Presentation on theme: "Breast Cancer Screening"— Presentation transcript:
1 Breast Cancer Screening June 2014Education ModuleBreast Cancer ScreeningSlide Objective: Title slide
2 June 2014Each province in Canada offers Cancer Screening programs.Three cancer screening programs are available in Ontario:Ontario Breast Screening Program for screening cancer of the breastsOntario Cervical Screening Program for screening cancer of the cervixColonCancerCheck Program for screening cancer of the rectum and colon
3 Overview Breast Cancer Facts Risk Factors Be Breast Aware June 2014OverviewBreast Cancer FactsRisk FactorsBe Breast AwareBreast ScreeningCervical ScreeningColorectal ScreeningHow to Reduce Your RiskThis presentation reviews:Facts and statsBr ca risk factors and ways to minimize your riskBr screening – what it is, what to do at what age and how to access the OBSP
4 One in nine women will develop breast cancer in her lifetime . . . June 2014True or False?One in nine women will develop breast cancer in her lifetime . . .True1 in 9 women has a chance of developing br ca in her lifetime.And 1 in 28 will die of it.If nine women live to the age of 85, one will develop breast cancer sometime during her lifetime.
5 June 2014True or False?Only women with a family history of breast cancer will develop breast cancer . . .FalseA strong family history means you have a higher risk of getting breast cancer.A strong family hx refers to having a mother, sister, or daughter who is found to have br ca before menopause.It also includes a mother, sister or daughter who has cancer of the ovaries at any age.To keep family hx in perspective, remember that only 11% of women who get br ca have a mother, sister or daughter with the disease.Women with a strong family hx should talk to their doctor about screening that is right for them.Only 11 per cent of all women diagnosed with breast cancer have a family history of the disease. All women as they age are at risk for breast cancer.
6 June 2014True or False?If you notice a change in your breast, you should watch it closely for a few months to see if it goes away . . .FalseIf you notice a change in or around your breasts, you should tell your doctor about it as soon as possible. Remember the breast area includes your chest wall, extends up to the collar bone and under the arm pit.
7 June 2014True or False?Breast Self Examination (BSE) is just as effective as having a screening mammogram . . .FalseBSE is simply checking your own breasts to learn what is normal for you & to help you recognize any unusual changes. For women age 50 and older, having regular mammograms is the best way to find breast cancer early, when it is small and less likely to have spread to the lymph nodes.
8 Breast Cancer in Ontario 2013 June 2014Breast Cancer in Ontario 2013Estimated new cases:9300Estimated deaths:1950The estimated deaths for breast cancer in 2013 is 1950.The estimated new cases for breast cancer in 2013 is 9300.The overall participation of women is 61% in 2010–2011 in the province (Over the past 20 years, more women are getting breast cancer but less are dying from it. Less women are dying of breast cancer today because they are being screened and their cancers are being found early. When breast cancer is found early before as woman can see or feel it, it can be easier and more successful to treat.Statistics are going to be updated each year at the end of May onRegular mammograms can find breast cancer earlywhen it is easier to treat
9 More Breast Cancer Facts June 2014More Breast Cancer Facts80% (8 out of 10) of breast cancers are found in women age 50+50% (5 out of 10) are found in women age 50 – 69 yearsLess than 1% of breast cancers are diagnosed in men
10 June 2014More FactsBreast cancer symptoms present the same in men as they do in womenResearch shows that increased participation in breast screening will reduce breast cancer mortality ratesThe more women we screen, the more likely we’ll find cancers early and less deaths will result.
11 Be Breast Aware Women of all ages: Know what is normal for you June 2014Be Breast AwareWomen of all ages:Know what is normal for youKnow what changes to look forLook and feel for changes oftenReport any unusual changes to a doctor or nurse practitioner immediatelyPeer Health educator explains thingamaboob emphasizing the importance of mammogram to detect very small changes compared to clinical exam done by nurse or physician or self exam.For all women at any age, it is important that women should be aware about their breasts and what is normal for them. A woman can find out what is normal for her by feeling and looking at her breasts and chest area often.Standing in front of a mirror while she does this is helpful.Be aware of the shape and texture of your breasts so you can learn what is normal for you.Be aware of how breasts change during menstruation. If a woman notices a change that does not go away after your menstrual cycle, see a doctor or nurse practitioner as soon as possible.While it is important to be aware of breast health at all ages, women age 50 and older should go for regular mammograms, which is the test for breast cancer screening.
12 Report any unusual changes to a doctor or Nurse Practitioner immediately:
13 All Women Need to Be Breast Aware . . . Have a physical breast exam done by a doctor or nurse practitionerWomen age 40 – 49: speak to a doctor or nurse practitioner about breast screeningWomen age 50 and older: go for regular breast screening at least every two years
14 Regular Breast Screening June 2014Regular Breast ScreeningScreening is the best way to detect breast cancer early when it is more treatableIncludes a two view breast x- ray (mammogram)Breast screening includes:A test called a mammogram. This is a safe x-ray of your breasts. Sometimes it is called mammography. It is the best screening tool available today.ANDA physical exam of the breasts by a trained healthcare provider. (Phys examinations – evidence-based practice – it doesn’t show its as effective.)Only women with NO breast problems or symptoms can be screened.A screening mammo is a low dose x-ray of the breast done to find or DETECT abnormal changes in the breast.A diagnostic mammo is used to check (EVALUATE) abnormal changes in the breast.
15 June 2014Risk/BenefitA mammogram is not a perfect test, some cancers may be missedCancers can/may develop in the interval between screensMany studies show that having regular mammograms can reduce the risk of dying from breast cancerMammograms are the best way to find breast cancer early. But, they are not perfect. They may miss some cancers. Also, some cancers develop in the interval between screens. However, many studies have shown that regular mammograms reduce the risk of dying from breast cancer.Some cancers that appear on a mammogram may never progress to the point where a woman has symptoms during her lifetime. Therefore, some women may have surgery or treatment for a breast cancer that would never have been life threatening.Not all cancers found at screening can be cured.
16 June 2014Risk/BenefitSome cancers that appear on a mammogram may never progress to the point where a woman has symptoms during her lifetimeNot all cancers found through screening can be curedMammograms are the best way to find breast cancer early. But, they are not perfect. They may miss some cancers. Also, some cancers develop in the interval between screens. However, many studies have shown that regular mammograms reduce the risk of dying from breast cancer.Some cancers that appear on a mammogram may never progress to the point where a woman has symptoms during her lifetime. Therefore, some women may have surgery or treatment for a breast cancer that would never have been life threatening.Not all cancers found at screening can be cured.
17 50 Candles or more on your cake 50 Candles or more on your cake? …you’re eligible to start screening through the Ontario Breast Screening Program
18 June 2014Who is Eligible to Participate in the Ontario Breast Screening Program?Women aged 50 – 74 yearsNo changes in breast healthNo personal history of breast cancerNo current breast implantsOntario resident for more than 6 monthsBreast cancer screening using a mammogram is done on women who are:Age 50 or olderWho are healthy without any signs or symptoms of breast cancerWho have not had breast cancer in the pastNo current breast implantsOntario residents for more than 6 months (Refugees/immigrants who do not have health card show immigration documents)
19 What Happens During Screening? June 2014What Happens During Screening?Change into a gownTwo-view mammogram (x-ray) of each breast
20 Result letter within two weeks Reminder letter for next appointment June 2014What Happens After?Result letter within two weeksReminder letter for next appointment
21 High Risk Screening Through OBSP June 2014High Risk Screening Through OBSPHigh risk screening:Women aged 30 to 69 yearsAsymptomaticMay have personal history of breast cancerConfirmed to be at high risk for breast cancer (see next slide)Slide Objective: Provide OBSP eligibility criteria for women at high riskBackground Information:The OBSP screens two groups of women. Women eligible for high risk screening through the OBSP are Ontario residents aged 30 to 69 years who are at high risk for breast cancer, have a referral from their physician, have no acute breast symptoms and fall into one of the following risk categories:Identified as a carrier of a deleterious gene mutation that increases their risk for breast cancer (e.g., BRCA1, BRCA2)First-degree relative of a mutation carrier and has declined genetic testingFamily history consistent with a hereditary breast cancer syndrome and estimated personal lifetime breast cancer risk ≥ 25% using the IBIS Genetic Breast Cancer Predisposition Tool or the BOADICEA Model of Genetic Susceptibility to Breast CancerReceived chest radiation for treatment of another condition (e.g., Hodgkin’s disease) before the age of 30 and at least eight years previouslyFor further information go to:Reference:Warner E, Messersmith H, Causer P, Eisen A, Shumak R and Plewes D. Magenetic Resonance Imaging Screening of Women at High Risk for Breast Cancer: A Clinical Practice Guideline. Program in Evidence-Based Care. April 12, 2007.21
22 High Risk Categories High risk categories: June 2014High Risk CategoriesHigh risk categories:Confirmed carrier of gene mutationFirst-degree relative of mutation carrier and refused genetic testing≥ 25% personal lifetime risk (IBIS, BOADICEA tools)Radiation therapy to chest more than 8 years ago and before age 30Slide Objective: Provide OBSP eligibility criteria for women at high riskBackground Information:Women will be referred to the OBSP for genetic assessment of their eligibility if they have significant family history, such as:First-degree relative of a mutation carrier (e.g., BRCA1, BRCA2), has not had a genetic assessment or genetic testingA personal or family history of at least one of the following:Multiple cases of breast cancer (particularly where diagnosis occurred at ≤ 50 years) and/or ovarian cancer (any age) in the family, especially in closely related relatives, on the same side of the familyPrimary cancer occurring in both breasts, especially if one or both cancers were diagnosed at ≤ 50 yearsBoth breast and ovarian cancer in the same womanBreast cancer at ≤ 35 yearsInvasive serous ovarian cancerBreast and/or ovarian cancer in Ashkenazi Jewish familiesAn identified BRCA1 or BRCA2 mutation in any blood relativeMale breast cancerFor further information go to:Reference:Warner E, Messersmith H, Causer P, Eisen A, Shumak R and Plewes D. Magenetic Resonance Imaging Screening of Women at High Risk for Breast Cancer: A Clinical Practice Guideline. Program in Evidence-Based Care. April 12, 2007.22
23 Ontario Breast Screening Program Benefits June 2014Ontario Breast Screening Program BenefitsA referral is not needed from a doctorYou can call and book your own appointmentPublicly fundedResult letter is mailed to your homeReminder letter to return every two yearsThe Ontario Breast Screening Program uses a mammogram (breast X-Ray) to screen women age 50 to 74 every two years or yearly if recommended by the doctor.A referral is not needed from a doctorYou can call and book your own appointmentNo cost – publicly funded through tax payer dollarsResult letter is mailed to the woman and she is reminded when to return for her next appointment.
24 Want to Book an Appointment? June 2014Want to Book an Appointment?Call this number to book your appointment:Ontario Breast Screening ProgramProvincial Toll-Free NumberCall this number to book your appointmentOntario Breast Screening ProgramProvincial Toll-Free Number