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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)
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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: • 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? • 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 • 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