Breast Cancer

EARLY DETECTION AND PROCEDURE

PADE HOTEL
BANDA ACEH, 2 OKTOBER 2018
Breast Cancer epidemiology
Estimated New Cases Estimated Deaths

GLOBOCAN 2002: Indonesia: 26/100.000 of breast cancer casesInformasi

Rumah Sakit Indonesia 2007: breast cancer is the the top case among
malignancy. in patient (16,85%) dan out patient (21,69%).

Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61:69-90. The
burden of cancer in Asia. Pfizer facts. December 2008.
Breast Cancer Insident WHO 2015
70% of breast cancer deaths occur
in the developing world

where 66% are diagnosed late

rising poor <10% get breast

&
incidence survival health checks
 Breast Cancer Early Detection Gap
Low & Middle Income Countries (LMICs) High Income Countries (HICs)

Dense
Breast
7 out of 10 breast cancer deaths High Risk
occur in the developing world

Increasing Incidence Poor Survival Rural or

Underserved
Population

60%+ are diagnosed late

Niche Areas
 Faktor Resiko :

 Peningkatan Berat Badan yang bermakna saat

menopause
 Peningkatan tinggi badan
 Diet ala western style
 Minuman beralkohol
 Menarche pd usia muda (< 12 tahun )
 Usia tua saat melahirkan anak pertama
 Nullipara
 Usia lebih tua saat menopause
 Pemakaian kontrasepsi oral dalam waktu lama
 Infertilitas
 Tidak menyusu
 Faktor genetik
Stage of breast
cancer
This is where all footnotes
 Screening vs Early Detection
Screening Early Detection
• Test or examination to find cancer • Examination by any modalities to
on people with risk factor who get early diagnosis on people with
doesn’t show any cancer symptom breast changing.
yet.
 Screening Modalities
1. Easily Accessible Modalities
 Breast Self Examination
 Clinical Breast Examination

2. Lesser Accessible Modalities

 Mammography
 Ultrasound
 Magnetic Resonance Imaging
(MRI)
 Breast Biopsy
 Technique and procedure

Self breast exam

https://youtu.be/clOEgvgUxfk

Clinical breast exam

https://youtu.be/iSRP9a5SDXA
“Early detection of breast cancer
improves survival and reduces
associated medical costs”
 What need to do

Based on your competency….

R e f f e r a l