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BREAST CANCER OVERVIEW Polly Stephens, M.D.

BREAST CANCER OVERVIEW Polly Stephens, M.D. BREAST ANATOMY. breastcancer.org . Ductal Carcinoma In Situ. Calcifications. CALCIFICATIONS. The . Invasive Ductal Carcinoma. Breast cancer. Breast cancer. Vascular/Lymphatic Invasion. Bone scan. Liver metastases. MAMMOGRAPHY.

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BREAST CANCER OVERVIEW Polly Stephens, M.D.

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  1. BREAST CANCER OVERVIEW Polly Stephens, M.D.

  2. BREAST ANATOMY

  3. breastcancer.org

  4. Ductal Carcinoma In Situ

  5. Calcifications

  6. CALCIFICATIONS

  7. The 

  8. Invasive Ductal Carcinoma

  9. Breast cancer

  10. Breast cancer

  11. Vascular/Lymphatic Invasion

  12. Bone scan

  13. Liver metastases

  14. MAMMOGRAPHY In America, most breast cancers are diagnosed on mammogram • 1st mammogram age 35 • Or 10 years before your mother was diagnosed with breast cancer • Yearly starting age 40 • About 10% of cancers are not seen on mammogram. DO YOUR OWN EXAM

  15. St Francis Cancer Institute

  16. BIOPSY • Ultrasound-guided • Stereotactic • MRI guided biopsy

  17. STEREOTACTIC BIOPSY

  18. ULTRASOUND BIOPSY

  19. INVASIVE DUCTAL CARCINOMA • Overall survival 75% • Stage • 0 Ductal carcinoma in situ • I tumor <2cm, no lymph nodes • II tumor 2-5cm, <4 lymph nodes • III tumor >5cm, >4 lymph nodes • IV distant metastases

  20. INFLAMMATORY BREAST CANCER • P’eau d’orange

  21. Treatment • Local control • Lumpectomy/mastectomy • Radiation • Distal control • Chemotherapy

  22. Sentinel node biopsy

  23. Mammosite

  24. External Beam Radiation

  25. Who needs chemotherapy? • If there is a risk of cells in the blood stream looking for a place to settle • Bone, Liver, Lung, Brain • There is no blood test for breast cancer cells in the blood stream

  26. Genetics • BRCA 1 and 2 • Alterations or mutations in these genes increase ones risk for breast and ovarian cancer • Only about 5% of breast cancer patients are BRCA +

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