Monday, 05 November 2007

An unusual type of Breast Cancer...

A form of Breast Cancer rarely spoken about is Paget's Disease.

Women's magazines and articles seldom explain about this quite common form of Breast Cancer. Please read further for information and details in regards to Paget's Disease, (information courtesy of Cancer BackUp).

Paget's disease of the breast

Paget’s disease of the breast is an eczema-like change in the skin of the nipple, and 9 out of 10 women who have this have an underlying breast cancer. The underlying breast cancer may be an invasive breast cancer or ductal carcinoma in situ (DCIS). In DCIS, the cancer cells are completely contained within the milk ducts.

Around half of the women who have Paget’s disease will have a breast lump that can be felt at the time it is diagnosed.

Paget’s disease occurs in about 1–2 out of every 100 women with breast cancer. It usually occurs in women in their 50s, but can occur at an earlier or later age. It can affect men but this is extremely rare. It usually first appears as a scaly, red rash affecting the nipple and sometimes the dark area of skin surrounding the nipple (the areola). The rash always affects the nipple first, and may then affect the areola. It does not go away and may become sore. The area may bleed slightly.

Causes of Paget's disease

The cause of Paget's disease is unknown, but certain women seem to be at a higher risk of developing breast cancer. This includes women who have never had children, or had them late in life, women who started their periods at a young age or who had a late menopause, and women who have a strong family history of breast cancer.


Signs and symptoms

The first symptom is usually an eczema-like rash, as described earlier. The skin of the nipple and areola may be red and inflamed. There may also be crusting, bleeding and ulceration. Some women have an itching or burning sensation. Fluid (discharge) may leak from the abnormal area of cells. The nipple may turn inwards (be inverted). There may or may not be a lump in the breast.


How it is diagnosed

Paget’s disease can be confused with other skin conditions such as eczema, dermatitis or psoriasis, as they can look very similar. This can make Paget’s disease difficult to diagnose.

Paget’s disease usually first affects the nipple, and then the surrounding tissue. Other skin conditions usually affect the areola (the dark area of skin around the nipple) first, and then spread into the nipple.

Several tests may be carried out to diagnose Paget’s disease of the breast. They may include the following:


Mammogram (breast x-ray)
Mammograms may be used to look for changes in the affected breast, and to check the other breast.


Ultrasound scan
A gel is spread on the breast and a small device, which emits sound waves, is rubbed over the area. The echoes are converted into a picture of the breast tissue by a computer. This test is painless and takes just a few minutes.


Biopsy
This is the main test for cancer cells below the skin surface. A small sample of skin and underlying breast tissue is taken and sent to the laboratory to be examined under a microscope. A local anaesthetic is usually given before before the biopsy is carried out, to numb the area. The biopsy may be taken at the same time as an ultrasound, to ensure that it is taken from the abnormal area.


Imprint or scrape cytology
Cells from the affected area can be scraped, or pressed, onto a glass slide to be examined under a microscope.

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Treatments options of Paget's Disease

Treatment

The treatment of Paget's disease of the breast will depend on:

  • whether or not there is an underlying breast cancer
  • whether it is DCIS or an invasive tumour
  • how much of the breast is affected.

Surgery

Surgery is the main treatment for Paget’s disease. Removal of the breast (mastectomy) may be recommended, especially if the cancer is affecting a wide area (is extensive), is close to the nipple, or if there is DCIS in a number of areas in the breast (multi-focal). Some of the lymph nodes in the under-arm area may also be removed. If you have a mastectomy, it may be possible to have a breast reconstruction operation, either at the same time, or as a second operation some months later.

Surgery aimed at removing as little of the breast tissue as possible (breast-conserving therapy) may be possible if the cancer, or DCIS, is found to be close to the nipple and only affecting a small area of underlying tissue. This involves the removal of the nipple, areola, and an area of underlying normal tissue around it.

For some people, no further treatment will be needed after surgery. Others may need to have radiotherapy, hormonal therapy or chemotherapy. These may be used separately or together.

Radiotherapy

Radiotherapy treats cancer by using high-energy x-rays that destroy the cancer cells, while doing as little harm as possible to the healthy cells. Radiotherapy to the remaining breast tissue is usually recommended after breast-conserving surgery.

Hormonal therapy

Hormonal therapies are commonly used for treating breast cancer. They reduce the production of hormones within the body, or prevent the hormones from stimulating the cancer cells to grow. Hormonal therapy is mainly used if the cancer is invasive, but may also be given to women who have DCIS. Tamoxifen and anastrozole (Arimidex®) are two commonly used hormonal treatments.

Chemotherapy

Chemotherapy is the use of anti-cancer (cytotoxic) drugs to destroy cancer cells. It is not used to treat an underlying DCIS, but may be given if the cancer is invasive.

Posted by BBButterfly at 14:20:08 | Permanent Link | Comments (0) |

Wednesday, 10 October 2007

BBButterfly Press Release - Sept07

Here is BBButterfly's Official Press Release

For further enquiries, please email us at info@bbbutterfly.com

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Tuesday, 09 October 2007

SKIN Magazine - October 2007

BBButterfly's post mastectomy lingerie and accessories have impressed the fabulously fashionable crew at SKIN Magazine...who have featured BBButterfly as 'Shop of the Month' in their LightBox Section!!!

OUT this month!!!

Posted by BBButterfly at 19:45:27 | Permanent Link | Comments (0) |

BBButterfly has been involved with Xcess Media in support of the Pink Ribbon Foundation, and InThePink magazine who's proceeds go towards the charity.

 We can be seen in InThePINK Magazine, OUT NOW and launched on 3rd October 2007. Spot us on page 6 and page 52!!

 

Posted by BBButterfly at 19:36:47 | Permanent Link | Comments (0) |

Woman's Own Magazine - 15th October 2007 OUT NOW!!

 BBButterfly's gorgeous post mastectomy bra and briefs have been featured in Woman's Own Magazine!! issue date 15th October 2007 - OUT NOW!!

 Go out and buy your copy now!!!

 

 

Posted by BBButterfly at 19:14:03 | Permanent Link | Comments (0) |

EasyLiving Magazine - we are in here!!

BBButterfly's fabulous products have been written about in EasyLiving Magazine!!! (29th September 2007)

 http://www.easylivingmagazine.co.uk/TryThisBuyThis/Details.aspx?StoryID=47454&SiteID=347 

 

Posted by BBButterfly at 17:28:27 | Permanent Link | Comments (0) |

Wednesday, 12 September 2007

BBButterfly collection of Couture Post Mastectomy Lingerie

Visit http://www.bbbutterfly.com to view BBButterfly's collection of Couture Post Mastectomy Lingerie and Swimwear, which has been exclusively designed for today's women living with Breast Cancer.
Posted by BBButterfly at 17:15:30 | Permanent Link | Comments (0) |

Interesting Stats...

USA Stats

  • Every three minutes a woman in the United States is diagnosed with breast cancer.
  • Breast cancer is the leading cancer among white and African American women.
  • A woman's risk for developing breast cancer increases if her mother, sister, daughter, or two or more other close relatives, such as cousins, have a history of breast cancer, especially at a young age.
  • However, 85% of women who develop breast cancer have NO known family history of the disease.

( Info courtesy of BreastCancer.org)


UK Stats

  • Each year more than 44,000 women are diagnosed with breast cancer, that’s more than 100 women a day
  • Each year around 300 men are diagnosed with breast cancer.
  • Each year in the UK more than 12,000 women and around 100 men die from breast cancer.
  • Breast cancer rates have increased by more than 50% over the last twenty years.


Worldwide Stats

  • Worldwide, more than a million women are diagnosed with breast cancer every year.
  • The highest rates of breast cancer occur in Northern Europe and North America and the lowest rates are in parts of Africa and Asia .

    **************************************
    ********
    GOOD NEWS:

    *** More women are surviving breast cancer than ever before ***
    ***Early detection increases chances chances of survival***
    *** Breast cancer survival rates have been improving for more than twenty years ***
Posted by BBButterfly at 17:12:15 | Permanent Link | Comments (0) |

Friday, 07 September 2007

Inflammatory Breast Cancer: IBC

One of the lesser known types of Breast Cancer. Please be well informed and ask your doctor for more information. 

What is Inflammatory Breast Cancer? 

INFLAMMATORY BREAST CANCER (IBC) is an advanced and accelerated form of breast cancer usually not detected by mammograms or ultrasounds. Inflammatory breast cancer requires immediate aggressive treatment with chemotherapy prior to surgery and is treated differently than more common types of breast cancer.

There is more than one kind of breast cancer.

We have been taught and are reminded frequently by public service announcements and by the medical community that when a woman discovers a lump on her breast she should go to the doctor immediately. Inflammatory breast cancer usually grows in nests or sheets, rather than as a confined, solid tumor and therefore can be diffuse throughout the breast with no palpable mass. The cancer cells clog the lymphatic system just below the skin. Lymph node involvement is assumed.  Increased breast density compared to prior mammograms should be considered suspicious.

You Don't Have to Have a Lump to Have Breast Cancer.

Some women who have inflammatory breast cancer may remain undiagnosed for long periods, even while seeing their doctor to learn the cause of her symptoms.  The symptoms are similar to mastitis, a breast infection and some doctors, not recognizing IBC, will prescribe antibiotics. If a response to antibiotics is not apparent after a week, a biopsy should be performed or a referral to a breast specialist is warranted.

Age 52: Median age at time of diagnosis of IBC ... versus,
Age 62: Median age at time of diagnosis of Breast Cancer.

A surprising portion of young women with IBC had their first symptoms during pregnancy or lactation.  The misconception that these young women are at lower risk for breast cancer and the fact that IBC is the most aggressive form of breast cancer may result in metastases when the diagnosis is made.

One or more of the following are Typical Symptoms of IBC:

  • Swelling, usually sudden, sometimes a cup size in a few days

  • Itching

  • Pink, red, or dark colored area (called erythema) sometimes with texture similar to the skin of an orange (called peau d'orange)

  • Ridges and thickened areas of the skin

  • What appears to be a bruise that does not go away

  • Nipple retraction

  • Nipple discharge, may or may not be bloody

  • Breast is warm to the touch

  • Breast pain (from a constant ache to stabbing pains)

  • Change in color and texture of the areola

These Symptoms May Be Present in Benign Breast Disorders. See your doctor if you have any of these symptoms.

Inflammatory Breast Cancer is typically abbreviated as IBC.  Non-inflammatory breast cancer may include in its diagnosis the terms "in situ breast cancer," "infiltrating breast cancer," or "invasive breast cancer" all of which may be abbreviated with "ibc," but those terms alone do not specify inflammatory breast cancer.  To add to the possible confusion, the diagnosis may include more that one kind of breast cancer; for example "inflammatory breast cancer, invasive ductal carcinoma, and mucinous carcinoma" all in the same breast.  So if a person you know has been described as having IBC or ibc, it may be well to ask what that is abbreviating, since it may not be "inflammatory breast cancer" and therefore the symptoms and other information presented here may not apply.

Is inflammatory breast cancer the same disease in each person diagnosed?

Researchers and clinicians don't know the answer to that question but hypothesize that there are "types," "sub-types," or "categories" of IBC.  Typically, the sub-types hypothesized are divided by presentation at time of diagnosis: 1) clinical symptoms only, with no pathological confirmation finding tumor emboli (tightly packed clumps of tumor cells, like a bunch of grapes but very tightly packed together) in the dermal lymphatics of the affected breast; 2) pathological only, finding tumor emboli in the dermal lymphatics, without presentation of clinical symptoms; and 3) clinical and pathological.

Another way to categorize IBC is by age and gender at time of diagnosis:

  1. There is documented evidence of two cases in girls as young as 12-years-old, one of whom had not begun menstruation.

  2. There are several documented cases of male IBC.

  3. There are cases diagnosed during pregnancy or lactation.

  4. And there are cases that don't fall into any of the first three categories, but are diagnosed in each of three menopausal periods of life: premenopausal, perimenopausal, and postmenopausal.

Beyond those categories, there are IBC cases that have special circumstances:

  1. 3 cases diagnosed in 10 months amongst 24 co-workers

  2. more than one case in the same family:  mother-daughter, sisters, and 1st degree cousins

  3. IBC diagnosed in a breast with an implant

  4. IBC diagnosed post-hysterectomy, in some cases including oophorectomy

 For more information, please consult your doctor, local surgery, the internet or best of all, The Inflammatory Breast Cancer Research Foundation  http://www.ibcresearch.org/

 (information courtesy of the IBC Research Foundation)

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