Breast cancer is increasing year by year in India and we are moving towards western statistics in prevalence of disease. I was invited by air force gandhinagar to deliver the breast cancer awareness talk to their staff. This presentation is all about breast cancer, early signs, symptoms, prevention, diagnosis and treatment.

1. BREAST
CANCER
AWARENESS
AIRFORCE Gandhinagar, 17TH OCTOBER 2016
Dr. Malhar Patel, DNB
Dr. Prapti Patel Desai, MD
Radiation Oncologist
CIMS Cancer Center, CIMS Hospital
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2. INDIAN AIR FORCE – 84TH ANNIVERSARY
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4. Veena Saharan, Teji Uppal and Nidhi Handa
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Cancer is CANCEL???!!!
Cancer is CURABLE **Terms & conditions apply!!
*If detected EARLY

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7. STRUCTURAL DESIGN OF
BREAST
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• The breast sit on the chest muscles that
cover the ribs.
• Each breast is made of 15 to 20 lobes.
• Lobes contain many smaller lobules.
• Lobules contain groups of tiny glands that
can produce milk.
• Milk flows from the lobules through thin
tubes called ducts to the nipple.
• The nipple is in the center of a dark area of
skin called the areola.
• Fat fills the spaces between the lobules
and ducts.

8. BREAST CANCER BURDEN IN
INDIA
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1,50,000 NEW cases every year
70,000 Deaths in a year
60% cases detected in late
stage – Not Curable
Death within a year of
diagnosis!!!
Tremendous lack of screening
program nationwide
Alarming lack of awareness in
urban lady too!!!

9. FACTS
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Most common cancer in India
2nd leading cause of death
Incident increasing with age
ALL WOMEN ARE AT

10. CHANGING TREND IN INDIA
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48% of breast cancer patients are below 50 years of age

11. WHAT CAUSES BREAST
CANCER
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All breast cancer are GENETIC
5-10% are inherited from mother and father
90% genetic abnormalities due to aging and
“wear and tear” due to risk factors.

12. RISK FACTORS
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• Gender: Female (1% males)
• Race: More common in whites
• Age: Increases as a woman gets older.
• Relative : Mother or sister so on!
• Menstrual history: Early on set - late menopause
• Childbirth: First child after the age of 30
or having no children at all
Breast feeding have protective effect on breast cancer development

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Obesity
Diet
Fat & Alcohol
Lack of Physical Activity
Stress
Radiation Exposure
History of cancer
breast, uterus, cervix, ovary
Hormones
Estrogens in hormone replacement therapy & Birth control pills
Genetics
certain conditions that are inherited
RISK FACTORS

14. PREVENTING BREAST
CANCER
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15. SYMPTOMS OF BREAST
CANCER
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16. SCREENING
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17. BREAST SELF EXAMINATION
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FEAR
EMBARRASSMEN
T
YOUTH
LACK OF KNOWLEDGE
TOO BUSY,
FORGETFULNES
S
SHY

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BREAST SELF EXAMINATION

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BREAST SELF EXAMINATION

20. WHEN TO DO BSE
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• Start at age of 18 to lifetime
• Menstruating women - 5 to 7 days after the beginning of
heir period
• Menopausal women - Same date each month
• Pregnant women - Same date each month
• Takes about 10 minutes
• Perform BSE at least once a month
• Examine all breast tissue

21. CLINICAL BREAST EXAMINATION
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CLINICAL BREAST EXAMINATION
• Performed by doctor or trained nurse practitioner
• Annually for women over 40 years
• At least every 3 years for women between 20 & 40 years
• More frequent examination for high risk women

23. MAMMOGRAM
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24. MAMMOGRAM
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• Saves life between age 50 to 70 years
• Mixed data between age of 40 to 49 years
• Yearly after age of 40 years
• Normal mammogram CAN NOT
rule out cancer!!!!!

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SONOGRAPHY

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SONOGRAPHY
No Radiation
Easy to perform
USG guided FNAC or Biopsy
Wire localization
women under age 25
women who are pregnant
women who are breast-feeding
women with silicone breast implants
4 out of 5 breast lump are benign – non
cancerous

27. GENETICS
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28. TREATMENT
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Surgery
Chemotherapy
Radiation Therapy
Hormonal Therapy
Multi-Modality Approach

29. Breast Reconstruction
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30. MYTHS
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Touching the breasts too often will lead to cancer
Talking about cancer causes cancer
Herbs cure breast cancer
A bruise on the breast will lead to breast cancer
If an incision is made during breast cancer surgery,
the cancer will spread.
Getting too many mammograms leads to
breast cancer

31. MYTHS
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Breast cancer only affects older women
If you have a risk factor for breast cancer, you're
likely to get the disease
Using antiperspirants causes breast cancer.
A breast cancer diagnosis is an automatic death
sentence.

32. FACT
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BREAST CANCER IS CURABLE
BREAST CANCER IS PREVENTABLE

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