Breast Cancer 101. An Educational Class for All Newly Diagnosed Breast Cancer Survivors FINAL 1/7/2017

Transcription

1 Breast Cancer 101 An Educational Class for All Newly Diagnosed Breast Cancer Survivors FINAL 1/7/2017

2 Breast Cancer 101 Agenda & Breast Specialists Presenting o Your Care Team o Cancer Risks o What is Breast Cancer o Options Surgery, Reconstruction, Medical Treatment o Small Tumor Removal - Radioactive Seed Localization o Physical Therapy - Lymphedema o Arm Strength - Exercises After Surgery o Making It Through Treatment Coping, Relationships o Vaginal Changes o Nutrition & 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

3 Breast Cancer 101 Starting Together Nurse Navigator - Sharon Inzetta, RN, MS, CN-BN, CBCN

4 Friendships

5 Who is your Support.

6 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

7 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

8 Breast Cancer Risk Factors - Age 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

9 Breast Cancer Risk Factors Family History (genetics) 20% of breast cancers are familial 5%-7% are due to a BRCA1 or BRCA2 mutation Genetic cancers often occur in premenopausal women

10 Breast Cancer Risk Factors - Family History (genetics) Genetic Counseling and Testing are available for: o Those with strong family history of breast and ovarian cancer o Those with family history of other cancer clusters that may include breast cancer o Young women o Those with triple negative breast cancer o Women of Ashkenazi Jewish descent

11 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)

12 Healthy Lifestyle Behaviors - Diet What to Eat Before Surgery Pre-surgery: Prepare your body to be as strong as possible. o Protein: Poultry, Fish, Beans, Eggs, Low-Fat Dairy Products, Nuts, Peanut Butter, Soy o Vitamin A foods: Apricots, Broccoli, Cantaloupe, Carrots, Cheese, Dark Green Leafy Vegetables, Sweet Potatoes, Winter Squash o Vitamin C foods: Bell Pepper, Cruciferous Vegetables, Citrus, Strawberries, Tomatoes o Zinc Foods: Dries Beans, Eggs, Legumes, Peanut butter, Meat, Poultry, Whole Grains

13 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

14 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)

15 Breast Anatomy

16 Breast Cancer Types Largest number of cancers are found in the ducts: odcis (21%) oinvasive Ductal (80%) Lobular LCIS- 2% Lobular Invasive 10-15%

17 Breast Cancer Types Invasive Ductal or Infiltrating Ductal

18 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

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