Breast Cancer Care

Trust in World-Class Breast Cancer Treatment

We know how quickly a breast cancer diagnosis can change your life and the lives of those you love. We also know the unshakable strength of the human spirit, the power that lies in a strong support system, and the ever-evolving possibilities of modern medicine. Our team of leading breast cancer specialists at AdventHealth comes face-to-face with it every single day, treating patients and participating in hundreds of clinical trials.

From our fellowship-trained surgeons and medical oncologists to our pathologists, radiologists, social workers and genetic testing specialists, we’re beside you throughout your cancer journey, fighting with you and for you to help you stay strong, determined and hopeful.

What is Breast Cancer?

Breast cancer is a type of cancer that forms in the cells of the breast. It can occur in both men and women, but it's far more common in women. Breast cancer usually begins in the milk ducts (ductal carcinoma) or the lobules (lobular carcinoma) of the breast tissue.

Like other forms of cancer, breast cancer occurs when cells begin to grow uncontrollably, forming a tumor. These cancerous cells can spread (metastasize) to other parts of the body if left untreated.

Fighting Breast Cancer With You and for You

Information can be empowering. Learn more about your risks for breast cancer, as well as our approach to detecting and treating it.

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Answering Your Breast Cancer Questions

Our oncologists are here to answer your questions, and if you’re diagnosed, we’ll make sure you have all the information you need to feel informed and comforted.

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  • Question: What is breast cancer?

    Answer:

    Breast cancer is a disease where cells in the breast grow uncontrollably, forming a tumor that can often be felt as a lump or seen on an X-ray. It can develop in different areas of the breast, including the ducts, lobules or connective tissue.

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    Early detection through regular screening mammograms can significantly improve outcomes, and it’s important to consult a health care provider if you notice anything unusual.

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  • Question: What are the different types of breast cancer?

    Answer:

    Breast cancer is categorized based on where the cancer originates and whether it is invasive or noninvasive. Understanding these types helps in determining the appropriate treatment and prognosis.

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    Ductal Carcinoma in Situ (DCIS)

    This is a noninvasive cancer where abnormal cells are found in the lining of the breast milk duct. DCIS is considered the earliest form of breast cancer and is highly treatable. Since it hasn’t spread beyond the ducts, it is sometimes referred to as stage 0 breast cancer.

    Invasive Ductal Carcinoma (IDC)

    This is the most common type of breast cancer, making up about 80% of all diagnoses. IDC begins in the milk ducts and then spreads to the surrounding breast tissue, with the potential to spread to other parts of the body. Early detection and treatment are crucial for managing IDC effectively.

    Lobular Carcinoma in Situ (LCIS)

    Though called a carcinoma, LCIS is not a true cancer but an indicator that a person has an increased risk of developing breast cancer. Abnormal cells are found in the lobules, which are the milk-producing glands. LCIS itself doesn't spread outside the lobules, but it raises the risk of invasive breast cancer.

    Invasive Lobular Carcinoma (ILC)

    The second most common type of breast cancer, ILC starts in the lobules and spreads to nearby tissues. ILC can be more challenging to detect on mammograms than IDC, often appearing as a thickening in the breast rather than a lump. It’s essential to diagnose and treat ILC early to prevent it from spreading further.

    There are also other less common types of breast cancer, such as inflammatory breast cancer, triple-negative breast cancer and HER2-positive breast cancer, each with unique characteristics and treatment approaches.

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  • Question: Can men get breast cancer?

    Answer:

    Yes, men can develop breast cancer, although it is much rarer compared to women. Men have breast tissue, and factors like genetic mutations or elevated estrogen levels can increase their risk.

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    Early detection and awareness are crucial for men, just as they are for women, to ensure timely and effective treatment.

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  • Question: How common is breast cancer?

    Answer:

    Breast cancer is the most commonly diagnosed cancer among women worldwide, accounting for a significant number of cancer cases each year.

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    According to the World Health Organization (WHO), in 2020 alone, there were approximately 2.3 million new cases of breast cancer, making it the most prevalent cancer globally. In the United States, the American Cancer Society estimates that about 1 in 8 women (12.5%) will develop invasive breast cancer during their lifetime.

    Although breast cancer is much less common in men, they are not immune. About 1 in 726 men will be diagnosed with breast cancer during their lifetime, according to the American Cancer Society.

    Regular screening and early detection are crucial strategies for managing breast cancer effectively. Mammograms can help detect breast cancer early when it is most treatable, significantly improving survival rates. For example, the five-year relative survival rate for breast cancer detected at an early localized stage is around 99%, emphasizing the importance of early intervention.

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  • Question: What causes breast cancer?

    Answer:

    The exact cause of breast cancer isn’t fully understood, but a variety of factors contribute to its development. It’s likely a combination of genetic, environmental and lifestyle elements:

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    • Genetic factors: Inherited mutations in certain genes, such as BRCA1 and BRCA2, significantly increase the risk of breast cancer. A family history of breast cancer can also elevate risk due to shared genetic mutations.
    • Hormonal influence: Hormones play a crucial role in breast cancer development. Long-term exposure to estrogen and progesterone, such as from hormone replacement therapy or certain birth control methods, can increase your risk.
    • Lifestyle factors:
      • Alcohol consumption: Regular intake of alcohol is linked to a higher risk of breast cancer. The more alcohol consumed, the greater the risk.
      • Obesity: Being overweight or obese after menopause increases breast cancer risk, likely due to higher estrogen levels produced by fat tissue.
      • Physical inactivity: A sedentary lifestyle can increase the risk of developing breast cancer. Regular physical activity helps maintain a healthy weight and may reduce risk.
    • Radiation exposure: Previous exposure to radiation, especially during childhood or young adulthood, can increase the risk of breast cancer.
    • Reproductive history: Certain reproductive factors, such as having a first child at an older age, not having children or not breastfeeding, can also influence breast cancer risk.

    While breast cancer can’t always be prevented, understanding these risk factors can help individuals take steps to reduce their likelihood of developing the disease. Regular screenings and healthy lifestyle choices are important preventive measures.

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  • Question: Is breast cancer genetic?

    Answer:

    Breast cancer can have a genetic component, with inherited mutations such as BRCA1 and BRCA2 significantly raising the risk. People with a strong family history of breast cancer can benefit from genetic testing and consistent screenings like routine mammograms.

  • Question: How is breast cancer diagnosed?

    Answer:

    We take a comprehensive approach to diagnosing breast cancer to identify the disease early and accurately. The process typically includes several key steps:

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    • Physical examination:
      • A health care provider performs a clinical breast exam to feel for lumps or other abnormalities in the breast and underarm area.
      • Self-examinations can also be helpful for people to notice any changes in their breasts early on.
    • Imaging tests:
      • Mammogram: A mammogram is an X-ray of the breast and is often the first imaging test used to detect any abnormalities, even before symptoms develop.
      • Ultrasound: Ultrasounds are used to further evaluate an area of concern found on a mammogram, particularly to distinguish between solid masses and fluid-filled cysts.
      • Magnetic resonance imaging (MRI): An MRI can provide detailed images of the breast and is particularly useful for high-risk individuals or for further evaluating findings from other imaging tests.
    • Biopsy:
      • This procedure removes a small sample of breast tissue or fluid from a suspicious area to determine if cancer cells are present.
      • Types of biopsies include fine-needle aspiration, core needle biopsy and surgical biopsy.
    • Pathology report:
      • The biopsy sample is analyzed in a lab to identify the type of breast cancer and its characteristics, such as hormone receptor status (ER, PR) and HER2 status.
      • This detailed report helps doctors create an effective treatment plan.
    • Additional tests:
      • In some cases, further tests like blood work or PET scans may be done to assess if the cancer has spread to other parts of the body.
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  • Question: What are some treatments for breast cancer?

    Answer:

    Breast cancer treatment is tailored to each individual based on the type and stage of cancer, as well as the patient’s overall health and preferences.

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    Common treatment options include:

    • Surgery:
      • Lumpectomy: This procedure removes the cancerous tumor and a small margin of surrounding tissue while preserving most of the breast.
      • Mastectomy: A mastectomy removes the entire breast, sometimes including nearby tissues such as lymph nodes.
    • Radiation therapy:
      • This therapy uses high-energy rays to target and destroy cancer cells and is often used after surgery to eliminate any remaining cancerous tissue.
    • Chemotherapy:
      • Chemotherapy, or chemo, is a systemic treatment with medications that destroy cancer cells or stop them from growing. It is often used before surgery (neoadjuvant) to shrink tumors or after surgery (adjuvant) to eliminate remaining cancer cells.
    • Hormonal therapy:
      • This treatment is used for hormone receptor-positive breast cancers to block hormones like estrogen and progesterone that fuel cancer growth.
      • Common medications used in hormonal therapy include tamoxifen and aromatase inhibitors.
    • Targeted therapy:
      • This therapy targets specific characteristics of cancer cells, such as HER2-positive breast cancer, using medications like trastuzumab (Herceptin).
    • Immunotherapy:
      • Immunotherapy enhances the body’s immune system to better attack breast cancer cells and is particularly used for triple-negative breast cancer in certain cases.
    • Clinical trials:
      • People can participate in research studies that test new treatments or combinations of treatments, providing access to leading-edge therapies.

    Each treatment plan is individualized, often combining multiple approaches to maximize effectiveness and reduce the risk of recurrence.

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Find Breast Cancer Care You Can Count On

You’ve got this, because you’ve got us. Get the expert care and support you need to face cancer and reclaim your life.

Oncology Specialists Dedicated to You

We’re passionate about providing highly personalized and specialized care for numerous types of cancer.

Learn more about other AdventHealth General Oncology Specialties and Services.

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