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

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

Friendships

Who is your Support….

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 Anatomy

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 Invasive Ductal or Infiltrating Ductal

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