The incidence of breast cancer at younger ages is increasing
Stating that the incidence of breast cancer at young ages has increased in recent years, the Head of the Department of Radiology of the Order Health Group, Uzm. Dr. Filiz Yenicesu said that breast cancer can be seen even at the age of 18-20. Expressing that breast cancer is one of the most common types of cancer seen in women, Dr. Dr. Filiz Yenicesu said, “In 2018, breast cancer was seen in nearly 17 thousand women in Turkey, and nearly 4 thousand women lost their lives due to breast cancer. Compared to the world, in Turkey breast cancer incidence is much lower. This is an important issue that needs to be examined,” he said.
exp. Dr. Yenicesu said: “In a study conducted in our country, it is stated that the incidence of breast cancer under the age of 50 is approximately 50%. However, this rate is generally known as 30-35% worldwide. More publications should be made on this subject and its reasons should be examined. It is known that breast cancer seen at an early age grows faster. In the light of this information, breast associations have formed a consensus on the need for mammography once a year, especially after the age of 40 in our country.
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precocious puberty risk factor
Giving information about the risk factors in breast cancer, Dr. Dr. Filiz Yenicesu underlined that early puberty is a risk factor for breast cancer. In addition, the increase in awareness of breast cancer may have affected the number of detected breast cancer, Uzm. Dr. Yenicesu noted that the use of hormone drugs during menopause is also a known risk factor.
Don’t be afraid to get a mammogram
Emphasizing the importance of raising awareness for breast cancer prevention and early diagnosis, Dr. Dr. Filiz Yenicesu pointed out that some women avoid mammography due to the fear of radiation involved in mammography, which is used effectively in diagnosis.
Reminding that mammography significantly reduces the risk of death from breast cancer, Dr. Dr. Yenicesu said, “The average radiation dose used in mammography is 3-4 msV. This dose of radiation is equal to the radiation we receive naturally in approximately 3 months from our environment, or the radiation we receive on a plane trip across the ocean. Considering that early diagnosis reduces death from breast cancer by 40%, it would be wrong to say that the dose we receive from mammography is excessive and harmful.
Advantages of digital mammography
exp. Dr. Filiz Yenicesu, the classical method of mammography, which is the basic diagnostic method in the diagnosis of breast diseases and breast cancer screening. mammographyStating that there are three types of digital mammography and tomosynthesis mammography, he gave the following information about the advantages of digital mammography over classical mammography: “In digital mammography, the dose taken is lower than classical mammography, and the image is much more detailed.
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It also provides the opportunity to compare with old mammograms as images can be stored in a digital archive. Comparing the person’s own mammography images means noticing the lesion when there is the slightest structural change, that is, early diagnosis.
3D diagnostic method; tomosynthesis
Making statements about tomosynthesis mammography, which is accepted as the most advanced technology used in breast imaging and provides 3-dimensional, cross-sectional scanning of breast tissue, Uzm. Dr. Yenicesu said, “With 2D digital mammography, 4 x-rays of both breast tissues are taken, whereas in tomosynthesis, the breast tissue is scanned in 1mm sections with a very small dose difference.
According to the thickness of the breast, 50-80 cross-sectional images are obtained from a breast. Thus, small lesions that can be overlooked among dense tissue on normal mammography are displayed. Or, the appearance of false cancer, which can be formed by overlapping tissues, is distinguished.
Women at risk may also have an MRI in addition to a mammogram.
Emphasizing that those with breast cancer in their family and people in the risk group can have an MRI in addition to annual mammography, Uzm. Dr. Filiz Yenicesu noted the following: “The biggest problem in MRI is that the number of false appearances can be high due to hormonal changes. Therefore, mammography and ultrasonographywhen an area is suspected MRI The findings are invaluable. It then functions as a problem-solving study. It can also be used to check if there is any other overlooked lesion before the operation in a patient diagnosed with breast cancer. It may also be requested from time to time in the follow-ups of operated breast cancer.”
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Advances in treatment
Referring to the latest developments in breast cancer treatment, Uzm. Dr. Yenicesu stated that very successful chemotherapy drugs have been developed in treatment, and that protective and therapeutic radiation can be applied. oncologist He noted that the team consisting of a radiation oncologist and a radiation oncologist prepared a treatment protocol suitable for the person’s condition. exp. Dr. Filiz Yenicesu added that genetic tests can be done in Turkey and at the Layout Laboratory, and people with a family history of breast cancer can apply to a geneticist for consultation first, and if they have the appropriate conditions, they can have these tests done.
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