NWT Clinical Practice Information Notice

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "NWT Clinical Practice Information Notice"

Transcription

1 NWT Clinical Practice Information Notice Upon receipt, please file this notice in Section C, Clinical Practice Information Binder for future reference. The following Clinical Practice has been approved for use in the Northwest Territories Health and Social Services system, and has been distributed to: X Hospitals X Community Health Centers X Homecare X LTCF X Pharmacists X Doctors Offices Social Services Offices X Public Health Units The information contained in this document is a Departmental: Policy X Standard Protocol Procedure Guideline Title: NWT Breast Cancer Clinical Practice Guidelines (2013) Effective Date: October 2013 Statement of approved Clinical Practice: The Chief Public Health Officer, the NWT Medical Directors and the NWT Breast Health Advisory Committee have approved and are recommending the implementation of the updated 2013 NWT Breast Cancer Clinical Practice Guidelines as a standard of practice throughout the NWT. Breast cancer is the most common cancer diagnosed in NWT women and the third leading cause of all cancer deaths. can help prevent deaths. These guidelines include information as follows: Immediate referral and risk assessment Age of screening onset Recommendations on self-breast exam, clinical breast exam and magnetic resonance imaging Known risk factors for breast cancer Tips for patients Breast cancer screening algorithm for average risk women These October 2013 Breast Cancer Clinical Practice Guidelines, contain the approved clinical practice standard for the NWT, and supersede all previous Breast Cancer guidelines. Attachment: NWT Breast Cancer Clinical Practice Guidelines NWT Breast Cancer pamphlet for patients This clinical practice is approved. (Signature) Oct. 17/13 (Date) Deputy Minister X Chief Public Health Officer Director, Child & Family Services Director, Adoptions 2013 Department of Health and Social Services Pg. 117

2 NWT Breast Cancer Clinical Practice Guidelines Immediate Referral Refer everyone for diagnostic work-up for breast cancer if the following signs are present (nipple discharge, breast lump, new onset of nipple retraction or inversion, dimpling of the breast, peau d orange or abnormal skin thickening of the breast). Assess Risk Average Risk Women The two strongest risk factors for breast cancer are being a woman and aging. Please see Known Risk Factors below to assess Average Risk versus High Risk Age of Onset Age Discuss the benefits and harms of mammography. (See Risk Factors below) Age mammography recommended every 2 years. Age 75 + Discuss the benefits and harms of mammography. (See Risk Factors below) Breast Self- Exam Clinical Breast Exam It is recommended not to advise women to routinely practice breast self-exam. Women should be advised to look for any changes to their breast and report these findings to their healthcare provider. See Tips for Patients below. Clinical breast exam is not recommended for breast cancer screening in asymptomatic average risk women. MRI It is recommended not to routinely screen average risk women with magnetic resonance imaging. Major Risk Factors (High Risk) Mammographic screening yearly for patients with any of these risk factors and/or consult with a specialist (radiologist/ surgeon) for other breast imaging/screening. Confirmed mutations of BRCA1 or BRCA2 genes* Radiation treatment to the chest area (treatment of Hodgkin s lymphoma) especially before age 30* First degree family history breast cancer (mother, sister, daughter particularly if diagnosed before menopause) Personal or first degree family history of ovarian cancer Highly dense breast tissue > 75% (as shown on mammogram) Personal history of breast biopsies showing Atypical Ductal Hyperplasia (an increased number of abnormal cells) * Annual MRI screening may be beneficial for these patients Known Risk Factors for Breast Cancer Tips for Patients Minor Risk Factors For patient with any of these risk factors listed below, average risk (age 50 to 74) mammographic screening every two years applies. Breast tissue covers an area larger than just the breast. It extends up to the collarbone and from the armpit across to the breastbone in the centre of the chest (see diagram above). Women should be advised to check this entire area and become familiar with how their breast tissue feels and what their breast normally look like. There is no right or wrong way to do this. Make patients aware that their breasts can be lumpy or tender before their monthly cycle. Breast tissue also changes with age. Helping your patient understand what is normal for them will help them recognize changes and know what to report to their healthcare provider. Nipple discharge, lump, nipple inversion, skin dimpling (indrawing), peau d orange, skin thickening and new onset of pain not related to any other strain or injury are some examples of changes to report. October 2013 An above average exposure to estrogen, which the body naturally produces, especially if a woman - has never given birth or gave birth for the first time after age 30 - began menstruating at a young age (before age 12) - reached menopause age 55 or later - taking hormone replacement therapy (HRT) Drinking more than one drink of alcohol per day Being overweight or obese after menopause Smoking, especially if started at a young age and before the birth of first child

3 If signs present, any age IMMEDIATE referral for diagnostic workup Mammography for Average Risk Normal/Benign Repeat in 2 years < 50 years old Discuss the benefits and harms of mammography Breast cancer is the most common cancer diagnosed in NWT women but is the third leading cause of all cancer deaths. Assess risk years old Mammogram Every 2 Years 75 years old Discuss the benefits and harms of mammography Abnormal High Risk mammography yearly and/or consult Specialist (radiologist/surgeon) for other screening options Refer for Diagnostic Workup as per recommendations on abnormal mammogram report. May include the following: Surgical consult Additional mammographic views &/or Breast ultrasound Fine needle aspiration cytology Core biopsy Open biopsy with or without fine wire localization If normal workup, return to routine screening

4 Step 3: Understand the importance you place on the possible benefits and harms of having a mammogram. Which of the following possible benefits are important to you? (Select all that apply) Step 5: Describe your feelings towards decision making. Who should decide whether or not you start or continue mammograms? I should, after thinking about advice from my health care provider Peace of mind Catching cancer earlier and having simpler treatment I want to share the decision-making with my health care provider Reducing the chance of dying from cancer I want my health care provider to decide Other benefits: Which of the following possible harms are important to you? (Select all that apply) Cancer may not be found No improvement in length of quality of life and unnecessary diagnosis Other harms: I am not sure Taking the next step... Step 6: Write down any questions you have about mammograms and screening. Extra tests and worry Step 4: Describe how you feel about screening mammograms. Which statement best reflects how you feel? NWT Breast Cancer I want to start or continue mammograms Not sure Step 7: Please share your answers with your health care provider at your next visit. If you would like a mammogram or think you should be screened you have several options. In the Yellowknife area, call the Breast Program at In the Hay River area, call If you live in any other community, please consult with your healthcare provider to arrange for a screening mammogram. I do not want to start or continue mammograms For more information on breast cancer and screening, please visit the following websites: If you would like this information in another official language, contact us at Si vous voulez ces informations dans une autre langue officielle, téléphonez nous au October

5 Not sure what to do? Try answering the following questions to help you decide about screening mammograms 1. While they do not result in a decision, the answers can help you collect your thoughts. This is meant for women who are 40 years and older who: Do not have breast cancer; Do not have any breast problems; and Have not been told they are at high risk of breast cancer Breast cancer is the most common cancer diagnosed in NWT women and the third leading cause of all cancer deaths. can help prevent deaths. Breast cancer develops in the cells of breast tissue. Breast tissue covers an area larger than just the breast, extending up to the collarbone and from the armpit to the centre of the chest. Women who recieve breast cancer screening have a lower risk of dying from breast cancer than women who do not receive screening. is most often done by having a mammogram. A mammogram is a specialized x-ray of the breast used to detect changes in breast tissue. Mammograms can detect changes before you are able to feel them. recommendations: Women at average risk: Aged years should have a screening mammogram every 2 years Aged and 75+ years should discuss the benefits and risks of mammography with their nurse or doctor. Women at high risk: Should have a screening mammogram every year. Please speak with your nurse or doctor.* You can be high risk if you have any of: Confirmed mutations of BRCA1 or BRCA2 genes* Previous radiation treatment to the chest area* Family history of breast cancer in either your mothers, sister or daughter (first degree) Personal or first degree family history of ovarian cancer Highly dense breast tissue >75% Personal history of breast biopsies showing Atypical Ductal Hyperplasia (ADH) * Your healthcare provider may suggest more screening tests. Step 1: Rate your risk of breast cancer and overall health. How do you feel about your risk of breast cancer? Very Worried A little Worried Not Worried How do you rate your overall health? Good Okay Poor Step 2: Describe what you are doing for your breast health. Have you had a screening mammogram within the last two years? Yes No Do you limit alcohol to 1 drink or less each day? Yes No Do you have a healthy body weight? Yes No Do you smoke? Yes No 1. Adapted from Public Health Agency of Canada Decision Aid 2009

Reduce Your Risk of Breast Cancer

Reduce Your Risk of Breast Cancer Reduce Your Risk of Breast Cancer Reduce Your Risk of Breast Cancer There was no history in my family. But the test was positive and it was breast cancer. I was so shocked, I couldn t believe it. ~ Colette

More information

Benign Breast Diseases

Benign Breast Diseases Benign Breast Diseases Most women have changes in their breasts during their lifetime. Many of these changes are caused by hormones. For example, your breasts may feel more lumpy or tender at different

More information

Information provided in these web pages was last updated on November 2, 2009 BREAST CANCER

Information provided in these web pages was last updated on November 2, 2009 BREAST CANCER BREAST CANCER BACKGROUND Facts about breast cancer Breast cancer affects both men and women, though it occurs rarely in men. Breast cancer is the most common form of cancer in women with the exception

More information

Breast cancer in the family

Breast cancer in the family Birmingham Women's NHS Foundation Trust Breast cancer in the family Information for women with a slightly increased risk of breast cancer This is a no smoking hospital Breast cancer in the family what

More information

Breast Cancer in the Family

Breast Cancer in the Family Oxford University Hospitals NHS Trust Oxford Regional Genetic Department Breast Cancer in the Family Information for women with a moderately increased risk of breast cancer Breast cancer in the family

More information

Official reprint from UpToDate www.uptodate.com 2013 UpToDate

Official reprint from UpToDate www.uptodate.com 2013 UpToDate Official reprint from UpToDate www.uptodate.com 2013 UpToDate Patient information: Breast cancer screening (The Basics) Written by the doctors and editors at UpToDate What is breast cancer screening? Breast

More information

Feeling Your Way To Healthy Breast. Lisa Barnes, BSN, RN Ruth Fay,B.A.,M.B.A.,RN Mary Grady, BSN, RN Margaret Richmond, MA, RN

Feeling Your Way To Healthy Breast. Lisa Barnes, BSN, RN Ruth Fay,B.A.,M.B.A.,RN Mary Grady, BSN, RN Margaret Richmond, MA, RN Feeling Your Way To Healthy Breast Lisa Barnes, BSN, RN Ruth Fay,B.A.,M.B.A.,RN Mary Grady, BSN, RN Margaret Richmond, MA, RN WHAT ARE MY BREASTS MADE OF? A breast is made of three main parts: glands,

More information

Are you worried about breast cancer?

Are you worried about breast cancer? Are you worried about breast cancer? This information is from the leaflet, Are you worried about breast cancer? which you may find helpful if you are worried about breast cancer running in your family.

More information

Your Protection Starts with Breast Cancer Early Screening

Your Protection Starts with Breast Cancer Early Screening Your Protection Starts with Breast Cancer Early Screening Basics You Need to Know Breast cancer is the most common cancer in women. Breast cancer can develop in men at a much lower rate. Breast cancer

More information

Sam & Jennie Bennett Breast Care Center

Sam & Jennie Bennett Breast Care Center Sam & Jennie Bennett Breast Care Center Sam & Jennie Bennett Breast Care Center d Central Maine Medical Center s Sam & Jennie Bennett Breast Care Center is a private place where a woman can find comprehensive

More information

Mammography AND CLINICAL BREAST EXAMS. joytolife.org WHAT YOU SHOULD KNOW ABOUT BREAST CANCER HOW TO DO A BREAST SELF-EXAM EARLY DETECTION SAVES LIVES

Mammography AND CLINICAL BREAST EXAMS. joytolife.org WHAT YOU SHOULD KNOW ABOUT BREAST CANCER HOW TO DO A BREAST SELF-EXAM EARLY DETECTION SAVES LIVES Mammography AND CLINICAL BREAST EXAMS WHAT YOU SHOULD KNOW ABOUT BREAST CANCER HOW TO DO A BREAST SELF-EXAM joytolife.org EARLY DETECTION SAVES LIVES As a woman, you face many special concerns that call

More information

BREAST CANCER. How to spot the signs and symptoms and reduce your risk. cruk.org

BREAST CANCER. How to spot the signs and symptoms and reduce your risk. cruk.org BREAST CANCER How to spot the signs and symptoms and reduce your risk cruk.org Breast cancer is the most common cancer in the UK. Around 8 in 10 breast cancer cases are in women aged 50 and over. Men can

More information

Mammograms & Breast Health. An Information Guide for Women U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. Centers for Disease Control and Prevention

Mammograms & Breast Health. An Information Guide for Women U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. Centers for Disease Control and Prevention U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Mammograms & Breast Health An Information Guide for Women This booklet was developed by the Centers for Disease Control

More information

BREAST CANCER. What you should know about breast cancer. Saint Louis University Cancer Center

BREAST CANCER. What you should know about breast cancer. Saint Louis University Cancer Center SAINT LOUIS UNIVERSITY CANCER CENTER Our standing as an academic medical center puts the Saint Louis University Cancer Center at the forefront in developing and providing the latest medical treatment and

More information

BREAST CANCER AWARENESS FOR WOMEN AND MEN by Samar Ali A. Kader. Two years ago, I was working as a bedside nurse. One of my colleagues felt

BREAST CANCER AWARENESS FOR WOMEN AND MEN by Samar Ali A. Kader. Two years ago, I was working as a bedside nurse. One of my colleagues felt Ali A. Kader, S. (2010). Breast cancer awareness for women and men. UCQ Nursing Journal of Academic Writing, Winter 2010, 70 76. BREAST CANCER AWARENESS FOR WOMEN AND MEN by Samar Ali A. Kader Two years

More information

BreastScreen and You. Information about mammographic screening

BreastScreen and You. Information about mammographic screening BreastScreen and You Information about mammographic screening This information is about screening for breast cancer. It aims to help you choose whether or not you take part in the BreastScreen Australia

More information

Ductal carcinoma in situ (DCIS)

Ductal carcinoma in situ (DCIS) DIAGNOSIS: DCIS Ductal carcinoma in situ (DCIS) This factsheet gives information on an early form of breast cancer called ductal carcinoma in situ (DCIS). It explains what it is, how your breast is made

More information

Breast Cancer Screening

Breast Cancer Screening Breast Cancer Screening The American Cancer Society and Congregational Health Ministry Team October Module To access this module via the Web, visit www.cancer.org and type in congregational health ministry

More information

Fibrocystic Breast Changes

Fibrocystic Breast Changes Fibrocystic Breast Changes WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Women with fibrocystic breast changes have lumpy, tender breasts. These changes most often occur near the time of

More information

Cancer Expert Working Group on Cancer Prevention and Screening Prevention and Screening for Breast Cancer

Cancer Expert Working Group on Cancer Prevention and Screening Prevention and Screening for Breast Cancer Cancer Expert Working Group on Cancer Prevention and Screening Prevention and Screening for Breast Cancer Information for women and their families 1 What is breast cancer? The female breast is mainly consisted

More information

Breast Cancer Understanding your diagnosis

Breast Cancer Understanding your diagnosis Breast Cancer Understanding your diagnosis Let s Make Cancer History 1 888 939-3333 cancer.ca Breast Cancer Understanding your diagnosis When you first hear that you have cancer, you may feel alone and

More information

Breast Cancer. Presentation by Dr Mafunga

Breast Cancer. Presentation by Dr Mafunga Breast Cancer Presentation by Dr Mafunga Breast cancer in the UK Breast cancer is the second most common cancer in women. Around 1 in 9 women will develop breast cancer It most commonly affects women over

More information

Breast cancer affects one in eight Australian women. It is the most common cancer for Victorian women, with almost 3,700 diagnoses in 2012.

Breast cancer affects one in eight Australian women. It is the most common cancer for Victorian women, with almost 3,700 diagnoses in 2012. Breast cancer Summary Breast cancer affects one in nine Australian women. It is important for all women to get to know the normal look and feel of their breasts. Although most breast changes aren t caused

More information

Breast Cancer Screening

Breast Cancer Screening Breast Cancer Screening Summary of the Clinical Practice Guideline September 2013 These recommendations are systematically developed statements to assist practitioner and patient decisions about appropriate

More information

Breast Imaging Made Brief and Simple. Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA

Breast Imaging Made Brief and Simple. Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA Breast Imaging Made Brief and Simple Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA What women are referred for breast imaging? Two groups of women are referred for

More information

I VE FOUND A BREAST LUMP WHAT HAPPENS NEXT?

I VE FOUND A BREAST LUMP WHAT HAPPENS NEXT? I VE FOUND A BREAST LUMP WHAT HAPPENS NEXT? Contents: Possible cancerous breast changes Common non-cancerous (benign) breast changes Diagnostic tests / procedures Questions to ask your doctor You may have

More information

The Triad Breast Cancer Screening. Mary Helen Hackney, MD FACP VCU Massey Cancer Center March 2016

The Triad Breast Cancer Screening. Mary Helen Hackney, MD FACP VCU Massey Cancer Center March 2016 The Triad Breast Cancer Screening Mary Helen Hackney, MD FACP VCU Massey Cancer Center March 2016 I have no financial disclosures I am a medical oncologist with a practice focused on breast cancer The

More information

Nicole Kounalakis, MD

Nicole Kounalakis, MD Breast Disease: Diagnosis and Management Nicole Kounalakis, MD Assistant Professor of Surgery Goal of Breast Evaluation The goal of breast evaluation is to classify findings as: normal physiologic variations

More information

PATIENT S MEDICAL HISTORY FORM DRS. FARR, WAMPLER, HENSON, WILLIAMS & DOUGHERTY Patient s Name: Date: What is the reason for your visit today?

PATIENT S MEDICAL HISTORY FORM DRS. FARR, WAMPLER, HENSON, WILLIAMS & DOUGHERTY Patient s Name: Date: What is the reason for your visit today? PATIENT S MEDICAL HISTORY FORM DRS. FARR, WAMPLER, HENSON, WILLIAMS & DOUGHERTY Patient s Name: Date: What is the reason for your visit today? Please List all of your Medical Problems (current & old) Please

More information

Breast Cancer Awareness Month

Breast Cancer Awareness Month Aon Kenya Insurance Brokers Ltd Aon Hewitt Healthcare Division Breast Cancer Awareness Month Issue 12 October 2015 In this Issue 2 Cancer Statistics in Kenya 3 What is Breast Cancer? 4 Symptoms of Breast

More information

This is a summary of what we ll be talking about today.

This is a summary of what we ll be talking about today. Slide 1 Breast Cancer American Cancer Society Reviewed October 2015 Slide 2 What we ll be talking about How common is breast cancer? What is breast cancer? What causes it? What are the risk factors? Can

More information

OBJECTIVES By the end of this segment, the community participant will be able to:

OBJECTIVES By the end of this segment, the community participant will be able to: Cancer 101: Cancer Diagnosis and Staging Linda U. Krebs, RN, PhD, AOCN, FAAN OCEAN Native Navigators and the Cancer Continuum (NNACC) (NCMHD R24MD002811) Cancer 101: Diagnosis & Staging (Watanabe-Galloway

More information

Florida Breast Health Specialists Breast Cancer Information and Facts

Florida Breast Health Specialists Breast Cancer Information and Facts Definition Breast cancer is a cancer that starts in the tissues of the breast. There are two main types of breast cancer: Ductal carcinoma starts in the tubes (ducts) that move milk from the breast to

More information

Benign Breast Disorders

Benign Breast Disorders Benign Breast Disorders Valerie Swiatkowski, MD Medical Student Lecture Introduction 16% of women ages 40-69 will seek advice from their physician regarding breast complaints over 10 years. Failure to

More information

Guide to Understanding Breast Cancer

Guide to Understanding Breast Cancer An estimated 220,000 women in the United States are diagnosed with breast cancer each year, and one in eight will be diagnosed during their lifetime. While breast cancer is a serious disease, most patients

More information

BRCA Genes and Inherited Breast and Ovarian Cancer. Patient information leaflet

BRCA Genes and Inherited Breast and Ovarian Cancer. Patient information leaflet BRCA Genes and Inherited Breast and Ovarian Cancer Patient information leaflet This booklet has been written for people who have a personal or family history of breast and/or ovarian cancer that could

More information

What is DCIS? Contents. The breasts

What is DCIS? Contents. The breasts This information is an extract from the booklet Understanding ductal carinoma in situ (DCIS). You may find the full booklet helpful. We can send you a free copy see page 6. Contents The breasts What is

More information

Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too.

Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too. Male Breast Cancer Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too. Many people do not know that men can get breast

More information

Early detection saves lives

Early detection saves lives Digital Infrared Thermal Imaging (DITI) used for adjunctive Breast Disease Screening Can Enhance Early Detection : Early detection saves lives DITI's role in breast cancer and other breast disorders is

More information

Today s Woman Staying Healthy

Today s Woman Staying Healthy Today s Woman Staying Healthy Risk Factors and Warning Signs for Women s Cancers Women s Cancer Research Institute at the Samuel Oschin Comprehensive Cancer Institute WHAT IS A GYNECOLOGIST, AND WHAT DOES

More information

This is a summary of what we ll be talking about today.

This is a summary of what we ll be talking about today. Slide 1 Breast Cancer American Cancer Society Reviewed October 2015 Slide 2 What we ll be talking about How common is breast cancer? What is breast cancer? What causes it? What are the risk factors? Can

More information

Breast Cancer: from bedside and grossing room to diagnoses and beyond. Adriana Corben, M.D.

Breast Cancer: from bedside and grossing room to diagnoses and beyond. Adriana Corben, M.D. Breast Cancer: from bedside and grossing room to diagnoses and beyond Adriana Corben, M.D. About breast anatomy Breasts are special organs that develop in women during puberty when female hormones are

More information

Breast screening results and assesment

Breast screening results and assesment Breast screening results and assesment This information is an extract from the booklet, Understanding breast screening. You may find the full booklet helpful. We can send you a copy free see page 9. Contents

More information

Should I Continue Having Mammograms to Screen for Breast Cancer? A decision aid for women aged 70 and older at their next screening mammogram.

Should I Continue Having Mammograms to Screen for Breast Cancer? A decision aid for women aged 70 and older at their next screening mammogram. Should I Continue Having Mammograms to Screen for Breast Cancer? A decision aid for women aged 70 and older at their next screening mammogram. AUSTRALIAN SCREENING MAMMOGRAPHY DECISION AID TRIAL Why is

More information

Hereditary Breast and Ovarian Cancer (HBOC)

Hereditary Breast and Ovarian Cancer (HBOC) Oxford University Hospitals NHS Trust Oxford Regional Genetic Department Hereditary Breast and Ovarian Cancer (HBOC) Information for women with an increased lifetime risk of breast and ovarian cancer What

More information

ASPIRATION OF PALPABLE CYST

ASPIRATION OF PALPABLE CYST CYSTS ASPIRATION OF PALPABLE CYST GALACTOCELE New lump in nursing mother-soft to firm non-tender Treatment Aspiration FAT NECROSIS Usually there is a history of trauma - MVA, surgery. The fat dies and

More information

Breast cancer and genetics

Breast cancer and genetics Breast cancer and genetics Cancer and genes Our bodies are made up of millions of cells. Each cell contains a complete set of genes. We have thousands of genes. We each inherit two copies of most genes,

More information

Breast care clinics. The Breast Clinics take place every week on Wednesdays. yeovilhospital.nhs.uk

Breast care clinics. The Breast Clinics take place every week on Wednesdays. yeovilhospital.nhs.uk Breast care clinics The Breast Clinics take place every week on Wednesdays 01935 384 352 yeovilhospital.nhs.uk Yeovil District Hospital NHS Foundation Trust has a specialist Breast Care Team. This team

More information

Evaluation and Management of the Breast Mass. Gary Dunnington,, M.D. Department of Surgery Internal Medicine Ambulatory Conference December 4, 2003

Evaluation and Management of the Breast Mass. Gary Dunnington,, M.D. Department of Surgery Internal Medicine Ambulatory Conference December 4, 2003 Evaluation and Management of the Breast Mass Gary Dunnington,, M.D. Department of Surgery Internal Medicine Ambulatory Conference December 4, 2003 Common Presentations of Breast Disease Breast Mass Abnormal

More information

South East Scotland Breast Screening Centre

South East Scotland Breast Screening Centre South East Scotland Breast Screening Centre Ardmillan House 42 Ardmillan Terrace Edinburgh EH11 2JL Telephone: 0131 537 7410 Or to change appointments 0131 537 7400 Where are we? The screening centre is

More information

Finding out about BreastScreen Queensland

Finding out about BreastScreen Queensland Finding out about BreastScreen Queensland Presentation Outline Breast Cancer Statistics About BreastScreen Queensland What is Breast Cancer? Who should have a breastscreen? Risk Factors Women Under 40

More information

American Medical Women s Association. Position Paper on Principals of Breast Cancer Screening

American Medical Women s Association. Position Paper on Principals of Breast Cancer Screening American Medical Women s Association Position Paper on Principals of Breast Cancer Screening Breast cancer affects one woman in eight in the United States and is the most common cancer diagnosed in women

More information

Breast Cancer. Sometimes cells keep dividing and growing without normal controls, causing an abnormal growth called a tumor.

Breast Cancer. Sometimes cells keep dividing and growing without normal controls, causing an abnormal growth called a tumor. Breast Cancer Introduction Cancer of the breast is the most common form of cancer that affects women but is no longer the leading cause of cancer deaths. About 1 out of 8 women are diagnosed with breast

More information

General Information on Mammography and Breast Cancer Screening

General Information on Mammography and Breast Cancer Screening General Information on Mammography and Breast Cancer Screening General Information on Mammography and Breast Cancer Screening You have made an appointment with your doctor for a mammogram. If this is your

More information

This pamphlet is intended for women who: are 18 years of age or over; and

This pamphlet is intended for women who: are 18 years of age or over; and & BREASt cancer your risk BREASt cancer & your risk This brochure identifies biological as well as lifestyle factors associated with breast cancer. It offers information and advice to help you better understand

More information

2013 Marin County Data Summary: Breast Cancer Trends and Risk Factors

2013 Marin County Data Summary: Breast Cancer Trends and Risk Factors Age-adjusted mortality rate Age-adjusted incidence rate 2013 County Data Summary: Breast Cancer Trends and Risk Factors Age-adjusted Invasive Breast Cancer Incidence Rates and California Non-Hispanic,

More information

Understanding breast changes

Understanding breast changes Understanding breast changes UHN For women Read this resource to learn: Parts of your breast Types of breast changes What follow up appointments you may need Breast Imaging Department Princess Margaret

More information

BREAST INFO CONDITIONS & PROCEDURES

BREAST INFO CONDITIONS & PROCEDURES BREAST INFO CONDITIONS & PROCEDURES Breast Health Many women experience breast conditions such as breast lumps, breast cysts or painful breasts. Although breast cancer effects over 200,000 women annually,

More information

Supporting people with learning disabilities to take care of their breasts - a guide for supporters. Your breasts, your health

Supporting people with learning disabilities to take care of their breasts - a guide for supporters. Your breasts, your health Supporting people with learning disabilities to take care of their breasts - a guide for supporters Your breasts, your health 1 Why be breast aware? We hope this booklet will help you assist the person

More information

Breast Cancer. Understanding your diagnosis

Breast Cancer. Understanding your diagnosis Breast Cancer Understanding your diagnosis Breast Cancer Understanding your diagnosis When you first hear that you have cancer, you may feel alone and afraid. You may be overwhelmed by the large amount

More information

HEREDITARY BRCA1. Faulty gene INFORMATION LEAFLET. How Do I Reduce My Risk?

HEREDITARY BRCA1. Faulty gene INFORMATION LEAFLET. How Do I Reduce My Risk? HEREDITARY BREAST CANCER BRCA1 Faulty gene INFORMATION LEAFLET How Do I Reduce My Risk? Page 1 CONTENTS Part A 1 What is BRCA1 2 How does BRCA1 affect a person s risk of cancer? 3Testing for BRCA1 4Benefits

More information

Tell a Friend, Save a Life: The Breast Cancer Prevention & Detection Kit

Tell a Friend, Save a Life: The Breast Cancer Prevention & Detection Kit Tell a Friend, Save a Life: The Breast Cancer Prevention & Detection Kit About the Tell a Friend, Save a Life Breast Cancer Prevention and Detection Kit Breast cancer affects us all, because we all have

More information

Breast Imaging Protocol Eastern Radiologists, Inc. Breast Imaging Network

Breast Imaging Protocol Eastern Radiologists, Inc. Breast Imaging Network Breast Imaging Protocol Eastern Radiologists, Inc. Breast Imaging Network Screening Mammography Images: Routine CC and MLO views, XCCL if needed. Implant Patients: CC and MLO in both routine and implant

More information

PROACTIVE BREAST CARE 101 Candy Warinner

PROACTIVE BREAST CARE 101  Candy Warinner PROACTIVE BREAST CARE 101 www.breastselfexams.org Candy Warinner My name is Candy Warinner and I am a breast cancer survivor. My story began with my first breast biopsy at the age of twenty. At age thirty-two

More information

X-Plain Breast Cancer Reference Summary

X-Plain Breast Cancer Reference Summary X-Plain Breast Cancer Reference Summary The risk of breast cancer among Asian Americans living in the U.S. is relatively low compared to caucasian women. However, there is concern that the risk of breast

More information

Clinical Trials for Breast Cancer

Clinical Trials for Breast Cancer Clinical Trials for Breast Cancer Guest Expert: Lyndsay, MD Associate Professor of Medical Oncology Director, Yale Cancer Center Breast Cancer Program www.wnpr.org www.yalecancercenter.org Welcome to Yale

More information

BRCA1 & BRCA2 GeneHealth UK

BRCA1 & BRCA2 GeneHealth UK BRCA1 & BRCA2 GeneHealth UK BRCA1 & BRCA2 What is hereditary breast cancer? Cancer is unfortunately very common, with 1 in 3 people developing cancer at some point in their lifetime. Breast cancer occurs

More information

Breast Cancer. CSC Cancer Experience Registry Member, breast cancer

Breast Cancer. CSC Cancer Experience Registry Member, breast cancer ESSENTIALS Breast Cancer Take things one step at a time. Try not to be overwhelmed by the tidal wave of technical information coming your way. Finally you know your body best; you have to be your own advocate.

More information

Your breast clinic appointment

Your breast clinic appointment Your breast clinic appointment This booklet explains what to expect if you ve been referred to a breast clinic by your GP or asked to attend an assessment clinic after routine breast screening. Lorem ipsum

More information

NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST NOTTINGHAM BREAST INSTITUTE BREAST AND OVARIAN FAMILY HISTORY GUIDELINES

NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST NOTTINGHAM BREAST INSTITUTE BREAST AND OVARIAN FAMILY HISTORY GUIDELINES NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST NOTTINGHAM BREAST INSTITUTE BREAST AND OVARIAN FAMILY HISTORY GUIDELINES GP Referrals All GP referrals for asymptomatic women with a family history of breast and/or

More information

patient education Fact Sheet PFS007: BRCA1 and BRCA2 Mutations MARCH 2015

patient education Fact Sheet PFS007: BRCA1 and BRCA2 Mutations MARCH 2015 patient education Fact Sheet PFS007: BRCA1 and BRCA2 Mutations MARCH 2015 BRCA1 and BRCA2 Mutations Cancer is a complex disease thought to be caused by several different factors. A few types of cancer

More information

Breast Cancer. Understanding your diagnosis

Breast Cancer. Understanding your diagnosis Breast Cancer Understanding your diagnosis Breast Cancer Understanding your diagnosis When you first hear that you have cancer, you may feel alone and afraid. You may be overwhelmed by the large amount

More information

Men s Health: Testicular & Breast. September 2012

Men s Health: Testicular & Breast. September 2012 Men s Health: Testicular & Breast September 2012 Objectives: You will learn: How to perform a testicular self-exam and breast self-exam. You will know when to perform testicular and breast self-exams.

More information

cells form in the breast tissue and grow into a tumor

cells form in the breast tissue and grow into a tumor WhatisBreastCancer? A disease where cancer (malignant) cells form in the breast tissue and grow into a tumor Women are more prone to breast cancer than any other type of cancer Men can get breast cancer

More information

Breast Cancer Toolkit. Marion DePuit, MSN, Faith Community Nurse. Leslie Brown, BA, Community Advocate 9/2014. Understanding Breast Cancer

Breast Cancer Toolkit. Marion DePuit, MSN, Faith Community Nurse. Leslie Brown, BA, Community Advocate 9/2014. Understanding Breast Cancer GENERAL: Breast Cancer Toolkit Marion DePuit, MSN, Faith Community Nurse Leslie Brown, BA, Community Advocate 9/2014 Understanding Breast Cancer (Adapted from the American Cancer Society and Breast Cancer.org)

More information

Mammography. What is Mammography?

Mammography. What is Mammography? Scan for mobile link. Mammography Mammography is a specific type of breast imaging that uses low-dose x-rays to detect cancer early before women experience symptoms when it is most treatable. Tell your

More information

Patient History Questionnaire Comprehensive Breast Care Center

Patient History Questionnaire Comprehensive Breast Care Center Patient History Questionnaire Comprehensive Breast Care Center Patient Name of birth Age Occupation Today s Height Weight Primary Care Physician: OB/ GYN: Referring Physician: Who else may we send a medical

More information

9 things you. should know about breast cancer

9 things you. should know about breast cancer 9 things you should know about breast cancer 1 More women get breast cancer than any other cancer 2 Alive and well More than 25,000 women are alive in Ireland having had breast cancer. Most women who have

More information

Introduction. Endorsed by The Royal Australian College of General Practitioners

Introduction. Endorsed by The Royal Australian College of General Practitioners Breast changes Introduction In Australia, about 350,000 women visit their doctor every year with a breast change. In more than 95% of cases, this will not be breast cancer. However, all experts agree that

More information

Breast Pain. A Guide for Women SCAN HERE

Breast Pain. A Guide for Women SCAN HERE Breast Pain A Guide for Women SCAN HERE This booklet will be reviewed as new evidence emerges. While every effort has been made to ensure that it is accurate, we do not accept responsibility for errors

More information

Understanding Your Breast Cancer Pathology Report *

Understanding Your Breast Cancer Pathology Report * Understanding Your Breast Cancer Pathology Report * * Note: Your pathology report may contain all or some of the sections covered in this guide. Remember, your healthcare team is always available to help

More information

Talking with Teens about Breast Cancer

Talking with Teens about Breast Cancer Talking with Teens about Breast Cancer Introduction A Family Discussion Guide Talking about breast cancer with your teenager may seem overwhelming andfrightening, but it can also be empowering and liberating

More information

Indicators and Treatment for Breast Disease Unit 9. Bonnie A. Barnes, BA, R.T., (R)(M)(CT)(f) Xuan Ho, Ph.D., R.T. (R)

Indicators and Treatment for Breast Disease Unit 9. Bonnie A. Barnes, BA, R.T., (R)(M)(CT)(f) Xuan Ho, Ph.D., R.T. (R) Indicators and Treatment for Breast Disease Unit 9 Bonnie A. Barnes, BA, R.T., (R)(M)(CT)(f) Xuan Ho, Ph.D., R.T. (R) Indicators and Treatment for Breast Disease Clinical Breast Changes Risk Factors Associated

More information

COMMON QUESTIONS WOMEN ASK

COMMON QUESTIONS WOMEN ASK COMMON QUESTIONS WOMEN ASK Questions asked by women not eligible for screening Why have women aged 71 and over not been invited for screening? Routine screening is currently only offered to women aged

More information

Screening Mammography Program of BC

Screening Mammography Program of BC Screening Mammography Program of BC Dr. Christine M. Wilson MD FRCPC Medical Director, Screening Mammography Program BC Cancer Agency March 19, 2015 Disclosure The presenter, Dr. Christine M. Wilson, has

More information

Ultrasound - Breast. What is Ultrasound Imaging of the Breast?

Ultrasound - Breast. What is Ultrasound Imaging of the Breast? Scan for mobile link. Ultrasound - Breast Ultrasound imaging of the breast uses sound waves to produce pictures of the internal structures of the breast. It s primarily used to help diagnose breast lumps

More information

Breast cysts. Breast problems series

Breast cysts. Breast problems series Breast cysts Breast problems series Breast cysts About this leaflet This leaflet tells you about breast cysts. It explains what cysts are, how they re found and what will happen if they need to be treated

More information

Illinois Insurance Facts Illinois Department of Insurance Coverage for the Diagnosis and Treatment of Breast Conditions

Illinois Insurance Facts Illinois Department of Insurance Coverage for the Diagnosis and Treatment of Breast Conditions Illinois Insurance Facts Illinois Department of Insurance Coverage for the Diagnosis and Treatment of Breast Conditions Revised May 2015 Note: This information was developed to provide consumers with general

More information

Invasive lobular breast cancer

Invasive lobular breast cancer Invasive lobular breast cancer This booklet is about invasive lobular breast cancer. It describes what invasive lobular breast cancer is, the symptoms, how it s diagnosed and possible treatments. Diagnosed

More information

DISCOVERY HEALTH MATTERS. Breast cancer the facts

DISCOVERY HEALTH MATTERS. Breast cancer the facts DISCOVERY HEALTH MATTERS Breast cancer the facts Vol 12 2013 Discovery Health Matters Discovery Health Matters is a layman s guide to important, but often misunderstood topics in healthcare. The information

More information

Patient Name: Birthdate / / Last First (MI) Patient Address: Sex: Male Female: Number Street Apt City State Zip *Impo rtant

Patient Name: Birthdate / / Last First (MI) Patient Address: Sex: Male Female: Number Street Apt   City State Zip *Impo rtant Ingrid Edstrom FNP, M.Ed PATIENT INFORMATION Patient Name: Birthdate / / Last First (MI) Patient Address: Sex: Male Female: Number Street Apt E-Mail: City State Zip *Impo rtant Home Phone Number Partners

More information

Understanding. Breast Changes. National Cancer Institute. A Health Guide for Women. National Institutes of Health

Understanding. Breast Changes. National Cancer Institute. A Health Guide for Women. National Institutes of Health National Cancer Institute Understanding Breast Changes A Health Guide for Women U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health It was easier to talk with my doctor after reading

More information

Symptoms and diagnosis of breast cancer

Symptoms and diagnosis of breast cancer Symptoms and diagnosis of breast cancer This information is an extract from the booklet Understanding breast cancer in women. You may find the full booklet helpful. We can send you a free copy see page

More information

Breast Health Center

Breast Health Center Breast Health Center Our Breast Health Center, part of Cleveland Clinic s Comprehensive Breast Cancer Program, is committed to providing compassionate care to every woman. We have state-of-the-art treatment

More information

Your follow-up care plan after treatment for breast cancer. A guide for women

Your follow-up care plan after treatment for breast cancer. A guide for women Your follow-up care plan after treatment for breast cancer A guide for women This booklet will be reviewed as new evidence emerges. While every effort has been made to ensure that it is accurate, we do

More information

APGO Clinical Skills Curriculum. The Breast Exam

APGO Clinical Skills Curriculum. The Breast Exam APGO Clinical Skills Curriculum The Breast Exam Association of Professors of Gynecology and Obstetrics (APGO) Undergraduate Medical Education Committee 2008 The Breast Exam Table of Contents Intended Learning

More information

NHS breast screening Helping you decide

NHS breast screening Helping you decide NHS breast screening Helping you decide What is breast cancer? 2 What is breast screening? 3 Breast screening results 6 Making a choice the possible benefits 9 and risks of breast screening What are the

More information

Breast cancer. Breast cancer: English

Breast cancer. Breast cancer: English Breast cancer: English Breast cancer This fact sheet is about how breast cancer is diagnosed and treated. Most people diagnosed with breast cancer are women. Men can get breast cancer too but it is rare.

More information

Now, there are multiple risk factors that may increase the risk for contralateral second primary breast cancers. Women diagnosed at a young age with a

Now, there are multiple risk factors that may increase the risk for contralateral second primary breast cancers. Women diagnosed at a young age with a Hello. My name is Suzanne Day. I am a nurse practitioner at The University of Texas MD Anderson Cancer Center. I m here today to talk about assessing risk and preventing second primary breast cancers.

More information

Guideline for the Imaging of Patients Presenting with Breast Symptoms incorporating the guideline for the use of MRI in breast cancer

Guideline for the Imaging of Patients Presenting with Breast Symptoms incorporating the guideline for the use of MRI in breast cancer Guideline for the Imaging of Patients Presenting with Breast Symptoms incorporating the guideline for the use of MRI in breast cancer Version History Version Date Summary of Change/Process 0.1 09.01.11

More information