breast cancer awareness lecture.screening and prevention

Public education and awareness lecture which will help general public and primary care physicians understand the various levels of prevention and importance of understanding the natural history of disease with emphasis on screening ,primary prevention and early diagnosis.

1. BREAST 1 CANCER A W ARENESS

2. Cancer is ???!!! Cance r is CUR A BL E * *Terms & conditions apply!! 5 *If detected EARLY

3. 6

4. STRUCTURAL DESIGN OF BREAST The breast sit on the chest muscles that cover the ribs. Each breast is made of 15 to 20 lobes. Lobes contain many smaller lobules. Lobules contain groups of tiny glands that can produce milk. Milk flows from the lobules through thin tubes called ducts to the nipple. The nipple is in the center of a dark area of skin called the areola. Fat fills the spaces between the lobules and ducts . 7

5. BREAST CANCER BURDEN IN INDIA 8 1,50,000 NEW cases every year 70,000 Deaths in a year 60% cases detected in late stage – Not Curable Tremendous lack of screening program nationwide Alarming lack of awareness in urban lady too!!! Death within a year of diagnosis!!!

6. FACTS 9 Most common cancer in India 2 nd leading cause of death Incident increasing with age

7. CHANGING TREND IN INDIA 48% of breast cancer patients are below 50 years of age 10

8. WHAT CAUSES BREAST CANCER All breast cancer are GENETIC 11 5-10% are inherited from mother and father 90% genetic abnormalities due to aging and “wear and tear” due to risk factors.

9. RISK FACTORS Gender: Race: Age: Relative : Female (1% males) More common in whites Increases as a woman gets older. Mother or sister so on! Menstrual history: Early on set - late menopause Chi l d b irt h : First child after the age of 30 or having no children at all Brea s t fe e di n g have protect i v e e f fe c t on brea s t canc e r deve l o p m 12 ent

10. Obe s ity Diet Fat & Alcohol Lack of Physical Activity Stress Radiation Exposure History of cancer breast, uterus, cervix, ovary Hormones Estrogens in hormone replacement therapy & Birth control pills Genetics certain conditions that are inherited 13 RISK FACTORS

11. PREVENTING BREAST CANCER 14

12. SYMPTOMS OF BREAST CANCER 15

13. SCREENING 16

14. BREAST SELF EXAMINATION 17 FEAR EMBARRASSMEN T YOUTH LACK OF KNOWLEDGE TOO BUSY, FO R GET F ULNE ss, SHY

15. BREAST SELF EXAMINATION 18

16. BREAST SELF EXAMINATION 19

17. WHEN TO DO BSE 20 Start at age of 18 to lifetime Menstruating women - 5 to 7 days after the beginning of heir period Menopausal women - Same date each month Pregnant women - Same date each month Takes about 10 minutes Perform BSE at least once a month Examine all breast tissue

18. CLINICAL BREAST EXAMINATION 21

19. CLINICAL BREAST EXAMINATION 22 Performed by doctor or trained nurse practitioner Annually for women over 40 years At least every 3 years for women between 20 & 40 years More frequent examination for high risk women

20. MAMMOGRAM 23

21. MAMMOGRAM 24 Saves life between age 50 to 70 years Mixed data between age of 40 to 49 years Yearly after age of 40 years Normal mammogram CAN NOT rule out cancer!!!!!

22. SONOGRAPHY 25

23. 26 SONOGRAPHY No Radiation Easy to perform USG guided FNAC or Biopsy Wire localization women under age 25 women who are pregnant women who are breast-feeding women with silicone breast implants 4 out of 5 breast lump are benign – non cancerous

24. GENETICS 27

25. TRE A TMENT 28 Surgery Chemotherapy Radiation Therapy Hormonal Therapy Multi-Modality Approach

26. Breast Reconstruction 29

27. MYTHS 30 Touching the breasts too often will lead to cancer Talking about cancer causes cancer Herbs cure breast cancer A bruise on the breast will lead to breast cancer If an incision is made during breast cancer surgery, the cancer will spread. Getting too many mammograms leads to breast cancer

28. MYTHS 31 Breast cancer only affects older women If you have a risk factor for breast cancer, you're likely to get the disease Using antiperspirants causes breast cancer. A breast cancer diagnosis is an automatic death sentence.

29. F ACT 32 BREAST CANCER IS CURABLE BREAST CANCER IS PREVENTABLE