presented by dr.ramesh saharia. sridhar cancer care centre
DESCRIPTION
SEMINAR ON BREAST CANCER AWARNESS. PRESENTED BY DR.RAMESH SAHARIA. SRIDHAR CANCER CARE CENTRE SRIMANTA SANKERDEV HOSPITAL. INCIDENCE AND PREVELANCE OF BREAST CANCER. - PowerPoint PPT PresentationTRANSCRIPT
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SEMINAR ON BREAST
CANCER AWARNESS PRESENTED BY
DR.RAMESH SAHARIA.
SRIDHAR CANCER CARE CENTRE SRIMANTA SANKERDEV HOSPITAL
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INCIDENCE AND PREVELANCE OF BREAST CANCER.
Most common cancer in western & 2nd commonest cancer in India,after cervical cancer.
In metropolitan cities, it becomes commonest. Incidence in India is 28/lac woman. Incidence in West is 111/lac woman.
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RISK FACTORS Female. M:F 1:100 Age at menarche. (<12yrs 2 fold+) Age at menopause.(>55yrs 20%risk compare with <45 yrs) Age at first live birth .(>30 yrs 2-5 fold+) Breast feeding.(risk reduction per year of breast feeding is
4.3%) Nulliparity. Races/Ethnicity. Family history/Number of 1st degree relatives with breast
cancer.(1.5-3 fold, 5 times if B/L disease) Current age.
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Number of previous benign breast biopsies.Atypical hyperplasia.(4-5 fold)Known or suspectedBRCA-1/2,p53(56-85% life-
time risk of breast cancer)Prior h/o chest radiation.H/o current or prior HRT(25-35% excess risk)Body mass index.Breast density.Alcohol consumption.(10-41%risk)smoking
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SYMPTOMS Breast lump/mass Chest /axilla lump. Nipple discharge-blood,serous, pus, greenish. Asymmetrical thickening/nodularity. Nipple retraction or excoriation Skin changes:-peaud’orange,ulcer,erythema, eczema. Mets. Disease:-headache,breathing bone
pain/fracture,abdominal lump ascites.
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DIAGNOSIS
Clinical examination. Mammography. USG of breast & axilla. FNAC. Biopsy. MRI breast For mets:- CT brain, chest,abdoman. Bone scan. PET Scan.
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BREAST SCREENING AND PREVENTION
Asymptomatic and –ve physical examination. NORMAL RISK. Age >/=20 but <40yrs• Clinical breast exam every 1-3yrs.• Periodic BSE. Age >/=40 yrs.• Annual clinical breast exam.• Annual mammography.• Periodic BSE.
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Continue:- INCREASED RISK. Prior thoracic RT Age <25yrs• Annual CBE.• Periodic BSE. Age >/=25yrs• Annual mammography + CBE 6-12 months.• Periodic BSE. LCIS/Atypical hyperplasia.• Annual mammography + CBE 6-12 months.• Periodic BSE• Consider risk reduction strategies.
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Continue:- Strong family history or genetic predisposition. Age<25 yrs• Annual CBE.• Periodic BSE. Age >25 yrs• Annual mammography+CBE 6-12 months.5-10 yrs prior to youngest breast cancer cases.• Periodic BSE. • Annual MRI.• Consider risk reduction strategies.
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Prior history of breast cancer • CBE every 3 months for 1st yrs, every 6 months
for next 2 yrs,then annually.• Annual mammography.• Monthly BSE.• Annual pap smear & pelvic exam. In woman
on tamoxifen .• Bone scan, PET Scan.
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BREAST SELF EXAMINATION
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RISK REDUCTION STRATEGIESBRCA1/2,p53, PTEN gene mutation, strong family
h/o breast & ovarian cancer, LCIS, thoracic radiation.
• Bilateral breast removal +/-reconstruction.(90%decrease risk).
• Bilateral ovary removal.(45-60%decrease risk.)• Risk reduction agents such as
tamoxifen,raloxifene,anastrozole, letrozole.(35-40%)
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CONCLUSION:- Earlier we diagnosed breast CANCER better the
prognosis & survival. Delayed is due to lack of awareness, social
embarrassment ,fear of procedure,or fear of cancer; woman may be reluctant to undergo screening.
Need of an hour to motivate woman to seek prevention services.
Awareness camp/seminar should be held. Programs for new screening and treatment
approaches.
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THANK YOU
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INCIDENCE AND PREVELANCE OF CERVICAL CANCER.
• Leading causes of cancer death world-wide.• 5 lacs new cases per year.• 3 lacs woman die anually.• Ranks no. one in India.• 1.3 lacs new cases anually in India.• 80-90%of cases occur among woman age 35 or elder,
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RISK FACTORS:-
• Human papilloma virus infection.(about 80% woman have,<5% develop cervical cancer, but all woman with cervical cancer had HPV).
• Smoking.• Early age at first birth.• Use of hormonal contraceptives• Multi-parity.• Impaired immune system(HIV infection).• Multiple partners.
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SYMPTOMS:-
• Intermentrual bleeding.• Postmenopausal bleeding .• Postcoital bleeding.• Foul smelling discharge.• Pelvic/back pain.• Hematuria /rectal bleeding due to involvment of
bladder /rectum.
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DIAGNOSIS:-
• PAP Smear• Colposcopy / visual inspection.• Biopsy .• USG/CTSCAN Abdomen.• Chest x-ray.
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SCREENING AND PREVENTION OF CERVICAL CANCER. Woman 30yrs or more.• PAP smear every1-3 yrs,if –ve ,can be done as &
when required.• Visual inspection of cervix/Colposcopy (iodine/acetic
acid stain,if abnormal, cryosurgery/biopsy.)• HPV detection. Vaccination against HPV in adolscence & young girls. Once in lifetime screening between 35-40yrs,reduces
risk by 25-35%.Further screening at 5yrs intervals can reduces cancer risk.
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