Why Choose Wake Forest Baptist for Your Breast Cancer Care?
Known as compassionate and caring specialists, our team works together to give each patient the right combination of advanced treatment, access to the right resources, and above all, hope.
The Breast Care Center at the Wake Forest Baptist Comprehensive Cancer Center is proud to provide our patients with:
A Breast Imaging Center of Excellence incorporating mammography, ultrasound, MR and image-guided biopsy and staffed by experts in breast imaging.
Multidisciplinary care. Our system streamlines breast cancer diagnosis, treatment and follow-up. Our surgical oncologists and plastic surgeons also work in tandem to plan and perform breast reconstructions.
Specialists who are experts at breast cancer treatment. Our physicians work collaboratively to identify the most effective treatment options for each breast cancer patient.
Personalized breast cancer treatment plans. In most cases, patients can meet with multiple physicians in a single day and leave with a treatment plan in place.
Clinical trials and basic research. By combining laboratory and clinical research, patients receive the latest advances in breast cancer diagnosis and treatment.
Nurse clinicians and patient navigators are on staff.
Types of Breast Cancer We Treat
- Benign (non-cancerous) breast conditions including breast pain, breast masses, nipple discharge, fibroadenoma and sclerosing adenosis
- Pre-cancerous or other conditions that have a higher risk of leading to breast cancer, including atypical ductal or lobular hyperplasia
- Breast cancer caused by genetic mutations like BRCA1, BRCA2, and CHEK2
- Common breast cancers including ductal carcinoma in situ (DCIS), invasive ductal carcinoma and lobular carcinoma
- Breast cancer in young women (age 40 and under). Learn more about the Young Women's Breast Cancer Program
- Rare breast cancers including inflammatory breast cancer, metaplastic breast cancer and male breast cancer
Breast Cancer Risk Factors
There are many different risk factors for breast cancer including:
Age. Most cases of breast cancer occur in women older than age 60. According to the American Cancer Society, about 1 in 8 cases of invasive breast cancer are found in women younger than age 45, while 2 in 3 cases of invasive breast cancer are found in women ages 55 and older.
Race and Ethnicity. Breast cancer is slightly more common among white woman than African-American, Asian, Latina, or Native American women. However, African-American women tend to have more aggressive types of breast cancer tumors and are more likely to die from breast cancer than women of other races.
Breast cancer is also more prevalent among Jewish women of Eastern European (Ashkenazi) descent.
Family and Personal History. Women who have a family history of breast cancer are at increased risk for developing breast cancer themselves. Having a first-degree relative (mother, sister, or daughter) who has been diagnosed with breast cancer doubles the risk for developing breast cancer.
Women who have had ovarian cancer are at increased risk for developing breast cancer. A personal history of breast cancer increases the risk of developing a new cancer in the same or other breast.
Genetic Factors. 5 to 10% of breast cancer cases are due to inherited genetic mutations.
Breast Cancer Symptoms
Early breast cancer often does not cause symptoms. This is why regular breast exams and mammograms are important, so cancers that don't have symptoms may be found earlier.
As the cancer grows, symptoms may include:
- Breast lump or lump in the armpit that is hard, has uneven edges, and usually does not hurt.
- Change in the size, shape, or feel of the breast or nipple. For example, you may have redness, dimpling, or puckering that looks like the skin of an orange.
- Fluid from the nipple. Fluid may be bloody, clear to yellow, green, or look like pus.
In men, breast cancer symptoms include breast lump and breast pain and tenderness.
Symptoms of advanced breast cancer may include:
- Bone pain
- Breast pain or discomfort
- Skin ulcers
- Swelling of the lymph nodes in the armpit (next to the breast with cancer)
- Weight loss
Breast Cancer Diagnosis
Women should keep aware of how their breasts look and feel. If you notice changes that persist, discuss your concerns with your physician. Some of these symptoms may be caused by conditions that are not cancer.
Women are encouraged to perform breast self-exams monthly. If you feel a lump or questionable mass during a self-exam, schedule an appointment with your doctor. During a physical exam, your physician will check both your breasts, armpits and your neck and chest area.
Tests used to diagnose and monitor people with breast cancer may include:
- Breast MRI to help better identify the breast lump or evaluate an abnormal change on a mammogram
- Breast ultrasound to show whether the lump is solid or fluid-filled
- Breast biopsy, using methods such as needle aspiration, ultrasound-guided, stereotactic, or open
- CT scan to check if the cancer has spread outside the breast
- Mammography to screen for breast cancer or help identify the breast lump
- PET scan to check if the cancer has spread
- Sentinel lymph node biopsy to check if the cancer has spread to the lymph nodes
If your doctor learns that you do have breast cancer, more tests will be done. This is called staging, which checks if the cancer has spread. Staging helps guide treatment and follow-up. It also gives you an idea of what to expect in the future.
Breast cancer stages range from 0 to IV. The higher the stage, the more advanced the cancer.
While most women with an abnormal mammogram do not have cancer receiving a definitive breast cancer diagnosis is the only way to alleviate concerns. For those who do have cancer, it is important to evaluate breast cancer treatment options and determine a course of action as quickly as possible.