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1
BREAST HEALTH
AWARENESS
BY JYOTSNA THAKUR JHA
At Calgary, Alberta, Canada
2
My health is important
 Staying healthy is important for you AND your family
3
 How do you stay healthy?
4
5
Breast
Breast
The breasts sit on the chest
muscles that cover the ribs.
Each breast is made of 15 to
20 lobes.
Lobes contain many smaller
lobules.
Lobules contain groups of
tiny glands that can produce
milk.
Milk flows from the lobules
through thin tubes called ducts
to the nipple.
The nipple is in the center of
a dark area of skin called the
areola.
Fat fills the spaces between
the lobules and ducts.
Do you know anyone who has had breast cancer?
7
Breast Cancer
Breast
Cancer
8
• 1 in 9 women in Alberta are diagnosed with breast cancerin their lifetime*
• Breast cancercan betreated when found early
*Statistic fromAlberta Cancer Board: http://www.cancerboard.ab.ca/abcsp/
BREAST
CANCER
1
2 3 4 5 876 9
9
Survivor
Most women receive treatment and survive.
 Breast cancer is always caused by a genetic
abnormality (a “mistake” in the genetic
material). However, only 5-10% of cancers
are due to an abnormality inherited from your
mother or father. About 90% of breast
cancers are due to genetic abnormalities that
happen as a result of the aging process and
the “wear and tear” of life in general.
 2nd leading cause of death
 2nd most common cancer
 Incidence increases with age
 All women are at risk
12
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
CancerCancer
Cancer
Cancer
Cancer
Cancer starts small and then grows big
13
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
CancerCancer
Cancer
Cancer
Cancer
If you find cancer when it is small,
treatment may work better
OK
14
FIVE STEPS TO BEING BREAST AWARE
• STEP 1: Knowhow your breasts normally LOOK &
FEEL.
15
Look & Feel
Every woman’s breasts are different.
16
• STEP 2: Knowwhat CHANGESto look for.
FIVE STEPS TO BEING BREAST AWARE
17
Size
Changesto the WHOLE BREAST
18
Shape
Changesto the WHOLE BREAST
19
Pain
Changesyou canFEEL
20• lumps
Lump
Changesyou canFEEL
21
• pulled inward
Nipple
Changesto the NIPPLE
22
Discharge
• discharge (bleeding)
Changesto the NIPPLE
23
Redness
• redness (bruise)
Changesto the SKIN
24
Rash or Itch
• rash or itch
Changesto the SKIN
25
Changesto the SKIN
Dimpleor Pucker
• dimple or pucker
26
• STEP 3: LOOK & FEEL for changes.
FIVE STEPS TO BEING BREAST AWARE
27
Look
28
Feel
29
Feel
30
Each whole breast
31
Above and below each breast
• above
• below
32
Under both arms
• armpit
 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 10 minutes
 Perform BSE at least
once a month
 Examine all breast tissue
34
• STEP 4: Talk to your doctor about any changes
right away.
FIVE STEPS TO BEING BREAST AWARE
When didyou seeyour doctorlast?
Have you ever hada clinical breast exam?
35
Doctor
 You should have a clinical breast exam
every yearstarting at age 40 36
Clinical Breast Exam
37
• STEP 5: Talk to your doctor about when you should have a
mammogram.
FIVESTEPS TO BEINGBREAST AWARE
38
• Mammograms are free for women in Alberta
39
Mammogram
• Women 50 – 69 years
old should have a
mammogram every 2
years
• Mammograms are free
for womenin Alberta
r
i
z
Average-size lump found by woman
practicing occasional breast self-exam
(BSE)
Average-size lump found by woman
practicing regular breast self-exam
(BSE)
Average-size lump found by first
mammogram
Average-size lump found by getting regular
mammograms
 Risk factors increases your chances of having breast
cancer but does not causes it.
 Breast cancer results from the abnormal,
uncontrollable replication of cells of the breast.
Gender: female (1% males)
Race: more common in whites
Age: increases as a woman gets
older.
Relative : (mother or sister)
Menstrual history :early on set late
menopause
Childbirth: first child After the age
of 30 or having no children at all
PREGNANCY AND BREASTFEEDING
ARE PROTECTIVE
AGAINST BREAST CANCER
Obesity
Diet: Fat, Alcohol
Lack of Physical Activity: Stress
Radiation Exposure
History of cancer: breast, uterus,
cervix, ovary
Hormones: estrogens in Hormone
replacement therapy & Birth control
pills
Genetics: certain conditions that
are inherited
70% HAVE NO RISK FACTORS
44
 Look and feel for any unusual
changes in your breasts
 See your doctor regularly for a
health check-up
Women20 to 39
45
Women40 to 49
Talk to your doctor about your risk of
breast cancer
Go for screening mammogram every
year as part of your regular health
check-up
 Check your breasts regularly for
unusual changes
46
Women 50 to 69
 Have a mammogram every two
years, unless your doctor tells you
otherwise
 Check your breasts regularly
for unusual changes
47
Women70+
 Talk to your doctor if you should
continue to have regular
mammograms
 Have your breasts checked every
year by your doctor as part of your
regular health check-up
 Check your breasts regularly for
unusual changes
48
At any age
•Talk to your doctor right away if you
notice any changes to your breasts
REMEMBER, THESE
CHANGES DO NOT MEAN
YOU HAVE BREAST
CANCER!
49
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
Cancer
CancerCancer
Cancer
Cancer
Cancer
YOU
DOCTOR
LOOK & FEEL
MAMMOGRAM
What is Health Link?
How do I use Health Link?
50
403-943-5465
51
Press:
“I SPEAK_______”
Wait . . .
52
• Alberta Health Services Women’s
Health ResourcesCenter
For fullphysicalcheck-upincludingclinicalbreast exam
• Northeast Calgary Women’s Clinic
Phone: (403) 944-2270
Address: Room185,1441-29th StreetNW,CalgaryABT2N4J8
Website: http://www.calgaryhealthregion.ca/clin/women/index.htm
Phone: (403)717-0812
Address: Suite #410,267536Street N.E. CalgaryAB T1Y6H6
Website: http://www.newomensclinic.com
53
•The Canadian Breast CancerFoundation: http://www.cbcf.org/breastcancer/
•The Alberta Breast Cancer Screening Program:
http://www.cancerboard.ab.ca/ABCSP/program.html
•Screening for Life: http://www.screeningforlife.ca
54
If you have problems finding a doctor or getting a mammogram orif you
have any questions, please telephone
Tayyiba Khan
Project Coordinator
BreastHealth Initiative for Newcomers
Calgary Immigrant Women’s Association (CIWA)
(403) 263-4414 Ext 150
 Touching the breasts too often will lead to
cancer
Talking about cancer causes cancer
 Using illegal drugs causes cancer
 Herbs cure breast cancer
A bruise on the breast will lead to breast
cancer.
 If an incision is made during breast cancer
surgery, the cancer will spread.
 Getting too many mammograms leads to
breast cancer.
 Mammograms are only used to evaluate
breast lumps.
 Breast cancer only affects older women
 If you have a risk factor for breast cancer,
you're likely to get the disease
 Using antiperspirants causes breast cancer.
 A breast cancer diagnosis is an automatic death
sentence.
 Breast cancer is preventable
Breast health awareness amongst immigrant women in calgary

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Breast health awareness amongst immigrant women in calgary