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Women Center

Breast cancer is not as scary as people think. It is not as scary as lung cancer or liver cancer. If women take good care and pay attention to checking her breast regularly because the sooner it is detected, the better chance to rid the cancer, especially when the breast does not have to be removed. The easy way to prevent breast cancer is the women in the risk group should examine to find the malignant property of cancer cell and women in general should make it a habit to regularly examine their own breast.

Currently, the number for breast cancer patients is quite high; however, the death rate is still low because most patients detect cancer cells quickly. The important problem of breast cancer is not knowing soon enough because there is no indicating symptom and not being able to clearly explain the cause. The only thing known is that there are more than one factor. Roughly 10% is related to genetic and the remaining 90% cannot be clearly concluded whether it were food intake or lifestyle. This differs from cervix cancer, which is known to be caused by virus and 70% of the cases has been proven that the virus is Human Papilloma Viruses or HPV.

Even though, there have been continuous research; however, the result still cannot be concluded the actual cause of breast cancer. Researches as to the cause of breast cancer have been done on vegetable intake, meat intake, exercising, mediation, big breast, small breast or even supplemental hormone intake. The only clear result is that taking hormone after menopause may stimulate the cancer cells. It can be concluded that the factor that cause breast cancer is female hormone. The women that live long or have female hormone for a long period of time, in other words those who mature fast and reach menopause slow. This group of women would be full of female hormone resulting in the breast being continuously stimulated and would be at higher risk.

Whereas those who have their ovary removed and do not take supplemental hormone would have less chance of having breast cancer. Therefore, the less female hormone there is in the body, the safer from breast cancer. However, female hormone is still important because if the ovary were removed, it would be similar to reaching menopause and the bone would easily deteriorate, calcium level would reduce resulting in osteoporosis, dry wriggle skin, dry vagina, etc.

While we know the risk factors such as the risk group; however, we don’t know the actual cause for the cells to change because 70% of breast cancer occur at Alveoli; therefore, the nun that has never been married or has been married but never have any children would be at higher risk of breast cancer. This may be due to Alveoli usage.

Actually, if we were able to treat 100% of the women, we would not have to worry as to the cause of the breast cancer. However, the important is we must detect breast cancer in the early stage to have greater chance for total cured. The majority of the death rate is due to the delay in detection. If breast cancer were detected early, 100% cure and treatment would not be farfetched. There would be no need Chemotherapy, which only cure roughly 70% once the symptoms were detected.

Prevention: The high risk group such as less than 40 years of age and having 2 more blood relatives that have breast cancer should have their gene check to see if the gene would be able to change and lead to breast cancer. The women in this group may have their breast remove to prevent breast cancer. In this case, the breast can be removed and replaced with silicone bags which would be safer; however, there is only small percentage of this group because they would need to really be at risk to want to remove their breast.


Recommendation for women in general is regular monthly breast examination beginning from maturity (from 15 years of age) because the change in breast cancer cell forms slowly and takes months and sometime years to grow large enough to be detected. There no need for physician expertise in the examination, only need to feel the abnormality. Women that are 35 to 40 years old should have the physician examine the breast and also undergo mammogram or ultrasound.

Mammogram is X-raying the breast tissue and reflects the shape of the breast. Previously, physician only uses his/her hand. Such method is not good enough because the cancer cell needs to be at least 1 centimeter, which would take years for cancer cell to grow that large. It is better to detect the cancer cell prior to that and the cancer cell is impossible to be detected by hand prior to being at least 1 centimeter; therefore, mammogram must be used because mammogram will enable us to see the traces of cancer cell, especially when used in combination with ultrasound.

Mammogram will be able to detect the cancer cell in a limestone formation. The limestone deposit is the cancer cell that has grown fast and died. When it died, it would eat the dead cell leaving traces of calcium, which can be seen quickly in X-ray. However, such limestone deposit would not be detected with using bare hand; therefore, if any woman failed to detect this limestone deposit, the chance for being fully cured or successfully treated would be slime because the cancer cell would keep growing without any side effects until it reaches roughly 2 to 3 centimeters and by the time it reaches that size, it would already has taken many years.

The important thing when the cancer cell is small until it reaches the size of 1, 2 or 3 centimeters, there would be no side effects. Only roughly 10% would show the symptom as nipple bleeding or pain when the cancer cell reaches 2 to 3 centimeters and if the pain were not felt, there is no way of knowing that there is breast cancer.



For treatment, it should be repeated that if the cancer cell were detected early, the chance for being fully cured would be 100%; therefore, the surviving chance would depend on the phrases of the cancer cell. The chance for surviving is roughly 80% during the 1st phrase, 70% during the 2nd phrase and 60% during the 3rd phrase; therefore, it can be seen that the later the cancer cell is detected, the less chance of surviving the patient would have. It is not advisable for the patient to see the physician when the symptoms are clear because when the symptoms are clear, there is only 70% chance of survival. It is advisable to see the physician prior to having any symptom.

Cancer cell that is 3 centimeters or larger must be removed; therefore, we are campaigning for women to see physician before any symptom occurs and not wait until the symptom occurs to see a physician. Currently, roughly 10 to 15% of the cases that we are treating are cases that the cancer cells were detected in the early stages; therefore, we can just remove the cancer cell and there is no need to remove the breast nor lymphoma because the cancer cell has not spread but if it had, the breast or the lymphoma would have to be removed.

Currently, there is a method for knowing whether the cancer cell has or has not spread to the lymphoma. This can be done by injecting dye in the breast and the dye will go to the lymphoma and examining the lymphoma. If the cancer cell has not reached the lymphoma, the lymphoma would not need to be removed. Therefore, currently, we try to keep the breast, not removing lymphoma, do as little surgery as possible and the patient would still be alive. The only thing is to examine early and detect the cancer cell in the early stage. Besides being fully cured, neither the breast nor the lymphoma would have to be removed and the arm would still be able to function normally. The surgery only takes roughly a little over an hour leaving only small scar. The patient would need to spend only one night at the hospital. In the event that the cancer cell has spread, the breast would need to be removed and if the patient were not able to handle not having breasts, the fat from stomach would be removed to replace the breast.

The important thing for the women is to change the old saying “the breast should not be touched often” to “examine the breast everyday”. It is not shameful to touch your breast and it can be easily done. Do not worry of the correct way to feel your breast. Only take a shower and scrub your breast thoroughly and also examine your nipple. If we take a shower everyday, cancer cell cannot be missed. There is no symptom to having breast cancer; therefore, women should see the physician before having any symptom. Do not wait until any symptom occurring. Do not wait until you start bleeding, feeling pain or your breasts becoming different in size. Just imagine how large the cancer cell would be then. By that time, it may be too late for treatment and if it were not too late, the treatment would be difficult and complex.

Source: Dr. Supakorn Rojananin
Breast Care Center, Phayathai 3 Hospital