1. An Awareness to Every Woman

2. Objectives At the end of 2 hour discussion participants will able to : Know risk factors and cause of breast CA and cervical CA Understand Cancer in a simple way prevent cancer in economical ways Identify signs and symptoms of cancer Melanie Joy A. Baliuag, RN

3. Cancer involves the abnormal / uncontrolled multiplication and spread of cells in the body. These cells form a lump or mass called Tumor. have the ability to migrate from one site in the body (metastasis) Almost every tissue in the body can produce cancer; some even generate many different types of cancer. Melanie Joy A. Baliuag, RN

4. Benign Noncancerous may grow do not spread to other parts of the body it is not life threatening ’ Malignant Cancerous may grow spread to other parts of the body“Metastasis ” Life threatening Melanie Joy A. Baliuag, RN

5. 1.Breast Cancer 2.Cervical Cancer 3.Lung Cancer 4.Ovarian Cancer 5.Stomach Cancer Melanie Joy A. Baliuag, RN

7. NORMALABNORMAL Melanie Joy A. Baliuag, RN

8. Inheritance Risk Factors Environmental Factors Melanie Joy A. Baliuag, RN

9. 5 TO 10 % Less than 45 years old diagnosed Melanie Joy A. Baliuag, RN

10. Factors that Cannot be Prevented Gender Aging Genetic Risk Factors (inherited) Family History Personal History Race Menstrual Cycle Estrogen Lifestyle Risks Oral Contraceptive Use Not Having Children Hormone Replacement Therapy Not Breast Feeding Alcohol Use Obesity High Fat Diets Physical Inactivity Smoking Lifestyle Risks Oral Contraceptive Use Not Having Children Hormone Replacement Therapy Not Breast Feeding Alcohol Use Obesity High Fat Diets Physical Inactivity Smoking Melanie Joy A. Baliuag, RN

11. Exposure to Estrogen Radiation Electromagnetic Fields Xenoestrogens Exposure to Chemicals Melanie Joy A. Baliuag, RN

13. TRUE or FALSE? Mas Daku na Tumor mas gamay ang survival? Melanie Joy A. Baliuag, RN

14. Survival Tumor Size As tumor size increases, the chance of survival decreases. Melanie Joy A. Baliuag, RN

15. Breast Self Examination Mammogram Other forms Sonogram Thermography Transillumination Xeromammograpy Cat Scan MRI Biopsy Melanie Joy A. Baliuag, RN

16. Done once a month Melanie Joy A. Baliuag, RN

17. When does Breast Self Examination done? Early detection of breast cancer greatly improves your odds for survival. That's because the smaller the cancer is when it's found, the better the chance for a surgical cure. Smaller breast cancers are also less likely to have spread to lymph nodes and other organs such as the lungs and brain. Melanie Joy A. Baliuag, RN

18. an X-ray for the breast When should a mammogram be performed? Lump Family History Women over forty years old Previously Diagnosed Melanie Joy A. Baliuag, RN

19. A lump in the breast is almost always cancer? It could be a cyst, an abnormal noncancerous growth, or a blood clot that causes lumpiness. It could also be a "pseudo lump," caused by hormonal changes that isn't a lump at all. Still, whatever the cause, it's important to get any lump evaluated. Melanie Joy A. Baliuag, RN

21. Human Papilloma-Virus or HPV CAUSE OF CERVICAL CANCER Melanie Joy A. Baliuag, RN

22. –an STD –can be detected today could have been acquired years ago –There are many different types of HPV Low-risk types can cause warts High-risk types can cause pre- cancer and cancer of the cervix WHAT IS HPV? Melanie Joy A. Baliuag, RN

23. HOW TO DETECT HPV?  PAPSMEAR  Unpleasant vaginal discharge  Pain during and bleeding after intercourse  Bleeding after menopause  Bleeding from the rectum  Anemia  Pelvic, leg, and back pain  Urinary problems  Weight loss Melanie Joy A. Baliuag, RN

24. I F I HAVE HPV, DOES IT MEAN I WILL GET CANCER ?  In most cases HPV goes away  Only women with persistent HPV (where the virus does not go away) are at risk for cervical cancer Melanie Joy A. Baliuag, RN

25. WHO ARE AT RISKS?  Women who have ever had sex  at a younger age during first intercourse  Having giving birth 6 or more times  Women who have had more than one partner / multiple sexual partner  Women with other sexually transmitted diseases Melanie Joy A. Baliuag, RN

26. WHO ARE AT RISKS?  Women who do not have Pap tests  Women with immune problems  Steroid medications  Transplanted organs  Chemotherapy  HIV  Women who smoke Melanie Joy A. Baliuag, RN

27. WHAT IS A PAP TEST  A test which collects cells from the surface of the cervix and looks for any abnormal cells  Abnormal cells can be treated before cervical cancer develops  When cancer is detected early, it is easier to treat.  It is NOT a  pelvic exam,  test for ovarian or uterine cancer,  biopsy Melanie Joy A. Baliuag, RN

28. When do I need my first Pap test?  Three years after the onset of sexual intercourse  No later than age 21 Melanie Joy A. Baliuag, RN

29. How often do I need a Pap test?  Every year until age 30  After age 30, if you have only had normal results, you may have them every two to three years after discussion with your physician and evaluation of your risk factors Melanie Joy A. Baliuag, RN

30.  A Pap test can find treatable changes of the cervix (precancer) before you have notice a problem  Once a problem is symptomatic, it is harder to treat I feel fine, so why do I need a Pap test? Melanie Joy A. Baliuag, RN

31. What is the best time to have a Pap test?  Schedule your Pap when you are not having a menstrual period  It is best to abstain from intercourse and avoid use of tampons or douches for two days before your Pap test Melanie Joy A. Baliuag, RN

33. C - Change in bowel or bladder habits A - A sore that does not heal U - Unusual bleeding or discharge T - Thickening or lump in the breast or any part of the body I - Indigestion or difficulty swallowing O - Obvious change in a wart or mole N - Nagging cough or hoarseness

34. D- Denial A-Anger B-Bargaining D-Depression A-Acceptance Melanie Joy A. Baliuag, RN

35. ↓ FAT – ↑ FIBER – Take Antioxidant Nutrients Vitamin A,C,E Beta-carotene Selenium Melanie Joy A. Baliuag, RN

36. Good Diet Early Detection!!!! Exercise No Smoking!! Melanie Joy A. Baliuag, RN

38. Match : DENIAL ANGER BARGAINING DEPRESSION ACCEPTANCE “I CAN CARRY THIS, IT’S ALL HAVE PURPOSE” “GOD, WHY ME?” ‘ I GOT NO ILLNESSES, I’M STRONG” “YOU ARE NOT GOOD DOCTOR?!!) “ I’M DYING ALONE” Melanie Joy A. Baliuag, RN