Presenter Notes Contact the WRHA Breast Health Centre at for updates.

Transcription

1 Presenter Notes The purpose of the presentation kit is to raise awareness of breast health. It was developed to: encourage participants to be breast aware help participants understand the risk factors for breast cancer and learn about ways to reduce the risk Each kit includes: a breast health presentation a myth buster game resources Know Your Breasts bookmark Your Breasts pamphlet further reading and resource list The information in this kit is evidence and research based and will be updated as necessary. Contact the WRHA Breast Health Centre at for updates.

2 Your Breast Health

3 your breast health Ask participants: What three words come to mind when you think of breast health? Allow time for participant responses. You may not have thought about your breasts or breast health until: you were pregnant you had your baby and considered breastfeeding. you noticed a change in your breasts you know someone who has been diagnosed with breast cancer We know that for some women breast health is a sensitive topic. It is also an important topic to have information about, so we hope today that you will feel comfortable to share and talk about things or to just listen to the information.

4 your breast health wrha.mb.ca/bhc

5 the 3Bs of breast health The three B s of breast health include: be breast aware, be healthy and be informed. Being healthy involves choosing lifestyle habits to help decrease your risk of breast cancer. Being aware means looking at your breasts, touching them and knowing how they change each month around the time of your menstrual period, during pregnancy, while breastfeeding and as you age. If you are familiar with how your breasts normally look and feel and change through time, you are more likely to notice changes that are not normal for you. Being aware also involves understanding general risk factors and your personal risk factors for breast cancer. Being informed means knowing where to get information and support. Talk to your health care provider (public health nurse, doctor, health practitioner etc.) about your breast health, your risks, breast screening guidelines and breast cancer. Being informed helps you make healthy decisions about your breast health.

6 the 3Bs of breast health wrha.mb.ca/bhc

7 Be Aware your breasts The breast is made up of glandular, fatty and connective tissue. It helps give the breast shape. Breast tissue covers the area from your armpit up to your collar bone and reaching to your breast bone. The breast s main function is to make, store and give milk to feed the baby. Milk is made in lobules of the breast when hormones in a woman s body stimulate them after giving birth. Each breast has thin tubes or ducts joining the nipple to the sections called lobules which are pictured in red on the diagram. In each lobule are tiny, hollow sacs or alveoli. If you're breast-feeding, ducts carry milk from the alveoli toward the dark area of skin around the nipple which is called the areola. The areola around the nipple has small sweat glands that release moisture to make breast feeding more comfortable.

8 Be Aware your breasts wrha.mb.ca/bhc

9 Be Aware breast changes over your lifetime Many breast changes are caused hormone levels in our body going up and down. o Estrogen is the main female hormone. It helps us to grow breasts and to have babies. The ovaries make most of the estrogen in a woman s body. o Progesterone is the other female hormone. It helps prepare the uterus for pregnancy and the breast to make milk for breastfeeding the baby. In the early teens, you developed breast buds that grew into the breasts you have today. During pregnancy hormone levels are higher. Breasts become firm, tender and increase in size. The nipples and areolas may get darker and may remain that way after you have the baby. During breastfeeding breasts become swollen and tender. Nipples can become cracked and sore. Some women may get a breast infection called mastitis. Mastitis can cause a fever and a hard, red, swollen area in the breast; even muscle aches or chills. It is often treated with antibiotics. You should see your health care provider if you have these symptoms. As women age and go into menopause, hormone levels become low and the breasts become soft, less tender and often hang lower or sag.

10 Be Aware - breast changes over your lifetime wrha.mb.ca/bhc

11 Be Aware what is normal? Every woman s breasts are different. Ask participants: What does a normal breast look or feel like? Allow time for participants to respond. Breasts can be have many differences and these may be normal for you: One breast larger than the other Nipples can be flat instead of pointing out Hair growing around the areola or nipple area Areolas can be different colours, shapes and sizes Breast can have stretch marks Breast swelling and tenderness especially around your menstrual period Non cancerous lumps Nipple discharge

12 Be Aware what is normal? Every woman s breasts are different Breasts comes in different sizes and shapes So don t worry! wrha.mb.ca/bhc

13 What are some common concerns women have about their breasts? Ask participants: What do you think are the most common concerns women will see their health care provider for in regards to their breasts? Allow participants time to share their thoughts. Answer: Common things women see their health care provider for are nipple discharge, a breast lump and breast pain. Let s talk about each of these briefly: Nipple discharge. Nipple discharge can happen when a woman s breast is squeezed. A small amount of discharge may come from the nipple. It may be green, yellow, brown, grey or a combination of these colours. This is normal for many women and often happens before menopause. Do not squeeze the nipple or breast. This can cause more discharge because it stimulate hormones. A breast lump. The breast can be lumpy because of the different tissues that make up the breast. Most often, lumps in the breast are part of the normal tissue. Sometimes women have cysts that make the breasts feel lumpy. These are common and do not cause breast cancer or mean you will get breast cancer. Fibrocystic breast changes or breasts that feels lumpy or rope-like in texture are common changes of breast tissue. Breast pain. Breast pain is common in women. It is not usually caused by cancer. The cause of breast pain is unknown. It may be related to hormonal changes, fibrocystic changes to the breast, cysts in the breast, breast surgery or irritation of the breast bone or ribs. It is normal to have mild breast pain 2-3 days just before a menstrual period and sometimes breast pain happens at other times. It can be in both breasts, one breast, or in only one part of the breast. The pain can go to other areas such as the armpit or down the arm. Breast pain may be caused by wearing a bra that does not fit well. Seeing a trained bra fitter can help get the right fit and support for you. You should see your health care provider about any breast pain that does not go away, gets worse, prevents you from sleeping or doing regular activities.

14 Be Aware common concerns What are some common concerns women have about their breasts? wrha.mb.ca/bhc

15 Be Breast Aware Get into a habit of checking your breasts from time to time. You can become breast aware in any way that feels comfortable and easy for you. It might mean looking and feeling your breasts while you are: o Looking in the mirror o Getting dressed o In the bath or shower o Standing up or lying down Remember to include the areas above and below the breasts, including the armpits. It is important to check your breasts throughout the month - before, in between and after your menstrual cycle - so you know what is normal for you at different times in the month. Knowing what is normal for your breasts may help you find changes if they happen. If you see or feel a change, talk to your health care provider.

16 Be Breast Aware Look at and touch your breasts Check the areas above and below the breasts, including armpits! wrha.mb.ca/bhc

17 Be Aware breast changes to watch for Ask participants: What are some potential breast changes to look for? A lump in the breast that is not normal for you, is new, and/or doesn t go away A change in the size, shape or color of your breast A change in the way your nipple looks An eczema type rash on the nipple Any discharge from the nipple that happens without squeezing the breast/nipple New or bloody nipple discharge or discharge that is only from one nipple Puckering or dimpling of the skin Skin that looks like an orange or feels very thick It is important not to ignore these signs or symptoms even if you are breastfeeding All of these changes should be assessed by your health care provider

18 Be Aware - breast changes to watch for wrha.mb.ca/bhc

19 Be Aware breast cancer Ask participants: What is breast cancer? Breast cancer is cancer that begins in the breast tissue. When breast cells are not working properly, they divide continually and a lump or tumor is formed. It is important to know that a small number of breast cancers do not form a lump. It is important to be aware of all of the signs related to breast cancer. Ask participants: What causes breast cancer? Although it is not known what causes breast cancer, there are many things that can increase your risk of developing breast cancer. Some risk factors are related to genetics and hormones, while others are related to lifestyle. Ask participants: What is a risk factor? A risk factor is something that can increase a person s chance of developing breast cancer. Having a risk factor does not mean you will get the disease. Ask participants: What puts some women at higher risk for breast cancer than other women? Answer is on next page let the participants share their thoughts and then show the next page.

20 Be Aware breast cancer What is breast cancer? What causes breast cancer? What is a risk factor? wrha.mb.ca/bhc

21 Be Aware factors that increase breast cancer risk Some risk factors you cannot control, like being a women and your age. Other risk factors you can control or change to lower your breast cancer risk. Being a woman is one of the strongest risk factors for developing breast cancer. Less than 1% of new breast cancer cases occur in men. o Life-long exposure to the body s natural hormones estrogen and progesterone. While these hormones are necessary for normal growth and development of a woman's breasts and reproductive system they also play a role in increasing our breast cancer risk. Age. The risk of breast cancer increases as you get older, but women of all ages can get breast cancer. Personal and family history can increase your risk if you have had breast cancer before, have one or more family members diagnosed with breast or ovarian cancer (especially a mother, sister or daughter diagnosed before menopause) or carry the BRCA1 or BRCA 2 genes. If you do have a strong family history of breast cancer, talk to your healthcare provider about options for a genetic risk assessment.

22 Be Aware factors that increase breast cancer risk Being a woman Getting Older Personal and family history wrha.mb.ca/bhc

23 Be Aware factors that increase breast cancer risk Early menstruation and late menopause: There is a small increase in the risk of breast cancer if you started your first menstrual period at an early age (younger than 12) or go into menopause later than the average woman (over the age of 55). Why is this? Starting your period before age 12 and/or going into menopause after 55 means that your body s exposure to estrogen is longer than in the average woman. Late or no pregnancy: Pregnancy interrupts the exposure to estrogen and reduces the total number of menstrual cycles you have during your lifetime. Women who have their first full-term pregnancy after the age of 30 have a slightly higher risk of breast cancer than women who have at least one fullterm pregnancy at an earlier age. Becoming pregnant at an early age (such as before age 20) reduces breast cancer risk. Not becoming pregnant at all increases the risk of breast cancer. Hormonal Factors: Hormones found in birth control pills, fertility drugs and hormone replacement therapy may be used by some women. These can also increase a woman s risk of developing breast cancer Speak to your health care provider about the pros and cons of taking hormones.

24 Be Aware - factors that increase breast cancer risk Early menstruation first period (before age 12) late menopause (after age 55) Late or no pregnancy first pregnancy (after age 30) Hormonal factors wrha.mb.ca/bhc

25 Be Aware factors that increase breast cancer risk Breast density is not related to the look or feel of your breasts. It is an x-ray term which refers to the way breast tissue appears on a mammogram (breast x-ray). Research shows that women who have dense breasts have an increased risk of developing breast cancer. Breast density usually decreases with age. Some benign or non cancerous breast conditions like atypical hyperplasia (an increase in abnormal cells) can increase your risk. If you have had a benign breast condition and have concerns about your risk for breast cancer, speak to a health care provider for more information. Radiation to the chest area before the age of 30 can lead to an increase later in life. Being overweight, having more than 1 drink a day and smoking are also risk factors for breast cancer and will be discussed in the section about ways to reduce your risk. To better understand your risk of breast cancer, talk to your health care provider.

26 Be Aware - factors that increase breast density breast conditions radiation to the chest before the age of 30 being overweight alcohol smoking breast cancer risk wrha.mb.ca/bhc

27 Be Healthy ways to reduce breast cancer risk The American Institute of Cancer Research says breast cancer can be reduced by 38% by eating a healthy diet, being at a healthy weight, being physical active, limiting the alcohol you drink and not to smoke. Every day choices can make a difference. Eat Well - Eating well means including vegetables, fruit, whole grains and legumes (i.e. dried peas, beans) in your diet. Following Canada s Food Guide will help you do that. Be a healthy weight for you - Keep your weight as healthy as you can throughout your life. Being overweight increases the hormone estrogen and causes inflammation. This can increase the risk of breast cancer. Get regular physical activity - Regular physical activity helps improve your overall physical, emotional and social health and well-being. Be physically active every day for at least 30 minutes doing something you enjoy and will keep up. It can lower your risk of breast cancer by as much as 25-30%. Avoid or limit the amount of alcohol you drink if you do choose to drink, have not more than 1 drink/day. The size of one drinks is: 1 ½ ox (45ml) hard liquor, 5 oz (150ml) wine, 8 oz (240ml) beer. Alcohol is a known cancer causing substance. Breastfeed your baby Breastfeeding lowers the risk of breast cancer for the mother. The American Institute for Cancer Research recommends to breastfeed for at least 6 months. Quit smoking or never start Cigarette smoke contains possible and probable substances that can cause cancer. It has been found that women who start smoking at an early age, and/or who smoked heavily prior to a first full-term pregnancy are at increased risk.

28 Be Healthy - ways to reduce Eat well breast cancer risk Be a healthy weight for you Get regular physical activity Avoid or limit the amount of alcohol you drink Breastfeed your baby Quit smoking or do not start wrha.mb.ca/bhc

29 Be Informed the facts Breast cancer is the most common cancer among Canadian women. 1 in 9 women will develop breast cancer if they live to the age of 90. The number of Canadian women diagnosed with breast cancer under the age of 40 was 1055 or 4% in 2013.

30 Be Informed the facts Breast cancer is the most common cancer among Canadian women One in nine women will develop breast cancer if they live to the age of ninety The number of Canadian women diagnosed with breast cancer under the age of 40 was 1055 or 4% in 2013 wrha.mb.ca/bhc

31 Be Informed how do you test for breast cancer? For Healthy Women: o Once you turn 50 years of age, you can go to the provincial screening program called BreastCheck. They will conduct a mammogram for early signs of breast cancer, even if you have no symptoms. A doctor's referral is not needed. BreastCheck does not screen women under this age. o For women under 50, It is not recommended for women under 50 to be screened with a mammogram unless their risk for breast cancer is higher than the average woman. If you have a family history of breast cancer, ask your health care provider when you should begin screening and have a mammogram. It is recommended that a mammogram be done 10 years earlier than the age of family member when they were diagnosed with breast cancer. For example, if your mother had breast cancer at age 54 it is recommended that you begin mammograms by age 44. This will be done at a mammogram clinic. Talk to your health care provider about any new or unusual breast changes. Your health care provider will perform a clinical breast exam and can order a mammogram or ultrasound to investigate abnormal findings. These are done at a mammogram clinic.

32 Be Informed how do you test for breast cancer? Talk to your health care provider about any new or unusual breast changes wrha.mb.ca/bhc

33 Summary Breast health involves o Knowing your breasts o Knowing your risks o Knowing the facts Your breast health is important to your overall health See your health care provider about your breast health and risk factors or if you have any breast concerns

34 Know your breasts Know your risks Know the facts See your health care provider about your breast health and risk factors It s important to your overall health! wrha.mb.ca/bhc

35 Where Can I Get Help? Your Breast Health has been developed by the WRHA Breast Health Centre in collaboration with CancerCare Manitoba Breast Cancer Centre of Hope and BreastCheck programs and produced in partnership with Healthy Child Manitoba For more information about the topics covered in this presentation kit, please contact: The WRHA Breast Health Centre or Toll-Free in Manitoba or visit This kit was developed in March 2014 It is not intended as a handout for program participants

36 Where Can I Get Help? Your Breast Health has been developed by the WRHA Breast Health Centre in collaboration with CancerCare Manitoba Breast Cancer Centre of Hope and BreastCheck programs and produced in partnership with Healthy Child Manitoba For more information about the topics covered in this presentation kit, please contact: The WRHA Breast Health Centre or Toll-Free in Manitoba or visit This kit was developed in March 2014 It is not intended as a handout for program participants

37 Further reading and resources Breast Health Be Pink Adolescent Breast Health Resource available at Canadian Breast Cancer Foundation About Breast Health, available at Rethink Breast Cancer Touch. Look. Check., available at Winnipeg Regional Health Authority Breast Health Centre Reduce Your Risk of Breast Cancer Resources, available at Nutrition American Institute for Cancer Research, available at American Cancer Society Guidelines on Nutrition and Physical activity for Cancer Prevention, available at a-guidelines-toc Analyzing Information on the Internet Evaluating Internet Health Information, National Library of Science Canadian Women s Health Network, Networking: Searching for Health Information On-line Studying Cancer: Learn how scientist research diet and cancer

38 References American Institute for Cancer Research, Weighing the Evidence retrieved January, 2014 from, BreastCancer.Org Understanding breast cancer risk and how to lower it, retrieved January 2014 from, Canadian Breast Cancer Foundation of Canada, About breast health retrieved February, 2014 from, Canadian Cancer Society retrieved January 2104 from CanadianCancer Society s Steering Committee on Cancer Statistics. Canadian Cancer Statistics 2012.retrieved January 2014, from -English.pdf CancerCare Manitoba- Be Pink Toolkit retrieved February, 2014 from, Canadian Cancer Society retrieved January 2104 from CanadianCancer Society s Steering Committee on Cancer Statistics. Canadian Cancer Statistics 2012.retrieved January 2014, from -English.pdf CancerCare Manitoba- Be Pink Toolkit retrieved February, 2014 from, Gaudet M., Gapstur S., Juzhong S. et al., (2013). Active smoking and breast cancer risk: original cohort data and meta-analysis. J Natl Cancer Inst., 105(8): Institute of Medicine of the National Academies. (2011). Breast cancer and the environment: a life course approach, retrieved from Markova, T., & Schwartz, K. (2007). Common breast complaints in primary care. Family Medicine, 7(2), Medline Plus Evaluating Health Information, retrieved February, 2014 from National Cancer Institute, Understanding breast changes: A health guide for women, retrieved January, 2014 from, Reynolds, P. (2013). Smoking and breast cancer. Journal of mammary glad biology and neoplasia. 18: The Society of Obstetrician and Gynaecologists of Canada (2006). Breast pain fact sheet, retrieved January, 2014 from

39 Your Breast Health Myth Busters 1

40 Facilitator Notes Myth Busters This game is designed to help sort out the facts, common myths and gray areas about breast health and breast cancer. Time Needed: Approximately 15 minutes Choose as many of the statements as time permits. A handout is provided with a full listing of the statements and answers. Supplies 1 Set of three answer cards labeled MYTH, FACT and GRAY AREA. Set of statement cards with the corresponding answer on the back How to play: Distribute the statement cards to the participants to read them out to the group or the facilitator can read the statement cards out to the group. Assign a statement card to one of the three answer cards.

41 Facilitator Notes The facilitator reads over the description for each category. Fact: information established in science and research Myth: information or a belief that is not based on evidence Gray Area: suspected factors for further research The facilitator explains that the answer is based on the best available scientific evidence. The facilitator or participant reads out a statement card and the participants are asked to answer or call out Fact, Myth or Gray area. The facilitator identifies the statement as a Fact, Myth or Gray area and reads out the explanation on the back of the statement card.

42 Stress can cause breast cancer 4 wrha.mb.ca/bhc

43 Stress can cause cancer GRAY AREA How stress affects the body is a common question asked when cancer occurs and as people recover from cancer. Researchers are studying how stress may relate to cancer but do not know if it can cause cancer. Reducing your stress however helps people cope with day to day living and can improve your health.

44 Sleeping with a bra or wearing an under-wire bra can increase risk for breast cancer 6 wrha.mb.ca/bhc

45 Sleeping with a bra or wearing an under-wire bra can increase risk for breast cancer MYTH There is no evidence that sleeping with a bra or wearing an under-wire bra increases the risk of breast cancer.

46 Breast cancer does not occur in young women 8 wrha.mb.ca/bhc

47 Breast cancer does not occur in young women MYTH The risk of breast cancer increases as women age. The risk of getting breast cancer is lower in young women. In 2013, the risk of breast cancer in Canada was 4% for women under the age of 40.

48 Breast implants increase breast cancer risk wrha.mb.ca/bhc 10

49 Breast implants increase breast cancer risk MYTH Several studies conclude that having cosmetic breast implants does not increase breast cancer risk. However, implants can sometimes make it harder to see any abnormalities including cancers, on mammograms. The mammogram is done with special care if the person doing it knows there is a breast implant.

50 Bumping or bruising of the breast (i.e. accidents, sport injuries) can lead to breast cancer wrha.mb.ca/bhc 12

51 Bumping or bruising of the breast (i.e. accidents, sport injuries) can lead to breast cancer. MYTH There is no scientific evidence that bumping or bruising your breast increased the risk of breast cancer.

52 Underarm deodorant and antiperspirants cause breast cancer wrha.mb.ca/bhc 14

53 Underarm deodorant and antiperspirants cause breast cancer MYTH Several studies have been conducted on the link between antiperspirants/deodorants and breast cancer and to date there is no conclusive evidence that they increase your risk of breast cancer.

54 Using nail polish frequently can lead to breast cancer 16 wrha.mb.ca/bhc

55 Using nail polish frequently can lead to breast cancer GRAY AREA Nail polish and other nail care products are widely available with very little information about what is in them. There has not been enough research in this area to know if they are safe or not.

56 Colouring your hair can lead to breast cancer 18 wrha.mb.ca/bhc

57 Colouring your hair can lead to breast cancer MYTH Based on research studies with humans, using hair dyes (permanent or semi permanent), has not been linked to breast cancer.

58 If you had breast cancer as a young adult woman, you won t be able to have children later 20 wrha.mb.ca/bhc

59 If you had breast cancer as a young adult woman, you won t be able to have children later. GRAY AREA Some of the treatments given for breast cancer lower your hormone levels. Your periods can stop and cause menopause symptoms. This can affect your fertility and the ability to get pregnant after treatment. For some women this is permanent, while other women, can have their fertility return to normal. If you are diagnosed with breast cancer and wish to become pregnant in the future, speak with your health care team for advice.

60 If your mother or sister had breast cancer, your risk is higher than the average woman 22 wrha.mb.ca/bhc

61 If your mother or sister had breast cancer, your risk is higher than the average woman. FACT If your mother or sister had breast cancer you may be at higher risk of getting breast cancer. Only 5 10% of all breast cancers are hereditary. Hereditary cancer is when a gene mutation is inherited from a close family member. Having a gene mutation does not mean that a person will definitely get cancer, but indicates they are at a higher risk of developing that type of cancer. The main risk factor for breast cancer is being a woman.

62 Some chemicals found in pesticides, solvents, flame retardants and plastics are thought to increase the risk of breast cancer 24 wrha.mb.ca/bhc

63 Some chemicals found in pesticides, solvents, flame retardants and plastics are thought to increase the risk of breast cancer GRAY AREA The effects of exposure to chemicals on human health and the risk of cancer is a complex and growing area of research. Some of these compounds have the ability to act like estrogen and may also cause DNA damage. More research is needed to better understand the effects of chemical exposure and how to protect against these risks in our daily lives.

64 Using cell phones can increase risk of breast cancer 26 wrha.mb.ca/bhc

65 Using cell phones can increase risk of breast cancer GRAY AREA Most of scientific research to date does not show a link between the type of energy given out by cell phones and human cancers. However more research is needed in this area.

66 Taking birth control pills increases the risk of breast cancer 28 wrha.mb.ca/bhc

67 Taking birth control pills increases the risk of breast cancer FACT There is a small increase in breast cancer risk for women using birth control pills but that risk ends ten years after discontinuing the pills. A lot depends on what the hormone levels are in the pills taken. The newer types contain smaller amounts of hormones. Individuals are encouraged to discuss any risks with their health care provider. Slide revised Sept 2015

68 Women who breastfeed have a reduced risk of developing breast cancer compared to women who do not breastfeed 30 wrha.mb.ca/bhc

69 Women who breastfeed reduce their risk of developing breast cancer compared with women who do not breastfeed. FACT Breastfeeding reduces the risk of the mother getting breast cancer. Breast feeding makes it easier to lose the baby weight.

70 Nipple piercing causes cancer wrha.mb.ca/bhc 32

71 Nipple piercing causes cancer MYTH There are no known studies that look at nipple piercing and the risk of breast cancer.

72 Genetic (inherited) traits account for a small percentage of breast cancers wrha.mb.ca/bhc 34

73 Genetic (inherited) traits account for a small percentage of breast cancers FACT Less than 5-10% of those with breast cancer inherited it.

74 Choose organic food to reduce your risk of developing breast cancer wrha.mb.ca/bhc 36

75 Choose organic food to reduce your risk of developing breast cancer. MYTH At this time, there is no evidence that organic foods are better in reducing breast cancer risk or providing other health benefits than foods grown the usual way.

76 Sugar causes cancer wrha.mb.ca/bhc 38

77 Sugar causes cancer MYTH Sugar increases calorie intake which may cause someone to be overweight. This increases breast cancer risk. A high sugar diet is often low in healthy food and healthy food helps fight cancer. A high sugar diet can cause insulin levels to remain higher than usual. This can cause all cells to grow, including cancer cells. Slide revised Sept 2015

78 Soy foods reduce the risk of developing breast cancer wrha.mb.ca/bhc 40

79 Soy foods reduce the risk of developing breast cancer. GRAY AREA The research is not agreeing about whether having soy foods reduces the risk of breast cancer. More research is needed.

80 Vegetarian diets reduce cancer risk wrha.mb.ca/bhc 42

81 Vegetarian diets reduce cancer risk MYTH Vegetarian diets may reduce cancer risk because they include healthier foods than the unhealthy diet that many people eat. However, there is no evidence that eating this way is any better at reducing cancer risk than someone eating a healthy diet that is not a vegetarian one.

82 Small breasted women do not get breast cancer wrha.mb.ca/bhc 44

83 Small breasted women do not get breast cancer MYTH Women with small breasts can get breast cancer.

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85

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87 Stress can cause breast cancer wrha.mb.ca/bhc 1 1

88 Sleeping with a bra or wearing an under-wire bra can increase risk for breast cancer wrha.mb.ca/bhc 2 2

89 Breast cancer does not occur in young women wrha.mb.ca/bhc 3 3

90 Breast implants increase breast cancer risk wrha.mb.ca/bhc 4 4

91 Bumping or bruising of the breast (i.e. accidents, sport injuries) can lead to breast cancer wrha.mb.ca/bhc 5 5

92 Underarm deodorant and antiperspirants cause breast cancer wrha.mb.ca/bhc 6 6

93 Using nail polish frequently can lead to breast cancer wrha.mb.ca/bhc 7

94 Colouring your hair can lead to breast cancer wrha.mb.ca/bhc 8

95 If you had breast cancer as a young adult woman, you won t be able to have children later wrha.mb.ca/bhc 9

96 If your mother or sister had breast cancer, your risk is higher than the average woman wrha.mb.ca/bhc 10

97 Some chemicals found in pesticides, solvents, flame retardants and plastics are thought to increase the risk of breast cancer wrha.mb.ca/bhc 11

98 Using cell phones can increase risk of breast cancer wrha.mb.ca/bhc 12

99 Taking birth control pills increases the risk of breast cancer wrha.mb.ca/bhc 13

100 Women who breastfeed have a reduced risk of developing breast cancer compared to women who do not breastfeed wrha.mb.ca/bhc 14

101 Nipple piercing causes cancer wrha.mb.ca/bhc 15 15

102 Genetic (inherited) traits account for a small percentage of breast cancers wrha.mb.ca/bhc 16 16

103 Choose organic food to reduce your risk of developing breast cancer wrha.mb.ca/bhc 17 17

104 Sugar causes cancer wrha.mb.ca/bhc 18 18

105 Soy foods reduce the risk of developing breast cancer wrha.mb.ca/bhc 19 19

106 Vegetarian diets reduce cancer risk wrha.mb.ca/bhc 20 20

107 Small breasted women do not get breast cancer wrha.mb.ca/bhc 21 21

108 Resource Order Form Public Resources Finding Breast Cancer Early Could Save Your Life. A pamphlet on breast screening facts and program overview. English Farsi Hindi Portuguese Swahili Amharic Filipino Italian Punjabi Urdu Arabic French Korean Russian Vietnamese Chinese German Polish Spanish A Breast Check could save your life! English A pamphlet on breast screening facts. Developed in partnership with Sagkeeng First Na on. A er Your Visit A pamphlet explaining what to expect a er a mammogram. English Farsi Hindi Portuguese Swahili Amharic Filipino Italian Punjabi Urdu Arabic French Korean Russian Vietnamese Chinese German Polish Spanish Your Breasts A pamphlet that explains common breast problems such as cysts, pain, fibroadenomas, discharge, and fibrocys c changes. English Early detec on is your best protec on A sheet with facts, benefits, and risks of breast screening. English French Know your breasts bookmark Signs and symptoms to be aware of, ways to reduce your risk of breast cancer, and BreastCheck promo on. English Breast Health Display Breast Health Display A 3 x 6 foldable display board featuring informa on on the breast health programs in Manitoba For loan only. To request a display, please call Brandy at (204) , or brandy.pantel@cancercare.mb.ca A visual tour For woman who have never had a mammogram. For loan only. To request a copy, please call Brandy at (204) , or brandy.pantel@cancercare.mb.ca

109 Health Care Provider Resources Mammography Guidelines English Resource Order Form Decision Aid Developed by the Public Health Agency of Canada (PHAC) for women 40 years of age & over. Breast Health Services Overview of breast health services available in Manitoba English French English French Prescrip on Pad English Site Checklist To assist in planning a mobile breast screening site. English Breast models & lumps CancerCare Manitoba Screening Resources CancerCare Manitoba Screening Display A 3 x 6 foldable display board promo ng breast, colon, and cervix screening. Cancer screening tear off pad 3.75 x 8. Double sided with informa on about screening. For loan only. To request a set, please call Brandy at (204) , or brandy.pantel@cancercare.mb.ca For loan only. To request a display, please call Brandy at (204) , or brandy.pantel@cancercare.mb.ca Quan ty To order: Online at BreastCheckmb.ca By mail at: BreastCheck, #5 25 Sherbrook St., Winnipeg, MB, R3C 2B1 By Fax (204) Name Organiza on Address City Province Postal Code Phone# Check here if you do not want to receive occasional updates from CCMB Screening Programs.