Manuela Schwesig resigns from her post as a Commissioner of the SPD Federal Chairman. She received the diagnosis of breast cancer. He is by far the most common cancer in women in Germany. Detected early, it is curable disease. What are the symptoms to look for and how you can prevent it.
Mecklenburg-Vorpommern’s Prime Minister Manuela Schwesig back occurs because of a cancer disease from her post as a Commissioner of the SPD Federal Chairman. They announced at the Cabinet meeting on Tuesday in Schwerin, the state Chancellery announced.
“The good news is that This cancer is curable. However, medical treatment is necessary,“ said Schwesig. This will lead to you could not perceive in the coming months, on all days of public appointments. She was very confident, to be back fully healthy, so Schwesig more.
Breast cancer is the most common cancer in women in Germany, such as the centre for cancer registry data at the Robert Koch Institute (RKI) writes. Every eighth woman must expect to be for once in your life diagnosed with breast cancer face. Annually roughly 69,000 women are affected, according to the centre for cancer registry data on the breast cancer. It occurs in young women more frequently than other types of cancer.
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Symptoms of breast cancer
Doctors recommend women therefore, to investigate the age of 25 years on a regular basis.
Insidious breast cancer is, because he is a long time without apparent discomfort. Often, a Tumor is revealed only when women scan their Breasts. To detect a Tumor that is only in the case of a diameter of one centimeter. Doctors advise women to pay attention to the following warning signs:
- nodular thickening or hardening in the breast or armpit
- Shape or size differences of the Breasts
- Recovery of a nipple
- clear or bloody secretion from the nipple
- The recoveries of the breast skin in one place, orange skin or small dimples in the skin
- Skin redness or flaking
- unilateral burning pain or Pulling
Causes and risk factors of breast cancer
Although the risk of developing breast cancer increases from the age of 25 years. According to statistics from the Robert Koch Institute in women age 65 to 69 years, but the highest risk.
In addition, there are a number of other factors that affect the risk of a tumor. Hormones, predisposition and personal life-style include. Getty Images/iStockphoto
Lack of exercise and Obesity increase the risk of developing breast cancer. Movement, therefore, is a factor to breast to prevent cancer. According to the doctors organization GenoGyn women, on a daily basis 30 to 60 minutes be physically active have a 20 to 25 percent lower risk of breast cancer. This could be a Sport or even a brisk walk. Also, not helping it, to smoke and to reduce alcohol consumption as much as possible. Per day, it should be in women, therefore, not more than a glass of wine.
Diet also exercise a significant influence on the risk of cancer. A balanced diet consists of a lot of berries, fruit and vegetables, especially cabbage, was having a positive impact. Also whole-grain products, legumes and nuts should be on the dining plan, however, meat and sausage, two to three Times per week. You can also support your health, if you replace the animal by vegetable Oils. The help the experts to not only to reduce the risk of breast cancer, but also other types of cancer to prevent.
According to the woman’s medical Association of the female body requires folic acid, Omega-3 fatty acids, Vitamin D, pre – and probiotics, and phytoestrogens. These are, for example, contained in soy. In addition, women should avoid chronic Stress and to a healthy and restful sleep pay attention.
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The female sex hormones Estrogen and progesterone play in the development of breast cancer also have a role. The longer the hormone levels fluctuate on a monthly basis, the higher the disease is probability. Therefore, an early first rule, increase according to the Robert Koch-Institute hemorrhage and a later onset of menopause the risk. Also, hormone replacement therapies can increase the risk. Mothers who breast-feed their children also, in turn, have a lower risk than childless women. The more children and the longer the breastfeeding, the lower the risk of disease.
There are also risk factors over which we have no influence, such as, for example, the age or the genetic predisposition. About five to ten of 100 breast cancer patients have a so-called risk genes that trigger breast cancer. The most well-known are BRCA1 and BRCA2 (BRCA: Breast Cancer Gene, English for the Breast cancer gene). Approximately 50 to 80 percent of women with such a gene mutation will receive in the course of her life the diagnosis of breast cancer. Therefore, the disease in spite of all the preventive measures can not be avoided.
In recent years, the survival time and the chances of a cure for breast cancer significantly improves. This is partly due to the fact that breast cancer is now detected sooner. The health insurance companies pay for regular screening. According to the German cancer society, women between the ages of 30 and 49 and over 70 years of age, can go once a year to palpation. Women between 50 and 69 years of age can also get an annual mammography Screening make.
Therapy of breast cancer
There may be different is the biology of breast cancer is strong, do not have the same effect of medicines for each patient, but must be selected according to the molecular characteristics of the disease.
Based on these findings, the treatment of breast cancer has made tremendous progress. The three most common methods of treatment are combined in the case of breast cancer often are:
Surgery for breast cancer less radical
Onerous procedures, such as mastectomy (Amputation) and removal of the lymph nodes in the armpit to avoid the affected by the disease of women and Doctors, today, as much as possible. “The goal is to operate on the breast-holding,” says oncologist Olaf Ortmann, President of the German cancer society.
“In doing so in the last few years, with less radical Operation is equal to good healing chances or better chances of recovery than with the radical procedure.” Currently, only 20 percent of the cancer in the affected breast of patients far sooner that affected more than half of the affected women.
Today many women can be offered to the lymph nodes already in the process of the so-called Guardians of biopsy instead of an extensive lymph node removal. In a few years, it may be also possible that in the absence of an indication for a lymph node infection the appropriate armpit no longer operational, needs to be treated. The removal of the lymph nodes in this area is often associated with various problems, such as lymphedema.
Irradiation is more effective
After breast-conserving surgery will usually destroy a radiation therapy, the remaining cancer cells. In this treatment method, there are three new products:
Chemotherapy must not be in any case
Usually the breast cancer therapy of the triad of surgery, radiation and drug treatment. If chemotherapy is required, often combined with various cytotoxic drugs with each other, to meet the cancer in its different stages of development. The therapy by Infusion, but sometimes also in the form of tablets is possible.
In many cases, can be dispensed with, the treatment with cytostatics, such as, if the cancer is in a very early stage or if he has certain biological characteristics that make it vulnerable to attack by other drugs. These are, for example, anti-hormonal drugs.
Improved anti-hormonal therapy with new agents
Breast cancer is often hormone sensitive, which means it has receptors for Estrogen or progesterone. These hormones fire up, therefore, growth. You will be blocked, slowed down the tumor growth. This is achieved with an anti-hormonal drugs such as aromatase inhibitors. By a plurality of anti-hormonal therapies sequentially would treat women with metastatic Breast cancer often over long periods of time, very few side effects, reports Olaf Ortmann.
Targeted therapy with new drugs, also in the case of advanced breast cancer
In the case of other forms of breast cancer cells have HER2 receptors. The abbreviation stands for human epidermal growth factor receptor 2. HER2 receptors are binding sites for growth factors, which lead to the cancer cells which are rapidly dividing. Here, oncologists antibodies which block these receptors, such as the well-known Trastuzumab and a newer drug, Pertuzumab.
It’s promising, also a CDK4 inhibitor (cyclin-dependent kinases), whether the cancer specialist says. These are the inhibitors, the cell cycle of the tumor cell to break. They are suitable for combined treatment with anti-hormonal substances of advanced, meta-annotated breast cancer, the hormone-sensitive.
Gentler than chemotherapy
A particularly positive aspect of this relatively new anti-cancer drugs is that they trigger fewer side effects than chemotherapy.
Immunotherapy with Checkpoint inhibitors, the disease in other common cancers such as cancer of the skin is increasingly playing a role, is suitable for most forms of breast cancer (up to now) by the way even less. Only for the very rare but aggressive triple-negative breast cancer (no receptors for Estrogen, progesterone and HER-2) seems to be the immune therapy to be an Option.
Chances of cure is over 90 percent
All of these innovations, the forecast is improving for cancer of the breast drastically. “In all of the stages, the chance of Survival after ten years, an average of 80 per cent,” says Olaf Ortmann. Breast cancer is diagnosed at an early stage and he is still under two centimeters small, life is even more than 90 percent of patients after 15 years.
Characteristics of breast cancer detection and the proper treatment to select
The treatment of breast cancer is so effective: gentler for the patient, but more effective against the cancer cells. “The biology of this heterogeneous disease is playing an increasingly important role”, says the oncologist. To match the molecular characteristics of the tumor, the Doctors determine an individual therapy schedule for the patient.
Ideally, it is lifted in a the by the German cancer society certified breast cancer centres. Here, physicians work in an interdisciplinary Hand-in-Hand. New findings from research and innovative therapies are rapidly implemented and for each patient is made available. In the OncoMap of the German cancer society, you can find breast cancer centers in your area.
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