Breast Cancer

www.mediassistcare.com


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MBBS,DGO,MRCOG(london),
Dip.Endoscopy (Germany)
Infertility Specialist
Areas of Interest
◦ Subfertility
◦ Endoscopy
◦ High Risk Obstetrics
Director,Niramaya Hospital
Sr. Consultant,Max Hospital
Sec.appreciation Award(IMA)
2013

Dr. Sandhya Gupta


Breast Cancer
The most common form of
cancer among women
The second most common
cause of cancer related
mortality
1 of 8 women (12.2%)
One third of women with
breast cancer die from
breast cancer


 Female

(1% male)

 Aging
 Relative

(mother or sister)
 Menstrual history
early on set
late menopause
 Child birth
After the age of 30

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Radiation exposure
Breast disease
◦ Atpyical Hyperplasia
◦ Intraductal carcinoma in situ
◦ Intralobular carcinoma in situ
Obesity
Diet
◦ Fat
◦ Alcohol

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Hormonal replacement
therapy(HRT)
◦ 30% increased risk with
long term use
Oral Contraceptives(OC)
◦ risk slight
◦ risk returns to normal once
the use of OC’s has been
discontinued

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BRCA-1
BRCA-2
P53, Rb-1
Her-2/neu, c-erB2,
c-myc

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Puckering
Dimpling
Retraction
Nipple discharge
Thickening of skin or lump or “knot”
Retracted nipple


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Change in breast size
Pain or tenderness
Redness
Change in nipple position
Scaling around nipples
Sore on breast that does not heal


Most common:
lump or
thickening in
breast. Often
painless

Discharge
or
bleeding
Change in size
or contours of
breast

Redness or pitting
of skin over the
breast, like the
skin of an orange
Change in color
or appearance
of areola


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Clinical exam by MD or nurse
Mammography
Monthly breast self-exam (BSE)


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Performed by doctor or trained
nurse practitioner
Annually for women over 40
At least every 3 years for women
between 20 and 40
More frequent examination for
high risk patients

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X-ray of the breast
Has been shown to
save lives in patients
50-69
Data mixed on
usefulness for patients
40-49
Normal mammogram
does not rule out
possibility of cancer
completely

American Cancer Society recommends:
Women (asymptomatic) 40 years of age and older
should have a mammogram every year.


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Mammogram facility guidelines
Avoid mammogram week before period
Don’t wear deodorant powder or cream
Bring a list of the places and dates of other
mammograms,biopsies you’ve had before


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Opportunity for woman to
become familiar with her
breasts
Monthly exam of the breasts
and underarm area
May discover any changes
early
Begin at age 20, continue
monthly

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Menstruating women- 5 to 7
days after the beginning of
their period
Menopausal women same date each month
Pregnant women –
same date each month
Takes about 20 minutes
Perform BSE at least
once a month
Examine all breast tissue

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Fear
Embarrassment
Youth
Lack of knowledge
Too
busy, forgetfulness

Modifiable risk factors
•Life Style Choices

Non- Modifiable risk factors
•Gender
•Age
•Ethnicity
•Family History
•Radiation exposure
•Reproductive Factors


BREAST CANCER “P.I.N.K. ”
P ractice what you know
• eat healthy
• be active
• don ’t smoke
• one drink per day or less
I nvestigate the information
• know fact from fiction
N know what ’s normal
• for your body and breasts
K nowledge is power

BREAST CANCER TREATMENT
Treatment for breast cancer is often a combination
of the following treatments:
•Surgery
•Chemotherapy
•Radiation
•Hormone Treatment


Surgery
◦ Removing the area of concern and some normal
tissue surrounding it is called a lumpectomy
◦ Removing the breast is called a mastectomy (most
women with breast cancer will not need the breast
removed)
◦ Lymph nodes from under the arm may be removed
with either surgery


Chemotherapy

•the use of a combination of intravenous drugs
which affect breast cancer cells
•is called systemic treatment because it affects the
whole body

Radiation

•standard treatment after a
lumpectomy to reduce the
chance of the breast cancer
coming back in the same breast
•is also called local treatment
because it affects only the area
being treated with radiation

Hormone Treatment
•growth of many breast cancers can
be blocked by taking hormone
therapy
•treatment is in the form of a pill
which is taken for 5 years
•may be recommended for women
who have a breast cancer that is
sensitive to hormones


Hereditary Breast Cancer
Hereditary Breast Cancer is suspected when :
several close family members have been diagnosed
with breast or ovarian cancer
a number of generations are involved
family members have been diagnosed at a young age
both breasts have been involved
a male relative has been diagnosed
only 5 – 10% of breast cancers are hereditary


for more :- please go on www.mediassistcare.com
Mail to :- sumitsinha@mediassistcare.com


About the Company :Mediassist Tourism Pvt. Ltd is an
endeavour of Holidays to Treasure – it
has emerged to be one of the largest
Destination Management Company
reaching out to discerning travelers from
continents across the globe, even while
its reputation for providing the best in
services remains unequalled.
On the basis of growth and turnover in
foreign exchange earnings, we have been
awarded National Tourism Award for
outstanding performance as an
Inbound Tour Operator (1st position
in Category-IV) in 2008-2009 and 20092010.

A part of this in August 2013 we are
started medical tourism company in the
name of Mediassist Tourism Pvt. Ltd

Breast Cancer

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