The Experts Say - Cancer

 

Killer Cancers: Not Just A Woman’s Problem

Article contributed by:

Raffles Medical Group

 


On this page:

Breast Cancer

Risk Factors

 

Symptoms

Screening Tests


 

Some people may think breast cancer is something that only affects women.  However, do you know that men are not spared?  According to Prof Walter Tan, Plastic Surgeon and General Surgeon, Raffles Surgery Centre, “men can also get breast cancer though it is one hundred times more frequent among women than men.

 

The prognosis in males with breast cancer however, is generally worse than in females.  This is because of the small size of the male breast and the tendency of the cancer to spread beyond the breast more easily.”

 

Breast cancer is the number 1 cancer affecting women globally and in Singapore.  It is considered to be the final outcome of multiple environmental and hereditary factors.  While surgery remains the mainstay for breast cancer treatment, breast cancer patients who need to undergo mastectomy often have to bear with the emotional and physical trauma of losing one’s breast(s).

 

Raffles Hospital offers immediate reconstruction surgery that is done at the same time as the mastectomy, when the entire breast is removed.  A benefit of immediate reconstruction, explained Prof Tan, is that chest tissues are undamaged by radiation therapy or scarring.  Also, immediate reconstruction means one less surgery, which results in cost savings. Most importantly, it is psychologically less traumatising for patients as they need not undergo a period of loss.

 

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Risk Factors

Age, race

Individual or family history of breast cancer

Individual history of ovarian cancer

Genetic predisposition

Estrogen exposure

Abnormal proliferation of cells in breast

Lifestyle factors: Obesity, lack of exercise, alcohol use

Radiation exposure

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Symptoms

New lumps or thickening in the breast or under the arm

Nipple tenderness, discharge, or physical changes

Skin irritation or changes

Warm, red, swollen breast with a rash resembling the skin of an orange

Pain in the breast (usually not a symptom of breast cancer, but should be reported to a doctor)

No visible or obvious symptoms (asymptomatic)

 

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Screening Tests

Mammography

Ultrasound

MRI scan

Biopsy to confirm a diagnosis

Blood tests to determine if the cancer has spread outside the breast

Additional tests may be used to determine stage

 

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Article contributed by:
Raffles Medical Group

Dated: June 2011

 

Raffles Medical Group is a leading medical group and the largest private group practice in Singapore.  As a fully integrated healthcare organisation, the Group owns and operates a network of family medicine clinics, a tertiary care private hospital, insurance services and a consumer healthcare division.  Patients of the Group enjoy a continuum of care, from having their most basic healthcare needs met through the Group’s islandwide network of Raffles Medical clinics, to specialist and tertiary care at Raffles Hospital.

 

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