Triple-Negative Breast Cancer -Part 2

 A Comprehensive Guide to Breast Cancer

-Part 2

Triple-Negative Breast Cancer

To be diagnosed as triple-negative breast cancer, a tumor must have all three of the following characteristics:

   * It lacks estrogen receptors. These are receptors on the cells that bind, or attach, to the hormone estrogen. If a tumor has estrogen receptors, estrogen can stimulate the cancer to grow.


   * It lacks progesterone receptors. These receptors are cells that bind to the hormone progesterone. If a tumor has progesterone receptors, progesterone can stimulate the cancer to grow. 

 

If a tumor meets these three criteria, it’s labeled triple-negative breast cancer. This type of breast cancer tends to grow and spread more quickly than other types of breast cancer.

Triple-negative breast cancers are difficult to treat because hormonal therapy for breast cancer is not effective.  

Breast Cancer Stages

Cancers that are large or have invaded nearby tissues or organs are at a higher stage than cancers that are small or still contained in the breast. To stage breast cancer, doctors need to know:

   * If the cancer is invasive or noninvasive
   * How large the tumor is
   * Whether the lymph nodes are involved
   * If the cancer has spread to nearby tissue or organs.

 

Breast cancer has five main stages: stages 0 to 4.

Stage 0 Breast Cancer

Stage 0 is DCIS. Cancer cells in DCIS remain confined to the ducts in the breast and have not spread into nearby tissue.

Stage 1 Breast Cancer

   * Stage 1A. 

The primary tumor is 2 centimeters (cm) wide or less. The lymph nodes are not affected.


   * Stage 1B. 

Cancer is found in nearby lymph nodes. Either there is no tumor in the breast, or the tumor is smaller than 2 cm.

Stage 2 Breast Cancer

   * Stage 2A. 

The tumor is smaller than 2 cm and has spread to 1 to 3 nearby lymph nodes, or it’s between 2 and 5 cm and hasn’t spread to any lymph nodes.


   * Stage 2B. 

The tumor is between 2 and 5 cm and has spread to 1 to 3 axillary (armpit) lymph nodes, or it’s larger than 5 cm and hasn’t spread to any lymph nodes.

Stage 3 Breast Cancer

    Stage 3A.

 
        * The cancer has spread to 4 to 9 axillary lymph nodes or has enlarged the internal mammary lymph nodes. The primary tumor can be any size.


        * Tumors are greater than 5 cm. The cancer has spread to 1 to 3 axillary lymph nodes or any breastbone nodes.


    Stage 3B

A tumor has invaded the chest wall or skin and may or may not have invaded up to 9 lymph nodes.


    Stage 3C.

 Cancer is found in 10 or more axillary lymph nodes, lymph nodes near the collarbone, or internal mammary nodes.

Stage 4 breast cancer (metastatic breast cancer)


Stage 4 breast cancer can have a tumor of any size. Its cancer cells have spread to nearby and distant lymph nodes as well as distant organs.

The testing your doctor does will determine the stage of your breast cancer, which will affect your treatment.

 

Breast Cancer Survival Rate

Breast cancer survival rates vary widely based on many factors.

Two of the most important factors are the type of cancer you have and the stage of the cancer at the time you receive a diagnosis. Other factors that may play a role include:

    * Your age
    * Your gender
    * Your race
    *The growth rate of the cancer 

Research from 2021 Trusted Source shows there’s a higher mortality rate in People of Color with breast cancer diagnoses compared with white people. One reason for this may be healthcare disparities.

The good news is breast cancer survival rates are improving.

According to the ACS Trusted Source, in 1975, the 5-year survival rate for breast cancer in women was 75.2 percent. But for women diagnosed between 2008 and 2014, it was 90.6 percent.



The 5-year survival rates for breast cancer differ depending on the stage at diagnosis. They range from 99 percent for localized early stage cancers to 27 percent for advanced metastatic cancers. 

Diagnosis Of Breast Cancer

To determine if your symptoms are caused by breast cancer or a benign breast condition, your doctor will do a thorough physical exam in addition to a breast exam. They may also request one or more diagnostic tests to help understand what’s causing your symptoms.

Tests that can help your doctor diagnose breast cancer include:

    * Mammogram. 

The most common way to see below the surface of your breast is with an imaging test called a mammogram. Many women ages 40 and older get annual mammograms to check for breast cancer. If your doctor suspects you may have a tumor or suspicious spot, they will also request a mammogram. If an atypical area is seen on your mammogram, your doctor may request additional tests.


    *Ultrasound. 

A breast ultrasound uses sound waves to create a picture of the tissues deep in your breast. An ultrasound can help your doctor distinguish between a solid mass, such as a tumor, and a benign cyst.

Your doctor may also suggest tests such as an MRI or a breast biopsy. 

Breast Biopsy

If your doctor suspects breast cancer based on tests like a mammogram or an ultrasound, they may do a test called a breast biopsy.

During this test, your doctor will remove a tissue sample from the suspicious area to have it tested.

There are several types of breast biopsies. With some of these tests, your doctor uses a needle to take the tissue sample. With others, they make an incision in your breast and then remove the sample.



Your doctor will send the tissue sample to a laboratory. If the sample tests positive for cancer, the lab can test it further to tell your doctor what type of cancer you have. 


Read More Part 3 👇

Breast Cancer Treatment-Part 3 

How common is breast cancer? -Part 4

 

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