Transcript Breast Cancer

Breast Cancer
What is this Disease?
• Second leading cause of cancer
death in women
• Malignant (cancerous) tumor
– Develops from cells in the breast
that are growing abnormally & out of
control
– Some cells may break away and
travel to other parts of the body
(metastasis)
– When cancer comes back after
successful treatment – it is called a
recurrence.
Breast Cancer Starts Where?
• Ductal Carcinoma
– Breast milk ducts
– Most frequent location
• Lobular Carcinoma
– Breast milk lobes
• Other breast tissues
– Fatty & connective tissues
– Lymph vessels
U.S. Statistics - 2002
• New cases
– 203,500 (women)
– 1,500 (men)
• Deaths per year
– 39,600 (women)
– 400 (men)
• 5-year localized survival rate - 96%
• 5-year overall survival rate - 86
2006
• 212,920 women will be diagnosed
this year
• 40,970 will die from breast cancer
this year
• Over 2,000,000 women who have
been treated for breast cancer
• 1 in 8 women will be diagnosed in
their lifetime
• 1 in 33 will die from breast cancer
Am I At Risk?
• Gender
– 100 times more common in women that
men
• Age
– Risk increases with age
– 77% of women diagnosed are
>50 years of age.
• Race
– White & African American – higher risk
• Family history
– 1st degree relative double the risk
– Most women diagnosed do not have a
family history
• Additional risk factors:
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History of non-cancerous breast disease
Starting monthly periods before age 12
Starting menopause after age 55
> 5 years post menopausal estrogen
replacement therapy
Never having children
Having first child after age 30
Use of alcohol
Obesity, especially weight gain after
menopause
Physical inactivity
How Do I Know If I Have It?
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Detection of a new lump or mass
Generalized swelling of part of a breast
Skin irritation or dimpling
Nipple pain or retraction
Redness or scaliness of the nipple or
breast skin
• Discharge other than breast milk
• All of these symptoms require
follow up
What Can And Should I Do?
• Prevention
– Many risk factors are not modifiable
• Those related to age and hormones
– Lifestyle changes are modifiable
• Maintaining a healthy diet and weight
• Routine physical activity
• Reduce the use of alcohol
– Knowledge and awareness
• Being aware of your risk factors
• Knowing your body
• Early detection
Early Detection – Best Outcome
• Mammograms
– Over age 40 – every year
• Clinical Breast Exam (CBE)
– Age 20 – 39 – every 3 years
– Over age 40 – every year
• Breast Self Exam (BSE)
– Know how your breasts normally feel
– Over age 20 – every month
• Talk to your doctor
– If family history present
Are There Successful Treatments?
• Most successful when treated early
• Treatment depends on many factors
– Progression of the disease
– Patient choices
• Surgical interventions
– Breast conservation surgery – lumpectomy
– mastectomy
• Medical intervention
– Chemotherapy
– Hormone therapy
– Radiation therapy
What Does The Future Hold?
• Risk factors
– Further investigation re: lifestyle &
environmental factors
• Genetics
– How to use gene testing
• Screening
– New technology
• Hormone Therapy
– Investigating use in prevention
• Chemotherapy
– New drugs and drug combinations
How Does Diagnosis Impact Lifestyle?
• Social
– Changes in appearance and activity
tolerance
• Physical
– Pain, fatigue, sleep difficulties
• Psychological
– Fear of recurrence, guilt, depression
– Impact on loved ones
– Financial concerns
• Spiritual
Who Can Help?
• Support from family & friends
• American Cancer Society
– Cancer Survivors Network
• www.acscsn.org
• 1-877-333-HOPE
• Links for Life
– Support group
• www.linksforlife.org
• 661-322-5601
Who is “Links For Life”?
• Local Breast Cancer Organization
– 2 Full & 1 Part time employees
– Many, many volunteers
• Provides an organization to benefit
person affected by breast cancer
• Challenges each women in Kern
County to be aware of her breast health
• Educated the general public, teaching
that optimum health and early
detection saves lives
Links For Life – Lives are being Saved
• Raise funds for local programs
– Pro-Am Golf Tournament & Gala
– Paint the Town Pink (October
• Over $100,000 raised in 2005
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Field over 4,000 phone calls from the public
Provide 240 wigs from our wig shop
Provide 20 Bras/Prosthesis
Arrange for needed tests for women under 40 who
are uninsured or underinsured
• 440 mammograms
• 240 ultrasounds
• 45 needle biopsies
– Results of these tests:
• 4 positive cancers detected
– 3 women under 40
– 1 man
• Other services
– Support group
• Encouragement, support, friendship, &
information
– Seminars
• Community education
– Library
• Current reference books & videos
– Scholarships
• Support our local nursing students
– Health fairs
Where Can I Receive More Info?
• American Cancer Society
– 1-800-ACS-2345 www.cancer.org
• Links for Life
– 661-322-5601 www.linksforlife.org
• National Cancer Institute
– 1-800-4-cancer www.nci.nih.gov
• Susan G. Komen Foundation
– 1-800-IM AWARE www.komen.org
• National Allicance of Breast Cancer
Organizations (NABCO)
– 212-719-0154
www.nabco.org
• Y-Me National Breast Cancer Organization
– 1-800-221-2141 www.y-me.org