Wendy Noe, education coordinator for the Central Indiana Affiliate of Susan G. Komen for the Cure® presents an overview of breast cancer information, facts and advances in treatment.
6. WHO RECEIVED CENTRAL INDIANA GRANTS? For more information: www.komenindy.org Boone County Community Clinic Cancer Services of East Central Indiana Casting for Recovery Cancer Services of Grant County Columbus Regional Hospital Community Hospital-Anderson Decatur County Memorial Hospital Gennesaret Free Clinic Hancock Regional Hospital Indiana Department of Correction Indiana Women In Need Interlocal Community Action Program Little Red Door Cancer Agency Pink Ribbon Connection Raphael Health Center Rush Memorial Hospital Shalom Health Care Center St. Vincent Hospital Wishard Health Services Young Survival Coalition of Central Indiana YWCA of Greater Lafayette: Women’s Cancer Program
14. NEW BREAST CANCER CASES BY AGE PERCENTAGE OF CASES AGES OF SURVIVORS 100___________________________________________________ 90__________________________________________________ 80__________________________________________________ 70__________________________________________________ 60__________________________________________________ 50__________________________________________________ 40__________________________________________________ 30__________________________________________________ 20__________________________________________________ 10__________________________________________________ 0__________________________________________________ Under 40: 5% Under 50: 23% Over 50: 77%
This slide shows incidence and mortality of breast cancer compared to other types of cancer. More American women are diagnosed with breast cancer than any other type of cancer (aside from skin cancer), and breast cancer is second only to lung cancer in cancer deaths. Incidence rates fell in 2002 – 2003 (6.7%) and held for 2004 – the lowest rate since 1987. The largest decline was in women 50-67 years in ER+ breast cancer (14.7% compared to 1.7 % in ER - breast cancer). This risk is for the population as a whole – the individual risk fell 1.7 %. The cause for this decline has been linked with the decreased use of HRT – by the end of 2002, 20 million fewer prescriptions for HRT had been written for women in the U.S. – a decrease of 38%. The WHI study published in 2002 showed that the risk for BC outweighed the benefit of post-menopausal HRT. The mortality rate continued to decline, a trend for the last several years. Breast cancer does not know geographic boundaries – it is the leading cause of cancer among women in the world and the leading cause of cancer death among women in the world. Worldwide, one person is diagnosed with breast cancer every 30 seconds and one person dies of breast cancer every 90 seconds.
We’ll talk more about risk factors later, but here I would like to mention that the two most significant risk factors are being female and getting older. All women are at risk for breast cancer and as you can see on the graph, the majority of breast cancer cases occur in women over 50. Although rare, younger women can also get breast cancer. The lifetime risk of breast cancer calculated to the age of 85 years is 13 percent or one in eight. All women are at risk. SEER – Results from the Surveillance, Epidemiology, and End Results (SEER) program – collects cancer-related data on a large portion of the US.
This slide shows a drawing of the breast. Breasts are made up mainly of fat and breast tissue. Breast tissue is a network of lobules with cells that produce milk during breastfeeding, lobes, where the milk is stored and ducts that carry milk from the lobules to the nipple openings when a woman is breastfeeding. Most breast cancer starts in the ducts. SHOW ribs, pectoralis muscle, fat on diagram Many breast changes occur over a woman’s lifetime – at puberty, monthly during childbearing years and at menopause - that are normal.
There are different types of breast cancer as shown on the previous slide. In addition, every woman is unique. For these reasons, there are different ways of treating breast cancer. They may include surgery, radiation therapy, chemotherapy, hormonal therapy, targeted biologic therapy – and most likely a combination of two or more. Again, the most important message is that the earlier it is found, the more options and the more effective treatment is likely to be.