BREAST CANCER AWARENESS

EARLY DETECTION SAVES LIVES

Your detection program four-part process:

Education Breast Self-Examination (BSE) Clinical Breast Examination Diagnostic Evaluation

OBJECTIVES At the end of this short lecture discussion clients/ Nurses and other health allied team will be able to; Identify the risk factors Be alert for the sign and symptoms Enhance the knowledge of getting the assessment data To perform BSE and may use 3 different patterns Know the recent medical& surgical management of breast cancer

ETIOLOGY: Unknown

RISK FACTORS:
Gender: Woman Age: Later age

Heredity: BRCA1 BRCA2

Hormones: Estrogen & Progesterone
First pregnancy after age 30 Long-term synthetic hormone replacement therapy Menstruation before age 12 Menopause after age 50 Nulliparity (never gave birth)

PREDISPOSING FATORS: Sedimentary Lifestyle Diet Environmental Factors

Symptoms of breast cancer

A lump or thickening in your breast or under your arm

Any change in the size or shape of your breast

Any bloody or unusual discharge from your nipple. Changes in color or texture of the skin of your breast, such as dimpling, puckering or rash Swelling, redness, feeling heat sensation in your breast Inverted nipple in a breast where the nipple previously was not inverted

Breast Self Exam (BSE)

BSE can significantly increase your awareness of changes in your breast. It gives you the opportunity to know what's usual or unusual about the shape, appearance and feel of your breasts so that you are more likely to notice any changes. BSE only takes a few minutes, just once a month. It should be done 7-10 days after the start of your period. If you are postmenopausal, select a particular day like the first or last day of the month.

What is an early detection plan? An early breast cancer detection plan should include the following: Clinical breast examination every three years from ages 20-39, then every year thereafter. Monthly breast self-examinations beginning at age 20. Look for any changes in your breasts. Baseline mammogram by the age of 40. Mammogram screening every one to two years for women 40-49, depending on previous findings. Mammogram every year for women 50 and older. A personal calendar to record your self-examinations, mammograms, and doctor appointments. A low-fat diet, regular exercise, and no smoking or drinking

Clinical Breast Examination

A regular clinic check-up by a health care professional skilled in breast examination should be performed at least once a year.

A Woman's Guide to Breast Cancer Diagnosis

BREAST BIOPSY A. When Your Lump Can Be Felt If your lump can be felt, you will most likely have one of the following types of biopsies. Fine Needle Aspiration (FNA)

Core Biopsy
Surgical Biopsies Frozen Section Biopsy

Fine Needle Aspiration (FNA) A thin needle is placed into the lump. If fluid comes out, and the lump disappears, it means that the lump is a cyst and is usually not cancer. Advantage: You can avoid scar and surgery. If cancer is found, you can start to plan your treatment. Disadvantage: If the needle removes only normal cells, and the lump does not go away, then you may need more tests to make sure that the lump is not cancer

TREATMENT OPTIONS:

Surgery: Excision Boipsy Lumpectomy

Mastectomy Simple mastectomy Modified Radical Mastectomy Total Bilateral Mastectomy

LOWER THE RISK

Stress Food Internal / externalenvironment Knowledge is power. Instead of living under the shadow of myths and misunderstanding, KNOW your own realistic level of risk.

Genetics and Breast Cancer Risk Read Conference Transcripts and summaries of research on BRCA1 and BRCA2 gene abnormalities, including how they affect breast cancer risk, as well as reports on the treatment options of removing ovaries and breasts.

Lowering Risk for Everyone Lifestyle and environmental factors can either increase or reduce your risk for breast cancer. Learn what you should know and what action you can take.

Lowering Risk for People at High Risk If you have a family history of breast cancer or have the abnormal BRCA1 or BRCA2 gene, you may have a higher risk of developing breast cancer and may want to consider more advanced protection methods. Also, if you have an abnormal BRCA1 or BRCA2 gene, your risk of developing ovarian cancer is increased. Protect yourself with information.

Lowering Risk for People with a Personal History If you already have been diagnosed with breast cancer, your risk of developing it again is higher than if you had never had the disease. Treatment options are available to help you reduce that risk. Your risk of developing ovarian cancer also may be higher. Understand your options.

Lowering Risk for Everyone Lifestyle and environmental factors can either increase or reduce your risk for breast cancer. Learn what you should know and what action you can take.

Questions?

Clarifications?

Thank you!

Ms. Theresa Amorin Tinapay, BSN, RN, MAN, DPE