Wednesday, June 6, 2007

Woman Lives Single More to attack breast cancer

Woman Lives Single More to attack breast cancer

Recognizes Bosom Neoplastic Disease

RECENTLY, reader Kaltim Post is surprised with bosom neoplastic disease gnawing Ana Riani, member of Balikpapan which now is taken care of in RSU dr Kanujoso Djatiwibowo Balikpapan. Like is actually the bosom neoplastic disease? surgical operation specialist medical doctor of surgical operation consultant of Tumor taking care of Ana Riani, dr Sentot S Soenardi SpBK-Onk readies unfolds more this pandemic detailly.

Various mass medias often proclaims pathological of bosom cancer suffered by famous people either from political world and also entertainment amusement. Last news be dying the state mother Malaysia, after 4 year struggles fights against bosom cancer. To be more recognizes bosom carcinoma or bosom malignant tumor, where public is more knowning asly is bosom cancer, the only surgical operation specialist medical doctor of tumor in this Kaltim shares knowledge about is and how bosom cancer .

Told, based on statistic number, bosom cancer is cancer with highest case number of number 2 for cancer at woman in Indonesia and there is improvement tendency of case number of bosom cancer from year to year.

In Indonesia, based on Patological based Registration or based on inspection record-keeping of network, bosom cancer has relative case number 11,5 %, estimated in Indonesia has minimum case number 20 thousand new cases of pertahun, with reality of 50 % new case is found in the situation continuation stadium. As comparison of case number of bosom cancer in United States , out of 100 thousand womens is got [by] 92 womens to suffer bosom cancer pertahun. with mortality 27 out of 100 thousand patients, or 18 percentage of death met at woman.

Is the bosom tumor? What causing woman suffers bosom cancer? What knowing and handling of bosom cancer? " Bosom cancer happened caused by growth that is below par at cells in bosom gland or gland channel, earns also comes from bosom mechanical tissue," calls it.

Till now, bosom cancer cause basically has not been known categorically but there are some factor that is statistically haves a meaning (of) found at bosom cancer patient, and in surgical operation area of tumor known as risk factor the happening of bosom cancer.

Many factors attributed to the increasing of risk the happening of bosom cancer at woman. Like age factor. Along with increasing of risk age the happening of bosom cancer also will increase. Risk the happening of bosom cancer at woman age less than 30 years, tends to lower compared to at the age of more than 40 years. However if less than 40 years suffers bosom cancer, level of its(the ferocity tends to higher compared to bosom cancer patient more than 40 Years.

There is also family factor or genetics, more knowledgeable with descendant factor. Woman with mother suffering bosom cancer to have risk the happening of higher level bosom cancer compared to woman without family history with bosom cancer. This thing happened because disparity at gene level at mother endowed degraded or to its(the daughter, in inspection of biology molekuler this situation have been provable with existence of BRCA 1 and 2 which are positive at woman with mother suffering bosom cancer.

There is also factor hormonal, in this case is presentation to reproduction hormone of woman especially estrogen hormone, either coming from ownself nor external. Relates to this hormonal factor, starts menstruating at the age of young, slow menopause, living single woman or married but having no chlid and or doesn't suckle its(the chlid having primary risk for the happening of bosom cancer.

" This happened because in the situation - the situation there is presentation of estrogen hormone that is continuous at cell - gland cell or gland channel at bosom, which will cause growth below par at the cells, causing arises bosom cancer," its(the beber.

There is also life style factor, in this case pattern eats high of fat. With existence of consumption of high fat will cause produce of estrogen hormone also will increase.

" There is also environmental factor, area intended is workplace, woman working with X-ray or ionizing radiation, has high risk for the happening of bosom cancer," adds it.

From risk factor which has been phrased, according to him cannot be determined which factor very stands, because in general bosom cancer cause haves the character of multifaktor.

Remembers half of new case of bosom cancer found at continuation stadium, hence suggested for to women especially at woman is having age more than 40 years to do detection early by the way of Sarari or inspection of bosom x'self. Sarari is simplest way and easy to be done but having important meaning to detect early bosom cancer.

Steps Sarari is standing in front of mirror with both hands in waist or above head. " Pays attention to second shadow of bosom in mirror. Pays attention to is both bosoms of equal size? Are there certain part at bosom skin like peel? Are there bosom skin having colour squeezing? Does bosom nipple interest into? Are there scabby at nipple area and its surroundings?" he said

Besides, by using finger I and II is done [by] massaging at bosom nipple, does release dilution? Then by using part of finger inner surface II, III, IV is done [by] groping at surface of unidirectional sequentially bosom with needle hour(clock. Is there is bump? " Besides, with finger inner surface II, III, IV investigates armpit area and above collar-bone is there is bump," its(the suggestion.

If in inspection x'self is got existence of bump at bosom, image of peel at bosom skin, one of mamilla interests into, existence of scabies or chafed of which is not recovered or existence of keropeng at mamilla area and bosom skin , rose colored bosom skin like dermatitis, its(the exit dilution from mamilla outside a period of suckling, existence of bump at armpit area and above collar-bone, better soon investigates x'self to expert medical doctor to get certainty does suffer bosom cancer or no.

" If in inspection there is compromising situations existence of bump / tumor at bosom, hence need to be done inspection of diagnostic supporter in the form of inspection of ultrasonografi and second mamografi of bosom," its(the flux.

If(when second result of the inspection is got existence of bump or tumor at bosom, hence the next step is done biopsy to can be in the form of open biopsy, core smooth biopsy and also needle biopsy. From result of biopsy is done [by] inspection of anatomy pathologist network, to determine is benjolan/tumor the bosom, including tame tumor or tumor ganas/kanker.

If(when is including malignant tumor, then is determined malignant tumor stadium, because of handling of ferocious tumor depend on its(the stadium. In general, according to him malignant tumor therapy modality is operation, especially at stadium early, cans be in the form of lifting of all bosom and armpit lymph gland ( KGB), or lifting some of bosoms and KGB armpit. Second is with radiotherapy, done ionizing radiation ( irradiating). Besides also is done chemoterapi namely drug administration of anticancer. Last is therapy hormonal, in the form of anti estrogen gift.

" Therapy of bosom cancer generally is combination therapy from the therapy modality, and in character differs in at a patient with other at the same stadium, supposed as therapy " Taylor made" or tailor, because tailor will make clothes of the size and model matching with condition of its(the cutomer?client," its(the beber.

He also mentions, bosom cancer is not fearful disease. Because with acurate handling as according to disease stadium will give result either. This as according to philosophy in surgical operation area of tumor namely debut is best, because second action cannot improve;repair debut mistake.

Based on statistic of the stadium early with correct handling of resilience number of life 5 year is 60 - 90 %, while resilience number of life 5 year at continuation stadium is 20-40 %.

" From numbers is upper indicating that invention of bosom cancer at stadium early and correct handling of vital importance," its(the flux.

Last, s(he suggests that woman to do Sarari routinely every 1 month, especially at the age of above 40 years or menopause woman. Besides, does inspection of ultrasonografi and mamografi bosom every 1 year , especially at above age woman 40 years. " Soon consultancy to expert medical doctor if got [by] situation of compromising bosom," its(the pungkas. ( endro sulfur effendi)

Original Link http://www.kaltimpost.web.id/berita/index.asp?Berita=ProKaltim&id=156563

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