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Чаще всего формируется в протоках (протоковый рак) или в дольках (дольковый рак) [2](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/). \n\n**Особенности**: \n- По мере роста опухоль может прорастать в соседние ткани, органы и поражать лимфатические узлы [2](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/). \n- Отдельные опухолевые клетки могут отсоединяться от опухоли и с током крови и лимфы распространяться в отдалённые части тела: кости, лёгкие, печень, головной мозг [2](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/). Этот процесс называют метастазированием [2](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/).\n\n\n\n## Причины\n**Однозначно ответить на вопрос «Почему возникает рак молочной железы» невозможно** [3](https://vmesteplus.ru/first-hand/articles/rak-grudi-putevoditel/). Однако существуют факторы риска, которые увеличивают вероятность развития этого заболевания [3](https://vmesteplus.ru/first-hand/articles/rak-grudi-putevoditel/). Некоторые из них: \n* **Наследственность** — риск увеличивается у женщин, родственницы которых болели раком молочной железы [3](https://vmesteplus.ru/first-hand/articles/rak-grudi-putevoditel/). \n* **Возраст** — в 77% случаев опухоли возникают у людей после 50 лет [3](https://vmesteplus.ru/first-hand/articles/rak-grudi-putevoditel/). \n* **Гормональные изменения** — заместительная гормональная терапия, приём оральных контрацептивов могут способствовать развитию рака груди [6](https://fmbansk.ru/zabolevaniya/onkologicheskie-operatsii-na-molochnoy-zheleze/).\n\n## Симптомы\n**Основной симптом** — уплотнение в груди или в подмышечной области [2](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/). Однако на ранних стадиях заболевание долго развивается бессимптомно [2](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/). \n\n**Другие возможные проявления**: \n* отёк участка или всей груди [10](https://oncology-spb.ru/zabolevaniya/molochnaya-zheleza/rak-molochnoy-zhelezy); \n* изменение формы груди, вызванное отёчностью [10](https://oncology-spb.ru/zabolevaniya/molochnaya-zheleza/rak-molochnoy-zhelezy); \n* асимметрия сосков или самих желёз [10](https://oncology-spb.ru/zabolevaniya/molochnaya-zheleza/rak-molochnoy-zhelezy); \n* втянутость кожи, появление текстуры, которая напоминает апельсиновую корку [10](https://oncology-spb.ru/zabolevaniya/molochnaya-zheleza/rak-molochnoy-zhelezy); \n* болезненность в области соска или всей груди [10](https://oncology-spb.ru/zabolevaniya/molochnaya-zheleza/rak-molochnoy-zhelezy); \n* изменение цвета и плотности кожи, шелушение, сухость [10](https://oncology-spb.ru/zabolevaniya/molochnaya-zheleza/rak-molochnoy-zhelezy); \n* выделения из соска, не связанные с лактацией [10](https://oncology-spb.ru/zabolevaniya/molochnaya-zheleza/rak-molochnoy-zhelezy); \n* увеличение лимфоузлов в подмышечной или надключичной области [10](https://oncology-spb.ru/zabolevaniya/molochnaya-zheleza/rak-molochnoy-zhelezy). \n\n**На более поздних стадиях**, когда рак начинает распространяться за пределы молочной железы, могут появляться неспецифические общие симптомы: повышенная утомляемость, постоянная слабость, плохой аппетит, тошнота, нарушения пищеварения, потеря веса [10](https://oncology-spb.ru/zabolevaniya/molochnaya-zheleza/rak-molochnoy-zhelezy).\n\n## Диагностика\n**При подозрении на рак молочной железы необходимо обратиться к маммологу-онкологу** [1](https://voronezh.sovamed.ru/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/). Врач проводит осмотр и пальпацию молочных желёз, оценивает симметричность желёз, состояние кожи и сосков [13](https://cpm-devita.ru/onko/rak-molochnoy-zhelezy/diagnostika/). \n\n**Инструментальные методы диагностики**: ультразвуковое исследование молочных желёз, маммография (рентгенологическое исследование молочных желёз) [13](https://cpm-devita.ru/onko/rak-molochnoy-zhelezy/diagnostika/).\n\n## Лечение\n**Тактика лечения** зависит от стадии и типа рака [2](https://gemotest.ru/info/spravochnik/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/). Некоторые методы терапии: \n* **Хирургическое лечение** — удаление всех поражённых тканей и близлежащих лимфатических узлов [14](https://www.invitro.ru/library/bolezni/26299/). При больших размерах опухоли показана мастэктомия — полное удаление молочной железы [14](https://www.invitro.ru/library/bolezni/26299/). \n* **Химиотерапия** — делится на неоадъювантную (проводят перед операцией для уменьшения размера опухоли), адъювантную (послеоперационную) и паллиативную (при неоперабельных опухолях) [14](https://www.invitro.ru/library/bolezni/26299/). \n* **Гормональная терапия** — назначается, если у опухоли есть рецепторы, чувствительные к гормонам — эстрогену и прогестерону [14](https://www.invitro.ru/library/bolezni/26299/). \n* **Таргетная терапия** — применяется, если выявлена генетическая мутация, запускающая патологический механизм в организме [14](https://www.invitro.ru/library/bolezni/26299/). \n\n**Зачастую проводится комбинированное лечение**, сочетающее два и более метода [14](https://www.invitro.ru/library/bolezni/26299/).","linksData":[{"sourceId":1,"url":"https://voronezh.sovamed.ru/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/","shownUrl":"https://voronezh.sovamed.ru/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/","title":"Рак молочной железы (рак груди): причины, симптомы, признаки, диагностика, лечение","shortUrl":"voronezh.sovamed.ru","isTranslated":false,"description":"","greenUrl":"voronezh.sovamed.ru"},{"sourceId":2,"url":"https://gemotest.ru/info/spravochnik/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/","shownUrl":"https://gemotest.ru/info/spravochnik/zabolevaniya/rak-molochnoy-zhelezy-rak-grudi/","title":"Рак молочной железы — симптомы и признаки, профилактика и лечение","shortUrl":"gemotest.ru","isTranslated":false,"description":"","greenUrl":"gemotest.ru"},{"sourceId":3,"url":"https://vmesteplus.ru/first-hand/articles/rak-grudi-putevoditel/","shownUrl":"https://vmesteplus.ru/first-hand/articles/rak-grudi-putevoditel/","title":"Рак груди. 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