Breast Cancer Breast Cancer Dr Swapna Chaudhary M
Breast Cancer
Breast Cancer Dr. Swapna Chaudhary M. S. (MUM) Consultant Obstetrician & Gynaecologist Infertility Specialist
Incidence
Incidence § Common cause of cancer in females
Incidence § Common cause of cancer in females § 200, 000 new cases annually around world
Incidence § Common cause of cancer in females § 200, 000 new cases annually around world § 40, 000 deaths
Risk Factors
Risk Factors § Age > 50
Risk Factors § Age > 50 § High income group
Risk Factors § § § Age > 50 High income group Family History (mother / sister)
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 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) § BRCA mutation
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) § BRCA mutation § Nulliparity (no children)
§ 1 st pregnancy after 30 yrs
§ 1 st pregnancy after 30 yrs § Early menarche
§ § § 1 st pregnancy after 30 yrs Early menarche Late menopause
§ § 1 st pregnancy after 30 yrs Early menarche Late menopause Obesity
§ § § 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
Screening methods
Screening methods 1. Breast self examination
Screening methods 1. Breast self examination 2. Clinical examination
Screening methods 1. 2. 3. Breast self examination Clinical examination Mammography
Screening methods 1. 2. 3. § Breast self examination Clinical examination Mammography screening method – done for non palpable, early, small (<1 cm) tumors in asymptomatic women
Screening methods 1. 2. 3. § Breast self examination Clinical examination Mammography screening method – done for non palpable, early, small (<1 cm) tumors in asymptomatic women § ‘abnormal mass’ further investigated by additional imaging or biopsy
§ Screening mammography can detect cancer 2 to 3 yrs before it can become symptomatic (10% cancer still failed to be detected by mammography)
§ Screening mammography can detect cancer 2 to 3 yrs before it can become symptomatic (10% cancer still failed to be detected by mammography) 4. FNAC / biopsy
Treatment
Treatment § Surgical Treatment
Treatment § Surgical Treatment § Mastectomy
Treatment § § § Surgical Treatment Mastectomy Breast conservation
Treatment § § § Surgical Treatment Mastectomy Breast conservation § Lumpectomy with XRT
Treatment § § § Surgical Treatment Mastectomy Breast conservation § Lumpectomy with XRT § Equal outcomes!
Thank you
- Slides: 33