Breast cancer is rare in men. Because men also have a very small amount of breast tissue, albeit residual, behind the nipple.
Constituting roughly 1/10 of all breast cancers, it is a nightmare for surgeons, radiologists and pathologists because it is well hidden and does not show itself in both clinical examination and imaging.
This type of cancer causes a high false negative rate because malignant cells grow without forming a mass. Its incidence has increased in recent years.
Self-examination, clinician examination and radiological examinations go hand in hand in the early diagnosis of difficult-to-diagnose tumor types such as invasive lobular cancer.
None of them replace each other, they should be evaluated together.
Breast cancer is very diverse. Although early diagnosis increases the chance of survival, tumor characteristics should not be forgotten. The best news for you is that the survival chances of breast cancer patients – regardless of the stage – have increased compared to before.
Mammography is the most effective test. However, no test has a 100% accuracy rate. Some cancers do not show up on mammography. Regular self-examination, physical breast examination by the clinician, and mammographic examination combined with ultrasound are still the best plan.
Mammography does not protect you from breast cancer, so it is not a breast cancer preventive procedure. However, it mostly detects cancer at an early stage, where treatment is 97% effective.
No one can give a definitive explanation for this. The conclusion of all research is this: There is no single cause, no single event. Many factors play a role in breast cancer. After treatment, you may decide to live a healthier life than before. Do this not because it will prevent breast cancer, but to have a better quality of life.
Ultrasonography is not sensitive, especially in cancers that occur with small calcification foci. Data to support cancer screening with ultrasound alone have not yet been published.
It is performed as an adjunct to mammography. It reveals masses that may be hidden within dense breast tissue. In the presence of mass, it shows whether its internal structure is liquid or solid. It prevents unnecessary needle biopsies. In our center, it is performed on every patient along with mammography.
Auxiliary methods that complement conventional ultrasound, such as color Doppler – duplex ultrasonography and elastography, increase the sensitivity and specificity of the procedure.
Radiation dose drops significantly.
Since the images are created digitally, the shooting time is shorter.
Thanks to digital technology, radiologists have the opportunity to optimize image parameters. In this way, additional film shooting and therefore additional radiation is avoided.
Being able to work on digital images increases the sensitivity of mammography in dense breasts.
Another innovation it introduced is computerized archiving.
Its difference from conventional mammography is that the images are obtained with computerized digital technology. The ACRIN DMIST study demonstrated the benefits of digital technology in women with dense breast tissue.
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