BREAST CANCER PREVENTION - PowerPoint by malj

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									BREAST CANCER
PREVENTION

    What You Can Do Now to
    Prevent Breast Cancer in
          Your Future
Breast Cancer Prevention

 Pastora Beerman, MSN, APRN-BC
 Advanced Oncology Certified Nurse
 Practitioner, Acute Care Nurse
 Practitioner
 Alpharetta Wellness Clinic
 Alpharetta, Georgia
Learning Objectives

 Increase awareness re: known and
 potential risk factors of breast cancer
 Understand appropriate dietary and
 lifestyle changes that may promote
 healthy breast cells
 Increase knowledge of available
 diagnostic screening methods that
 may promote earlier detection
Disclaimer

The information contained in this
presentation is intended for the
viewer’s education and awareness.
The following discussion of risk factors
and recommendations does not imply a
cause and effect relationship, nor is
any of the information contained herein
intended to replace the advice of your
practitioner.
Scope of the Problem
 One out of eight women will develop breast
 cancer at some point in her life
 It is estimated that breast cancer will claim
 the lives of 39,840 U.S. women in 2010,
 despite the availability of mammographic
 screening and information regarding breast
 self-exam (BSE)
 What steps can you take to prevent it from
 happening to you?
 Let us begin by identifying some risk
 factors
Risk Factors for Breast Cancer
 Gender: female: male (100:1). Though it is
 rare in men, they are not immune.
 Genetic: although most women with breast
 cancer do not have a family history, having
 2+ first-degree relatives with breast cancer
 does raise the risk. BRCA 1/BRCA 2 gene.
 Age: incidence increases with age
 Prior history of breast cancer or precancer
 DCIS, LCIS, atypical hyperplasia
 High socioeconomic status
Reproductive Risk Factors

 First pregnancy > 30 years old
 Early menarche <12 years old
 Late menopause >55 years old
 No full-term pregnancies
 Never breast-fed a child
Risk Factors for Breast Cancer
 Environmental exposure to
 carcinogens: radiation, pesticides,
 cigarette smoke and possibly,
 plastics, electromagnetic frequency
 Hormonal: endogenous estrogens
 and progesterone, use of birth control
 pills, synthetic hormone replacement
 therapy
 Drugs: overuse of antibiotics
Risk Factors for Breast Cancer
 Dietary: hormone additives in dairy &
 meat
 High animal fat diet
 Low intake of fresh fruits, vegetables
 & fiber
 Alcohol consumption greater than one
 serving per day
 High sugar diet promotes tumor
 growth
Risk Factors for Breast Cancer
 Insulin resistance leads to overweight &
 obesity:
 1. aromatization of fat into estrogen, in post
 menopausal women
 2. increases estrogen production by other
 organs (adrenals)
 3. promotes inflammation which in turn
 promotes tumors
 Emotional: stress increases cortisol
 secretion by adrenal gland, impedes
 immune function, promotes tumor growth
What You Can Do Now to Prevent
Breast Cancer
 Diet: Increase intake of a variety of
 vegetables, especially the cruciferous
 type, like broccoli, cauliflower,
 cabbage and Brussels sprouts
 Brightly colored fruits are often rich in
 cancer preventing nutrients
 Limit fats, meats, and dairy
 Choose organic sources as much as
 possible
Eat a Variety of Fresh Vegetables
Eat a Variety of Colorful Fruits
What You Can Do Now to Prevent
Breast Cancer
 Reduce alcohol: less than 1 / day
 Avoid overuse of antibiotics
 Probiotics 10-20 mil org bid w/o food
 Supplement with flaxseed oil, omega
 3 fatty acids, antioxidants (C, E, and
 selenium), vitamin D3, Co Q10 and
 iodine, I3C or DIM
 Increase fiber intake
What You Can Do Now to Prevent
Breast Cancer
 Avoid use of birth control pills,
 synthetic hormone replacement
 therapy
 Avoid exposure to radiation,
 pesticides, cigarette smoke
 Avoid using plastic containers for
 drinking and food preparation
 Replace antiperspirant w/ natural
 deodorant
What You Can Do Now to Prevent
Breast Cancer
 Maintain ideal body weight
 Daily aerobic exercise
 Reduce hours in constrictive bra
 Manage and decrease stress effects
 in your life
 Get adequate rest and sleep
 Get help to deal with emotional issues
What You Can Do Now to Prevent
Breast Cancer
 Self Breast Exam every month after
 menstrual cycle
 If you find a suspicious lump, or any
 unusual change, do not ignore or
 deny it! See your health practitioner
 Clinical Breast Exam every year by a
 trained practitioner
Breast Self Exam
Diagnostic Imaging

 Mammography: fails to detect 20% of
 breast cancers
 Ultrasound: helps to differentiate solid
 from fluid filled masses
 MRI: more sensitive in detecting
 cancer than mammograms
 BSGI: breast specific gamma imaging
 PEM: positron emission mammogram
What You Can Do Now to Prevent
Breast Cancer
 Thermography is a painless, safe
 screening tool for breast health
 Thermography can detect changes in
 breast years before mammogram
 Recommended frequency: yearly, but may
 be repeated as needed
 Mammograms may miss 20% of breast
 cancers, including TNBC, a very invasive,
 aggressive type w/ limited tx options
 Young and AA at higher risk for TNBC
Thermography
 It takes 8-10 years for a dime-sized tumor
 to grow
 Digital Infrared Imaging (DII) can be the
 first signal that such a possibility is
 developing
 DII does not require radiation,
 compression, contact, or intravenous
 injection
 Detects increased blood vessel circulation
 and metabolic changes associated with a
 tumor’s neoangiogenesis and growth
Thermography
Thermography




The image to the left shows a significant amount of
heat and vascularity (angiogenesis) in the right breast,
especially over the lump in the upper outer quadrant.
A biopsy confirmed that the lump was cancer.
What You Can Do Now to Know
Your Risk of Breast Cancer
 Breast cancer risk assessment by
 simple urine test. Detects ratio of
 beneficial to harmful estrogen
 Serum tumor markers CA 27-29 and
 CA 15-3 for suspected or monitoring
 of existing breast cancer
 Ductal lavage
 Genetic testing for BRCA 1 and
 BRCA 2 in high risk patients
Breast CA Research Project
 Recent changes in screening
 recommendations include a decrease
 in frequency of mammography and
 BSE
 It is proposed that these new
 recommendations may put certain
 populations at higher risk of breast
 cancer: young & AA, inflammatory
 (basal), TNBC
Breast CA Research Project
 Purpose is to design and evaluate a program of
 public education for the prevention and early
 detection of breast cancer to include:
 Dietary and lifestyle changes that promote healthy
 breast cells
 Monthly BSE and yearly clinical breast exam
 Baseline and annual digital infrared imaging (DII)
 ID specific populations at risk for TNBC, and other
 invasive and aggressive types, which may not be
 detected by mammography or ultrasound, but are
 detected by DII
Significance of Research Project

 Promote the use of DII, a highly sensitive
 and underutilized screening method for the
 early detection of breast cancer
 Assist Doctors & Nurse Practitioners to
 improve client outcomes (survival)
 regarding breast cancer, especially
 invasive, aggressive forms
 Clients will be empowered with knowledge
 to take responsibility for their breast health
Help Us Win the Race
 Schedule your breast thermography
 by calling 770-777-0129
 If you would like to contribute toward
 this research project send your tax
 deductible donation (designate for
 Breast CA Research Project) to:
 Alpharetta Wellness Clinic
 18 Cumming Street
  Alpharetta, GA 30009
Help Us Win the Race

 Thank you!
Contact Information
 Alpharetta Wellness Clinic
 18 Cumming St, Alpharetta, GA
 30009
 Hours: Mon-Fri 8AM-12PM
 and 1PM-5PM
 Phone: (770) 777-0129
 Email: alpharettawellness@clear.net
 Web: alpharettawellness.com
Dedication

 To my mother, who fought cancer for
 20 years
 To Fawn and all the women and men
 with breast cancer who have taught
 me the value of faith and courage in
 the midst of life’s trials
Credits
References
 Anderson GL, et al. Prior hormone therapy and breast cancer risk in
 the Women’s Health Initiative randomized trial of estrogen plus
 progestin. Maturitas. 2006 sep 20;55(2):103-15.
 Bradlow HL, et al. 2-hydroxyestrone: the ‘good’ estrogen. J
 Endocrinol. 1996 Sep;150 Suppl:S259-65.
 Dalessandri KM, et al. Pilot study: effect of 3,3’-diindolylmethane
 supplements on urinary hormone metabolites in postmenopausal
 women with a history of early-stage breast cancer. Nutr Cancer.
 2004;50(2):161-7.
 Love SM, Lindsey K. Dr. Susan Love’s Breast Book.Cambridge:Da
 Capo. 146.
 Johnson B, Barnes K. The Secret of Health Breast Wisdom.
 Garden City: Morgan James. 47-59.
 Breast cancer. (2010). Retrieved June 26, 2010, from National
 Cancer Institute: http://www.cancer.gov/cancertopics/types/breast
 Screening for breast cancer. (2009). Retrieved June 26, 2010, from
 U.S. Department of Health and Human Services:
 http://www.ahrq.gov/clinic/uspstf/uspsbrca.htm
References
 http://www.breastthermography.com/infrared_imag
 ing_review.htm
 http://videos.howstuffworks.com/discovery-
 health/14450-human-atlas-breast-self-exam-
 video.htm
 http://www.cancer.org/docroot/CRI/content/CRI_2
 _6x_How_to_perform_a_breast_self_exam_5.asp
 http://www.newmedicine.ca/breast.php
 http://news.yahoo.com/s/hsn/20081204/hl_hsn/lat
 estbreastimagingtechniquesoffernewviews/print
 http://dimfaq.com/BreastResearchUpdate060508.
 pdf
References
 http://www.mayoclinic.com/health/breast-cancer-
 prevention/WO00091
 http://www.webmd.com/breast-cancer/tc/breast-cancer-
 screening-patient-information-nci-pdq-breast-cancer-
 screening
 http://www.cancer.gov/cancertopics/factsheet/risk/brca
 http://www.purehealthmd.com/conditions/prevention/environ
 mental/hazards-of-plastic.pdf
 http://www3.interscience.wiley.com/cgi-
 bin/fulltext/121405195/PDFSTART
 http://www.ultrawellness.com/blog/reducing-breast-cancer-
 risk?utm_campaign=2301-
 12312009&utm_medium=email&utm_source=newsletter&ut
 m_content=default
Picture Credits
 http://www.ilovedogs.com/media/vegetables.jpg
 http://www.breastthermography.com/breast_thermography_
 mf.htm
 http://www.cancer.org/docroot/CRI/content/CRI_2_6x_How_t
 o_perform_a_breast_self_exam_5.asp
 http://search.live.com/images/results.aspx?q=Fruits&go=&for
 m=QBIR#
 http://search.live.com/images/results.aspx?q=Pomegranate&
 FORM=QSIR4#
 http://search.live.com/images/results.aspx?q=Watermelon+fil
 terui%3aimagesize-
 large&FORM=I5IR#focal=bd910c75c8f04a0e57510ba0434e
 1f5c&furl=http%3A%2F%2Fstatic.flickr.com%2F3%2F55633
 90_2d68886926.jpg

								
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