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DR KANHU CHARAN PATRO
RADIATION ONCOLOGIST
M.D,D.N.B[RT],FAROI[USA],MBA[ICFAI],PDCR,CEPC
O
N
O L
Y
O
M
G
C
H
R
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C
G
R
S
P
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S P E C I
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T
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I
VISAKHAPATNAM,1/7-MVP[AP]
2
Statistics
• >9.7 million cases are detected each
year
• 6.7 million people will die from
cancer
• Every day, around 1700 Americans
die of the disease
• 20.4 million people living with
cancer in the world today
• 1 in 3 people will be diagnosed with
cancer in the UK and 1 in 4 will die
from their disease
Lung
Breast
Colon/Rectum
Stomach
Liver
Prostate
Cervix uteri
Oesophagus
Bladder
Non-Hodgkin
Lymphoma
Leukaemia
Oral cavity
Pancreas
Kidney
Ovary
1000 800 600 400 200 0 200 400 600 8001000
Men Women
From: D.M. Parkin The Lancet Oncology 2: 533-543 (2001)
(Thousands)
Incidence
Mortality
337
293
105
0370
241
318
446
234
165
166
471
233
133
111
76
33
121
68
113
86
47
97
101
101
34
71
192
114
810
902
558
405
255
499
398
384
204
543
279
260
227
99
93
167
144
109
81
170
116
112
57
119
5.3 million cases
3.5 million deaths
4.7 million cases
2.7 million deaths
The Global Burden of Cancer 2000
? ?
6/1/2018 3:43:01 AM 6
Oncologist
Diagnosis
Treatment
Radiologist
Cytopathologist
Surgeon
HistopathologistMolecular
Pathologist
Geneticist
psychiatrist
Nursing
And
Support staff
Audit
•Breast cancer
6/1/2018 3:43:01 AM 11
MYTHS
Myths –contd.
A breast cancer diagnosis
is an automatic death
sentence.
Myths –contd.
Breast cancer only
affects older
women.
Myths –contd.
If you have a risk factor
for breast cancer, you're
likely to get the disease
Myths –contd.
If breast cancer doesn't
run in your family, you
won't get it
Myths –contd.
Only your mother's family
history of breast cancer
can affect your risk
Myths –contd.
Using antiperspirants
causes breast cancer.
Myths –contd.
Birth control pills
cause breast cancer.
Myths –contd.
Eating high-fat
foods causes breast
cancer.
Myths –contd.
A monthly breast
self-exam is the best
way to diagnose
breast cancer
Myths –contd.
I'm at high risk for breast
cancer and there's nothing
I can do about it
Risk factrors
Risk factors
• Age
• From birth to age 39, your risk is 1 in 229.
• From age 40 to 59, your risk is 1 in 24.
• From age 60 to 79, your risk is 1 in 13.
• Personal history of breast cancer:
• Family history:
• Genetic alterations:
• Menstrual history:
• Race: Breast cancer in the United States occurs more often in white women than
Latina, Asian, or African American women. But in women 40 and younger, African
American women have the highest risk.
• Radiation therapy to the chest before you were 30 years old
• Breast density:
• Exposure to DES (diethylstilbestrol):
• Late pregnancy or no pregnancy:
PRESENTATION
Lump or mass in your breast
Skin redness
Enlarged lymph nodes in the armpit
Skin puckering
Skin dimpling
Skin ulceration
Changes in breast size, shape, skin
texture or color
Scaliness of breast skin
Nipple changes
Nipple discharge
Progression
Metastasis
DIAGNOSIS
Examination by doctor
mammogram
FNAC/BX
ULTRASOUND
TREATMENT
SURGERY
RADIOTHERAPY
CHEMOTHERAPY
REHABILITATION
SURGERY
ARTIFICIAL BREAST
6/1/2018 3:43:01 AM 51
Abnormal bleeding
6/1/2018 3:43:01 AM 52
Back pain
6/1/2018 3:43:01 AM 53
Post coital bleeding
6/1/2018 3:43:01 AM 54
examination
6/1/2018 3:43:01 AM 55
6/1/2018 3:43:01 AM 56
SURGERY
RADIOTHERAPY
CHEMOTHERAPY
Any test that detect cancer
cervix before attack-
pap smear
Every year Regular
testing after 3 years of
marriage
6/1/2018 3:43:01 AM 60
CAUTION
C - Change in bowel or bladder habits
A - A sore that does not heal
U - Unusual bleeding or discharge
T - Thickening or lump in the breast or any part of the body
I - Indigestion or difficulty swallowing
O - Obvious change in a wart or mole
N - Nagging cough or hoarseness
Change in bowel habits
10/20/12 01:12 PM 63
Change in bladder habits
10/20/12 01:12 PM 64
A sore that does not heal
10/20/12 01:12 PM 65
Unusual bleeding or discharge
10/20/12 01:12 PM 66
Thickening or lump in the
breast or any part of the body
10/20/12 01:12 PM 67
Indigestion or difficulty swallowing
10/20/12 01:12 PM 68
Obvious change in a wart or mole
10/20/12 01:12 PM 69
Nagging cough or hoarseness
10/20/12 01:12 PM 70
6/1/2018 3:43:01 AM 73
10/20/12 01:12 PM 76
78
Prevention-passive smoking
Liver cancer-
hepatitis B vaccine
Cervix cancer vaccine
10/20/12 01:12 PM 81
Promise-Stop drinking alcohol
10/20/12 01:12 PM 82
RELAX
Meditation
10/20/12 01:12 PM 84
85
Dietary protective factors
Breast feeding
REGULAR CHECK-UP
Physical activity
89
90
6/1/2018 3:43:01 AM 91
6/1/2018 3:43:01 AM 92
6/1/2018 3:43:01 AM 93
6/1/2018 3:43:01 AM 94
LOTS OF BLOOD REQUIRE
6/1/2018 3:43:01 AM 95
TABLET FORMS
6/1/2018 3:43:01 AM 96
All specialities under one roof
6/1/2018 3:43:01 AM 97
10/20/12 01:12 PM 98
10/20/12 01:12 PM 99
10/20/12 01:12 PM 100
10/20/12 01:12 PM 101
Whenever not
possible,
make friends
10210/20/12 01:12 PM
10310/20/12 01:12 PM
6/1/2018 3:43:01 AM 104
6/1/2018 3:43:01 AM 105
Thank you

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