BREAST CANCER OVERVIEW Polly Stephens, M.D.. BREAST ANATOMY.

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Presentation transcript:

BREAST CANCER OVERVIEW Polly Stephens, M.D.

BREAST ANATOMY

breastcancer.org

Ductal Carcinoma In Situ

Calcifications

CALCIFICATIONS

The

Invasive Ductal Carcinoma

Breast cancer

Vascular/Lymphatic Invasion

Bone scan

Liver metastases

MAMMOGRAPHY In America, most breast cancers are diagnosed on mammogram 1 st mammogram age 35 –Or 10 years before your mother was diagnosed with breast cancer Yearly starting age 40 About 10% of cancers are not seen on mammogram. DO YOUR OWN EXAM

St Francis Cancer Institute

BIOPSY Ultrasound-guided Stereotactic MRI guided biopsy

STEREOTACTIC BIOPSY

ULTRASOUND BIOPSY

INVASIVE DUCTAL CARCINOMA Overall survival 75% Stage –0Ductal carcinoma in situ –Itumor <2cm, no lymph nodes –IItumor 2-5cm, <4 lymph nodes –IIItumor >5cm, >4 lymph nodes –IVdistant metastases

INFLAMMATORY BREAST CANCER P’eau d’orange

Treatment Local control –Lumpectomy/mastectomy –Radiation Distal control –Chemotherapy

Sentinel node biopsy

Mammosite

External Beam Radiation

Who needs chemotherapy? If there is a risk of cells in the blood stream looking for a place to settle –Bone, Liver, Lung, Brain There is no blood test for breast cancer cells in the blood stream

Genetics BRCA 1 and 2 –Alterations or mutations in these genes increase ones risk for breast and ovarian cancer –Only about 5% of breast cancer patients are BRCA +