Breast Cancer

Breast cancer is most common cancer in Australian women. Breast cancer occurs when the cells lining the breast ducts or lobules grow abnormally and out of control.

There are two common broad groups of breast cancers:

  1. Pre-invasive: where the cancer cells are still confined to the ducts or lobules of the breast.
  2. Invasive: this means the cancer has spread outside the ducts or lobules of the breast into the surrounding tissue.

Breast screening is an important element in the response to breast cancer incidence in our communities. Some signs and symptoms to be aware of are:

  • A lump, lumpiness or thickening of the breast tissue
  • Changes to the nipple, such as a change in shape, crusting, a sore or ulcer, redness, unusual discharge
  • Changes to the skin of the breast, such as dimpling, unusual redness or other colour changes
  • A change to the shape of the breast, including increase or decrease in size
  • Swelling or discomfort in the armpit
  • Persistent pain that is not related to your normal menstrual cycle

TREATMENT OPTIONS
Breast cancer treatment is often a multidisciplinary effort, involving:

  1. Surgery
  2. Chemotherapy, and
  3. Radiotherapy

There are different approaches available for all three treatment modalities in terms of technique, treatment regimens and prescriptions. Your team of specialists will discuss and recommend what is best suited for your diagnosis.

As an example, for early stage breast cancer breast conserving surgery (lumpectomy) followed by a course of chemotherapy and then external beam radiotherapy is a common and standard treatment approach.

External Beam Radiotherapy for Breast Cancer
Radiotherapy has a vital role in the management of breast cancer.

It is used:

  • In conjunction with surgery (either lumpectomy - removal of the tumour itself - or mastectomy - removal of the breast, including the tumour)
  • Instead of surgery
  • In advanced cases of cancer for symptom control (palliation)

In each of these scenarios the treatment program is individualised for the patient based on the surgery undertaken, and the pathology and disease staging test results. Sometimes only the breast (or chest) requires radiation and sometimes both the breast and any affected lymph nodes are treated.

Routinely radiotherapy treatment is delivered using External Beam Radiotherapy, but brachytherapy is also a viable treatment option for certain patients. Your Radiation Oncologist is the best person to advise you on what treatment is required, how effective the therapy should be and how the treatment will affect you.

Brachytherapy for Breast Cancer
Brachytherapy may be used to treat some breast cancers. This involves implanting catheters into the cancer site to give a high-dose of radiation to a very localised area. This is called Accelerated Partial Breast Irradiation (APBI).

Our Ringwood and Footscray centres offer this advanced technique through its Integrated Brachytherapy Unit program. However, this is a selective radiotherapy technique so your Radiation Oncologist will be able to advise on your suitability for this treatment option.

AVAILABLE SERVICES
All of our Radiation Oncology Victoria centres are actively involved in breast cancer research and hold joint multidisciplinary clinics where patient cases are discussed by surgeons, radiation and medical oncologists so that optimal overall care and treatment planning can be achieved. These groups of specialist treatment physicians are also supported by pathologists and radiologists who provide important diagnosis reports and investigations.

Our treatment centres, in addition to providing the highest quality treatment services make support care via breast nurses and counsellors readily available. Link to Quick Links

Radiotherapy treatment services for breast cancer are available at the following Radiation Oncology Victoria centres:

External beam radiotherapy

Brachytherapy

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