Breast Cancer

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Staging

Breast cancer may be divided into several stages, reflecting the size of the tumor and the extent to which the cancer has spread in the body. Generally, the lower the number of the stage, the less the cancer has spread. Determining the stage of a cancer can aid in treatment decisions and establishing a prognosis, i.e., predicting the course of the disease and the chances of remission and/or recurrence.

Stage Size of the tumor Location
Stage 0   Confined within the ducts (ductal carcinoma in situ, DCIS) or confined within the lobules (lobular carcinoma in situ, LCIS)
Stage I Less than 2 cm (3/4 inch) across Tumor has spread beyond the ducts but is still confined within the breast tissue
Stage II  
Stage IIA Less than 2 cm across Spread to lymph nodes in the armpit (axilla)
  Between 2 and 5 cm (3/4 to 2 inches) across No spread to the lymph nodes
Stage IIB 2 to 5 cm across Spread to the lymph nodes
  Larger than 5 cm across No spread to the lymph nodes
Stage III  
Stage IIIA   Spread to lymph nodes in the armpit that are attached to each other or other structures and may have spread to lymph nodes behind the breast bone
Stage IIIB Any size

Spread to chest wall or skin of the breast; may have spread to lymph nodes in the armpit and may have spread to behind the breast bone

Inflammatory breast cancer, a rare type of cancer that does not form a lump, usually falls into this category because it is aggressive.

Stage IIIC Any size Spread to lymph nodes in the armpit and to lymph nodes either behind the breast bone or above the collar bone
Stage IV Any size Spread to distant organs such as bone or liver
Recurrent Any size Breast cancer that was undetected after treatment but is now detectable in any area of the body
  • Non-invasive - the cancer cannot be felt as a lump in the breast, but ductal carcinoma in situ (DCIS) can sometimes be detected by mammography.
  • Early or locally advanced - the cancer may be detected through a breast self-exam, by a clinical breast exam performed by a health care professional, or by mammography.
  • Metastatic - treatment requires the combined effort of several specialists, including surgeons, oncologists, and radiologists.

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