- Breast cancer - stage cancer
- Grade I
- Grade II
- Grade III
- Grade IV
Breast Cancer II degree (stage) - a disease in the lymph nodes are involved
Symptoms of Breast Cancer II degree depend on the form of the disease, but always at this stage there are first metastasis - the defeat of nearby lymph nodes. At this stage, the woman herself may also reveal the presence of the tumor using an external examination of breast and its palpation and palpation of the axillary lymph nodes
Axillary lymph nodes - signals about trouble in the mammary glands
.
As the tumor spreads
Stage II breast cancer is divided into stage II a and II b. At a stage II tumor size does not exceed 2 cm in diameter, but wherein the tumor extends 1-3 nearby (axillary usually located on the side of lesion) lymph node. The affected lymph nodes
Lymph nodes - what keeps our immune system
thick, may be slightly painful, but are not soldered to the surrounding tissues and to each other. Cancerous tumor at this stage can also be larger, up to 5 cm in diameter without lymph node involvement.
In stage II b tumor has up to 5 cm in diameter and extends to 1-3 axillary lymph node. Another option - the tumor is more than 5 cm in diameter and does not extend to the lymph nodes.
Clinical observations have established median survival in stage II cancer 10 years or more live from 75 to 90% of women with the condition that they were right on time and treated.
The main symptoms
The main symptoms of breast cancer
Breast cancer - symptoms of the disease need to know
Stage II is not expressed clearly, very often, and at this stage the cancer continues to develop symptoms. But if a woman in accordance with the recommendation mammologists monthly, without gaps, conducting self-diagnosis of breast cancer zhelezy¸ at this stage it will definitely notice. That is, of course, she did not diagnose yourself, but changes in the mammary gland will reveal. The main thing with this - not to play for time, trying to make a diagnosis, and immediately contact a specialist.
In the form of any symptoms can manifest as breast cancer stage II? First of all, at this stage in the most common form of anchor can already clearly dense painless probe assembly with an uneven surface and unclear contours. If the node is sufficiently large (for an ultrasound or mammogram to 5 cm in diameter), then over it, if you look closely, you can see land wrinkled skin - a sign that the tumor is growing towards the surface of the breast. Sometimes at this stage you will notice a small retracted skin over the tumor.
In cancer, Paget's nipple may swell and increase in size, or alternatively, get involved, abrasions on the surface become more pronounced, moving to the areola, get wet. There may be different kinds of discharge from the nipple. In this form of cancer lesion nipple can gradually move to the skin of the breast in the form of eczema with erosions, ulcers, crusts and scales (Paget's cancer is known as eczematous cancer).
Sometimes the breast can be reduced in size, the skin over it becomes dense, she covers the shell gland - this is called cancer Brigandine.
The lymph nodes in breast cancer stage II are usually increased in the axillary region, not soldered to each other and with the surrounding tissues and palpated as a dense, sometimes slightly painful formations.
The prognosis for breast cancer in the early stages
Breast cancer in the early stages - a cancer of 0, I or II. Prognosis of the disease have a particular impact on women individual selection of treatment. It is well known that prognosis affect tumor size, rate of growth, histology, presence or absence of lymph node metastasis.
In addition, recently developed a series of laboratory tumor markers capable of more accurately predict the rapid development of the disease and how it will respond to treatment. Basically it Ki-67, ER, ER and Her-2-neu.
Ki-67 - a marker of proliferation (proliferation tissue by propagation of its cells) tumor. Ki-67 is an antigen (a substance capable of stimulating antibody formation in the body), is formed in the cell nucleus during its proliferation. It is now established a clear link between the number of cells that emit Ki-67, and the degree of malignancy of the tumor: the higher the number, the more malignant the tumor is. In the early stages of the disease Ki-67 allows you to predict the course of the disease and the results of his treatment.
ER and PR - is the female genital organs receptors of estrogen and progesterone
Progesterone - norm and pathology
Located in the tumor. Detection of tumor ER and PR are favorable prognostic sign - the tumor can be treated with drugs that suppress the action of hormones.
Her-2-neu - a protein that is secreted, by both normal cells and tumor cells. However, tumor cells secrete it into several times. A large selection of this protein is a poor prognostic sign and indicates a high probability of relapse after treatment. With the help determine the level of allocation of Her-2-neu can be isolated in patients with early-stage breast cancer clinical need in the longer auxiliary system (adjuvant) therapy.