This document discusses breast cancer awareness and mammographic screening. It begins with some key facts about breast cancer, including that it is a leading cause of mortality in women worldwide. Screening is most important for women aged 40 and older, or younger with family history. The document then examines breast cancer statistics globally and for Myanmar. It reviews various breast imaging modalities like mammography and ultrasound. Data analysis of over 500 mammograms found most were for diagnostic purposes and the highest incidence was in women aged 41-50. The conclusion calls for increased public screening awareness. Key takeaways encourage screening and lifestyle changes to help prevent breast cancer.

1. Awareness of Mammographic ScreeningAwareness of Mammographic Screening
Khin The Nu Aye
Assistant Lecturer
B.Med.Tech, M.Med.Tech (Medical Imaging Technology)
Department of Medical Imaging Technology
University of Medical Technology, Yangon

2. University of Medical Technology, Yangon
2

3. 3
Medical Imaging Technology Students from UMT, Yangon

4. Outlines
• Introduction
• Breast Cancer Facts and Figures
• Imaging Modalities for Breast Tissue
• Data Analysis
• Conclusion
• Take Home Message
• References
• Acknowledgements
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5. 1. Introduction
Awareness of Mammographic Screening 5
http://wfmj.images.worldnow.com

6. • One of the major
leading causes of
mortality in women
• Serious Threat World
Wide
• Early diagnostic imaging
plays as primary role
Source: http://s3.amazonaws.com
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7. • Screening ought to be done
in women aged 40 and
above, but may be in
younger ages with family
history
• Being educated about breast
cancer symptoms
• Getting screened regularly
• BSE and CBE
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Image Source: www.medicinenet.com

8. Awareness of Mammographic Screening 8
Image Source: www.pinterest.com

9.  Smoking and Drinking
 Being over weight
 Exposure to Ionizing
Radiation
 Low Vit-D intakes
 Medications (Endo or
Exogenous Estrogen, HRT)
 Family History
 Unhealthy diet
 Environmental Pollutants
 Genetics (BRCA 1 and
BRCA 2)
 Race and ethnicity
9
Risks of Breast Cancer

10. • 1 million is diagnosed with Breast Cancer Every Year
globally
• 80% - Benign
• More frequent - LEFT side
• Early detection – Higher Survival Rate
• 90-95% survival rate
Awareness of Mammographic Screening 10Image Source: http://lifestyle.inquirer.net/174579/6-signs-of-possible-breast-cancer/

11. 2. Breast Cancer Facts and Figures
Awareness of Mammographic Screening
Image Source: http://u.b5z.net
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12. 12
Data source: WHO research on cancer incidence, 2012
http://globocan.iarc.fr/Pages/fact_sheets_population.aspx

13. 13
Data source: WHO research on cancer incidence, 2012
http://globocan.iarc.fr/Pages/fact_sheets_population.aspx

14. Estimated Number of New Cases for the Four Major
Cancers by Sex and Age Group, 2017
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15. Awareness of Mammographic Screening 15
Image Source: http://www.nationalbreastcancer.org/male-breast-cancer
150 men will be diagnosed with Breast Cancer every year!

16. 16
Data source: WHO research on cancer incidence, 2012
http://globocan.iarc.fr/Pages/fact_sheets_population.aspx

17. Estimated Number of Deaths for the Four Major
Cancers by Sex and Age Group, 2017
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18. 18
http://www.cancertherapyadvisor.com
2013

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Image source: www.niehs.nih.gov

20. Date Source: Cancer Incidence Presentation by Professor Dr. Tint Lwin
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22. Cancer Incidence in Myanmar 2014
22
World Health Organization –Cancer Country Profiles 2014
http://www.who.int/cancer/country-profiles/mmr_en.pdf

23. 23
World Health Organization –Cancer Country Profiles 2014
http://www.who.int/cancer/country-profiles/mmr_en.pdf

24. 3. Imaging Modalities for Breast Tissue
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Image source: http://s3.amazonnaws.com

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31. 4. Data Analysis
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32. Awareness of Mammographic Screening 32
Image source: www.asiaroyalhospital.com
Asia Royal Hospital

33. CR Mammographic Unit (Planmed)
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34. Mammographic Questionnaire Form
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35. • Patient Preparation
• Documentation
• Routine CC and MLO projections
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36. Awareness of Mammographic Screening 36
Data Collection Period : 1.1.2017 to 31.5.2017
Data Collection : Any Gender between 21 and 90 years of age
No. of Patients Percentage
Common Reasons for
Examinations
Screening 79 15.25%
• Medical Check up
• Family History
Diagnosis 439 84.75%
• Recheck after
treatment /surgery
• Breast lumps or other
abnormalities on SBE
• Pain or discharges
• Others pathologies
related
Total 518 100 %

37. Percentage of Examinations by Age Group
Age Group No. of Patients Percentage
21 – 30 years 31 6 %
31 – 40 years 93 18 %
41 – 50 years 184 35.5 %
51 – 60 years 134 25.9 %
61 – 70 years 59 11.4 %
71 – 80 years 14 2.7 %
81 – 90 years 3 0.5 %
Total 518 100 %
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38. Estimated Number of New Cases for the Four Major
Cancers by Sex and Age Group, 2017
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39. Estimated Number of Deaths for the Four Major
Cancers by Sex and Age Group, 2017
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5. Conclusion

41. • Very few percentage of Screening Mammography - 15 %
• Public Awareness is still needed
• Greatest Incidence - 41 and 50 years of age
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6. Take Home Message

43. 2nd Leading
Cause of
Death among
Women
Deaths from
Breast Cancer
Every Year
Globally
1 in 8
Women will
Develop
Breast Cancer
in their
Lifetime
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Data Source : Mammography Solutions by Liz van de Sande (PHILIPS)

44. Top 5 to Prevent Breast Cancer
1: Stop smoking
2: Start moving
3: Minimize exposure
4: Stay vigilant
5: Limit medications
44Data Source: https://medmonks.com/blog/5-promising-things-can-prevent-breast-cancer

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7. References

46. • http://wfmj.images.worldnow.com
• www.medicinenet.com
• www.s3.amazonnaws.com
• www.u.b5z.com
• www.niehs.nih.gov
• www.pinterest.com
• Data source: American Cancer Society
• Central Diseases Control
Awareness of Mammographic Screening 46

47. • www.worldbank.com
• www.globocan.iarc.fr
• www.clinicaladvisor.com
• www.breastcancer.org
• www.english.alarabiya.net
• www.flowershopnetwork.com
• www.timedot.com
• www.act4addenbrookes.org.uk
• www.googleusercontent.com
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48. • www.i.pinimg.com
• www.medmonks.com
• www.vaidam.com
• www.bmccancer.biomedcentral.com
• www.worldlifeexpectancy.com
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8. Acknowledgements

51. • U Khin Mg Tin
• Daw Khin Thandar Htun
• Colleagues in Imaging Department, Asia Royal
Hospital
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