the middle of the chest. On the right breast, on the contrary act.
For the diagnosis of fines fingers (phalanges) use. Do not squeeze the breast tissue between your thumb and finger. They may mistakenly feel that you have touched a pile.
The upper end breast (about collarbone) to the bottom of the breast (low gear) and from the sternum to the armpit all should be examined. To do this, you can circle around the breast to the nipple in a clockwise direction hypothetical, do not touch.

In case of Lumps in the breast or hardening of the tissues of the breast, see your doctor.

After touching the breast, armpit touch the sides do the same. At the end of the examination, breast briefly pressing different directions like milking a goat and a discharge nipple.

The breast can be done in the shower while bathing. In the case of breast and fingers are wet and slippery, the masses may be a touch better.

Breast exam by doctor

Breast exam is recommended after the age of 20.

This examination should be performed at intervals of 12.6 months. Note that the only doctor that can detect the nature and type of lesion.


Mammography, by x-ray imaging of the breast. If a woman does not breast problem, the first mammogram between the ages of 39-35 years old for early diagnosis done.However, in Western countries due to the outbreak and facilities, in the 49-40 age every 2-1 years and thereafter until age 65 and a mammogram every year depending on the practitioner should be done.


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