Prevention And Control Of Breast Cancer

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Prevention And Control Of Breast Cancer

  1. 1. Prevention and Control of Breast Cancer<br />Dr RajkumarPatil<br />Asstt.Prof.,Community Medicine<br />AVMCH,Pondicherry<br />For more presentations visit: www.medppp.blogspot.com<br />
  2. 2. Epidemiology of Breast cancer<br />Global Incidence: 9 lac/yr ; deaths:3.5 lac/yr (approx)<br />In females:<br /> Commonest in Developed countries<br /> 2nd common in India<br />Risk Factors<br />Age: <br />35- 50 yr <br />Mean age of occurrence in India:42 yr,<br /> in developed countries:53 yr<br />Bimodal trend: dip at 45,increase after 65<br />For more presentations visit: www.medppp.blogspot.com<br />
  3. 3. Family history of Breast cancer<br />Parity: elderly primigravida, nullipara<br />Early menarche & late menopause<br />Hormonal: <br />Elevated estrogen & progesterone levels, OCP intake(before 25 yrs)<br />Marital status: Unmarried <br />Higher SES: Delayed age of marriage<br />Prior breast biopsy & radiation<br />For more presentations visit: www.medppp.blogspot.com<br />
  4. 4. Prevention and control of Breast cancer<br />Primary prevention <br />Maintain a healthy weight<br />Regular physical activity <br />Average age at menarche can be increased by:<br /><ul><li>Reduced fat intake before menarche
  5. 5. Strenuous exercise to inhibit ovulation</li></ul>Secondary prevention <br />Early detection by Screening<br />Treatment <br />For more presentations visit: www.medppp.blogspot.com<br />
  6. 6. Screening for breast cancer<br />Breast self examination(BSE)<br />Examination by physician<br />Thermography<br />Mammography<br />For more presentations visit: www.medppp.blogspot.com<br />
  7. 7. American Cancer Society Recommendations <br />Mammogram<br />Yearly for women over 40 years of age<br />Clinical breast exam<br />Performed by a doctor<br />Every 3 years for women 20 to 39<br />Yearly for women over 40 years of age<br />Breast self-exam (BSE)<br />Monthly<br />For more presentations visit: www.medppp.blogspot.com<br />
  8. 8. Breast Self-Exam (BSE)<br />When to do BSE?<br />Before menopause<br />2-3 days after menstrual period <br />After menopause<br /> - Pick the same day every month<br />For more presentations visit: www.medppp.blogspot.com<br />
  9. 9. Breast Self-Exam<br />Feel gently for any <br /> lumps or changes under <br /> the skin by fingers<br />In the Shower<br />For more presentations visit: www.medppp.blogspot.com<br />
  10. 10. Breast Self-Exam(BSE)<br />Before a Mirror<br />Place arms at sides & <br /> clasp behind your head<br /> Look for:<br />unusual discharge<br />dimpling <br /> changes in skin texture<br />changes in shape <br />Squeeze both nipples <br /> and look for discharge<br />For more presentations visit: www.medppp.blogspot.com<br />
  11. 11. Breast Self-Exam<br />Lying Down<br />Lie flat on your <br />back<br />Move fingers <br />in an up & down pattern<br />Rest your arm on a firm surface<br />For more presentations visit: www.medppp.blogspot.com<br />
  12. 12. Abnormal Breast Changes<br />Lump in the breast<br />Changes in breast size or shape<br />Notify <br />your <br />Doctor<br />Nipple discharge<br />or tenderness<br />Changes in the<br />skin of the breast<br />For more presentations visit: www.medppp.blogspot.com<br />
  13. 13. Breast Self Examination<br />The lump is more likely to be cancerous if :<br />It is hard and is not discrete<br />It is fixed in the breast; it does not move <br />The overlying skin show<br />dimpling<br />peaud&apos;orange<br />nipple retraction <br />For more presentations visit: www.medppp.blogspot.com<br />
  14. 14. Mammography<br />X-ray of the breast to detect breast cancer<br />Can detect a breast lump before it can be felt<br />Mammograms reduce the risk <br /> of dying from breast cancer<br />For more presentations visit: www.medppp.blogspot.com<br />
  15. 15. Disadvantages of Mammography<br />Exposure to radiation (500 milliroentgen)<br />Mammography does not find all cancers<br /> Sensitivity is 83-97%, depending on age<br />Mammography has a relatively high false positive rate<br /> (5-10 cases per case detected)<br />Mammography requires skilled manpower<br />For more presentations visit: www.medppp.blogspot.com<br />
  16. 16. For more presentations visit: www.medppp.blogspot.com<br />Thank You…<br />

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