Community breast cancer presentation(1)

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Girls Night In 2011 - Presentation by Rosemary Hannan

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Community breast cancer presentation(1)

  1. 1. BREAST CANCER Oatley Girls Night In November 2011
  2. 2. Definition <ul><li>The uncontrolled growth of abnormal cells originating from the breast. </li></ul><ul><li>Breast anatomy is made of milk ducts, lobules, fatty tissue, and the nipple. </li></ul><ul><li>Cancer can be found in these sites. </li></ul>
  3. 3. <ul><li>Breast cancer is the most common cancer in women in Australia </li></ul><ul><li>It is the most common cause of cancer-related deaths in women </li></ul><ul><li>1 in 8 women will develop breast cancer by the age of 85 years </li></ul><ul><li>1:763 of breast cancers are in men </li></ul>Statistics: ( NBOCC 2008)
  4. 4. Statistics <ul><li>In 2003 breast cancer accounted for 29% of all cancers in women </li></ul><ul><li>Last 10 years there has been a 7% increase in breast cancer but a 22% decrease in breast cancer deaths </li></ul>
  5. 5. Numbers diagnosed <ul><li>In 2010 approx 14,000 women diagnosed with breast cancer and just over 100 men </li></ul><ul><li>38 women diagnosed each day </li></ul><ul><li>Average age for women 60 years and 66 years for a man </li></ul><ul><li>(Australian Institute of Health & Welfare and NBOCC) </li></ul>
  6. 6. Ages <ul><li>13% women 20-44yrs </li></ul><ul><li>61% women 45-69yrs </li></ul><ul><li>26% women > 70yrs </li></ul>
  7. 7. Risk factors <ul><li>Major </li></ul><ul><li>Being female </li></ul><ul><li>Increased age </li></ul><ul><li>Previous history of breast cancer </li></ul><ul><li>Family history of breast cancer </li></ul><ul><li>BRCA1 or BRCA2 gene mutation </li></ul>
  8. 8. Risk factors (cont) <ul><li>Minor </li></ul><ul><li>Early onset of periods (before 12 yrs) </li></ul><ul><li>Late onset of menopause (after 55 yrs) </li></ul><ul><li>No children </li></ul><ul><li>First child after 30 yrs of age </li></ul><ul><li>HRT – hormone replacement therapy </li></ul><ul><li>Alcohol </li></ul><ul><li>Dietary fat </li></ul>
  9. 9. Facts Phytoestrogens <ul><li>Found in Soy products </li></ul><ul><li>May act like oestrogen when consumed. May act like a weak oestrogen and may also be an oestrogen blocker. </li></ul><ul><li>Scientific studies are contradictory no clinical trials have been done. </li></ul>
  10. 10. Facts Phytoestrogens <ul><li>Soy foods consumption in moderation is recommended. </li></ul><ul><li>Women with breast cancer to have soy in moderation but not increase any more into their diet </li></ul>
  11. 11. Facts Stress <ul><li>No solid evidence stress is not a risk factor. </li></ul><ul><li>10 studies found no link. </li></ul><ul><li>2 studies found women with significant stressful events eg loss of a husband etc were more at a risk </li></ul>
  12. 12. Facts Stress <ul><li>People under stress can increase their risk due to adding smoking and drinking of alcohol. </li></ul><ul><li>Increase the fat in their diet and gain weight to add and increased risk. </li></ul>
  13. 13. Survival <ul><li>Increase from </li></ul><ul><li>71.8% in 1982-1986 to </li></ul><ul><li>87.8% in 1998-2004 </li></ul><ul><li>In 2006 143,967 women alive who have had breast cancer in the past 25 years (NBOCC, 2009) </li></ul>
  14. 14. Statistics <ul><li>Survival is measured by the amount of people alive 5 years after treatment. </li></ul><ul><li>High rate of surviving BC if diagnosed and treated early. </li></ul><ul><li>Between 1998-2002 86% of early BC survivors were still alive. </li></ul>
  15. 15. Statistics <ul><li>This includes people with secondary breast cancer. </li></ul><ul><li>Women with small BC’s of 10mm or less in diameter the 5 year survival is almost as high as for women without BC. </li></ul>
  16. 16. <ul><li>Palpable lumps–painful, painless </li></ul><ul><li>Distorted breast size or shape </li></ul><ul><li>Change in colour / inflammation </li></ul><ul><li>Thickening of breasts </li></ul><ul><li>Inverted / retracted nipple </li></ul><ul><li>Nipple discharge </li></ul><ul><li>Skin dimpling or puckering </li></ul><ul><li>Scaling of the skin </li></ul>Things to Look For:
  17. 17. Screening <ul><li>Breast self-examination (BSE) - monthly </li></ul><ul><li>Clinical breast examination – annual check with GP </li></ul><ul><li>Mammography/Ultrasound – usually every 2 years </li></ul>
  18. 18. Mammography
  19. 19. Breast Self Examination <ul><li>Check monthly </li></ul><ul><li>Stand before a mirror </li></ul><ul><li>Look at breasts for anything abnormal </li></ul><ul><li>Place hands on hips </li></ul><ul><li>Push shoulders back and breasts forward, then shoulders forward and flex chest muscles </li></ul><ul><li>Raise hands over / behind head. </li></ul><ul><li>Check for any changes </li></ul>
  20. 20. Breast Self Examination <ul><li>Place left hand behind head </li></ul><ul><li>With right hand, use sensitive pads of fingers </li></ul><ul><li>1 st – press lightly feeling surface of breast </li></ul><ul><li>2 nd – press firmly feeling for anything deeper in breast </li></ul><ul><li>Use small, circular motions, checking the whole breast </li></ul>
  21. 21. Breast Self Examination <ul><li>Check whole breast –including above breast to collarbone and out to armpit, beneath breast, and nipple. </li></ul><ul><li>Gently check nipple and areola for any discharge or scaling </li></ul><ul><li>Repeat procedure for right breast. </li></ul><ul><li>Repeat procedure lying down. </li></ul>
  22. 22. Why attend to breast health? <ul><li>The better you know your breasts, the earlier you may pick up changes. </li></ul><ul><li>Often easier to treat when cancer is small. </li></ul><ul><li>Early detection usually means more options available for successful treatment and increase in survival. </li></ul>
  23. 23. What next... <ul><li>Get to know your breasts and what’s normal for you. </li></ul><ul><li>If you notice breast changes or find a lump – make an appointment with your GP, even if recent screening tests were normal. </li></ul><ul><li>If in doubt – get it checked! </li></ul>
  24. 24. Helping a Friend <ul><li>Deal with your own feelings first </li></ul><ul><li>Be available to listen </li></ul><ul><li>Let her talk about anything </li></ul><ul><li>Cry and laugh with her </li></ul><ul><li>Don’t worry that you won’t always know what to say </li></ul><ul><li>Respect there will be times when she doesn’t want to talk </li></ul>
  25. 25. Helping a Friend (cont..) <ul><li>Offer to help – practical ways </li></ul><ul><li>Phone her / text her </li></ul><ul><li>Visit – but call first </li></ul><ul><li>Stay in touch throughout her journey – letters, cards, emails </li></ul><ul><li>Help her to have some fun by doing ‘normal’ things – coffee, walk, movie, dinner </li></ul>
  26. 26. Things That Won’t Help <ul><li>Don’t tell her any horror stories about other people </li></ul><ul><li>Don’t tell her about the latest cure / treatment you’ve heard </li></ul><ul><li>Don’t burden her with your own fears and worries </li></ul><ul><li>Don’t tell her what to do </li></ul><ul><li>Don’t give up on her </li></ul>

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