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