prof. Dr. Important advice from Erkan Topuz against breast cancer

Stating that breast cancer is among the most common cancer types in women, Oncology Specialist Prof. Dr. Erkan Topuz stated that the risk of breast cancer increases with advancing age in women. Expressing that breast cancer, which seriously threatens human life, is related to genetic factors, Prof. Dr. Topuz stated that it is possible to prevent breast cancer with the right diet and lifestyle. Emphasizing that the success rates in breast cancer increase with early diagnosis, Prof. Dr. Erkan Topuz, a very common disease in women, breast cancer Answered the most frequently asked questions about

Contents


Factors that increase the risk of breast cancer

  • be over 40 years old,
  • Having a family history of genetic breast cancer
  • Presence of breast cancer in the past
  • Atypical abnormal cell proliferation in the breast,
  • Giving birth after the age of 31.

What causes breast cancer? Symptoms, treatment and palpation

Moderate risk factors

  • birth control pill, postpartum estrogen or progesterone use
  • Early menstruation, late menopauseentering a,
  • Ovarian cancer, bowel cancer and uterine cancer formation,
  • It is to be compliant.

Factors that reduce the risk of breast cancer

  • Being of Asian descent
  • premature menopause,
  • giving birth before the age of 18,
  • Removal of the ovaries before the age of 37.

Misunderstood risk factors

  • giving birth to more than one child,
  • The baby is breastfeeding (lactation).

How is risk assessment done in breast cancer?

Two models are used in risk assessment.
Gail model; Menstrual age, number of breast biopsies, age at first birth, first-degree relative, are used to calculate breast cancer risk.
Gilaus model; familial anamnesis is a model for the search for susceptibility genes in breast cancer, but these are not fully valid models and there are margins for error.

Wrong diets can cause breast cancer

Other factors that play a role in the emergence of breast cancer are radiation, hormones and diet. Dietary fat and calorie intake increased the incidence of breast cancer. Diet is thought to be important in childhood and development. In older age, the role of diet is much less. The relationship between hormones and breast cancer has been shown in many studies. According to one study, the use of birth control pills or the use of hormones to prevent menopausal symptoms increase the risk of breast cancer.

What is progesterone? Is it dangerous to rise or fall during pregnancy?

Hormone secretion increases in a high-calorie and fatty diet, and it emerges as the most important source of estrogen in adipose tissue in menopausal women. Since the hormones that can enlarge the tumor dissolve in the fat, the probability of collecting them in the breast increases. Refined foods such as white sugar, brown sugar, and white flour play a major role in the diet of cancer, and the use of these substances increases the risk of cancer.

Those with a genetic predisposition have a higher risk of breast cancer

The rate in genetic breast cancer is 5-7%. Familial breast cancer can be passed on from the mother or father. Follow-up criteria are different in those with a strong family history or genetic predisposition, people in this group are at high risk of breast and ovarian cancer. In these, follow-up, mammography, ultrasonography and gynecological follow-up should be taken at a much earlier age.

If genetic testing is available, confirmation may be possible. For these people, the age to have a mammogram has been lowered to 25 years in the United States. Gynecological examination should be done every 6 months.

breast cancer symptoms

Breast mass is the most common complaint of women with breast cancer. Other symptoms; breast enlargement and asymmetry, nipple change, nipple retraction or a bloody or colorless discharge from the nipple, ulceration of the skin, redness, edema and a mass in the armpit.

How is a breast exam done?

In breast examination, the volume, size, symmetry of the breast, movements on the chest muscles, color change, and shrinkage are observed in the examination performed with the arms at the side and up. If the patient is sitting and the armpits are lying down, it is investigated whether there is a mass or lymph node in the breasts. In women without risk, breast examination is required once every 2-3 years from the age of 20, and once a year after the age of 40.

How is breast cancer detected?

Mammography has been used for imaging the breast since the 1960s. Diagnostic mammography is performed in three directions, and it is currently accepted that the dose given does not increase the risk of breast cancer. Screening mammography is usually done in two directions. The suspicious area or microcalcifications in the breast should be magnified 1.5 times and the diagnosis should be made. Ultrasonography is the most commonly used diagnostic method after mammography.

It is especially preferred by young women. It gains importance in the differentiation of cystic and solid masses. In young women, breast density has increased, so mammography greatly helps.

What is menopause? When does it start? Symptoms and treatment

Magnetic resonance imaging (MRI) should be used in young women with very dense breasts, in the evaluation of response to treatment in patients with locally advanced breast cancer, in patients undergoing breast-conserving surgery, and in women undergoing breast prosthesis. Ductography is the imaging of this duct by administering a contrast agent to the duct from which the discharge comes from in women with bloody serous nipple discharge.

How is a biopsy done?

Different tests are used for biopsy. Trucut biopsy is a form we prefer first. If necessary, a certain part of the tumor mass can also be removed. Care should be exercised in Trucut biopsy and surgical biopsy, as hematone can accelerate the spread of the tumor during this time.

Chemotherapy for breast cancer

The involvement of the tumor in the lymph nodes, the size of the tumor, the age of the patient, the size of the breast and breast-conserving surgery are the issues that the doctor will pay attention to. If the armpit positive (+) tumor is large, that is, if it is not suitable for breast-protecting conditions, if the patient desires, we call it neoadjuvant for breast protection. chemotherapy With three cycles of chemotherapy, the tumor can be reduced and breast conserving can be performed according to the response.

What is chemotherapy? How is it applied in cancer treatment, what are the side effects?

Sentinal lymph node biopsy is standard practice in experienced centers in patients with clinically axillary negative early stage breast cancer. If the sentinal lymph node is negative, biopsy does not require axillary lymph node dissection. If positive; lymph node dissection may be required. In addition, chemotherapy is essential in patients who we call histological grad in the treatment approach and evaluate the tumor to be rich in atypical cells.

Because in patients with high grat, metastasis event is higher. Factors that play the most important role in cancer treatment; estrogen-progesterone status and HER-2 status.

Chemotherapy – What should be done during hormonal therapy?

  • Grapefruit, St. Johns Wort should be banned completely.
  • Red clover, hops, flaxseed, soybean oil, estrogen (+) ones should also be avoided.
  • Angelica, Jerusalem artichoke, licorice root, ginger, garlic, ginsengchrysanthemum should be consumed sparingly (supplement in coumarin antiplatelet).
  • High doses of parsley (apio), borage (borage), comfrey (comfrey), colt foot (colt foot) echinacea should be taken.
  • Kaplanboğan grass (containing digital), ginseng, licorice root, cardiotoxic should be consumed less.
  • L-carnitine, Coenzyme Q10Omega-3, Maitace, Sharkliver-oil can be used.
  • Ginger can be taken in low doses, acupuncture helps with nausea.

What is coenzyme Q10? What does it do? Benefits and side effects

What should be done during chemotherapy?

  • In taxane treatment, L-glutamine against neuropathy reduces neurotoxicity over 10 g per day.
  • Oral care, ice tablets, diabetes ice cream, carbonated water, chamomile extract, black mulberry syrup, TRUMMEEL (plant extracts) should be preferred in mucositis.
  • During radiation, parsley, bergamot, eggplant, fig, acidic foods should be consumed less.
  • Aloe vera Better protective soap than soap (olive oil, bay leaf soaps) should be used.
  • Laundry should be washed with olive oil, soap like bay leaf, and attention should be paid to dishwashers.
  • Marigod (Clendela) flower is protective and curative from dermatitis.
  • In cachexia, Omega-3 (fish oil) should be taken 2-3 gr.
  • Maitace, Lycopen, dark chocolate should be supplemented.
  • Solid fats, foods with additives, white flour, excessive sugar consumption should be avoided.
  • Fish, red meat (twice a week), turkey, game, egg white, avocado, pineapple, lemon peel, green tea, blackberry, tomato, black plum, black grape, black apricot, black mulberry, carrot, rosemarydandelion, basil, asparagus, nettle leaves, probiotic yogurt, fat-free feta cheese, cottage cheese should be eaten.
  • All kinds of vegetables and fruits should be disinfected with apple cider vinegar or olive oil soap.
  • If you are on hormone therapy; During tamoxifen, one should use a baby aspirin, green tea, blackberry tea, avoid soy ingredients, flaxseed oil.
  • Aromatose inhibitor, Ca, omega-3, vitamin D, Garlic, Boswelion should be used.

What is uterine cancer? Symptoms, causes and treatment

What should be done after chemotherapy (Breast Ca)?

  • Aromatase inhibitor, Tamoxifen (for those with (+) receptors)
  • Weight loss and debilitating drugs should be strictly prohibited, green tea (capsule and tea), cabbage, Bromalein, Boswelian for weight loss Weight loss should not exceed 1-1.5 kilograms each month. For weight gain, Metformin can be used.
  • 1 to 5 greens should be consumed.
  • Sports, music, dance, hobbies, yoga should gain importance.
  • Arm edema (edema reducing devices, horse chestnut extract, blueberry, selenium, bromalein)

Ways to prevent breast cancer

  • Consuming soy derivatives
  • Using flaxseed
  • Getting support from Indol-3 Carbinol derivatives,
  • reduce milk,
  • Consuming plenty of yogurt, cottage cheese, low-fat cheese and its derivatives,
  • Consuming D-Lemonene, rosemary and artichoke,
  • consuming barley,
  • Consuming green tea
  • consuming pomegranate,
  • Using Retinoic Acid,
  • Citrus Pectin, consuming peanuts,
  • Since apple peel contains quercetin, consuming it with leeks and onions,
  • Drinking at least 5 cups of coffee a day,
  • Not gaining weight, avoiding fatty and animal foods,
  • Avoiding hormonal and early foods,
  • Avoiding protected foods containing nitrites,
  • Consuming 1-5 servings of vegetables, fruits and rainbow colors,
  • Avoiding hormone therapy and preventive drugs,
  • Avoiding alcohol and smoking
  • Not using parafen-containing products (Spray containing cosmetic preservatives, sun oil, parafens in women’s make-up materials mimic estrogen and accumulate in the breast tissue.),
  • avoiding stress,
  • sleep in the dark
  • Avoiding ionizing radiation
  • Avoid pesticides, fuels, plastics, detergents and estrogen-mimicking endocrine disruptors.
  • Not using diethylstilbestrol,
  • For those working in the electronics, metals, furniture printing, chemical, textile industries; benzene and others.

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