1 / 20

Breast Cancer Screening and Prevention

Breast Cancer Screening and Prevention. October 22 nd 2013 Colleen Doherty, MD . Introduction. Education: Graduated from Duke University with a Bachelor of Science Completed medical degree and training at the University of Chicago. Extra:

taima
Download Presentation

Breast Cancer Screening and Prevention

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Breast Cancer Screening and Prevention October 22nd 2013 Colleen Doherty, MD

  2. Introduction • Education: • Graduated from Duke University with a Bachelor of Science • Completed medical degree and training at the University of Chicago • Extra: • Philosophy of Care: “I strive to treat the whole patient.” • Family History Significant for Breast Cancer • Mother, Wife Experience: Board Certified Internist with Advocate Medical Group in Chicago, IL Physician at JPMC downtown Chicago locations Prior Faculty Member at Northwestern Memorial Hospital Member of the American College of Physicians Freelance medical writer for the Health Channel of the website About.com

  3. How Common is Breast Cancer? In the US, breast cancer is the second leading cause of death in women. In the US, breast cancer is the most common cancer diagnosed in females and accounts for 23% of all cancer cases. In 2013, it is estimated that 235,580 women in the United States will be diagnosed with invasive breast cancer and 40,030 women will die from the disease.

  4. Men do not get breast cancer. Breast Cancer Myths Implants/Bras increase your risk of breast cancer. Antiperspirants increase your risk of breast cancer. All breast lumps are cancer. Breast cancer is contagious. Physical activity may lower your risk of breast cancer.

  5. The Skinny on Cancer What is cancer? There are trillions of cells in the body. Cancer is the abnormal growth of these cells in an uncontrolled manner. What is Invasive Cancer? What is Metastasis? The cells form tumors that invade or grow into and replace healthy tissue in our body. Metastasis occurs when the cancer cells enter the bloodstream or lymph nodes, allowing easy spread to distant parts of the body. Are All Tumors Cancerous? No. Benign tumors do not invade or metastasize and are rarely life-threatening.

  6. The Normal Breast

  7. Types of Breast Cancer Non-Invasive Ductal Carcinoma in situ (DCIS): • About 20% of new breast cancer cases • Nearly all women diagnosed at this early stage are cured Invasive Invasive Ductal Carcinoma (IDS): • Most common type of breast cancer Invasive Lobular Carcinoma (ILS): • May be harder to detect by mammogram Paget’s Disease of the Nipple

  8. Rare Types of Breast Cancers Inflammatory Breast Cancer: About 1 to 3% of all breast cancers “Orange peel” appearance Paget’s Disease: About 1% of all breast cancers Spreads to the areola • Triple Negative Breast Cancer: • Cells are negative for three receptors: estrogen, progesterone, HER2 protein

  9. Risk Factors for Development of Breast Cancer Gender Age Personal and Family History of Breast cancer Breast Density Having No Children Estrogen Exposure Alcohol Smoking Obesity

  10. What Can I Do? Limit Alcohol Use Stop Smoking Exercise: WALKING Eat a healthy diet Know your family history Visit your doctor for screening

  11. Why is Early Detection Important? Nearly 75% of deaths from breast cancer occur among women who have not undergone mammograms. Breast cancers found during mammograms are more likely notto have spread because they are small and caught early. The size of the cancer and how far the cancer has spreadare important in predicting the prognosis or outlook of a woman with this disease.

  12. How am I Screened for Breast Cancer? • Mammogram • Breast Self Exam (BSE) • Clinical Breast Exam (CBE) • MRI

  13. A Day in the Life of a Mammogram What Can I Expect on the Day of My Mammogram? What Happens After My Mammogram? What if My Mammogram Results Read “Abnormal?” Can I Have an MRI Instead of a Mammogram?

  14. Mammography Screening

  15. 1.) Speak with your doctor to confirm you are high risk. 2.) Your doctor may refer you for genetic testing (BRCA1, BRCA2) based on your family history. 3.) Your doctor may consider either or both: Risk-reducing medications like tamoxifen or raloxifene and/or an MRI (in addition to a mammogram). What if I am at a High Risk of Developing Breast Cancer?

  16. New lump or mass • Swelling • Skin changes (dimpling, redness, irritation) • Pain • Nipple retraction • Nipple discharge Symptoms of Breast Cancer Never hesitate to see your doctor for any concerns, even if your mammogram was “normal.”

  17. Surgery • Mastectomy, Breast-Conserving Surgery with Radiation, Lymph Node Dissection • Radiation • Chemotherapy • Before Surgery (Neoadjuvant), After Surgery (Adjuvant) • Hormone Therapy • Tamoxifen, Aromatase Inhibitors • Targeted Therapy • Herceptin Breast Cancer Treatment

  18. Undergo Screening: • Call TODAYfor Your Mammogram. Report any new breast changes to your doctor promptly. Early Detection is Key! • “Take Action”: • Eat a healthy diet, exercise, stop smoking, limit alcohol, know your family history • Be Proactive: • You are your own Advocate Take Home Points

  19. Final Note “Take care of your body. It’s the only place you have to live.” - Jim Rohn (motivational speaker)

  20. American Cancer Society. Breast Cancer. Accessed 9/22/13. http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-what-is-cancer. • Afonso, N. Women at High Risk for Breast Cancer-What the Primary Care Provider Needs to Know. J Am Board Fam Med January-February 2009 vol. 22 no. 1 43-50 • CNN Health. Accessed 9/22/13. http://thechart.blogs.cnn.com/category/breast-cancer/. • Fletcher SW. Screening for breast cancer: Strategies and recommendations. In: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013. • National Cancer Institute. General Information About Breast Cancer. Accessed 09/22/13. http://www.cancer.gov/cancertopics/pdq/treatment/breast/Patient/page1. • National Cancer Institute. Surveillance Epidemiology and End Results (SEER) Stat Fact Sheets: Breast Cancer. Bethesda, MD: National Cancer Institute; 2013. Accessed 9/22/13. seer.cancer.gov/statfacts/html/breast.html. • Nelson HD, Tyne K, Naik A, Bougatsos C, Chan BK, Humphrey L. Screening for breast cancer: an update for the U.S. Preventive Services Task Force. Ann Intern Med. 2009; 151:727-37.http://www.cancer.gov/cancertopics/pdq/prevention/breast/Patient/page2. • Siegel R, Naishadham D, Jemal A. Cancer statistics. 2013. CA Cancer J Clin 2013; 63:11. • Tria Tirona M. Breast cancer screening update. Am Fam Physician. 2013 Feb 15;87(4):274-8. • U.S. Preventive Services Task Force; Screening for Breast Cancer: U.S. Preventive Services Task Force Recommendation Statement. Annals of Internal Medicine. 2009 Nov;151(10):716-726 • U.S. Preventive Services Task Force. Medications for Risk Reduction of Primary Breast Cancer in Women. http://www.uspreventiveservicestaskforce.org/uspstf13/breastcanmeds/breastcanmedsrs.htm. References

More Related