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    For Breast Cancer: A Program of The UAMS College of Pharmacy

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    Hervis Fantini
    This document provides an overview of breast cancer including risk factors, staging, types, symptoms, screening methods, and the importance of breast self-exams. It discusses how breast cancer is the most common cancer in women and outlines genetic and lifestyle risk factors. Screening methods like clinical exams, mammography, and monthly self-exams are recommended to detect breast cancer early.

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    For Breast Cancer: A Program of The UAMS College of Pharmacy

    Uploaded by

    Hervis Fantini
    19 views32 pages
    This document provides an overview of breast cancer including risk factors, staging, types, symptoms, screening methods, and the importance of breast self-exams. It discusses how breast cancer is the most common cancer in women and outlines genetic and lifestyle risk factors. Screening methods like clinical exams, mammography, and monthly self-exams are recommended to detect breast cancer early.

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    This document provides an overview of breast cancer including risk factors, staging, types, symptoms, screening methods, and the importance of breast self-exams. It discusses how breast cancer is the most common cancer in women and outlines genetic and lifestyle risk factors. Screening methods like clinical exams, mammography, and monthly self-exams are recommended to detect breast cancer early.

    Copyright:

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    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    19 views32 pages

    For Breast Cancer: A Program of The UAMS College of Pharmacy

    Uploaded by

    Hervis Fantini
    This document provides an overview of breast cancer including risk factors, staging, types, symptoms, screening methods, and the importance of breast self-exams. It discusses how breast cancer is the most common cancer in women and outlines genetic and lifestyle risk factors. Screening methods like clinical exams, mammography, and monthly self-exams are recommended to detect breast cancer early.

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    © All Rights Reserved
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    of 32

    For Breast Cancer

    A program of the
    UAMS College of Pharmacy

    Funded through unrestricted educational grants


    by Susan G. Komen Breast Cancer Foundation
    Arkansas Affiliate
    Overview of
    Breast Cancer
    Jan K. Hastings, Pharm.D.
    Breast Cancer
    The most common form
    of cancer among women
    The second most
    common cause of cancer
    related mortality
    1 of 8 women (12.2%)
    One third of women
    with breast cancer die
    from breast cancer
    Risk Factors for Breast Cancer
    Female (1% male)
    Aging
    Relative (mother or
    sister)
    Menstrual history
    early on set
    late menopause

    Child birth
    After the age of 30
    Exogenous Estrogen
    Hormonal replacement
    therapy(HRT)
    30% increased risk
    with long term use
    Oral Contraceptives(OC)
    risk slight
    risk returns to normal
    once the use of OCs
    has been discontinued
    Risk Factors for Breast Cancer
    Radiation exposure
    Breast disease
    Atpyical Hyperplasia
    Intraductal carcinoma in situ
    Intralobular carcinoma in situ
    Obesity
    Diet
    Fat

    Alcohol
    Genetics
    BRCA-1
    BRCA-2
    P53, Rb-1
    Her-2/neu, c-erB2,
    c-myc
    Staging of Breast Cancer
    The American Joint Committee on
    Cancer (AJCC) has designated staging by
    TNM
    T= tumor size
    N = lymph node involvement
    M = metastasis
    Stage 1
    Tumor < 2.0 cm in
    greatest dimension
    No nodal
    involvement (N0)
    No metastases (M0)
    Stage II
    Tumor > 2.0 < 5 cm
    or
    Ipsilateral axillary
    lymph node (N1)
    No Metastasis (M0)
    Stage III
    Tumor > 5 cm (T3)
    or ipsilateral axillary lymph nodes fixed
    to each other or other structures (N2)
    involvement of ipsilateral internal
    mammary nodes (N3)
    Inflammatory carcinoma (T4d)
    Stage IV (Metastatic breast
    cancer)

    Any T
    Any N
    Metastasis (M1)
    Types of breast cancer
    In situ
    Intraductal (DCIS)
    Intralobular (LCIS)

    Invasive
    Infiltrating
    ductal carcinoma
    Tubular carcinoma
    Medullary carcinoma
    Mucinous carcinoma
    Symptoms and Screening
    Normal breast physiology and
    anatomy
    Symmetry and balance
    Size
    weight
    menstrualcycle
    pregnancy and lactation

    Texture
    Shape
    age
    Abnormal signs and symptoms
    Puckering
    Dimpling
    Retraction
    Nipple discharge
    Thickening of skin or lump or knot
    Retracted nipple
    Abnormal signs and symptoms
    Change in breast size
    Pain or tenderness
    Redness
    Change in nipple position
    Scaling around nipples
    Sore on breast that does not heal
    Methods of Detection
    Clinical
    exam by MD or nurse
    Mammography
    Monthly breast self-exam
    (BSE)
    Clinical examination
    Performed by doctor or
    trained nurse practitioner
    Annually for women over 40
    At least every 3 years for
    women between 20 and 40
    More frequent examination
    for high risk patients
    Mammography
    X-ray of the breast
    Has been shown to
    save lives in patients
    50-69
    Data mixed on
    usefulness for patients
    40-49
    Normal mammogram
    does not rule out
    possibility of cancer
    completely
    Mammography
    American Cancer Society recommends:

    Women (asymptomatic) 40 years


    of age and older should have a
    mammogram every year.
    Mammography-more guidelines
    Mammogram facility guidelines
    Avoid mammogram week before period
    Dont wear deodorant powder or cream
    Bring a list of the places and dates of other
    mammograms,biopsies youve had before
    If you dont hear from the MD within 10
    days, call the facility
    Free Mammograms
    Medicare
    Arkansas Breast Cancer Control
    Program
    Breast and Cervical Cancer Control
    Program of the Arkansas
    Department of Health
    Medicare
    Women over 65
    Arkansas Breast Cancer Control
    Program
    Started in 1999
    Eligibility
    Women 40 or older
    No insurance
    Income at or below 2 times the poverty level
    Call county or state heath department
    1-800-482-5400
    Eligibility for ABCCCP
    Mammogram
    50 years or older and
    At or below 200 percent poverty
    OR
    Between 40 and 49 and
    A breast cancer survivor or have a mother,
    daughter, or sister who has breast cancer
    and
    At or below 200 percent poverty
    Breast Self Examination
    Opportunity for woman
    to become familiar with
    her breasts
    Monthly exam of the
    breasts and underarm
    area
    May discover any
    changes early
    Begin at age 20,
    continue monthly
    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 20 minutes
    Perform BSE at least
    once a month
    Examine all breast tissue
    Why dont more women
    practice BSE?
    Fear
    Embarrassment
    Youth
    Lack of knowledge
    Too busy,
    forgetfulness
    Conclusion

    Pharmacists have a
    responsibility as
    patient advocates for
    breast cancer
    awareness

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