community medicine

1. PREVENTION &
CONTROL
BREAST CANCER
O
F
By:-
Monali Priyadarshini
Roll No.22/6TH
SEMESTER

2. PREVENTION AT FOUR LEVELS :-
1. Primordial Prevention
2. Primary Prevention
3. Secondary Prevention
4. Tertiary Prevention
Pink Ribbon
International
Symbol Of
Breast
Cancer
Awareness

3. PRIMORDIAL PREVENTION
NOT LET THE RISK FACTORS
DEVELOP!!!
INDIVIDUAL & MASS
EDUCATION AMONG CHILDREN
DISCOURAGE THEM FROM ADOPTING
HARMFUL LIFESTYLES!!!
e.g. Reduction in childhood obesity can
Increase the average age of menarche

4. PRIMARY PREVENTION
AIM IS TO REDUCE INCIDENCE OF
DISEASE
HEALTH PROMOTION SPECIFIC PROTECTION
Health
Education
Lifestyle &
Behavioral
Changes

5. LIFESTYLE &
BEHAVORIAL CHANGES
Increase in Physical
Activity
Decreased FAT Intake
NO Alcohol
NO Cigarette Smoking
Regular Exercise
Keep Check On Weight
HEALTH EDUCATION
Aware people about the
disease entity & to prevent
the modifiable risk factors
by:--
Early Parity
Avoid Early Menarche &
Late Menopause
Avoid long term use of
OCPs before age 25yrs/1st
pregnancy
Increase Duration of
Breastfeeding
Avoid HRT post
menopause
High Risk Groups:-Chemo
prevention by RALOXIFENESPECIFIC PROTECTION(Esp for High Risk Pts.)
Fundamental Public Health Programs must be carried out for
protection against OCCUPATIONAL HAZARDS i.e. for a woman
working in a RADIATION THERAPY CENTRE-She should be made
AWARE for Periodic Medical Checkups,Regular Working Hours &
Include Proper Use of Lead Shield & Lead Rubber Aprons For
Protection Against Radiation

6. SECONDARY PREVENTION
EARLY DIAGNOSIS:-
(SCREENING)
B.S.E. By Patient
Palpation By Physician
Thermography-NO
radiation
Mammography-Most
Sensitive & Specific
Ultrasound Imaging
Doppler Ultrasound
MRI-Tumor
Size,Staging
FNAC-Should be done
after Mammography/
Ultrasound
TREATMENT:-
Lumpectomy
Radical Mastectomy
Postoperative
Radiotherapy and
Chemotherapy
Hormone Therapy