BREAST CANCER OVERVIEW Polly Stephens, M.D.. BREAST ANATOMY.
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Transcript of BREAST CANCER OVERVIEW Polly Stephens, M.D.. BREAST ANATOMY.
BREAST CANCER OVERVIEW Polly Stephens, M.D.
BREAST ANATOMY
breastcancer.org
Ductal Carcinoma In Situ
CALCIFICATIONS
The
Invasive Ductal Carcinoma
Breast cancer
Breast cancer
Vascular/Lymphatic Invasion
Bone scan
Liver metastases
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
St Francis Cancer Institute
BIOPSY
• Ultrasound-guided• Stereotactic• MRI guided biopsy
STEREOTACTIC BIOPSY
ULTRASOUND BIOPSY
INVASIVE DUCTAL CARCINOMA
• Overall survival 75%• Stage
– 0 Ductal carcinoma in situ– I tumor <2cm, no lymph nodes– II tumor 2-5cm, <4 lymph nodes– III tumor >5cm, >4 lymph nodes– IV distant metastases
INFLAMMATORY BREAST CANCER
• P’eau d’orange
Treatment
• Local control– Lumpectomy/mastectomy– Radiation
• Distal control– Chemotherapy
Sentinel node biopsy
Mammosite
External Beam Radiation
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
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 +