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Published byAdriana Vaux Modified over 9 years ago
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Breast Cancer
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Dr. Swapna Chaudhary M.S. (MUM) M.S. (MUM) Consultant Obstetrician & Gynaecologist Infertility Specialist
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Incidence
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Incidence Common cause of cancer in females
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Incidence 200,000 new cases annually around world
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Incidence Common cause of cancer in females 200,000 new cases annually around world 40,000 deaths
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Risk Factors
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Age > 50
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Risk Factors Age > 50 High income group
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Risk Factors Age > 50 High income group Family History (mother / sister)
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Risk Factors Age > 50 High income group Family History (mother / sister) (Risk increases if > 1 1 st degree relative affected, bilateral breast disease, young age at diagnosis) (Risk increases if > 1 1 st degree relative affected, bilateral breast disease, young age at diagnosis)
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Risk Factors Age > 50 High income group Family History (mother / sister) (Risk increases if > 1 1 st degree relative affected, bilateral breast disease, young age at diagnosis) (Risk increases if > 1 1 st degree relative affected, bilateral breast disease, young age at diagnosis) BRCA mutation
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Risk Factors Age > 50 High income group Family History (mother / sister) (Risk increases if > 1 1 st degree relative affected, bilateral breast disease, young age at diagnosis) (Risk increases if > 1 1 st degree relative affected, bilateral breast disease, young age at diagnosis) BRCA mutation Nulliparity (no children)
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1 st pregnancy after 30 yrs
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Early menarche
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1 st pregnancy after 30 yrs Early menarche Late menopause
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1 st pregnancy after 30 yrs Early menarche Late menopause Obesity
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1 st pregnancy after 30 yrs Early menarche Late menopause Obesity Poss. Risk factors – high dietary fat, prolonged use of OCP (>10 yrs), alcohol, stress
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Screening methods
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1.Breast self examination
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Screening methods 1.Breast self examination 2.Clinical examination
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Screening methods 1.Breast self examination 2.Clinical examination 3.Mammography
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Screening methods 1.Breast self examination 2.Clinical examination 3.Mammography screening method – done for non palpable, early, small (<1cm) tumors in asymptomatic women
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Screening methods 1.Breast self examination 2.Clinical examination 3.Mammography screening method – done for non palpable, early, small (<1cm) tumors in asymptomatic women ‘abnormal mass’ further investigated by additional imaging or biopsy
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Screening mammography can detect cancer 2 to 3 yrs before it can become symptomatic (10% cancer still failed to be detected by mammography)
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4. FNAC / biopsy
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Treatment
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Treatment Surgical Treatment
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Treatment Mastectomy
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Treatment Surgical Treatment Mastectomy Breast conservation
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Treatment Surgical Treatment Mastectomy Breast conservation Lumpectomy with XRT
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Treatment Surgical Treatment Mastectomy Breast conservation Lumpectomy with XRT Equal outcomes!
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Thank you
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