Breast Cancer Treatment in Delhi NCR Gurgaon

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Breast Cancer
Dr. Rohan Khandelwal MS, MRCS (Edin.),
FIBD Previously at University of
Maryland Consultant Breast Onco-Surgeon Departme
nt of Breast Diseases W Pratiksha HospitalGurgaon
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• Welcome to the World of Womens Well-being

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• BURDEN of BREAST CANCER in india

• Latest ICMR Data Breast cancer is the most
  common cancer among Indian women
• Affects one in 21 Indian women during their
  lifetime
• By 2025, one in 8 will be affected (Western
  figures)

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• NON Modifiable risk factors

• Age incidence increases with age
• Family History (more family members affected
  more the risk)
• Genetic Mutations (BRCA)
• Early Menarche (early menarche lt12 years)
• Late Menopause
• Increased breast density

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• BRCA Testing Angelina Jolie Effect

• Testing for BRCA Mutations Recommendations
• Relatives of a patient with known deleterious
  BRCA mutations
• Non-Ashkenazi Jewish women should be tested if
  one of the following risk factors is present
• Two first-degree relatives with breast cancer,
  one of whom was diagnosed before 50 years of age
• At least two first- or second-degree relatives
  with breast cancer or ovarian cancer, regardless
  of age at diagnosis
• A combination of breast and ovarian cancers among
  first- and second-degree relatives
• A first-degree relative with bilateral breast
  cancer
• A male relative with a history of breast cancer

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• Modifiable risk factors

• Obesity (lack of physical activity fatty food)
• Smoking
• Alcohol consumption
• Hormone replacement therapy
• Age at first live birth

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• Symptoms

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• Unusual Facts!!

• Not all lumps are malignant
• Fibroadenoma - most common cause of a breast lump
• Rarely fibroadenomas can be associated with
  malignancy

• Usually malignant lumps - painless in the initial
  stages
• But malignancy should be ruled out in patients
  with breast pain

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Methods for early detection

• Breast Self Examination (BSE)
• Clinical Examination by Breast Surgeon
• Screening Mammography

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Breast Self Examination

• Opportunity for woman to become familiar with her
  breasts
• Monthly exam of the breasts and underarm area
• May discover any early changes
• Begin at age 20, continue monthly

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When to do BSE

• Menstruating women- 5 to 7 days after the
  beginning of their 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 underarm area

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Breast Self Exam (BSE)
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Clinical examination

• Performed by an experienced breast surgeon
• Annually for women over 35 years of age
• At least every 3 years for women between 20 and
  35 years of age
• More frequent examination for high risk patients

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Screening Mammography

• X-ray of the breast
• Has led to a 30 reduction in deaths due to
  breast cancer
• Helps in early diagnosis
• Normal mammogram does not rule out possibility of
  cancer completely

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Screening Mammography

• Women (asymptomatic) 40 years of age and older
  should have a mammogram every year

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• Benefits of Screening

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Breast Cancer Screening Methods For Healthy Women

• 1. Breast Self Exam Status
• Guiding principal Know your breasts they are
  not land mines
• 2. Clinical Breast Exam
• Age 20-35 every 3 years
• Age after 35 every year
• 3. Mammography
• Age after 40 every year

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• If LUMP is Detected

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• Breast Cancer Management

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• Breast Cancer Myths

• Most breast cancers run in families
• There is nothing you can do to lower your risk of
  developing breast cancer
• Bras cause breast cancer
• Regular mammograms prevent breast cancer
• Antiperspirants cause breast cancer
• Most breast lumps are cancerous
• Oral contraceptive pills increase the risk of
  cancer

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• Tips for risk reduction Early Detection

1. Regular exercise - at least 30 mins of exercise 4
   times a week
2. Avoid smoking
3. Avoid alcohol consumption
4. Maintain your weight in the normal range
5. Be breast aware - do regular self examinations
6. Clinical breast examination by an experienced
   breast surgeon after the age of 35 years
   (annually)
7. Regular mammograms after 40 years of age
8. If family history of breast cancer is present,
   consult your oncologist to discuss your risk

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THANK YOU !