breast cancer. dr. swapna chaudhary m.s. (mum) m.s. (mum) consultant obstetrician &...

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 1st 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 1st 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 1st degree relative affected, bilateral breast disease, young age at diagnosis)

BRCA mutation Nulliparity (no children)

1st pregnancy after 30 yrs

1st pregnancy after 30 yrs Early menarche

1st pregnancy after 30 yrs Early menarche Late menopause

1st pregnancy after 30 yrs Early menarche Late menopause Obesity

1st 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. Breast self examination

2. Clinical examination

3. Mammography

Screening methods

1. Breast self examination

2. Clinical examination

3. Mammography screening method – done for non

palpable, early, small (<1cm) tumors in asymptomatic women

Screening methods

1. Breast self examination

2. Clinical examination

3. Mammography screening method – done for non

palpable, early, small (<1cm) 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