- A lump that feels like a hard knot or a thickening in the breast or under the arm. It is important to feel the same area in the other breast to make sure the change is not a part of healthy breast tissue in that area.
- Change in the size or shape of the breast
- Nipple discharge that occurs suddenly, is bloody, or occurs in only 1 breast
- Physical changes, such as a nipple turned inward or a sore in the nipple area
- Skin irritation or changes, such as puckering, dimpling, scaliness, or new creases
- Warm, red, swollen breasts with or without a rash with dimpling resembling the skin of an orange, called “peau d’orange”
- Pain in the breast, particularly breast pain that does not go away. Pain is not usually a symptom of breast cancer, but it should be reported to a doctor.
If you are concerned about any changes you experience, please talk with your doctor. Your doctor will ask how long and how often you have been experiencing the symptom(s), in addition to other questions.
Exams and Tests
Diagnosis of triple-negative breast cancer starts with detection.
As with other breast cancers, a person may feel a small, hard bump on or near their breast. In other cases, a routine scan of the breasts may reveal an area of concern.
Once the growth is detected, a doctor will need to take tissue samples from it. In many cases, this is done with a needle that extracts samples from the suspected lump. The samples are sent to a lab for further testing.
The lab will return a pathology report to the doctor detailing what the growth is made of. In some cases it is benign, meaning there are no cancer cells. Other times, the pathology report indicates that it is cancerous.
What type of breast cancer a person has will be highlighted by the pathology report as well. Someone whose cancer does not fit into one of the three main categories will receive a diagnosis of triple-negative breast cancer.
Treatments
Treatment options for triple-negative breast cancer are limited compared to what is available for the other types of breast cancer.
Hormone therapies are found to be less effective because this type of cancer is not influenced by the three hormones associated with other breast cancers.
However, a few different options are available, and researchers are looking for additional medications to help treat this more aggressive breast cancer.
Currently, treatment options for triple-negative breast cancer include:
- surgery
- radiation
- chemotherapy
Surgical options include the partial or full removal of one or both breasts. Someone in the early stages of triple-negative breast cancer may not want to consider a mastectomy, as the first line of treatment.
In more advanced cases, a doctor may recommend a mastectomy to remove the cancer before it can spread.
Radiation is another potential treatment for people with triple-negative breast cancer. Radiation targets and kills the cancer cells to stop their growth and spread.
Studies suggest that chemotherapy may be the best treatment option for triple-negative breast cancer.
A general treatment plan should be developed between an individual and their doctor. The plan should outline what steps will be taken to treat the cancer, self-care, and what to do if the cancer does not respond to treatment or starts to spread.
An important part of treatment is for a person to remain active and eat a variety of healthy foods. Improving diet and exercise may help someone feel better during treatment.
Possible Complications
Researchers describe the outlook for cancer in 5-year survival rates. In the case of triple-negative breast cancer, people are less likely to survive the first 5 years after the diagnosis than those diagnosed with other types of breast cancer.
However, survival and overall prognosis vary from person to person. Many factors can affect an individual’s prognosis, including:
- when the cancer was discovered and treated
- what stage the cancer is and, whether or not it has spread
- how the cancer responds to treatment
In cases where the cancer is caught in earlier stages and treated effectively, a person has a much higher survival rate than if it is discovered in the later stages, where the cancer has spread or does not respond to treatment.
Preventions
Cancer prevention is action taken to lower the chance of getting cancer. By preventing cancer, the number of new cases of cancer in a group or population is lowered. Hopefully, this will lower the number of deaths caused by cancer.
To prevent new cancers from starting, scientists look at risk factors and protective factors. Anything that increases your chance of developing cancer is called a cancer risk factor; anything that decreases your chance of developing cancer is called a cancer protective factor.
Some risk factors for cancer can be avoided, but many cannot. For example, both smoking and inheriting certain genes are risk factors for some types of cancer, but only smoking can be avoided. Regular exercise and a healthy diet may be protective factors for some types of cancer. Avoiding risk factors and increasing protective factors may lower your risk but it does not mean that you will not get cancer.
Different ways to prevent cancer are being studied, including:
- Changing lifestyle or eating habits.
- Avoiding things known to cause cancer.
- Taking medicine to treat a precancerous condition or to keep cancer from starting.
- Risk-reducing surgery.