This document provides information about breast cancer risks, detection, and prevention. It discusses acclaimed Filipino filmmaker Marilou Diaz Abaya and actress Maritoni Fernandez. It notes actress Angelina Jolie's double mastectomy and encouragement to learn about options. It states that 1 in 13 Filipino women will get breast cancer, with most cases not inherited. Early detection through monthly breast self-exams and regular mammograms after age 50 can find tumors before they are palpable. Signs to watch for include breast asymmetry or lumps, dimpling, skin changes, nipple changes, or unusual nipple discharge.

2. Marilou Diaz Abaya (March 30, 1955 – October 8, 2012)
An acclaimed filmmaker, known for raising the standards of Filipino Films,
as seen in hits “Jose Rizal” (1998), “Karnal” (1983), and “Muro-Ami” (1999)

4. Maritoni Fernandez
Actress, Breast cancer survivor

5. Angelina Jolie
multi-awarded actress, filmmaker, and
humanitarian,
Had double mastectomy at age 37y
“It is not easy to make these decisions…..
You can seek advice, learn about the options
and make choices that are right for you.
Knowledge is power.”

7. 1out of 13women
in the Philippines will get breast cancer

8. Only about 5%
of breast cancers are
inherited.
About 80% of women diagnosed with breast cancer will be
the first to be victims in their families.

9. All women are at risk.
Approximately 70% of breast cancers
occur in women with none of the known risk factors.

10. 1 out of 4 who are diagnosed
with breast cancer die within the first five
years.
No less than 40% die within ten years.

14. • Mammography can be done
for high risk women aged
40y-<50y, otherwise
ultrasound can be done.
• Beginning at age 50y, do
yearly mammography.

15. • A mammogram can detect a <1/4
inch or ½ cm tumors; physical
examination usually can detect >1/2
inch or 1 cm tumors.
• Mammography can detect non-
palpable calcifications, which may
indicate malignancy.

16. • For women 20 years or older
• In a premenopausal woman,
5-10 days after the onset of menses
• In a lactating woman, 10 to 15min af
emptying the breasts

17. STEP 1:
• Begin by looking at your breasts
in the mirror with your shoulders
straight and your arms on your
hips.
Look for:
•Any unusual or changes in size, shape, or
distortions and color

18. STEPS 2 and 3:
• Raise your arms and look
for the same changes.
• Also, look for any signs of fluid
coming out of one or both nipples
(this could be a watery, milky, or
yellow fluid or blood).

19. STEP 4:
Feel your breasts while lying down,
using your right hand to feel your left
breast and then your left hand to feel
your right breast.

21. Finally, feel your breasts
while you are standing or
sitting.
STEP 5:

23. Asymmetry of breast
of recent onset

24. Breast lump

25. Dimpling

26. Changes in the skin of
the breast, similar to an
orange peel

27. Recent change in the
nipple/retraction

28. Any discharge from the
nipple other than milk