Breasts need attention'

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Breasts need attention.

• Yours!

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Monday, Feb 06, 2006 Breast Cancer on the
rise PANAJI The incidence of breast cancer in
Goa is very high, largely on account of urban
lifestyle associated with high affluence and late
marriages, said cancer surgeon Shekhar Salkar.
Addressing a breast cancer awareness programme
organised by Rotary Club of Panaji, Dr. Shekhar
Salkar, also Secretary General of National
Organisation for Tobacco Eradication (NOTE),
India, stated that though a detailed study was
needed to substantiate these facts and reasons,
it has been seen that as against around 90,000
cases reported annually across the country, Goa
with a female population of around six lakhs
reported around 250 cases a year.
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• Not me!
• Why should I be worried about cancer cancer
  screening?
• No one in my family has ever had cancerof
  any kind.
• I couldnt be bothered..Im way too young to
  worry about cancer.

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Research in Science (ICMR report)

• 1 in 22 Indian women is likely to develop
• breast cancer during her lifetime
• Urban women more likely than their rural
  counterparts

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Who is at risk?

• Prolonged contraceptive or HRT users
• Alcohol use
• Overweight or obese
• Decreased physical activity
• High fat diet

• Any female!
• Over age 40
• Family history of breast cancer
• Early age at menarche or late age at menopause
• 30 or older at first child birth

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Worried?

• Heres the good news!
• Early detection decreases death rates from breast
  cancer by 90

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The Three Pronged Approach
Breast Self examination
Clinical Breast examination
Mammography
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Breast Self Examination(BSE)

• Breast self-exam (BSE)
• Start in your 20s.
• Report any breast change to your doctor

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SBE when?

• Last days of menstrual flow
• Not menstruating?
• Any day of the month on the same day each
  month
• Nursing mothers
• Just after feeding the baby or expressing milk
  from the breast

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Breast Self Examination(BSE)

• There are two parts to BSE
• Looking
• Feeling

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Breast Self Examination(BSE)

• Arm by the sides Arms raised

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SBE How?

• Use the circular, line, or wedge pattern in
  examining your breasts
• Use the pads of your fingers when examining your
  breasts

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What next?
Get to know the feel of your Breasts Look for
breast changes that persist

• Lump
• Retraction
• Tenderness
• Thickening
• Dimpling

• Skin irritation
• Nipple discharge
• Swelling
• Distortion
• Pain

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Lumps Thickenings

• Remember
• Most breast lumps or thickenings are not cancer -
  but every change should be evaluated promptly!!

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Clinical Breast Examination

• Examination by a Doctor
• Also, ask your doctor to show you how to do SBE
• A small percentage of breast cancers not detected
  by mammography may be picked up by CBE
• Preferable to get CBE and Mammography done in the
  same month

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Mammography

• Mammography can detect 80-90 percent of tumors up
  to two years before they can be felt

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Mammography

• A mammogram is usually performed with the patient
  standing
• The breast tissue is compressed and x-rays are
  taken from different angles

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Breast Cancer Screening Guidelines

• Monthly SBE for all women above 20yrs
• Age 20
• CBE every 3 years
• Age 35
• Annual CBE and a baseline mammogram
• Age 40
• Annual CBE and mammograms

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Todays good deed

• Talk to ONE other women about the information you
  have gained
• Save Breast
• Save Life!

Bangalore Society of Obstetrics Gynecology