{"id":78630,"date":"2023-10-10T07:02:11","date_gmt":"2023-10-10T07:02:11","guid":{"rendered":"https:\/\/www.msdconnect.be\/nl\/?post_type=therapeutic-area&#038;p=78630"},"modified":"2025-01-09T13:51:57","modified_gmt":"2025-01-09T13:51:57","slug":"de-verschillende-borstkankers","status":"publish","type":"therapeutic-area","link":"https:\/\/www.msdconnect.be\/nl\/therapeutic-areas\/regelmatig-zelf-palperen-van-de-borstkas\/de-verschillende-borstkankers\/","title":{"rendered":"De verschillende borstkankers"},"content":{"rendered":"<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--c0211dc337b6e792d3ff5e78770a181d\">\n                    <img loading=\"lazy\" decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-78632\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/Banner-2-NL.jpg?quality=80&#038;lossy=1\"\n        width=\"1568\"\n        height=\"580\"\n                alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<h2 class=\"wp-block-heading has-text-color  mhh-mcn-v1-heading mhh-mcn-v1-heading--3a9aaeedf4631480d2aa9b98fe62a713\" style=\"color:#af574e\"><em>Anatomie van de borst<sup>1<\/sup><\/em><\/h2>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--c397ff4fd1a6842bf42b51c757b5260d wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">Om borstkanker beter te begrijpen, is het belangrijk om de anatomie van de borst te begrijpen.<\/p>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--7fa8ae8ec46859428e4521e6f01aea8d wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">De borst bestaat uit 15 tot 20 borstklieren, ook wel lobben genoemd, die van elkaar gescheiden zijn door bind- en vetweefsel. Elke kwab of lob bestaat op zijn beurt uit een aantal lobules, een groep kleine buisvormige structuren die verantwoordelijk zijn voor de melkproductie. De lobben zijn met de tepel verbonden door een netwerk van melkkanalen, ook wel melk-, borst- of mammilaire kanalen genoemd. De tepel bevindt zich in het midden van het tepelhof, een donkerder gekleurd gebied.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--362ca247d2c9773aa9142e0898448204\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-78740\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/l-anatomie-du-sein_nl.jpg?quality=80&#038;lossy=1\"\n        width=\"807\"\n        height=\"411\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--bbba0c7133cf62a436d4bfcf91cda5e7 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--b0142a1768316965df23d172a0156cb5 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--a83e373b5ad44d240a6e42927d84d8d5\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-78741\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/des-vaisseaux-sanguins-et-lymphatiques_nl.jpg?quality=80&#038;lossy=1\"\n        width=\"253\"\n        height=\"356\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--40afe2607cdcec7aea301dbd5e258d2d mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<div style=\"height:72px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--edc2db286d02325a10623272054dcda4 wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">Door de borst lopen ook bloed- en lymfevaten. De lymfevaten zijn verbonden met de lymfeklieren en het lymfestelsel, dat afvalstoffen uit het lichaam wegvoert. Lymfeklieren zijn kleine boonvormige organen die infecties helpen te bestrijden.<\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<h2 class=\"wp-block-heading  has-gray-700-color has-text-color mhh-mcn-v1-heading--center mhh-mcn-v1-heading mhh-mcn-v1-heading--0030a31bbaec7d362e9d6fda62886689\"><em>Hoe ontstaat (borst)kanker?<\/em><\/h2>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--9bae55a7381572d2d1ea48d65eb924db wp-block-paragraph\" dir=\"ltr\" lang=\"nl-BE\">Kanker wordt veroorzaakt door een cel in het lichaam die zich abnormaal gedraagt en zich ongecontroleerd begint te vermenigvuldigen.<\/p>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--50c4e57986a256bfcd947605f7435205 wp-block-paragraph\" dir=\"ltr\" lang=\"nl-BE\">Het verschil tussen kanker en een goedaardige tumor? Een kankercel kan uitzaaien naar aangrenzende weefsels en andere weefsels in het lichaam binnendringen waar hij niet vandaan komt.<\/p>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--de48a823b8ee672b346d51ef9e9a9508 wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">Over het algemeen kunnen borstkankers worden ingedeeld volgens 3 differentiatieniveaus:<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"en-US\" class=\"has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--7d0874a3c88535e79cb1a1683e59924a wp-block-paragraph\" style=\"color:#ffa1aa\">1 &#8211; De oorsprong van de kanker <sup>(5)<\/sup><\/p>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b03be4f1ee0bd99c432bc3d157bc233e wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">Borstkankers worden eerst en vooral ingedeeld volgens de plaats waar de tumor begint:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--36c6bb12979cc625cc95dcca48e6bc8a mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li>Als de tumor zich in de melkkanalen ontwikkelt, noemen we dit ductale kanker.<\/li><li>Als de tumor zich in de borstklieren (lobben) ontwikkelt, wordt het een lobulaire kanker.<\/li><\/ul>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--80f045d833dc30e06d0acdfee3cd8fda mhh-mcn-v1-columns mhh-mcn-columns--gutter-s\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--d534c2126760a5947726532a152d83f7 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/milk_duct.png\" alt=\"\" class=\"wp-image-78636\" width=\"561\" height=\"172\" srcset=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/milk_duct.png 345w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/milk_duct.png?resize=300,92 300w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/milk_duct.png?resize=320,98 320w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/milk_duct.png?resize=120,37 120w\" sizes=\"auto, (max-width: 561px) 100vw, 561px\" \/><\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--5ff1c339400a49a60f3f96b8d47d7fe2 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/lobules.png\" alt=\"\" class=\"wp-image-78637\" width=\"557\" height=\"171\" srcset=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/lobules.png 333w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/lobules.png?resize=300,92 300w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/lobules.png?resize=320,98 320w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/lobules.png?resize=120,37 120w\" sizes=\"auto, (max-width: 557px) 100vw, 557px\" \/><\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<p dir=\"ltr\" lang=\"en-US\" class=\"has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--a33fe731bc860bb40d76878c9359d73c wp-block-paragraph\" style=\"color:#ffa1aa\">2 \u2013 Invasieve status van de tumor <sup>(5)<\/sup><\/p>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--deab851d0252515ad85b5a115551bff3 wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">Wanneer de cellen zich beginnen te vermenigvuldigen, kunnen ze een goedaardige of kwaadaardige tumor vormen.<\/p>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--b4e8f6eaf8fa9cbdac6016da93eebdf4 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li>Goedaardige tumoren vormen een cyste, maar verspreiden zich niet naar andere omliggende of verder liggende weefsels. In dat geval spreken we over een <strong>niet-invasieve kanker<\/strong>.<\/li><li>Wanneer de tumor bestaat uit cellen die zich door te vermenigvuldigen uitzaaien naar het omliggende borstweefsel en\/of naar andere organen in het lichaam, noemen we dit <strong>invasieve borstkanker<\/strong>.<\/li><\/ul>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--ff9ba3650c01df13e395a4f0985e1d28 mhh-mcn-v1-columns mhh-mcn-columns--gutter-custom\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--0922357dd2e4736da304266ac1718b26 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/ducts.png\" alt=\"\" class=\"wp-image-78638\" width=\"539\" height=\"228\" srcset=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/ducts.png 317w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/ducts.png?resize=300,127 300w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/ducts.png?resize=120,51 120w\" sizes=\"auto, (max-width: 539px) 100vw, 539px\" \/><\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--2e84dca76d3d300ae1cc36cdddeca42d mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6\">\n    \n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/lobules_2.png\" alt=\"\" class=\"wp-image-78639\" width=\"543\" height=\"235\" srcset=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/lobules_2.png 315w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/lobules_2.png?resize=300,130 300w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/lobules_2.png?resize=120,52 120w\" sizes=\"auto, (max-width: 543px) 100vw, 543px\" \/><\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<p dir=\"ltr\" lang=\"en-US\" class=\"has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--744a5bb30f739a938c8c436cd2df4065 wp-block-paragraph\" style=\"color:#ffa1aa\">3 \u2013 Status van hormoonreceptoren in de tumor<\/p>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--f05313a135be4b795e3f210c3d4224c1 wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">De kanker wordt dan ingedeeld op basis van het feit of de tumorcellen hormoonreceptoren tot expressie brengen of niet. Dit zijn &#8216;stekkertjes&#8217; waarmee de vrouwelijke hormonen oestrogeen en\/of progesteron zich kunnen verbinden om de groei van de kanker te stimuleren.&nbsp;<\/p>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--c8a6e344eda165b9970525a271e4662b mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li><strong>Hormoongevoelige (of hormoonafhankelijke) kanker<\/strong>: In dit geval wordt de groei van de tumor gestimuleerd door de vrouwelijke hormonen oestrogeen en\/of progesteron. Het is de meest voorkomende vorm van borstkanker en vertegenwoordigt ongeveer 2\/3 van alle borstkankers. Deze vorm van kanker treedt vaker op na de menopauze, maar kan op elke leeftijd verschijnen.<\/li><li><strong>HER2-positieve kanker<\/strong>: HER2 is een eiwit dat een belangrijke rol speelt bij hoe normale borstcellen groeien en delen. Wanneer een borstkanker als &#8216;HER2-positief&#8217; wordt geclassificeerd, wordt de receptor \u2013 de kleine &#8216;stekker&#8217; die specifiek is voor HER2 \u2013 in een te grote hoeveelheid aangetroffen op het oppervlak van de cel en is hij gewoonlijk overgeactiveerd (&#8216;geboost&#8217;). De HER2-eiwitten hechten zich dan massaal aan de kankercel, waardoor deze groeit. Deze werkwijze vinden we zowel bij hormoongevoelige als niet-hormoongevoelige kankers terug.<\/li><li><strong>Triple-negatieve borstkanker (TNBC)<\/strong>: de kankercellen bij TNBC brengen geen hormoonreceptoren of HER2-receptoren tot expressie. Triple-negatieve borstkanker beschrijven we meer in detail in het specifieke gedeelte hierover (link toevoegen)<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading  has-gray-700-color has-text-color mhh-mcn-v1-heading--center mhh-mcn-v1-heading mhh-mcn-v1-heading--611139fc5f2b2287a30eeb10dba00014\"><em>Wat is TNBC of TNBK? <sup>(6,7)<\/sup><\/em><\/h2>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--8143734cac221367dc5644307e313a87 wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">Triple-negatieve borstkanker (TNBK of vaak ook TNBC, <em>triple-negative breast cancer<\/em>) is een subtype van borstkanker, en goed voor ongeveer 10 tot 15 % van alle diagnoses in Belgi\u00eb. TNBC is een vorm van borstkanker met een hoger risico op ernstige ziekte, vooral omdat het zich snel ontwikkelt<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--67261253b2db4090f36f659695193146 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--3ef0337cc3e12ac9f197774747eb8a75 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--94bf705fc0602d98a5072e7f6fb8e1d7 wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">Hoewel de meeste borstkankers voorkomen bij vrouwen van 60 jaar en ouder, wordt de diagnose triple-negatieve borstkanker vaak gesteld bij jongere vrouwen onder de 40 jaar.<\/p>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--3bbce9f1fee5ca600022ae18d13dca6e wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">Triple-negatieve borstkanker dankt zijn naam aan het feit dat de 3 receptoren die over het algemeen geassocieerd worden met kankercellen in de borst niet teruggevonden worden bij deze vorm:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--df248265386eb056cc4bd9021829ff48 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li>Beide soorten hormoonreceptoren (oestrogeen en progesteron);<\/li><li>De HER2-receptoren.<\/li><\/ul>\n\n\n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--dc3613349967950f86fee86c1cbfaf01 wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">De behandelingsmogelijkheden zijn beperkt als deze receptoren niet aanwezig zijn. Er bestaan immers verschillende therapie\u00ebn die zich op deze receptoren richten om de groei van kankercellen te stoppen of te beperken. Er bestaan vooral antihormonale therapie\u00ebn voor hormoongevoelige kankers en HER2-gerichte therapie\u00ebn voor HER2-positieve kankers. Deze kunnen dus niet worden gebruikt in het geval van triple-negatieve borstkanker.<\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--9a94605f2a00614cc2c27e87198b6584 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/cellules_nl.jpg\" alt=\"\" class=\"wp-image-78742\" width=\"217\" height=\"608\" srcset=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/cellules_nl.jpg 289w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/cellules_nl.jpg?resize=107,300 107w, https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/cellules_nl.jpg?resize=120,336 120w\" sizes=\"auto, (max-width: 217px) 100vw, 217px\" \/><\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"mhh-mcn-v1-paragraph--center  mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--f6b25c9179b2b15d69a4fd23e598a61c wp-block-paragraph\"><strong>Er bestaan echter andere behandelingsmogelijkheden voor dit type kanker.<\/strong><br><strong>Aarzel niet om met je arts te praten als je je hier zorgen over maakt.<\/strong><\/p>\n\n\n<div class=\"mhh-mcn-v1-content-items mhh-mcn-v1-content-items--7585be5432c042688b9f0ab48013e155 wp-block-mconnect-theme-curated-content mhh-mcn-layout--columns mhh-mcn-columns mhh-mcn-v1-columns--e5e22e2b8bbdb4bca97a72d4c5013fe0 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        <div\n    class=\"mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6 mhh-mcn-v1-content-item mhh-mcn-v1-content-item--df1cbbdc817dcc78ba634bab68ba6e3c mhh-mcn-v1-content-item--type-therapeutic-area mhh-mcn-v1-content-item--card-style mhh-mcn-v1-content-item--display-media-style mhh-mcn-v1-content-item--has-featured-image\">\n    <div class=\"mhh-mcn-v1-content-item-featured-image\">\n    <figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--abd3de02f3bf8b98a2047ca53c09d297 with-aspect-ratio with-aspect-ratio--content-grid\">\n    <div class=\"figure-outer\">\n    <div class=\"figure-inner\">\n                            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--2048x2048 wp-image-78617\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/auto-palpation-reguliere-de-la-poitrine-card.jpg?w=1000&#038;quality=80&#038;lossy=1\"\n        width=\"1000\"\n        height=\"824\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n                <\/div>\n    <\/div>\n    <\/figure>\n<\/div>\n\n<article class=\"mhh-mcn-v1-content-item-content\">\n    <section class=\"mhh-mcn-v1-content-item-content-body\">\n                <header class=\"mhh-mcn-v1-content-item-header\">\n    \n    <span class=\"mhh-mcn-v1-content-item-icon-type mhh-mcn-v1-content-item-icon-type--therapeutic-area\">\n    <span class=\"mhh-mcn-v1-content-item-icon-type__icon\">\n    \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-arrow-right mh-icon--arrow-right\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/arrow-right.svg#arrow-right\"><\/use>\n<\/svg>\n    <\/span>\n    <\/span>\n    <h2 class=\"mhh-mcn-v1-content-item-title mhh-mcn-v1-content-item-title--c06ec76831703497d2b89abb588910eb\">\n    \n    <a class=\"mhh-mcn-v1-content-item-title__link\" href=\"https:\/\/www.msdconnect.be\/nl\/therapeutic-areas\/regelmatig-zelf-palperen-van-de-borstkas\/\" target=\"_self\">\n        Regelmatig zelf palperen van de borstkas    <\/a>\n    <\/h2>\n\n    <\/header>\n\n                \n<div class=\"mhh-mcn-v1-content-item-meta mhh-mcn-badge-container\">\n    \n    \n    <span class=\"mhh-mcn-badge mhh-mcn-badge--flat mhh-mcn-badge--time-to-read\">\n    \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-watch mh-icon--watch\" role=\"img\" aria-labelledby=\"mh-icon-6ae668ca4d8ad-time_to_read\" aria-hidden=\"false\">\n            <title id=\"mh-icon-6ae668ca4d8ad-time_to_read\">\n            time to read        <\/title>\n    \n    \n    <use xlink:href=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/watch.svg#watch\"><\/use>\n<\/svg>\n    4 min read<\/span>\n<\/div>\n    <\/section>\n    <div class=\"mhh-mcn-v1-content-item-footer\">\n    \n    <div class=\"mhh-mcn-v1-content-item-call-to-action mhh-mcn-v1-content-item-call-to-action--c06ec76831703497d2b89abb588910eb\">\n    Lees meer<\/div>\n\n    <\/div>\n<\/article>\n<\/div>\n<div\n    class=\"mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-6 mhh-mcn-column--l-6 mhh-mcn-v1-content-item mhh-mcn-v1-content-item--9405e9206b2eba3ef53a631b2e5b6154 mhh-mcn-v1-content-item--type-therapeutic-area mhh-mcn-v1-content-item--card-style mhh-mcn-v1-content-item--display-media-style mhh-mcn-v1-content-item--has-featured-image\">\n    <div class=\"mhh-mcn-v1-content-item-featured-image\">\n    <figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--fdc1856d4a35a040793b73fb16933d4a with-aspect-ratio with-aspect-ratio--content-grid\">\n    <div class=\"figure-outer\">\n    <div class=\"figure-inner\">\n                            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--2048x2048 wp-image-78614\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2023\/10\/les-facteurs-de-risque-card.jpg?w=1000&#038;quality=80&#038;lossy=1\"\n        width=\"1000\"\n        height=\"824\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n                <\/div>\n    <\/div>\n    <\/figure>\n<\/div>\n\n<article class=\"mhh-mcn-v1-content-item-content\">\n    <section class=\"mhh-mcn-v1-content-item-content-body\">\n                <header class=\"mhh-mcn-v1-content-item-header\">\n    \n    <span class=\"mhh-mcn-v1-content-item-icon-type mhh-mcn-v1-content-item-icon-type--therapeutic-area\">\n    <span class=\"mhh-mcn-v1-content-item-icon-type__icon\">\n    \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-arrow-right mh-icon--arrow-right\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/arrow-right.svg#arrow-right\"><\/use>\n<\/svg>\n    <\/span>\n    <\/span>\n    <h2 class=\"mhh-mcn-v1-content-item-title mhh-mcn-v1-content-item-title--c06ec76831703497d2b89abb588910eb\">\n    \n    <a class=\"mhh-mcn-v1-content-item-title__link\" href=\"https:\/\/www.msdconnect.be\/nl\/therapeutic-areas\/regelmatig-zelf-palperen-van-de-borstkas\/risicofactoren\/\" target=\"_self\">\n        Risicofactoren    <\/a>\n    <\/h2>\n\n    <\/header>\n\n                \n<div class=\"mhh-mcn-v1-content-item-meta mhh-mcn-badge-container\">\n    \n    \n    <span class=\"mhh-mcn-badge mhh-mcn-badge--flat mhh-mcn-badge--time-to-read\">\n    \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-watch mh-icon--watch\" role=\"img\" aria-labelledby=\"mh-icon-6ae668ca50669-time_to_read\" aria-hidden=\"false\">\n            <title id=\"mh-icon-6ae668ca50669-time_to_read\">\n            time to read        <\/title>\n    \n    \n    <use xlink:href=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/watch.svg#watch\"><\/use>\n<\/svg>\n    &lt; 1 min read<\/span>\n<\/div>\n    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class=\"mhh-mcn-v1-link__label\">Deel deze pagina!<\/span>\n                <\/a><\/div>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-accordion mhh-mcn-v1-accordion--94ece9127feb96c2d5a5136b64ce39da mhh-mcn-v1-accordion--default\" data-configuration=\"{&quot;variation&quot;:&quot;default&quot;,&quot;speed&quot;:0,&quot;hasFirstItemExpanded&quot;:false}\"        >\n    \n\n<section\n    id=\"accordion-6ae668ca5226b\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--90206d5dae29f023a2579ea4fbc13d3d mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6ae668ca5226b-header\"\n        class=\"mhh-mcn-v1-accordion-molecule-header\"\n    >\n        <button\n            class=\"mhh-mcn-v1-accordion-molecule-header__heading\"\n            aria-expanded=\"false\"\n            aria-controls=\"accordion-6ae668ca5226b-content\"\n        >\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                Afkortingen            <\/span>\n            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon-dropdown\" aria-hidden=\"true\">\n                \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-dropdown-arrow mh-icon--dropdown-arrow\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/dropdown-arrow.svg#dropdown-arrow\"><\/use>\n<\/svg>\n            <\/span>\n        <\/button>\n    <\/h4>\n    <div\n        id=\"accordion-6ae668ca5226b-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6ae668ca5226b-header\"\n    >\n        <div class=\"mhh-mcn-v1-accordion-molecule-content__body\">\n            \n\n<p class=\"mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--2d2469a45ca0503974a19255dd0a4430 wp-block-paragraph\" dir=\"ltr\" lang=\"en-US\">CSTN: Cancer du sein triple n\u00e9gatif, TNBC: Triple negative breast cancer, HER2: Human Epidermal Growth Factor Receptor 2<\/p>\n\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n<section\n    id=\"accordion-6ae668ca52906\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--9865838bdfb035accd8213e2dcfdb22f mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6ae668ca52906-header\"\n        class=\"mhh-mcn-v1-accordion-molecule-header\"\n    >\n        <button\n            class=\"mhh-mcn-v1-accordion-molecule-header__heading\"\n            aria-expanded=\"false\"\n            aria-controls=\"accordion-6ae668ca52906-content\"\n        >\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                Referenties            <\/span>\n            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon-dropdown\" aria-hidden=\"true\">\n                \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-dropdown-arrow mh-icon--dropdown-arrow\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/dropdown-arrow.svg#dropdown-arrow\"><\/use>\n<\/svg>\n            <\/span>\n        <\/button>\n    <\/h4>\n    <div\n        id=\"accordion-6ae668ca52906-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6ae668ca52906-header\"\n    >\n        <div class=\"mhh-mcn-v1-accordion-molecule-content__body\">\n            \n\n<ol class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--5b1562436a53852f70f41a8fb56aab0f mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li>European Society for Medical Oncology: guides for patients. Breast cancer guide. Available at <a href=\"https:\/\/www.esmo.org\/for-patients\/patients-guides\/breast-cancer\" target=\"_blank\" rel=\"noreferrer noopener\">www.esmo.org\/for-patients\/patients-guides\/breast-cancer<\/a>. Last accessed 09\/23<\/li><li>American Cancer Society: Triple-Negative breast Breast Cancer. <a href=\"https:\/\/www.cancer.org\/cancer\/breast-cancer\/about\/types-of-breast-cancer\/triple-negative.html\" target=\"_blank\" rel=\"noreferrer noopener\">www.cancer.org\/cancer\/breast-cancer\/about\/types-of-breast-cancer\/triple-negative.html<\/a>. Last accessed 09\/23.<\/li><li>Graph adapted from National Cancer Institute. <a href=\"https:\/\/www.cancer.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.cancer.gov\/<\/a>. Last accessed 09\/23.<\/li><\/ol>\n\n        <\/div>\n    <\/div>\n<\/section>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Anatomie van de borst1 Om borstkanker beter te begrijpen, is het belangrijk om de anatomie van de borst te begrijpen. 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