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invasive ductal carcinoma
Description
Invasive Ductal Carcinoma (IDC): A Type of Breast Cancer
Invasive ductal carcinoma, also known as infiltrating ductal carcinoma, is a type of breast cancer that starts in the milk ducts and spreads to nearby tissue. This is the most common type of breast cancer, accounting for about 80-90% of all breast cancer cases [1].
Characteristics of IDC
IDC begins when abnormal cells grow in the lining of the milk ducts and invade surrounding breast tissue beyond the ducts. As the cancer grows, it can spread to other parts of the body through the bloodstream or lymphatic system [2]. The symptoms of IDC may include:
- A breast lump
- Changes in the appearance of your breast or nipple
- Breast discomfort or pain
- Swelling of your lymph nodes
Treatment Options
Systemic therapies for invasive ductal carcinoma include chemotherapy, hormone therapy, and targeted therapy. These treatments specifically target a particular aspect of cancer cell growth [3]. Early detection and treatment may improve survival rates.
References:
[1] Context result 5 [2] Context result 4 [3] Context result 6
Additional Characteristics
- Invasive ductal carcinoma, also known as infiltrating ductal carcinoma
- breast cancer that starts in the milk ducts and spreads to nearby tissue
- most common type of breast cancer, accounting for about 80-90% of all breast cancer cases
- begins when abnormal cells grow in the lining of the milk ducts and invade surrounding breast tissue beyond the ducts
- spreads to other parts of the body through the bloodstream or lymphatic system
- symptoms may include: a breast lump, changes in the appearance of your breast or nipple, breast discomfort or pain, swelling of your lymph nodes
- systemic therapies for invasive ductal carcinoma include chemotherapy, hormone therapy, and targeted therapy
Signs and Symptoms
Common Signs and Symptoms of Invasive Ductal Carcinoma
Invasive ductal carcinoma (IDC) is a type of breast cancer that can cause various symptoms, which are often subtle at first but become more pronounced as the disease progresses. Here are some common signs and symptoms to look out for:
- A lump or mass in the breast: This is one of the most common symptoms of IDC, and it's usually hard, irregularly shaped, and painless (although it can sometimes be tender) [1][2].
- Changes in breast shape: The affected breast may become larger or smaller than the other one, or its shape may change due to the tumor growing inside the ducts [3][4].
- Skin irritation: Redness, scaly skin, or swelling on the breast, nipple, or areola can be symptoms of IDC [5][6].
- Nipple discharge: In some cases, a clear or bloody discharge from the nipple may occur due to the tumor pressing against the ducts [7][8].
- Pain in the nipple or breast: Pain is not always present, but it can occur if the tumor grows large enough to press on surrounding tissues [9].
It's essential to note that these symptoms can also be caused by other conditions, such as benign tumors or cysts. If you're experiencing any of these symptoms, it's crucial to consult a healthcare professional for an accurate diagnosis and treatment plan.
References:
[1] Context 6 [2] Context 3 [3] Context 4 [4] Context 5 [5] Context 5 [6] Context 7 [7] Context 8 [8] Context 9 [9] Context 9
Diagnostic Tests
Invasive ductal carcinoma (IDC) diagnosis involves a combination of different tests and imaging to confirm the presence of cancer in the breast tissue.
Tests used for diagnosis
- Physical exam: A manual examination of the breast by a healthcare professional can help identify any abnormalities or lumps that may be indicative of IDC.
- Imaging tests:
- Mammogram: A screening mammogram is often the first test used to detect IDC, as it can show tumors in their early stages. [2]
- Ultrasound: An ultrasound scan can provide more detailed images of the breast tissue and help identify any abnormalities or tumors. [6]
- Magnetic resonance imaging (MRI) scan: An MRI scan can also be used to diagnose IDC, particularly if a mammogram or ultrasound is inconclusive. [8]
Additional tests
- Biopsy: A biopsy involves taking a sample of tissue from the breast and examining it under a microscope for cancer cells. This is usually done after an abnormality has been detected on a mammogram or ultrasound. [3]
- Pathology report: The sample taken during a biopsy is sent to a lab where pathologists examine it to confirm the presence of IDC. [7]
Imaging tests to look for breast cancer spread
In addition to diagnosing IDC, imaging tests can also be used to determine if the cancer has spread to other parts of the body. These tests include:
- Chest x-ray
- Computed tomography (CT) scan
- Magnetic resonance imaging (MRI) scan
- Ultrasound
- Positron emission tomography (PET) scan
It's worth noting that a combination of these tests is often used to diagnose and stage IDC, rather than relying on a single test. [4][5]
Additional Diagnostic Tests
- Biopsy
- Ultrasound
- Physical exam
- Computed tomography (CT) scan
- Positron emission tomography (PET) scan
- MRI scan
- Mammogram
- Chest x-ray
- Pathology report
Treatment
Chemotherapy, Targeted Therapy, and Hormone Therapy for Invasive Ductal Carcinoma
Invasive ductal carcinoma (IDC) is a type of breast cancer that can be treated with various drug therapies. Here are some common types of drug treatments used to manage IDC:
- Chemotherapy: Chemotherapy involves the use of powerful anti-cancer drugs to kill cancer cells. For IDC, chemotherapy may be used as an adjuvant therapy after surgery to reduce the risk of recurrence [6]. Chemo is a systemic treatment in which powerful anti-cancer drugs are injected into a vein or taken by mouth in pill form [6].
- Targeted Therapy: Targeted therapy uses drugs that are directed at specific proteins in cancer cells, such as HER2. For IDC, targeted therapy may be used to treat patients with HER2-positive tumors [7]. Targeted therapy to treat invasive ductal carcinoma uses drugs that are directed (targeted) at the proteins in cancerous cells, most commonly HER2 [7].
- Hormone Therapy: Hormone therapy is used to treat IDC that is hormone receptor-positive. This type of treatment involves medications that block or reduce the production of hormones that can fuel the growth of cancer cells [8]. Surgery, such as lumpectomy or mastectomy, may be used to remove the tumor in early-stage invasive ductal carcinoma cases or the entire breast, and hormone therapy may be recommended if the cancer is hormone receptor-positive [8].
It's worth noting that the specific type and combination of drug treatments used for IDC will depend on various factors, including the stage and characteristics of the cancer, as well as the patient's overall health.
Recommended Medications
- Chemotherapy
- Targeted Therapy
- Hormone Therapy
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
The differential diagnosis for invasive ductal carcinoma (IDC) includes several conditions that can mimic its symptoms and characteristics. Here are some of the key considerations:
- Benign breast disease: Conditions such as fibroadenomas and cysts can present with similar symptoms to IDC, including a palpable lump in the breast [1].
- Other types of breast cancer: While IDC is the most common type of breast cancer, other subtypes such as tubular ductal carcinoma (which accounts for only 2% of breast cancer diagnoses) may also be considered in the differential diagnosis [3].
It's worth noting that the symptoms and characteristics of IDC are generally the same across different subtypes, including:
- Symptoms: A lump or thickening in the breast is often the first symptom of IDC. However, some women may not experience any noticeable symptoms at all [5].
- Diagnosis: IDC is typically diagnosed through a combination of medical tests and imaging studies, such as mammograms and biopsies [6].
In terms of specific conditions that can be ruled out in the differential diagnosis for IDC, these include:
- Fibroadenomas: These are benign breast tumors that can present with similar symptoms to IDC. However, they tend to be more mobile and have a distinct "breast nut" appearance on imaging studies [1].
- Cysts: Breast cysts are fluid-filled sacs that can cause lumps in the breast. They are usually benign and can be distinguished from IDC through imaging studies and biopsy results [1].
Overall, the differential diagnosis for IDC involves considering a range of conditions that can mimic its symptoms and characteristics. A thorough medical evaluation and diagnostic workup are necessary to accurately diagnose and rule out these conditions.
References:
[1] Circumscribed breast lesions – Benign breast disease (eg, fibroadenomas and cysts), breast cancer screening guidelines [1] [3] Tubular ductal carcinoma is a rare diagnosis of IDC, comprising only 2% of breast cancer diagnoses. The name comes from how the cancer looks under the microscope [3] [5] Diagnosing Infiltrating Ductal Carcinoma IDC is typically diagnosed after detection through routine breast cancer screenings such as mammogram. While IDC does not always present with symptoms, some women may experience a lump or thickening in their breast [5] [6] 5 days ago — Invasive ductal carcinoma (IDC) diagnosis. Invasive ductal carcinoma is usually diagnosed through a combination of different tests and imaging studies [6]
Additional Differential Diagnoses
- Cysts
- Fibroadenomas
- Benign breast disease
- Other types of breast cancer
- estrogen-receptor positive breast cancer
- Her2-receptor negative breast cancer
- female breast lower-outer quadrant cancer
- breast duct papilloma
- intraductal papilloma
- invasive lobular carcinoma
Additional Information
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- A breast ductal carcinoma that is characterized by infiltration into the fibrous or fatty tissue of the breast outside of the duct where it originated.
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Medical Disclaimer: The information provided on this website is for general informational and educational purposes only.
It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.