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Breast Cancer 101 An Educational Class for All Newly Diagnosed
Breast Cancer Survivors
FINAL 1/7/2017
Breast Cancer 101 Agenda & Breast Specialists Presenting
oYour Care Team
oCancer Risks
oWhat is Breast Cancer
oOptions – Surgery, Reconstruction, Medical Treatment
oSmall Tumor Removal - Radioactive Seed Localization
oPhysical Therapy - Lymphedema
oArm Strength - Exercises After Surgery
oMaking It Through Treatment – Coping, Relationships
oVaginal Changes
oNutrition & Healthy Lifestyles - AICR.org recommendations
• Heidi Eve-Cahoon CNP
• Sharon Inzetta, RN, MS, CN-BN, CBCN
• Julie Snyder, PT, DPT, CLT
• Ellen Walker, PT, CLT
Who is your Medical Team….
Your team works to develop a personalized plan of care before, during and after active treatment. • Breast Radiologist • Breast Surgeon • Reconstructive Surgeon • Nurse Navigators – Imaging, Treatment, Survivorship • Breast Center staff • Medical Oncologist • Radiation Oncologist • Support – Physical Therapist, Nutritionist, Social Workers, Financial Counselors, Psychologist, Palliative
Breast Cancer Risk Factors
Things you can’t change
• Female
• Race
• Age
• Menstrual History
• Family History (genetics)
Things you can change
• Exercise
• Diet
• Smoking
• Alcohol
• Growing older is the most important risk factor for developing breast cancer
• 78% (3/4) of the women who will develop breast cancer do so after age 50
• Median age for breast cancer development age 61
Breast Cancer Risk Factors - Age
• 20% of breast cancers are familial
• 5%-7% are due to a BRCA1 or BRCA2 mutation
• Genetic cancers often occur in premenopausal women
Breast Cancer Risk Factors – Family History (genetics)
• Genetic Counseling and Testing are available for:
oThose with strong family history of breast and ovarian cancer
oThose with family history of other cancer clusters that may include breast cancer
oYoung women
oThose with triple negative breast cancer
oWomen of Ashkenazi Jewish descent
Breast Cancer Risk Factors - Family History (genetics)
Breast Cancer Risk Factors – Exercise, Diet, Weight
• National Call to Action on Cancer prevention and Survivorship (2008)
“Up to 1/3 of all cancers may be related to being overweight,
unhealthy eating, and physical inactivity.” Presidents Cancer Panel
(2007)
www.NCTAcancer.org
Healthy Lifestyle Behaviors - Diet What to Eat Before Surgery
• Pre-surgery: Prepare your body to be as strong as possible.
oProtein: Poultry, Fish, Beans, Eggs, Low-Fat Dairy Products, Nuts, Peanut Butter, Soy
oVitamin A foods: Apricots, Broccoli, Cantaloupe, Carrots, Cheese, Dark Green Leafy Vegetables, Sweet Potatoes, Winter Squash
oVitamin C foods: Bell Pepper, Cruciferous Vegetables, Citrus, Strawberries, Tomatoes
oZinc Foods: Dries Beans, Eggs, Legumes, Peanut butter, Meat, Poultry, Whole Grains
Reducing Cancer Risk Promoting Healthy Lifestyle Behaviors
• Less than 1/3 of cancer survivors attribute a lack of exercise as a modifiable risk factor that may impact a cancer diagnosis. • Cancer survivor is defined as the time period beginning
at the time of a confirmed cancer diagnosis until the end of life.
Jones, L. & Demark-Wahnefriend, W. (2008) Schmitz et al. (2010) American College of Sports Medicine Roundtable on Exercise
Guidelines for Cancer Survivors
What is Breast Cancer?
• Cancer is defined as cellular changes in the breast where cells multiply increasing in numbers or “growing out of control”. These groups of cells combine to form tumors. •All tumors are not cancer. Non cancerous tumors are
“benign”. •Mutated cells that exhibit uncontrolled growth are
cancerous. These tumors are “malignant”. •Most breast cancers have been in the body 5 years before
diagnosis • 1 cm=100 billion cells ( 1 cm is the size of the tip of small
finger)
Breast Cancer Types
• Largest number of cancers are found in the ducts: oDCIS (21%) oInvasive Ductal (80%) • Lobular • LCIS- 2% • Lobular Invasive 10-15%
Breast Cancer Types Multifocal or Multicentric – Location of tumor
•Multifocal
oOne quadrant of the breast is involved
•Multicentric
oMore than one quadrant of the breast is involved