UNIVERSITY OF AZAD JAMMU & KASHMIR
Faculty Of Health & Medical Sciences
Group Members:
Kiran Imtiaz 03
Zarish Raiz 07
Almas Mehmood 22
Saqib Altaf 30
Qammar Razaq 39
Kainat Qurban 48
Amir Sohail 73
Safi ullah Aziz 76
Presentation topic:
Cancer is the abnormal, uncontrollable , continuous
division of cells lead to the formation of a tumor.
Forms in the
tissues of the
breast
Spreads mainly
through the
Lymphatic system
Breast cancer is second only to lung cancer as a cause of
cancer deaths in women.
Most of the lymph vessels
of the breast drain into:
 Lymph nodes under the
arm (auxiliary nodes).
 Lymph nodes around the
collar bone (supraclavicular
and infraclavicular lymph
nodes)
 Lymph nodes inside the
chest near the breast bone
(internal mammary lymph
nodes)
 Malignant
 Cancerous
 Benign
 Not - Cancerous
 Most lumps are caused
by the combination of
cysts and fibrosis
 Cysts are fluid-filled sacs.
 Fibrosis is the formation of
scar - like tissue.
 These changes can cause
breast swelling and
pain.
 Breast cancer is a malignant (cancerous)
tumor that starts in the cells of the breast
and spread to other tissues. It is found
mostly in women, but men can get breast
cancer, too.
Invasive
 Cancerous
 Malignant
 Spreads to other organs
(metastasis)
Non - Invasive
Pre – Cancerous
Still in its original position
Eventually develops into
invasive breast cancer.
Invasive Breast Cancer
Breast
Lymph nodes
Lungs
Liver
 The inner lining of
milk ducts.
 Ductal Carcinoma
 The lobules – Milk
producing glands.
 Lobular Carcinoma
Ductal
Carcinoma
Invasive Ductal
Carcinoma
Ductal Carcinoma
in situ
Inflammatory
Breast Cancer
(IBC)
Lobular
Carcinoma
Invasive Lobular
Carcinoma
Lobular Carcinoma
in situ
 Uncommon (1% to 3%
of all breast cancers)
 Invasive Brest Cancer.
 No lump or tumor.
 Mistaken for infection
in its early stages.
Picture
 Most common breast cancer.
 Lining of the ducts
Grows /invades
the breast tissues
Spreads to lymph nodes
Other organs
 picture
 About 1 in 10 Invasive
breast cancers are ILC.
 Formed in the lobules.
 Grows through the
wall of the lobules.
 Spreads
 Gender
 Age
 Genetic risk factors
 Family history
 Personal history of breast cancer
 Race
 Menstrual periods
 Breast radiation early in life
 Not having children or having them later in
life.
 Certain kinds of birth control
 Using hormone therapy after menopause
 Not breastfeeding
 Alcohol
 Being overweight or obese
 Alcohol consumption
 Physical exercise
 Diet
 Postmenopausal hormone therapy
 Bodyweight
 Breast cancer screening
 Breastfeeding
 A lump in a breast.
 A pain in the armpits or breast that does not seem to be
related to the woman's menstrual period.
 Pitting or redness of the skin of the breast; like the skin
of an orange.
 A rash around (or on) one of the nipples.
 A swelling (lump) in one of the armpits.
 One of the nipples has a discharge; sometimes it
may contain blood
 The nipple changes in appearance; it may
become inverted.
 The size or the shape of the breast changes.
Diagnostic tests and procedures for
breast cancer include:
 Breast exam
 Mammograms
 Breast ultrasound Imaging tests
 Breast MRI scan
 Biopsy
 Sage 0
 Stage l
 Stage ll
 Stage lll
 Stage lV
 Sage 0 : Non – Invasive breast cancer. Has not spread
to breast tissues.
 Stage l : ≤ 2cm and has not spread to lymph nodes.
 Stage ll : 2-5 cm and has spread to lymph nodes.
 Stage lll
Stage lllA: >5 cm and spread to lymph
nodes without forming clumps.
Stage lllB: Any size and spread to the skin or
chest wall. Swelling.
Stage lllC: Any size , spread to lymph nodes, skin
and chest wall.
 Stage lV: Metastasized
 Surgery
 Radiation therapy
 Biological therapy (targeted drug therapy)
 Hormone therapy
 Chemotherapy
Surgery for breast cancer:
 Lumpectomy
 Mastectomy
Lymph node surgery:
 Sentinel node biopsy
 Axillary lymph node dissection
Breast reconstruction surgery
 Surgically removing the tumor and a small
margin of healthy tissue around it.
 Followed by radiation therapy
 Surgically removing the breast and other
infected components.
Mastectomy
A simple
mastectomy.
A Radical
mastectomy.
Modified radical
mastectomy.
 Simple mastectomy : removing the lobules,
ducts, fatty tissue, nipple, areola, and some skin.
 Modified radical mastectomy: simple
mastectomy combined with the removal of the
axillary lymph nodes.
 Radical mastectomy: a simple mastectomy
combined with removing the lymph nodes and
muscles of the chest wall.
 Radiation therapy is treatment with high-
energy rays (such as x-rays) or particles to kill
cancer cells.
 The patient may require three to five sessions
per week for three to six weeks.
 Breast radiation therapy – applied after a
lumpectomy,.
 Chest wall radiation therapy – applied after a
mastectomy
 Breast boost - a high-dose of radiation therapy
is applied to where the tumor was surgically
removed.
 Lymph nodes radiation therapy - aimed at the
axilla and surrounding area to destroy cancer
cells that have reached the lymph nodes
 Chemotherapy (chemo) is the use of cancer-killing
drugs.
 Intravenously, given as a shot, or taken as a pill or
liquid.
 They enter the bloodstream and reach most parts of
the body.
 Combats metastasis.
 Damage some normal cells.
 Used for breast cancers that are sensitive to
hormones.
 These types of cancer are often referred to as ER
positive (estrogen receptor positive) and PR
positive (progesterone receptor positive) cancers.
 Estrogen and progesterone promotes cancer
growth.
 Estrogen and progesterone are blocked using
certain drugs.
Short – term side effects
 · Hair loss
 · Loss of appetite or increased appetite
 · Nausea and vomiting
 · A higher risk of infection (low WBC count)
 · Stopping of menstrual periods
 · Easy bruising or bleeding (low platelets)
 · Being very tired
Long - term side effects
 Menstrual changes: infertility
 Nerve damage: pain, burning or tingling and
sensitivity to cold or hot.
 Heart damage
Thank you

Breast cancer pathology

  • 1.
    UNIVERSITY OF AZADJAMMU & KASHMIR Faculty Of Health & Medical Sciences
  • 2.
    Group Members: Kiran Imtiaz03 Zarish Raiz 07 Almas Mehmood 22 Saqib Altaf 30 Qammar Razaq 39 Kainat Qurban 48 Amir Sohail 73 Safi ullah Aziz 76
  • 3.
  • 4.
    Cancer is theabnormal, uncontrollable , continuous division of cells lead to the formation of a tumor.
  • 5.
    Forms in the tissuesof the breast Spreads mainly through the Lymphatic system Breast cancer is second only to lung cancer as a cause of cancer deaths in women.
  • 7.
    Most of thelymph vessels of the breast drain into:  Lymph nodes under the arm (auxiliary nodes).  Lymph nodes around the collar bone (supraclavicular and infraclavicular lymph nodes)  Lymph nodes inside the chest near the breast bone (internal mammary lymph nodes)
  • 8.
     Malignant  Cancerous Benign  Not - Cancerous
  • 9.
     Most lumpsare caused by the combination of cysts and fibrosis  Cysts are fluid-filled sacs.  Fibrosis is the formation of scar - like tissue.  These changes can cause breast swelling and pain.
  • 10.
     Breast canceris a malignant (cancerous) tumor that starts in the cells of the breast and spread to other tissues. It is found mostly in women, but men can get breast cancer, too.
  • 11.
    Invasive  Cancerous  Malignant Spreads to other organs (metastasis) Non - Invasive Pre – Cancerous Still in its original position Eventually develops into invasive breast cancer.
  • 12.
  • 13.
     The innerlining of milk ducts.  Ductal Carcinoma  The lobules – Milk producing glands.  Lobular Carcinoma
  • 14.
    Ductal Carcinoma Invasive Ductal Carcinoma Ductal Carcinoma insitu Inflammatory Breast Cancer (IBC) Lobular Carcinoma Invasive Lobular Carcinoma Lobular Carcinoma in situ
  • 15.
     Uncommon (1%to 3% of all breast cancers)  Invasive Brest Cancer.  No lump or tumor.  Mistaken for infection in its early stages.
  • 16.
  • 17.
     Most commonbreast cancer.  Lining of the ducts Grows /invades the breast tissues Spreads to lymph nodes Other organs
  • 18.
  • 19.
     About 1in 10 Invasive breast cancers are ILC.  Formed in the lobules.  Grows through the wall of the lobules.  Spreads
  • 21.
     Gender  Age Genetic risk factors  Family history  Personal history of breast cancer  Race  Menstrual periods  Breast radiation early in life
  • 22.
     Not havingchildren or having them later in life.  Certain kinds of birth control  Using hormone therapy after menopause  Not breastfeeding  Alcohol  Being overweight or obese
  • 24.
     Alcohol consumption Physical exercise  Diet  Postmenopausal hormone therapy  Bodyweight  Breast cancer screening  Breastfeeding
  • 26.
     A lumpin a breast.  A pain in the armpits or breast that does not seem to be related to the woman's menstrual period.  Pitting or redness of the skin of the breast; like the skin of an orange.  A rash around (or on) one of the nipples.
  • 27.
     A swelling(lump) in one of the armpits.  One of the nipples has a discharge; sometimes it may contain blood  The nipple changes in appearance; it may become inverted.  The size or the shape of the breast changes.
  • 29.
    Diagnostic tests andprocedures for breast cancer include:  Breast exam  Mammograms  Breast ultrasound Imaging tests  Breast MRI scan  Biopsy
  • 30.
     Sage 0 Stage l  Stage ll  Stage lll  Stage lV
  • 31.
     Sage 0: Non – Invasive breast cancer. Has not spread to breast tissues.  Stage l : ≤ 2cm and has not spread to lymph nodes.  Stage ll : 2-5 cm and has spread to lymph nodes.
  • 32.
     Stage lll StagelllA: >5 cm and spread to lymph nodes without forming clumps. Stage lllB: Any size and spread to the skin or chest wall. Swelling. Stage lllC: Any size , spread to lymph nodes, skin and chest wall.  Stage lV: Metastasized
  • 34.
     Surgery  Radiationtherapy  Biological therapy (targeted drug therapy)  Hormone therapy  Chemotherapy
  • 35.
    Surgery for breastcancer:  Lumpectomy  Mastectomy Lymph node surgery:  Sentinel node biopsy  Axillary lymph node dissection Breast reconstruction surgery
  • 36.
     Surgically removingthe tumor and a small margin of healthy tissue around it.  Followed by radiation therapy
  • 37.
     Surgically removingthe breast and other infected components. Mastectomy A simple mastectomy. A Radical mastectomy. Modified radical mastectomy.
  • 38.
     Simple mastectomy: removing the lobules, ducts, fatty tissue, nipple, areola, and some skin.  Modified radical mastectomy: simple mastectomy combined with the removal of the axillary lymph nodes.  Radical mastectomy: a simple mastectomy combined with removing the lymph nodes and muscles of the chest wall.
  • 39.
     Radiation therapyis treatment with high- energy rays (such as x-rays) or particles to kill cancer cells.  The patient may require three to five sessions per week for three to six weeks.
  • 40.
     Breast radiationtherapy – applied after a lumpectomy,.  Chest wall radiation therapy – applied after a mastectomy  Breast boost - a high-dose of radiation therapy is applied to where the tumor was surgically removed.  Lymph nodes radiation therapy - aimed at the axilla and surrounding area to destroy cancer cells that have reached the lymph nodes
  • 41.
     Chemotherapy (chemo)is the use of cancer-killing drugs.  Intravenously, given as a shot, or taken as a pill or liquid.  They enter the bloodstream and reach most parts of the body.  Combats metastasis.  Damage some normal cells.
  • 42.
     Used forbreast cancers that are sensitive to hormones.  These types of cancer are often referred to as ER positive (estrogen receptor positive) and PR positive (progesterone receptor positive) cancers.  Estrogen and progesterone promotes cancer growth.  Estrogen and progesterone are blocked using certain drugs.
  • 43.
    Short – termside effects  · Hair loss  · Loss of appetite or increased appetite  · Nausea and vomiting  · A higher risk of infection (low WBC count)  · Stopping of menstrual periods  · Easy bruising or bleeding (low platelets)  · Being very tired
  • 44.
    Long - termside effects  Menstrual changes: infertility  Nerve damage: pain, burning or tingling and sensitivity to cold or hot.  Heart damage
  • 45.