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UNIVERSIDAD NACIONAL
GROUP N°
09    PROFESSOR : DRA. ROSA GONZALES LLONTOP

      STUDENTS:
       BALLENA RÁZURI, LUIS ANDRÉ.
       CORONADO VIDARTE, KRISTIAN ALBERT.
       DÁVILA DÍAZ, JOB JOEL.
       SALINAS GUTIÉRREZ , CINTHYA MARILIA.
       SUYÓN DELGADO, MARÍA ALEXANDRA.
       YONG CADENA, HUGO ALBERTO.
• 2nd leading cause of death

• 2nd most common cancer

• All women are at risk

• Incidence increases with age
The breasts sit on the chest
                                 muscles that cover the ribs.


                                  Each breast is made of 15 to
                                  20 lobes.


                                   Lobes contain many smaller
                                   lobules

                                 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
Ductal Carcinoma

       Originate in ducts that carry
       milk to nipples.



If cancer confined to     If moved beyond duct
duct = in situ (DCIS)     = invasive or
                          infiltrating
      Usually found on
      mammogram


Lobular Carcinoma                      rare
Breast cancer is always caused
  by a genetic abnormality



However, only 5-10% of cancers
are due to an abnormality
inherited from your mother or
father
Gender
• Female (1% males)

Race
• More common in whites

Age
• Increases as a woman gets older.

Relative
• Mother or sister
Menstrual history
• Early on set late menopause

Childbirth
• First child after the age of 30 or having
  no children at all
Obesity

Diet
• Fat and alcohol

Lack of physical activity; stress
Radiation Exposure

History of cancer
• Breast, uterus, cervix, ovary

Hormones
• Estrogens in Hormone replacement
  therapy and Birth control pills.


Genetics
• Certain conditions that are inheritated
A persistent    Changes in the         A newly
   lump of      colour or skin of   retracted/invert
thickening in          the                 ed
the breast or   breast,areola or       (pulled in
armpit area.       nipple(e.g.           nipple)
                dimpling,puckeri
                  ng or scaling)
Blood or            A change in the
 discharge from         size or shape of
   the nipple.             the breast.




Early breast cancer may not have symptoms.
Obesity                         Exercise
                  All
               women are
Not having       at risk          Hormone
 children                        Replacement
                                   Therapy

     Breastfeeding     Alcohol
A Good Breast
  Health Plan
     • Self Awareness (Monthly Self
A      Exams) (BSE)


     • Clinical Breast Examination (CBE)
B

     • Mammograms
C
• Average-size lump found by woman practicing
  occasional breast self-exam




• Average-size lump found by woman practicing
  regular breast self-exam (BSE)



• Average-size lump found by first mammogram
• Average-size lump found by getting regular
  mammograms




                                                z
                                                i
                                                    r
• Opportunity for woman to
      become familiar with her
A     breasts

    • Monthly exam of the breasts
B     and underarm area)

    • May discover any changes early
    • Begin at age 20, continue
C     monthly
• Menstruating women- 5 to 7 days
      after the beginning of their
A     period

    • Menopausal women - same
B     date each month

    • Pregnant women –same date
C     each month


    • Takes about 10 minutes
D

    • Perform BSE at least
E   • once a month


    • Examine all breast tissue
F
• Lie down and use     • Look at your
  your hand to           breasts while
  examine your left      standing in front of
  breast                 a mirror with your
                         hands on your hips




• Squeeze the nipple   • Raise one arm,
  of each breast         then the other , so
  gently between         you can check
  your thumb and         under your arms
  index finger           for lumps
Fear
   Embarrassment
        Youth
  Lack of knowledge
Too busy, forgetfulness
Performed by
              doctor or
              trained nurse
              practitioner

                       Annually for
                       women over
                       40yrs
  Clinical
   Breast
Examination
                       At least every 3
                       years for women
                       between 20 and
                       40 yrs

              More frequent
              examination for
              high risk
              patients
Data mixed on
                   usefulness for
                   patients 40-49

  X-ray of the                           Normal
     breast                           mammogram
                                    does not rule out
Has been shown                        possibility of
to save lives in                         cancer
 patients 50-69                        completely
Women (asymptomatic) 40       should have a
 years of age and older   MAMMOGRAM every year
Surgery


Radiation Therapy


Chemotherapy


Hormonal Therapy
• Lumpectomy




• Modified Radical Mastectomy



• Radical Mastectomy (rare)
  Reconstruction
Pre and Post Expander and Implant
Pre and Post Tissue and Implants Combined
Radiation
            Therapy




           As a adjunct
            to surgery
           depending on
             stage of
              cancer
Hormonal
                          Chemotherapy
Therapy
Touching the breasts too often
will lead to cancer

Talking about cancer causes
cancer

Using illegal drugs causes
cancer

Herbs cure breast cancer
(uña de gato/cat’s claw)
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.


Mammograms are only used to evaluate
breast lumps.
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.

Breast cancer is preventable
9   oncologic research

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9 oncologic research

  • 2.
  • 3. GROUP N° 09 PROFESSOR : DRA. ROSA GONZALES LLONTOP STUDENTS:  BALLENA RÁZURI, LUIS ANDRÉ.  CORONADO VIDARTE, KRISTIAN ALBERT.  DÁVILA DÍAZ, JOB JOEL.  SALINAS GUTIÉRREZ , CINTHYA MARILIA.  SUYÓN DELGADO, MARÍA ALEXANDRA.  YONG CADENA, HUGO ALBERTO.
  • 4. • 2nd leading cause of death • 2nd most common cancer • All women are at risk • Incidence increases with age
  • 5. The breasts sit on the chest muscles that cover the ribs. Each breast is made of 15 to 20 lobes. Lobes contain many smaller lobules 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
  • 6. Ductal Carcinoma Originate in ducts that carry milk to nipples. If cancer confined to If moved beyond duct duct = in situ (DCIS) = invasive or infiltrating Usually found on mammogram Lobular Carcinoma rare
  • 7. Breast cancer is always caused by a genetic abnormality However, only 5-10% of cancers are due to an abnormality inherited from your mother or father
  • 8. Gender • Female (1% males) Race • More common in whites Age • Increases as a woman gets older. Relative • Mother or sister
  • 9. Menstrual history • Early on set late menopause Childbirth • First child after the age of 30 or having no children at all Obesity Diet • Fat and alcohol Lack of physical activity; stress
  • 10. Radiation Exposure History of cancer • Breast, uterus, cervix, ovary Hormones • Estrogens in Hormone replacement therapy and Birth control pills. Genetics • Certain conditions that are inheritated
  • 11. A persistent Changes in the A newly lump of colour or skin of retracted/invert thickening in the ed the breast or breast,areola or (pulled in armpit area. nipple(e.g. nipple) dimpling,puckeri ng or scaling)
  • 12. Blood or A change in the discharge from size or shape of the nipple. the breast. Early breast cancer may not have symptoms.
  • 13.
  • 14. Obesity Exercise All women are Not having at risk Hormone children Replacement Therapy Breastfeeding Alcohol
  • 15.
  • 16. A Good Breast Health Plan • Self Awareness (Monthly Self A Exams) (BSE) • Clinical Breast Examination (CBE) B • Mammograms C
  • 17. • Average-size lump found by woman practicing occasional breast self-exam • Average-size lump found by woman practicing regular breast self-exam (BSE) • Average-size lump found by first mammogram • Average-size lump found by getting regular mammograms z i r
  • 18. • Opportunity for woman to become familiar with her A breasts • Monthly exam of the breasts B and underarm area) • May discover any changes early • Begin at age 20, continue C monthly
  • 19. • Menstruating women- 5 to 7 days after the beginning of their A period • Menopausal women - same B date each month • Pregnant women –same date C each month • Takes about 10 minutes D • Perform BSE at least E • once a month • Examine all breast tissue F
  • 20. • Lie down and use • Look at your your hand to breasts while examine your left standing in front of breast a mirror with your hands on your hips • Squeeze the nipple • Raise one arm, of each breast then the other , so gently between you can check your thumb and under your arms index finger for lumps
  • 21. Fear Embarrassment Youth Lack of knowledge Too busy, forgetfulness
  • 22. Performed by doctor or trained nurse practitioner Annually for women over 40yrs Clinical Breast Examination At least every 3 years for women between 20 and 40 yrs More frequent examination for high risk patients
  • 23. Data mixed on usefulness for patients 40-49 X-ray of the Normal breast mammogram does not rule out Has been shown possibility of to save lives in cancer patients 50-69 completely
  • 24. Women (asymptomatic) 40 should have a years of age and older MAMMOGRAM every year
  • 26. • Lumpectomy • Modified Radical Mastectomy • Radical Mastectomy (rare) Reconstruction
  • 27. Pre and Post Expander and Implant
  • 28. Pre and Post Tissue and Implants Combined
  • 29. Radiation Therapy As a adjunct to surgery depending on stage of cancer Hormonal Chemotherapy Therapy
  • 30.
  • 31. Touching the breasts too often will lead to cancer Talking about cancer causes cancer Using illegal drugs causes cancer Herbs cure breast cancer (uña de gato/cat’s claw)
  • 32. 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. Mammograms are only used to evaluate breast lumps.
  • 33. 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. Breast cancer is preventable