< /iframe></noscript><div id="__next" data-reactroot=""><div class="page-title-area bg-3"><div class="d-table"><div class="d-table-cell"><div class="container"><div class="page-title-content"><h1>Breast Cancer: Insights from an Oncologist's Perspective</h1><ul><li><a href="/">Home</a></li><li class="active">Breast Cancer: Insights from an Oncologist's Perspective</li></ul></div></div></div></div></div><div class="blog-details-area ptb-100"><div class="container"><div class="row"><div class="col-lg-8 col-md-12"><div class="blog-details-desc"><img src="//images.ctfassets.net/gd961kukku04/4kxdXSc0YnvR9j2aqMoc5q/ccc12a56cb81558a68114131adba534d/Untitled_design__4_.png" alt="Breast Cancer: Insights from an Oncologist's Perspective"/><div class="article-content"><div class="entry-meta mb-1"><ul><li><span>Posted on</span> <a href="#">4/14/2025<!-- --> </a></li><li><span>Posted By</span> <a href="#">MyidocUsa</a></li></ul></div><h1>Breast Cancer: Insights from an Oncologist's Perspective</h1><div class="rich-text-content"><h3>Why and How to do a Breast Self Exam?</h3><ul><li><p>A breast self-exam is an exam you can do yourself to check for any breast abnormalities.</p></li><li><p>When you do a breast self-exam, you check for lumps, thickening, or dimples in the breast.</p></li><li><p>You also check for lumps in your underarms and discharge from the nipple.</p></li><li><p>These exams can help you notice changes that need to be checked further.</p></li><li><p>When breast cancer is found early and treated right away, the chances for cure are much better.</p></li></ul><hr/><h3>How to Perform a Breast Self-Exam:</h3><ol><li><p><b>Lie down and put your left arm under your head.</b></p><ul><li><p>This spreads the breast tissue more evenly on the chest.</p></li><li><p>Use your right hand to examine your left breast. With the flat part of your 3 middle fingers, press gently in small circular motions over the entire area, checking for any lump, hard knot, or thickening.</p></li><li><p>Use light, medium, and firm pressure to feel different levels of the breast tissue.</p></li><li><p>Be sure to check the whole breast, from your collarbone above your breast and down until you feel only ribs below.</p></li></ul></li><li><p><b>Switch sides.</b></p><ul><li><p>After checking your left breast, put your right arm under your head and use your left hand to examine the right breast in the same way.</p></li></ul></li><li><p><b>Check in the mirror.</b></p><ul><li><p>Look at your breasts while standing in front of a mirror with your hands pressing firmly on your hips.</p></li><li><p>Look for new lumps, differences in size or shape, swelling, or dimpling of the skin.</p></li></ul></li><li><p><b>Check underarms.</b></p><ul><li><p>Slightly raise one arm and then the other to check your underarm areas for lumps.</p></li></ul></li><li><p><b>Check nipple discharge.</b></p><ul><li><p>Gently squeeze the nipple of each breast between your thumb and index finger to check for fluid.</p></li></ul></li></ol><hr/><p>If you're unsure you're doing it right, ask your healthcare provider to show you.</p><p><b>Call us immediately if you notice any of the following:</b></p><ul><li><p>A lump of any size (usually not painful)</p></li><li><p>Nipple pain or the nipple turning inward</p></li><li><p>New wrinkling or dimpling of the skin</p></li><li><p>Redness or a scaly rash on the nipple and surrounding skin</p></li><li><p>Discharge of fluid from the nipple</p></li></ul><hr/><h3>What Causes Breast Cancer</h3><ul><li><p>Aging</p></li><li><p>Physical inactivity</p></li><li><p>Obesity/weight after menopause</p></li><li><p>Early menarche, late menopause</p></li><li><p>Hormone Replacement Therapy</p></li><li><p>Familial & Hereditary causes</p></li></ul><hr/><h3>Types of Breast Cancer</h3><p><b>Lobular:</b></p><ul><li><p>Can be multi-centric, bilateral</p></li><li><p>Arises from the glands that produce breast milk</p></li><li><p>Makes up 15–20% of breast cancers</p></li></ul><p><b>Ductal:</b></p><ul><li><p>Arises from the ducts that carry milk from glands to the nipple</p></li><li><p>Comprises 80% of breast cancers</p></li></ul><hr/><h3>Staging (TNM Classification)</h3><ul><li><p><b>Stage I:</b> Less than 2 cm, no lymph node involvement</p></li><li><p><b>Stage II:</b> Greater than 2 cm but less than 5 cm, or lymph node involvement</p></li><li><p><b>Stage IV:</b> Distant metastasis</p></li></ul><hr/><h3>Treatment Modalities</h3><ul><li><p><b>Surgery</b></p></li><li><p><b>Radiation</b></p></li><li><p><b>Hormone modulation therapy</b></p></li><li><p><b>Chemotherapy</b></p></li></ul><p>Factors like cancer stage, prognostic markers, and patient performance status guide treatment decisions. Each patient’s treatment is personalized according to NCCN guidelines and best practices.</p></div></div></div></div><div class="col-lg-4 col-md-12"><div class="blog-right-sidebar"><div class="widget-area" id="secondary"><div class="widget widget-peru-posts-thumb"><h3 class="widget-title">Latest Posts</h3><div class="post-wrap"><p>Loading latest posts...</p></div></div><div class="widget widget_tag_cloud"><h3 class="widget-title">Tags</h3><div class="post-wrap"><div class="tagcloud"><a href="/blog-grid/?tag=Breast%20Cancer">Breast Cancer</a><a href="/blog-grid/?tag=Oncologist%27s">Oncologist's</a><a href="/blog-grid/?tag=Oncologist%27s%20Perspective">Oncologist's Perspective</a></div></div></div></div></div></div></div></div></div><div class="subscribe-area"><div class="container"><div class="row align-items-center"><div class="col-lg-6"><h2>Subscribe to Our Newsletter</h2><p>Stay updated with our latest news and offers.</p></div><div class="col-lg-6"><form 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Lie down and put your left arm under your head. This spreads the breast tissue more evenly on chest.","- Use your right hand to examine your left breast. With the flat part of your 3 middle fingers, press gently in small circular motions over the entire area of the breast, checking for any lump, hard knot, or thickening. Use different degrees of pressure--light, medium, and firm-- to feel breast tissue at different levels in your breast.","- Be sure to check the whole breast, from your collarbone above your breast and down until you feel only ribs below your breast.","2. After checking your left breast, put your right arm under your head. Use your left hand to examine your right breast in the same way you checked your left breast.","3. Look at your breasts while standing in front of a mirror with your hands pressing firmly down on your hips. Look for lumps, new differences in size and shape, and swelling or dimpling of the skin.","4. While standing or sitting, slightly raise one arm, then the other, so you can check your underarm area for lumps","5. Squeeze the nipple of each breast gently between your thumb and index finger to check for discharge or fluid from the nipples","- If you want to check to see if you are doing the exam the right way, ask your healthcare provider to show you how to do it.","If you notice any of the following changes in your breast, call us ASAP for evaluation:","- You have a lump of any size. Usually the lump is not tender","- Your nipple is painful or it turns into the breast","- You have new wrinkling or dimpling of the skin","- The nipple and surrounding skin is red or has a scaly rash","- You have a discharge of fluid from the nipple"],"conclusion":["- Aging","- Physical inactivity","- Weight after menopause/obesity","- Early menarche, late menopause","- Hormone Replacement Therapy","- Familial \u0026 Hereditary causes"],"subParts":{"stages":["Lobular:","- Can be multi-centric, bilateral","- Arises from the glands that produce breast milk","- It's about 15%-20% of Breast Cancers","Ductal:","- Arises from the ducts that carry the breast milk from the glands to the nipple","- Comprises 80% of Breast Cancers","Staging:","Staging and Management: TNM classification explained.","- Stage I: \u003c2cm, No LN involvement","- Stage II: \u003e2cm but \u003c5cm, or LN involvement","- Stage IV: Distant metastasis"],"treatments":["These include:","1. Surgery,","2. Radiation,","3. Hormone modulation therapy,","4. Chemotherapy","- To decide on the best treatment several factors are taken into consideration to include patient stage, prognostic markers, patient performance status, and others.","- Each patient's treatment is personalized to a certain extent while still following NCCN guidelines and best practices."]}},{"id":"celiac-disease","postedOn":"Posted on","postedDate":"15th October 2022","postedBy":"Posted By","postedPerson":"Dr. Shahid Abbas","title":"Immunotherapy for Wheat Allergy and Coeliac Disease","introduction":{"introduction":"Dr Shahid Abbas has developed a novel concept of treating the Celiac Disease with Sublingual Immunotherapy and presented his research in the World Allergy Congress","place":"2022, Istanbul-Turkey.","synopsis":"Since all the auto immune diseases can be treated with immunotherapy. Here is a review of the abstract presented at the Congress.","general":["Oral Presentation on 15th October 2022 in World Allergy Congress, Istanbul-Turkey"]},"background":["Celiac Disease (CD), Gluten Sensitivity (GS), and Wheat Allergy (WA) are all due to wheat or components of wheat. 4 major proteins in wheat that can cause allergy and coeliac disease i.e. albumins, globulins, prolamins, and gluten. Wheat allergy (WA), Gluten sensitivity (GS or NGCS), and Coeliac disease are mainly caused by gluten-containing major proteins glutenin and gliadins. IgE-mediated wheat allergy is caused by insoluble gliadin \u0026 w-5 gliadin causes wheatinduced anaphylaxis. Wheat depended on exercise-induced anaphylaxis caused by omega-5 gliadin. CD is autoimmune, WA is immune type 1 hypersensitivity, GS is non-celiac gluten sensitivity (NGCS) is neither autoimmune nor has an allergic basis. There are numerous reports of the association of CD with other wheat-related disorders and the coexistence of wheatassociated disorders"],"objectives":["Gluten and Gliadin peptides cross the villi and initiate an immune response. Gluten is deamidated by tissue transglutaminase (tTG) enhancing immunogenicity and increase in proinflammatory cytokines by CD4 + T Cells leading to villous atrophy. Gluten is taken up by APCs and presented to gluten reactive CD4 T Cells which induce Th1 and Th17 mediated immune response and increased production of proinflammatory cytokines IFN Gamma."],"conclusion":["Wheat immunotherapy improves IgE mediated Wheat Allergy and Gluten sensitivity (by induction of tolerance). Gluten peptides taken up by the DQ2.5 positive Dendritic Cells recognized by TCR on CD4 + T cells leading to increased production of IL10. 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