
Breast cancer is the disease many women fear the most. It is the second most common cancer among women, with about 192,000 new cases each year. It remains the leading cause of death of women between ages 40 and 55. While known primarily as a woman's disease, men also develop breast cancer.
The good news is that survival rates today are higher than ever due to advances in diagnosis and treatment. At the UCSF Carol Franc Buck Breast Care Center, emphasis is placed on screening for early detection, more effective and less toxic therapies, patient education, and research that explores the causes, biology and behavior of the condition for future prevention and treatment strategies.
The Breast Care Center works to heal the whole person, both your physical and emotional being. We provide services including individual counseling and support groups that focus on every stage that you and your family may experience, where patients share their stories.
Breast cancer begins with abnormal cells developing in breast tissue. It can be confined to the breast or may spread beyond your breast or into other parts of your body. The most common type of breast cancer begins in the ducts designed to carry milk to the nipple. But cancer also may occur in the small sacs that produce milk, called lobules, or in other breast tissue. Breast cancer varies widely and the treatment options are selected to match your individual needs.
Breast cancer may occur in several different forms, such as the five types below:
Early breast cancer usually doesn't cause pain. In fact, when breast cancer first develops, there may be no symptoms at all. But as the cancer grows, it may cause changes that you should watch for:
If cancer is found in your breast, your doctor will assess the stage or extent of the disease. Staging is an effort to determine if the cancer has spread and, if so, to what parts of the body. Your doctor may use blood and imaging tests to learn the stage of the disease. Treatment decisions depend on these findings. Read Staging: Specific Patterns of Breast Cancer to learn more about the staging system.
The first step is usually a physical exam by a doctor or nurse practitioner. Mammography and ultrasound may be part of the exam. On the basis of these evaluations, the decision may be made to perform a tissue biopsy.
Imaging is used to diagnose breast cancer and to evaluate the stage and extent of disease. Three types of imaging are used — mammography, ultrasonography and breast magnetic resonance imaging (MRI). Based on these exams, your doctor may recommend further tests or therapy, or determine that not treatment is necessary.
Treatments for breast cancer include surgery as well as radiation, chemotherapy and hormonal therapy. These treatments are either local or systemic. Local treatments, such as surgery and radiation therapy, remove, destroy or control cancer cells in specific areas. Systemic treatments, such as chemotherapy and hormonal therapy, destroy or control cancer throughout the body. Depending on your condition, you may receive one treatment or a combination at the same time or in succession.
Surgery is a common treatment for cancer. Several procedures may be used, from lumpectomy to breast reconstruction:
Reviewed by health care specialists at UCSF Medical Center.

Carol Franc Buck Breast Care Center
1600 Divisadero St., Second Floor
San Francisco, CA 94115
Phone: (415) 353-7070
Fax: (415) 353-7050
Appointment information
Breast Care Center in Marin
1300 S. Eliseo Drive, Suite 204
Greenbrae, CA 94904
Phone: (415) 353-7070
Fax: (415) 353-7050
Appointment information