Learn about Breast Cancer: risk factors, detection and treatment options.

1. Myth Busters: Fact or Fiction
What you need to know
about Breast Cancer.
Presented by: Priya Jadeja, MD, FACS
September 22, 2021

2. Fact or Fiction?
 Breast cancer only happens
when you’re older!
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3. Myth
 Breast cancer only happens when you’re older!
Although age is a risk factor, 1/69 women are
diagnosed with invasive breast cancer in their 40s.
Over 12,000 women UNDER 40 will be diagnosed
with breast cancer each year.
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4. 4
By age 25: one in 19,608 By age 60: one in 24
By age 30: one in 2,525 By age 65: one in 17
By age 35: one in 622 By age 70: one in 14
By age 40: one in 217 By age 75: one in 11
By age 45: one in 93 By age 80: one in 10
By age 50: one in 50 By age 85: one in 9
By age 55: one in 33 Ever: one in 8
Age and Breast Cancer Risk

5. Fact or Fiction?
 Breast cancer always forms a
lump. If I don’t feel it, there’s
nothing wrong.
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6. Myth
 Breast cancer always forms a lump. If I don’t feel it,
there’s nothing wrong.
Not true, the number 1 symptom is no symptom at
all. Cancer can present microscopic calcifications.
Alternatively, swelling, skin irritation, nipple
inversion, or nipple discharge.
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7. Talk to your doctor about changes you see or feel!
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8. Symptoms
 Nipple discharge
 Skin changes
 Breast lump
 Skin/Nipple retractions
 RARE – pain
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9. Fact or Fiction?
 Wire bras, deodorant, and tofu
increase my risk of breast cancer.
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10. Myth
 Wire bras, deodorant, and tofu increase my risk of
breast cancer.
Not true, but smoking, alcohol, and being
overweight can increase your risk. Thirty minutes od
aerobic exercise three times a week can also
decrease your risk!
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11. Fact or Fiction?
 Most breast cancer is genetic.
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12. Myth
 Most breast cancer is genetic.
Not true, only 5-10% of women with breast cancer
have a family history.
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14. What do I need to know?
 What are the types of breast cancer?
 What are the risk factors and symptoms?
 How can I prevent it?
 When do I start getting mammograms?
 What is new with breast cancer screenings?
 What are the treatment options?
 Take home points
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15. Breast cancer: Types and More
 Lobules
 Where milk is made
 Ducts
 Milk is carried from the lobules
toward the nipple
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16. Breast cancer: Types and More
 Lobule cancer
 Ductal cancer
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17. Breast cancer: Types and More
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18. Breast cancer: Types and More
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19. Breast cancer: Types and More
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20. So, am I at risk??
 Average risk of breast cancer in the next 10 years:
 Age 30: < 1%
 Age 40: 1.5%
 Age 50: 2.5%
 Age 60: 3.3%
 Lifetime risk is ~12%
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21. Risk Factors
 Gender
 Age
 Family history/Genetics
 Hormone replacement therapy
 Previous chest radiation
 Late child-bearing
 Overweight
 Alcoholism
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22. Risk Factors
 What if I only have one family member with breast cancer?
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23. Risk Factors
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24. Symptoms
 Nipple discharge
 Skin changes
 Breast lump
 Skin/Nipple retractions
 RARE – pain
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25. Risks Prevention
 Gender
 Age
 Family history/Genetics
 Hormone replacement therapy
 Previous chest radiation
 Late child-bearing
 Overweight
 Alcoholism
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26. Prevention
 Knowing your risks
 Screening mammography
 …………EXCERCISE!
Regular exercise has been shown to decrease risk by 10- 20%
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27. Screening Mammography
 Screening reduces risk for breast cancer mortality by 15-20%
 Initiating screening at age 40 averts 1 breast cancer death per 1000 women
screened
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28. Screening Mammography
 Guidelines and Recommendations:
 American Cancer Society and The American Society of Breast Surgeons:
Yearly Screening beginning at age 40
 United States Preventative Task Force: Screening every TWO years,
beginning at age 50
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29. Mammogram
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30. Ultrasound
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31. New Techniques
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32. Then What??
 Next steps:
 Diagnostic Ultrasound
 MRI
 Core needle biopsy
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33. New Techniques
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34. Ok… What are my options?
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Treatment
Local Control
Surgery
Breast conservation (Lumpectomy)
Mastectomy
Radiation
Body Control
Hormone Therapy
Chemotherapy
Before Surgery
After Surgery

35. I’ve heard about staging…
 Stage 0: Cancer is only INSIDE the duct
 Stage 1: Cancer is only in the breast
 Stage 2: Cancer is > 5 cm OR in the lymph nodes
 Stage 3: Many lymph nodes are involved
 Stage 4: Cancer has gone outside the breast/lymph nodes
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36. I’ve heard about staging…
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37. Now what??
 Breast cancer is preventable!
 Screening Mammography detects EARLY breast cancers (Stage 0 and Stage 1)
 New techniques allow breast cancers to be caught even earlier
 Survival for Stage 0 and 1 breast cancers is almost 100%
 If you feel a breast lump  talk to your doctor!
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38. Now what??
 Ask your wife/mother/sister/aunt/cousin…
“When was your last mammogram??”
 If you are 40 or over and have not had a mammogram/clinical breast exam:
Primary care doctor/ObGYN  “Am I due for a mammogram?”
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39. Questions?
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40. References
 https://knowyourlemons.org/symptoms
 https://www.cancer.gov/types/breast/risk-fact-sheet
 Patient Guide to Early-Stage Invasive Breast Cancer Surgery and Treatment – Oncotype Dx. 2020 – Genomic Health
 https://rgcf.org/details/news/10-symptoms-of-breast-cancer
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