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Breast Health 1
With the new ultra-sensitive, high resolution
digital infrared cameras available today a technology that has been developing
over the past 20 years is creating renewed interest.
Canadian researchers recently found that infrared imaging of breast cancers
could detect
minute temperature variations related to blood flow and demonstrate abnormal
patterns
associated with the progression of tumors. These images or thermograms
of the breast
were positive for 83% of breast cancers compared to 61% for clinical breast
examination alone and 84% for mammography.
Thermography as a physiologic test, demonstrates heat patterns that are
strongly indicative of breast abnormality, the test can detect subtle
changes in breast temperature that indicate a variety of breast diseases
and abnormalities and once abnormal heat patterns are detected in the
breast, follow-up procedures including mammography are necessary to rule
out or properly di-agnose cancer and a host of other breast diseases such
as fibrocystic syndrome, Pagets disease, etc.
By performing thermography years before conventional mammography, a selected
patient
population at risk can be monitored more carefully, and then by accurately
utilize mammogra-phy or ultrasound as soon as is possible to detect the
actual lesion - (once it has grown large enough and dense enough to be
seen on mammographic film), can increase the patients treat-ment options
and ultimately improve the outcome.
It is in this role that thermography provides its most practical benefit
to the general public and to the medical profession. It is certainly an
adjunct to the appropriate usage of mammography and not a competitor.
In fact, thermography has the ability to identify patients at the highest
risk and actually increase the effective usage of mammographic imaging
procedures. Until such time as a cure has been found for this terrible
disease, progress must be made in the fields of early detection and risk
evaluation coupled with sound clinical decision making.
Thermography, with its non-radiation, non-contact and low-cost basis has
been clearly demon-strated to be a valuable and safe early risk marker
of breast pathology, and an excellent case management tool for the ongoing
monitoring and treatment of breast disease when used under carefully controlled
clinical protocols.
Breast Health 2
Digital Infrared Thermal Imaging (DITI) used for adjunctive Breast Disease
Screening Can Enhance Early Detection :
"Early detection saves lives"
DITI's role in breast cancer and other breast disorders is one of early
detection and monitoring of abnormal physiology and the establishment
of risk factors for the development or existence of cancer. When used
adjunctively with other laboratory and outcome assessment tools, the best
possible evaluation of breast health is made.
This fifteen-minute non invasive test, is a valuable adjunctive tool for
alerting gynecologists and primary care physicians to the possibility
of underlying breast disease. This test is designed to improve chances
for detection of fast-growing, active tumors in the intervals between
mammographic screenings or when mammography is not indicated by screening
guidelines for women under 50 years of age.
DITI may be especially appropriate for younger women under 50 whose denser
breast tissue makes it more difficult for mammography to pick up suspicious
lesions. This test can provide a 'clinical marker' to the physician just
before clinical breast examination as well as to the mammographer before
the mammogram is performed, that a specific area of the breast needs particularly
close examination."
Breast cancers tend to grow significantly faster in younger women under
age 50:
Source:
Cancer 71:3547-3551, 1993
The faster a malignant tumor grows, the more heat it generates. For younger
women in particular, results from DITI screening can lead to earlier detection
and ultimately, longer life.
More than 90 percent of women diagnosed with early stage, localized cancer
are alive five years later, yet only 58% of cancers are diagnosed at this
stage according to the American Cancer Society.
During a clinical breast examination, a physician must rely on fingers
(or palpation) and eyesight to detect tumors in the breast, which for
women under age 50 may often occur when cancer is no longer localized
or confined to the breast. DITI screening can provide an alert before
clinical breast exam or referral to mammography, Sonography, or MRI so
as to enhance early detection by the physician.
DITI is indicated for women of all ages, particularly in the age group
30 - 50 and women of any age in a high risk group. Examination recall
is dependant on Thermogram result, age, previous history and risk group
and can be 3 monthly, 6 monthly, or 12 monthly.
AGE AVERAGE TUMOR DOUBLING TIME
Under 50 80 Days
Age 50 - 70 157 Days
Over Age 70 188 days
Breast Health 3
90% of Breast Health problems are benign - not Cancer.
Abnormalities may include:
CYSTS
They are NOT related to breast cancer.
About 60% of women will have at least one cyst during their lifetime.
Cysts are collections of fluids in breast tissue.
They are usually small and do not cause problems, but may increase in size,
form a lump, or cause pain or tenderness.
Cysts occur most commonly between the ages of 35 and 50 years and especially
between 42 and 48 years.
They are uncommon after menopause except in women on Hormone Replacement
Therapy.
HORMONAL THICKENING
Hormonal thickening is NOT related to the development of breast cancer.
This can occur at any age during the reproductive years and may come and
go.
It is a response to hormone changes and is often related to pre-menopausal
breast
tenderness. It usually disappears naturally after menopause.
Further diagnosis can be made with a combination of breast examination,
mammography, ultrasound and needle biopsy.
No treatment is necessary unless there is pain.
FIBROADENOMA
They are not related to breast cancer but do need to be accurately diagnosed.
This can usually be done by needle biopsy
These are very common nodules in the breast and are commonly benign.
They are common in young women (under 25) but can occur at any age. They
appear as oval, tender masses and may not be able to be felt as lumps.
Many women have more than one.
Diagnosis is usually made by ultrasound, needle biopsy and mammography (in
older women).
They may be removed by surgery but this is not essential.
NIPPLE DISCHARGE
Most nipple discharges are harmless - particularly if the discharge comes
from more than one duct and from both nipples.
If the discharge is bloodstained or watery it is important to see your Doctor.
These discharges are due to the production of fluid by normal breast cells
in response to hormones.
90% of Breast Conditions are Not Cancer
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