For Breast Cancer - PowerPoint PPT Presentation

For breast cancer l.jpg
1 / 32

  • Updated On :
  • Presentation posted in: General

For Breast Cancer. A program of the UAMS College of Pharmacy. Funded through unrestricted educational grants by Susan G. Komen Breast Cancer Foundation Arkansas Affiliate. Overview of Breast Cancer. Jan K. Hastings, Pharm.D. Breast Cancer. The most common form of cancer among women

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.

Download Presentation

For Breast Cancer

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript

For breast cancer l.jpg

For Breast Cancer

A program of the

UAMS College of Pharmacy

Funded through unrestricted educational grants

by Susan G. Komen Breast Cancer Foundation

Arkansas Affiliate

Overview of breast cancer l.jpg

Overview of Breast Cancer

Jan K. Hastings, Pharm.D.

Breast cancer l.jpg

Breast Cancer

  • The most common form of cancer among women

  • The second most common cause of cancer related mortality

  • 1 of 8 women (12.2%)

  • One third of women with breast cancer die from breast cancer

Risk factors for breast cancer l.jpg

Risk Factors for Breast Cancer

  • Female (1% male)

  • Aging

  • Relative (mother or sister)

  • Menstrual history

    • early on set

    • late menopause

  • Child birth

    • After the age of 30

Exogenous estrogen l.jpg

Exogenous Estrogen

  • Hormonal replacement therapy(HRT)

    • 30% increased risk with long term use

  • Oral Contraceptives(OC)

    • risk slight

    • risk returns to normal once the use of OC’s has been discontinued

Risk factors for breast cancer6 l.jpg

Risk Factors for Breast Cancer

  • Radiation exposure

  • Breast disease

    • Atpyical Hyperplasia

    • Intraductal carcinoma in situ

    • Intralobular carcinoma in situ

  • Obesity

  • Diet

    • Fat

    • Alcohol

Genetics l.jpg


  • BRCA-1

  • BRCA-2

  • P53, Rb-1

  • Her-2/neu, c-erB2, c-myc

Staging of breast cancer l.jpg

Staging of Breast Cancer

  • The American Joint Committee on Cancer (AJCC) has designated staging by TNM

  • T= tumor size

  • N = lymph node involvement

  • M = metastasis

Stage 1 l.jpg

Stage 1

  • Tumor < 2.0 cm in greatest dimension

  • No nodal involvement (N0)

  • No metastases (M0)

Stage ii l.jpg

Stage II

  • Tumor > 2.0 < 5 cm


  • Ipsilateral axillary lymph node (N1)

  • No Metastasis (M0)

Stage iii l.jpg

Stage III

  • Tumor > 5 cm (T3)

  • or ipsilateral axillary lymph nodes fixed to each other or other structures (N2)

  • involvement of ipsilateral internal mammary nodes (N3)

  • Inflammatory carcinoma (T4d)

Stage iv metastatic breast cancer l.jpg

Stage IV (Metastatic breast cancer)

  • Any T

  • Any N

  • Metastasis (M1)

Types of breast cancer l.jpg

Types of breast cancer

  • In situ

    • Intraductal (DCIS)

    • Intralobular (LCIS)

  • Invasive

    • Infiltrating ductal carcinoma

    • Tubular carcinoma

    • Medullary carcinoma

    • Mucinous carcinoma

Symptoms and screening l.jpg

Symptoms and Screening

Normal breast physiology and anatomy l.jpg

Normal breast physiology and anatomy

  • Symmetry and balance

  • Size

    • weight

    • menstrual cycle

    • pregnancy and lactation

  • Texture

  • Shape

    • age

Abnormal signs and symptoms l.jpg

Abnormal signs and symptoms

  • Puckering

  • Dimpling

  • Retraction

  • Nipple discharge

  • Thickening of skin or lump or “knot”

  • Retracted nipple

Abnormal signs and symptoms19 l.jpg

Abnormal signs and symptoms

  • Change in breast size

  • Pain or tenderness

  • Redness

  • Change in nipple position

  • Scaling around nipples

  • Sore on breast that does not heal

Methods of detection l.jpg

Methods of Detection

  • Clinical exam by MD or nurse

  • Mammography

  • Monthly breast self-exam (BSE)

Clinical examination l.jpg

Clinical examination

  • Performed by doctor or trained nurse practitioner

  • Annually for women over 40

  • At least every 3 years for women between 20 and 40

  • More frequent examination for high risk patients

Mammography l.jpg


  • X-ray of the breast

  • Has been shown to save lives in patients 50-69

  • Data mixed on usefulness for patients 40-49

  • Normal mammogram does not rule out possibility of cancer completely

Mammography23 l.jpg


American Cancer Society recommends:

Women (asymptomatic) 40 years of age and older should have a mammogram every year.

Mammography more guidelines l.jpg

Mammography-more guidelines

  • Mammogram facility guidelines

  • Avoid mammogram week before period

  • Don’t wear deodorant powder or cream

  • Bring a list of the places and dates of other mammograms,biopsies you’ve had before

  • If you don’t hear from the MD within 10 days, call the facility

Free mammograms l.jpg

Free Mammograms

  • Medicare

  • Arkansas Breast Cancer Control Program

  • Breast and Cervical Cancer Control Program of the Arkansas Department of Health

Medicare l.jpg


  • Women over 65

Arkansas breast cancer control program l.jpg

Arkansas Breast Cancer Control Program

  • Started in 1999

  • Eligibility

    • Women 40 or older

    • No insurance

    • Income at or below 2 times the poverty level

    • Call county or state heath department

      • 1-800-482-5400

Eligibility for abcccp mammogram l.jpg

Eligibility for ABCCCP Mammogram

  • 50 years or older and

  • At or below 200 percent poverty


  • Between 40 and 49 and

  • A breast cancer survivor or have a mother, daughter, or sister who has breast cancer and

  • At or below 200 percent poverty

Breast self examination l.jpg

Breast Self Examination

  • Opportunity for woman to become familiar with her breasts

  • Monthly exam of the breasts and underarm area

  • May discover any changes early

  • Begin at age 20, continue monthly

When to do bse l.jpg

When to do BSE

  • Menstruating women- 5 to 7 days after the beginning of

    their period

  • Menopausal women -

    same date each month

  • Pregnant women –

    same date each month

  • Takes about 20 minutes

  • Perform BSE at least

    once a month

  • Examine all breast tissue

Why don t more women practice bse l.jpg

Why don’t more women practice BSE?

  • Fear

  • Embarrassment

  • Youth

  • Lack of knowledge

  • Too busy, forgetfulness

Conclusion l.jpg


Pharmacists have a responsibility as patient advocates for breast cancer awareness

  • Login