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