Breast cancer awareness 13 march 2015

1Copyright © 2014 Paras Hospitals. All rights reserved.
Breast cancer Screening
Dr Nupur Gupta
Consultant & Unit Head
Dept of Obstetrics & Gynecology
Paras Hospital, Gurgaon

Breast Cancer Facts
 Most common cancer in urban women in India
 About 1,25,000 new breast cancers are reported every
year in India
 40 per 1,00,000 women are affected with breast cancer
every year in India
 2nd most common cancer world wide
 Incidence increases with age
 All women are at risk

Breast Screening Program
Single most successful cancer
screening program in the world

What is Screening?
Tests to find out breast cancer early even
when there are no symptoms or lump
Helps to detect when lesion is very small &
has not yet spread
Better chances of cure
Screening Early: Better Outcome

Finds cancer early
Saves lives
Breast conserving surgery is possible
Advantages of Screening

Screening
Breast Self Examination (BSE)
Clinical Breast Examination (CBE)
Mammograms
MRI
They are combined or done alone according to need

When to do BSE?
On 5th to 7th day of menses – same day each
month
Pregnant women – same date each month
Takes about 10 minutes
Examine all breast tissue

Why don’t more women practice
BSE?
Fear
Embarrassment
Youth
Lack of knowledge
Too busy, forgetfulness

Self breast examination
Do monthly exam of the breasts &
underarm area
Help to discover any changes early
Begin at age 20, continue monthly
The current thinking is that it’s more important to
know your breasts and be aware of any changes

Clinical Breast Examination
Performed by doctor
Annually for women over 40yrs
At least every 3 years for women between 20
to 40 yrs
More frequent examination for high risk
patients

 To determine the presence of cysts, fluid-filled sacs
that are not cancer
Ultrasound

Mammography
X-ray of the breast
Breast pressed in between two plates – tissue spread-
pictures taken
Has been shown to save lives in patients 50-69
Data mixed on usefulness for patients 40-49
Normal mammogram does not rule out possibility of
cancer completely

MRI
High risk patients along with mammography
Magnetic & radio waves used
More detailed evaluation
Disadvantage- higher rate of false positive test

BRCA 1
BRCA 2
Genetic Testing

 Not cancerous
 Not life threatening
 Do not spread outside the
breast
 Lumpectomy
 Are cancerous
 Can be life threatening
 Can spread outside the
breast
 Mastectomy
Benign Malignant
Tumors of Breast

Risk Factors for Breast Cancer
Gender: female (1% males)
Race: more common in whites
Age: increases as a woman gets older
Family history of breast or ovarian cancer: (mother or sister)
Early menarche or late menopause
No pregnancy and not breastfeeding

Risk Factors for Breast Cancer
Obesity
Diet: Fatty food
Excessive alcohol
Lack of Physical Activity ; Stress
Radiation Exposure
Hormones: estrogens & progesterones in Hormone
replacement therapy

Understanding Signs & Symptoms
Persistent lump or thickening in breast or armpit area
Changes in the color or texture of skin of breast, areola
or nipple (dimpling, puckering or scaling)
Newly retracted or inverted nipple
Blood or any unusual discharge
Change in shape & size of breast
Redness or pitting of the breast

Diagnosed with a breast lump
First, don't panic
80% of breast lumps are not cancerous Lumps
Often turn out to be harmless cysts or
Tissue changes related to your menstrual cycle
Biopsy

Treatment
Surgery
Radiation Therapy
Chemotherapy
Hormonal Therapy

 Costly
 If no recurrence
 Angelina Jolie
Breast Reconstruction with Implant

Prevention
 Maintain adequate weight
 Healthy, nutritious diet
 Regular exercise
 Breastfeeding
 Limiting exposure to estrogen
 Quit or limit alcohol consumption

Myths
Touching the breasts too often will lead to cancer
Talking about cancer may cause cancer
Using illegal drugs causes cancer
Herbs cure breast cancer
An incision or bruise on breast can spread cancer
Frequent mammograms cause cancer

Myths
Breast cancer only affects older women
If at risk – surely causes breast cancer
Using antiperspirants causes breast cancer
Diagnosis of breast cancer- automatic death

Fact
BREAST CANCER IS PREVENTABLE
EARLY DIAGNOSIS
BEST OUTCOME

Thank You

Breast cancer awareness 13 march 2015

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