Breast Cancer. What is this Disease? Second leading cause of cancer death in women Malignant...
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Transcript of Breast Cancer. What is this Disease? Second leading cause of cancer death in women Malignant...
Breast Cancer
What is this Disease?
• Second leading cause of cancer death in women
• Malignant (cancerous) tumor– Develops from cells in the breast
that are growing abnormally & out of control
– Some cells may break away and travel to other parts of the body (metastasis)
– When cancer comes back after successful treatment – it is called a recurrence.
Breast Cancer Starts Where?
• Ductal Carcinoma– Breast milk ducts– Most frequent location
• Lobular Carcinoma– Breast milk lobes
• Other breast tissues– Fatty & connective tissues– Lymph vessels
U.S. Statistics - 2002
• New cases – 203,500 (women)– 1,500 (men)
• Deaths per year – 39,600 (women)– 400 (men)
• 5-year localized survival rate - 96%• 5-year overall survival rate - 86
2006
• 212,920 women will be diagnosed this year
• 40,970 will die from breast cancer this year
• Over 2,000,000 women who have been treated for breast cancer
• 1 in 8 women will be diagnosed in their lifetime
• 1 in 33 will die from breast cancer
Am I At Risk?
• Gender– 100 times more common in women that
men
• Age– Risk increases with age– 77% of women diagnosed are
>50 years of age.
• Race– White & African American – higher risk
• Family history– 1st degree relative double the risk– Most women diagnosed do not have a
family history
• Additional risk factors:– History of non-cancerous breast disease– Starting monthly periods before age 12– Starting menopause after age 55– > 5 years post menopausal estrogen
replacement therapy– Never having children – Having first child after age 30– Use of alcohol– Obesity, especially weight gain after
menopause– Physical inactivity
How Do I Know If I Have It?
• Detection of a new lump or mass• Generalized swelling of part of a breast• Skin irritation or dimpling• Nipple pain or retraction• Redness or scaliness of the nipple or
breast skin• Discharge other than breast milk
• All of these symptoms require
follow up
What Can And Should I Do?
• Prevention– Many risk factors are not modifiable
• Those related to age and hormones
– Lifestyle changes are modifiable• Maintaining a healthy diet and weight• Routine physical activity• Reduce the use of alcohol
– Knowledge and awareness• Being aware of your risk factors• Knowing your body• Early detection
Early Detection – Best Outcome
• Mammograms– Over age 40 – every year
• Clinical Breast Exam (CBE)– Age 20 – 39 – every 3 years– Over age 40 – every year
• Breast Self Exam (BSE)– Know how your breasts normally feel– Over age 20 – every month
• Talk to your doctor– If family history present
Are There Successful Treatments?
• Most successful when treated early• Treatment depends on many factors
– Progression of the disease– Patient choices
• Surgical interventions– Breast conservation surgery – lumpectomy– mastectomy
• Medical intervention– Chemotherapy– Hormone therapy– Radiation therapy
What Does The Future Hold?
• Risk factors– Further investigation re: lifestyle &
environmental factors
• Genetics– How to use gene testing
• Screening– New technology
• Hormone Therapy– Investigating use in prevention
• Chemotherapy– New drugs and drug combinations
How Does Diagnosis Impact Lifestyle?
• Social– Changes in appearance and activity
tolerance
• Physical– Pain, fatigue, sleep difficulties
• Psychological– Fear of recurrence, guilt, depression– Impact on loved ones– Financial concerns
• Spiritual
Who Can Help?
• Support from family & friends
• American Cancer Society– Cancer Survivors Network
• www.acscsn.org• 1-877-333-HOPE
• Links for Life– Support group
• www.linksforlife.org• 661-322-5601
Who is “Links For Life”?
• Local Breast Cancer Organization– 2 Full & 1 Part time employees– Many, many volunteers
• Provides an organization to benefit person affected by breast cancer
• Challenges each women in Kern County to be aware of her breast health
• Educated the general public, teaching that optimum health and early detection saves lives
Links For Life – Lives are being Saved
• Raise funds for local programs– Pro-Am Golf Tournament & Gala– Paint the Town Pink (October
• Over $100,000 raised in 2005– Field over 4,000 phone calls from the public– Provide 240 wigs from our wig shop – Provide 20 Bras/Prosthesis – Arrange for needed tests for women under 40 who
are uninsured or underinsured• 440 mammograms• 240 ultrasounds• 45 needle biopsies
– Results of these tests:• 4 positive cancers detected
– 3 women under 40– 1 man
• Other services– Support group
• Encouragement, support, friendship, & information
– Seminars• Community education
– Library• Current reference books & videos
– Scholarships• Support our local nursing students
– Health fairs
Where Can I Receive More Info?
• American Cancer Society– 1-800-ACS-2345 www.cancer.org
• Links for Life– 661-322-5601 www.linksforlife.org
• National Cancer Institute– 1-800-4-cancer www.nci.nih.gov
• Susan G. Komen Foundation– 1-800-IM AWARE www.komen.org
• National Allicance of Breast Cancer Organizations (NABCO)– 212-719-0154 www.nabco.org
• Y-Me National Breast Cancer Organization– 1-800-221-2141 www.y-me.org