Breast Cancer is one of the most prevalent cancers in women today. It affects almost 13,000 women under the age of 40 on a yearly basis. Breast cancer makes up for 40 % of all cancer cases in women in this age group. In fact, 1 in 8 women are at the risk of developing breast cancer. Which is why it is extremely important for young girls and women to arm themselves with all there is to know about breast cancer.
What Is Breast Cancer?
Breast cancer is the cancer that specifically targets and settles in the breasts of an individual. The cancer cells form in the lobules, the glands that are responsible for milk production and milk ducts of the breasts from where they may or may not spread out to other parts of the body starting from the chest and under arms. The cancer forms in the first place due to mutations in the individual’s genes that lead to unregulated growth, division and multiplication of cells, these cells are cancer cells.
Like all cancers Breast cancer also has different types of cancers, invasive, non invasive, metastasized and so on. There are many different ways to describe the cancers and it’s fairly easy to get confused.
So we thought we’d give you a short but comprehensive guide on the different kinds of cancers classified under Breast cancer. As they say, knowledge is power.
How is the Type of Breast Cancer determined?
It’s determined by the specific cells in the breast that are affected. Most breast cancer cases are often carcinomas i.e. tumors that start in the epithelial cells. Epithelial cells are those cells that line organs and tissues throughout one’s body. When carcinomas form in the breast, they are usually a very specific type known as adenocarcinoma, that occur in the milk ducts and lobules as mentioned above.
Non- Invasive Breast Cancer Or Ductal Carcinoma In Situ (Dcis)
Ductal Carcinoma In Situ (DCIS) also known as Intraductal Carcinoma is a non-invasive or pre-invasive breast cancer that starts in a milk duct and has not grown into the rest of the breast tissue.
Invasive Breast Cancer (ILC or IDC)
Invasive (or infiltrating) breast cancer is the kind that goes beyond the are it starts and ends up spreading into the surrounding breast tissue. The most common types are Invasive Ductal Carcinoma and Invasive Lobular Carcinoma. In fact, Invasive Ductal Carcinoma makes up about 70-80% of all breast cancers.
Special Types Of Invasive Breast Cancers
Some invasive breast cancers have special features or develop in different ways that affect their treatment and outlook. These cancers are less common but can be more serious than other types of breast cancer.
1. Triple-negative Breast Cancer
Triple-negative breast cancer is an aggressive type of invasive breast cancer and makes up about 15% of all breast cancers. Triple-negative breast cancer is cancer that tests negative for estrogen receptors, progesterone receptors, and excess HER2 protein. Which means that it is not a cancer that driven by hormonal excesses and cannot be treated with hormone therapy. Triple-negative Breast Cancer is a difficult cancer to treat.
2.Inflammatory Breast Cancer
Inflammatory breast cancer is an uncommon invasive breast cancer. A rare and incredibly aggressive disease in which cancer cells block lymph vessels in the skin of the breast. It is called “inflammatory” cancer because the affected breast often looks swollen and red, or inflamed. Inflammatory breast cancer accounts for about 1% to 5% of all breast cancers.
Less Common Types Of Breast Cancer
These cancers are much less common, and sometimes need different types of treatment, they often affect different kinds of cells from the ones mentioned above.
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Paget Disease Of The Breast
Paget disease of the breast starts in the breast ducts and spreads to the skin of the nipple and then to the areola (the dark circle around the nipple). Giving the outwardly appearance of eczema, with skin changes especially around the nipple of the breast. A rare cancer that accounts for 1-3% of all cases of breast cancer. -
Phyllodes Tumor
Phyllodes tumors are rare breast tumors. They develop in the connective tissue i.e. the stroma of the breast, in contrast to carcinomas, which develop in the ducts or lobules. Most are benign, but there are others that are malignant which are cancerous. -
Angiosarcoma
Sarcomas in the breast are rare, they make up less than 1% of all breast cancers. Angiosarcoma starts in the cells that line blood vessels or lymph vessels it can also involve the breast tissue or skin of the breast. Angiosarcomas can be related to prior radiation therapy in that area.
While normal breast tissue can be lumpy, it is important to know how and what your breasts feel like on a daily basis. Once you know the general shape and feel of them, figuring out recent developments or changes will be easier.
While the changes in your breast don’t conclusively prove anything, it is good to be aware and proactive about them. This way finding a lump or change in the existing lump size will be more effective as well, which is why a lot of women do self breast exams in the first place. Visiting your doctor promptly is important so that the changes can be evaluated professionally. Bi-annual mammograms are also a good option.
FAQ’s
2. What is Ductal Carcinoma In Situ (DCIS)?
DCIS is a non-invasive or pre-invasive form of breast cancer where abnormal cells are found in the milk ducts of the breast, but have not spread to surrounding tissue. The SOFY article explains that DCIS is an early stage and is significant because its detection offers high potential for successful treatment and prevention of progression.
3. What are the main types of invasive breast cancer?
The most common types of invasive breast cancer are Invasive Ductal Carcinoma (IDC) and Invasive Lobular Carcinoma (ILC). IDC starts in the milk ducts and invades nearby tissue; ILC starts in the milk-producing lobules and then invades. According to SOFY, IDC accounts for around 70-80% of breast cancers.
4. What is Triple-Negative Breast Cancer and why is it important?
Triple‑Negative Breast Cancer (TNBC) is a subtype of invasive breast cancer that lacks estrogen receptors, progesterone receptors, and excess HER2 protein. The SOFY article notes it constitutes about 15% of all breast cancers and is more aggressive because it cannot be treated with hormone therapy, making early detection and treatment essential.
5. What is Inflammatory Breast Cancer (IBC)?
Inflammatory Breast Cancer is a rare and aggressive subtype that doesn’t typically present as a lump. Instead, it causes the breast to appear red, swollen, and “inflamed” as cancer cells block lymph vessels in the skin. SOFY estimates it accounts for about 1%-5% of breast cancers. Prompt medical attention is critical.
6. What is Paget’s Disease of the Breast?
Paget’s Disease of the Breast is a rare form of breast cancer that begins in the ducts and spreads to the skin of the nipple and areola. SOFY notes it presents with nipple skin changes like crusting or eczema-like appearance and accounts for about 1-3% of all breast cancer cases.
7. What are Phyllodes Tumors and how are they different?
Phyllodes Tumor is a rare breast tumor that develops in the connective (stromal) tissue of the breast rather than the ducts or lobules. Most are benign, but some can be malignant. The SOFY article highlights this distinction to clarify that not all breast tumors originate from typical breast tissue types.
8. What is Angiosarcoma of the breast?
Angiosarcoma is an extremely rare breast cancer type that begins in the blood or lymphatic vessels of the breast or skin. SOFY indicates it makes up less than 1% of all breast cancers and may be linked to prior radiation therapy in the area. Because of its rarity, diagnosis and management often differ from common carcinoma types.
9. How is breast cancer type determined?
According to SOFY, the type of breast cancer is determined by the specific cells in which it begins (ducts, lobules, connective tissue) and whether it has spread into surrounding tissue. Pathologists examine tumor characteristics (cell types, spread) to classify the cancer and guide treatment decisions.
10. Why is understanding the type of breast cancer important for treatment?
Knowing the specific type of breast cancer helps determine the appropriate course of action, treatment options, and prognosis. For example, hormone-receptor status or HER2 expression influences whether hormone therapy or targeted therapy is viable. The SOFY article emphasizes that knowledge of the cancer type empowers both patients and clinicians to act more effectively.