BREAST CANCER OVERVIEW Polly Stephens, M.D.

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

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St Francis Cancer Institute
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BIOPSY

• Ultrasound-guided
• Stereotactic
• MRI guided biopsy

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STEREOTACTIC BIOPSY
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ULTRASOUND BIOPSY

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INVASIVE DUCTAL CARCINOMA

• Overall survival 75
• Stage
• 0 Ductal carcinoma in situ
• I tumor lt2cm, no lymph nodes
• II tumor 2-5cm, lt4 lymph nodes
• III tumor gt5cm, gt4 lymph nodes
• IV distant metastases

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INFLAMMATORY BREAST CANCER

• Peau dorange

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Treatment

• Local control
• Lumpectomy/mastectomy
• Radiation
• Distal control
• Chemotherapy

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Sentinel node biopsy
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Mammosite
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External Beam Radiation
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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

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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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