Different Types of Breast Cancer’s
Medically reviewed by: Dr. Jay R. Anam
Topics covered in this Article:
In a disorder known as breast cancer, the abnormal cells in the breast begin to develop in an uncontrolled manner. After a breast cancer diagnosis has been made, your physician will examine the findings of any imaging tests and your pathology report to get a better understanding of the characteristics of your tumour.
Your healthcare team will identify the kind of breast cancer by analysing a sample of tissue taken during your breast biopsy. Your specialist will use this information to determine which of the several treatment choices is going to be best for you.
Breast cancer receptors
Certain breast cancers are particularly susceptible to estrogen and progesterone, both naturally occurring female hormones in the human body. Breast cancer cells contain receptors on the outside of their cell walls, giving them the ability to capture certain hormones circulating through the body.
Your specialist will better understand how to cure cancer or stop it from coming back if you let them know if your breast cancer is sensitive to hormones.
The following are included in the receptor status of breast cancers:
- Estrogen receptor (ER) positive: This subtype of breast cancer is characterized by cancer cells that contain receptors that enable them to make use of the growth hormone estrogen. Anti-estrogen hormone therapy, also known as endocrine therapy, is a kind of treatment that may inhibit the proliferation of cancer cells.
- Progesterone receptor (PR) positive: This subtype of breast cancer responds well to progesterone treatment. The affected cells have receptors that enable them to take advantage of the growth factors provided by this hormone. Endocrine treatment is used to treat patients to prevent the proliferation of cancer cells.
- Hormone receptor (HR) negative: Because this particular kind of cancer does not include hormone receptors, endocrine therapies that try to inhibit the production of hormones inside the body will not be effective against it.
Ki67 is a nuclear antigen that is an excellent marker of active cell proliferation in normal and tumour cell populations. It has been proposed as a useful clinical marker for breast cancer subtype classification, prognosis, and prediction of therapeutic response. Ki67 testing is done on tumour tissue along with the receptors.
Also Read : Health education on Breast Care
Types of Breast Cancer
Experts are increasingly categorizing breast tumors based on genetic information about the cells. Breast cancer is divided into four kinds based on the results of an immunohistochemistry test:
- Group 1 (luminal A): This category contains ER and PR positive but HER2 negative malignancies. Hormone therapy and chemotherapy are both effective treatments for Luminal A breast cancer. The Ki67 value is less than 14%
- Group 2 (luminal B): Tumors that are ER-positive, PR-negative, and HER2-positive fall under this category. Chemotherapy, hormone therapy, and HER2-targeted treatment will help Luminal B breast cancers. The ki67 value is more than 14%
- Group 3 (HER2 positive): Tumors that are ER and PR negative, yet HER2 positive fall under this category. Chemotherapy and treatment aimed at HER2 breast cancers are likely to be beneficial.
- Group 4 (basal-like): This kind of breast cancer, commonly known as triple-negative breast cancer, involves tumors that are ER, PR, and HER2 negative. Chemotherapy is likely to help basal-like breast cancers.
Suppose your oncologist knows more about your cancer’s chemical and genetic composition. In that case, they may be better able to choose the therapy that will be most beneficial for your particular kind of cancer.
Also Read : How Much Does It Cost for Breast Cancer Treatment in India
Conclusion
A study of the receptor status helps us to plan the optimal treatment for the patient. Now the receptor status is included in the staging of breast cancer as it also helps us to prognosticate the patients better.
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Facing breast cancer surgery is a brave step, and we know the recovery process may feel overwhelming at times. One aspect of recovery many patients encounter is managing surgical drains.
While these medical devices play a crucial role in your healing, they can be intimidating at first. But don’t worry. With the right knowledge and tools, you can manage them confidently and focus on feeling better.
This guide is here to walk patients and caregivers through every step of drain care—from the basics to troubleshooting to emotional support. By the end, you'll feel prepared to tackle this part of your recovery with ease.
Author
Dr. Jay Anam
Breast Cancer Surgeon and Oncoplasty specialist in Mumbai
Introduction
Why are surgical drains important after breast cancer surgery? These small, plastic tubes help remove excess fluids that can build up in your body as you heal. Getting rid of this fluid reduces swelling, prevents complications like infections, and helps your body recover faster.
We’ll cover everything you need to know, including how to empty and clean your drains, spot signs of infection, manage discomfort, and return to daily life with confidence.
Understanding Surgical Drains
To start, it’s helpful to understand what surgical drains are and why they’re used.
What Are Surgical Drains and Why Are They Necessary?
After surgery, your body produces fluid as part of its natural healing process. Sometimes, this fluid needs help draining so it won’t pool under the skin. That's where surgical drains come in.
Types of Drains
There are a few kinds of surgical drains commonly used:
- Jackson-Pratt (JP) drain – Often shaped like a small bulb, this popular option collects fluid that you can measure and empty.
- Hemovac drain – A slightly larger round container, often used for higher drainage needs.
Your surgeon will determine the best type for you based on your surgery.
How Long Will They Stay in Place?
The timeline varies. Most patients have their drains for 7 to 14 days, but it depends on how much fluid they produce. Don’t worry; your doctor will remove them once output slows down.
Step-by-Step Drain Care Guide
Drain care is manageable if broken down into steps. Let's cover the essentials.
How to Empty the Drain Properly
- Wash your hands thoroughly with soap before touching the drain.
- Unplug the bulb or container, holding it upright.
- Carefully pour the fluid into a measuring cup.
- Record the amount and time in a log to share with your doctor.
- Squeeze the bulb to reset the suction before plugging it back in.
💡 Tip: Empty the drains 2-3 times a day, or whenever they’re about half full.
Cleaning & Infection Prevention
- Gently clean around the drain site with soap and water or antibacterial wipes. Avoid tugging or rubbing the area.
- Watch for signs of infection, such as:
- Redness or swelling around the site
- Fever above 100.4°F
- Foul odor or colored drainage
If you notice these, call your doctor.
Best Sleeping Positions
Finding a comfortable position can be tricky. Try:
- Sleeping on your back with pillows under your arms for support.
- If you’re a side sleeper, place a small cushion around the drains for padding and avoid putting pressure on them.
💡 Tip: A drain-friendly post-surgery pillow with built-in pockets can make rest easier.
Showering & Hygiene Tips
Ask your surgeon if showers are allowed. If so:
- Cover your drains with a waterproof dressing or use a surgical drain belt.
- Limit water exposure to avoid infections.
If showering isn’t an option, stick to sponge baths until your doctor gives the green light.
Recognizing and Managing Complications
Sometimes, issues arise. Here’s what to keep an eye on:
When to Call Your Doctor
- Drainage suddenly increases or stops altogether
- Severe pain or swelling
- Fever or signs of infection
Dealing with a Clogged Drain
A frequent issue is a clogged drain. If you notice reduced suction:
- Milk the tube by gently squeezing it to dislodge the blockage.
- If this doesn’t help, notify your healthcare provider promptly.
Signs of Seroma (Fluid Buildup)
Once drains are removed, some patients develop a seroma. Symptoms include swelling, tenderness, or a feeling of liquid under the skin. While many seromas go away on their own, consult your doctor for advice.
Pain & Discomfort Management
-
Pain is part of recovery, but you don’t have to suffer unnecessarily.
Medication vs. Non-Drug Relief
- Use prescribed painkillers as directed.
- Non-medical options, like a cold compress or heating pad (with your doctor’s approval), can help with aches and stiffness.
Gentle Exercises
Simple arm stretches or shoulder rolls can prevent tightness, but avoid anything strenuous. A physical therapist can provide guidance.
Relaxation Techniques
Practice deep breathing or try mindfulness exercises to cope with discomfort.
Diet & Nutrition for Faster Healing
Fueling your body helps tissues heal faster. Focus on:
- Protein-rich foods, like lean meats, tofu, beans, and eggs.
- Anti-inflammatory options, like berries, leafy greens, and nuts.
- Drink plenty of water every day.
- Consider supplements, like zinc or vitamin C, but check with your doctor first.
Physical Activity & Movement Guidelines
Movement helps, but balance is key:
- Begin with light stretches or short walks to prevent stiffness.
- Avoid lifting anything heavier than a few pounds in the first week.
- Your doctor will guide you on when you can resume driving or house chores.
💡 Tip: Use a supportive bra to minimize any strain during recovery.
Emotional & Psychological Support
Caring for drains can feel isolating. It’s okay to have mixed emotions.
Coping with Anxiety
Deep breathing, journaling, or talking to a friend can help manage stress.
Find Support Groups
Connect with others who’ve been in your shoes. Online breast cancer recovery forums or local groups can make you feel less alone.
Mental Health Resources
Don’t hesitate to reach out to a counselor or therapist to process emotions during your recovery.
Emotional & Psychological Support
Caring for drains can feel isolating. It’s okay to have mixed emotions.
Coping with Anxiety
Deep breathing, journaling, or talking to a friend can help manage stress.
Find Support Groups
Connect with others who’ve been in your shoes. Online breast cancer recovery forums or local groups can make you feel less alone.
Mental Health Resources
Don’t hesitate to reach out to a counselor or therapist to process emotions during your recovery.