Download MAMMOGRAPHY : RADIOGRAPHIC IMAGING OF THE BREAST

MAMMOGRAPHY : RADIOGRAPHIC IMAGING OF THE BREAST Part 2 -Statistics RT 255 2010
 Regular breast screening can find cancer when it is small which means:
 there is a better chance of treating the cancer successfully / it is less likely to spread
 there may be more treatment options
MAMMOGRAM - REMAINS THE SINGLE MOST SENSITIVE TECHNIQUE IN DETECTION
OF BREAST CANCER (ACR)
ULTRASOUND
OTHER MODALITIES:
MRI
OTHER - thermography
PATIENT FEARS
PAINFUL
FIND SOMETHING
WRONG / DENIAL
RISK FACTORS
SEX 99% WOMEN
1 % MEN
AGE – INCREASE WITH AGE*
YOUNGER WOMEN- FASTER GROWING
CELLS
UNINFORMED
“causes cancer”
HISTORY (family)
PREGNANCY & ABORTIONS
OBESTIY
EARLY MENSES
LATE MENOPAUSE
ACS GUIDLINES
 women age 40 to 49 have a routine screening mammogram = every one to two years
 with the first one beginning at age 40
 BASELINE - for comparison
Breast cancer – ACS
 Yearly mammograms are recommended starting at age 40 and continuing for as long as a woman is
in good health.
 Clinical breast exam (CBE) should be part of a periodic health exam, about every 3 years for
women in their 20s and 30s and every year for women 40 and over.
 Women should know how their breasts normally feel and report any breast change promptly to
their health care providers. Breast self-exam (BSE) is an option for women starting in their 20s.
 Women at high risk (greater than 20% lifetime risk) should get an MRI and a mammogram every
year.
 Women at moderately increased risk (15% to 20% lifetime risk) should talk with their doctors
about the benefits and limitations of adding MRI screening to their yearly mammogram. Yearly
MRI screening is not recommended for women whose lifetime risk of breast cancer is less than
15%.
EDUCATION
BSE – breast self exam -MONTHLY
CBE –clinical breast exam –
3-6 months
MAMMOGRAM – ANUALLY * BEGIN
AGE 35
Best Time For BSE
The American Cancer Society urges women to perform breast self-examination (BSE) once a month
about a week after the menstrual period
Post-menopausal women should choose a set day, such as the first of the month, to practice selfexamination.
Cancer statistics (2008) The 1-in-9 statistic does not apply to women of all ages
 Breast cancer strikes about 180,000 American women yearly
 and kills about 44,000
 Next to skin cancer, breast cancer is the most frequently diagnosed cancer in women in the United
States
 It is second only to lung cancer in cancer-related deaths
 RISK
 "Lifetime risk is the likelihood that a newborn girl will develop breast cancer sometime during her
entire life.
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RISK VS REALITY
chance of being diagnosed with breast cancer
30-year-old woman has a 2% (1 in 50) in the next 20 years a 40-year-old has a 4.5% (1 in 20)
50-year-old woman's risk of developing invasive breast cancer--the most serious kind--in the next 5
to 20
years ranged anywhere from 1 in 15 to 1 in 133 depending on her ethnicity.
four major ethnic group
Asian/Pacific Islanders Hispanic
African American
Caucasian
"For women currently aged 50 the estimated risk of developing invasive breast cancer within 5 years
0.8% (1 in 133) among Hispanics
1.3% (1 in 75) among Caucasians
Within the next 20 years
3.7% (1 in 27) among Hispanics
6.6% (1 in 15) among Caucasians
5% (1 in 20) among African Americans
3.9% (1 in 26) among Asian/Pacific Islanders
TYPES OF BREAST TISSUE
can you name them?
FIBRO-GLANDULAR
FIBRO-FATTY
FATTY