Triple negative breast cancer



Description

Triple negative breast cancer (TNBC) is a type of breast cancer that lacks the three most common hormone receptors: growth factor receptor 2 (HER-2), estrogen receptors (ER), and progesterone receptors (PR). Most of the common breast cancer treatments target these receptors. Therefore, individuals with triple negative breast cancer do not have access to these therapies. However, chemotherapy works well for TNBC and may be given before or after surgery. TNBC tends to grow quickly and has a worse outcome than other types of breast cancer.

Symptoms

Symptoms may include a breast lump, change in breast skin texture, change in size of the breast or nipple discharge.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Testing usually includes a mammogram. Ultrasound of the breast may also be performed. Diagnosis is confirmed with a biopsy or during surgery. A CT or PET scan may be performed to see if the cancer has spread beyond the breast.

Tests:
Biopsy, Mammogram, Ultrasound

Other Specific Tests: Genetic testing, MRI, CT scan

Specialists:
General Surgery, Obstetrics and Gynecology, Blood and Cancer Care (hematology and oncology), Surgical Oncology

Treatment

Treatment depends on the extent of the disease. A combination of surgery and chemotherapy with or without radiation therapy will likely be used.
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