
Well as in the banner above, October is the official breast awareness month. In accordance, Selayang Hospital is holding a month long campaign with its official successful launch was on the 4th of October 2006. The campaign, led by our Breast & Endocrine Surgeon, Ms Azlina Firzah, was the first of its kind in Selayang Hospital.
According to the National Cancer Registry Report 2003, 31% of all cancer occuring among females were of breast cancer making it the leading cancer in women. In Selayang, women of above 30 have been reported to have breast cancer. Just today, a lady in her late 20′s were diagnosed to have breast cancer. There is no race predilection as breast cancer is the leading cancer in women of all races. If not mistaken the risk of a women getting breast cancer at present is 1 in 18. It could be higher than that as many cases are not reported.
Who is in charge? Women! Self breast examination is the single most important screening tool to pick up any lumps early. Sadly, many still feel reluctant to examine themselves and those who do and do find a lump, becomes worried and fearful of seeing a doctor. Some resign from examining themselves because they are worried they may find a lump. Breast cancer like most other cancers if diagnosed early has a better outcome. But yet, fear appears to be a dominant deterrent.
Once a lump is detected, triple assessment is performed to confirm and secure the diagnosis.
This consist of Clinical Assessment(history and breast examination), Radiological Assessment in the form of ultrasound or mammogram maybe both, and lastly a pathological assessment (Fine Needle Aspiration Cytology or Core Needle Biopsy).
Upon confirmation of the diagnosis, clinical staging is performed into Stage 1,2,3 or 4. In Stages 1,2 and some stage 3, the primary treatment is surgery. If possible, breast conservation surgery(BCS) maybe an option but post-operative radiotheraphy is a must. In all whether BCS or mastectomy, an axillary dissection is also performed. This is because axillary nodal status is the single most important prognostic factor in breast cancer.
After surgery, systemic treatment is usually required as even in early breast cancer, some cancer cells could have already travelled away from the primary source and these are called micrometastases. These may not show up until much later when they are reactivated and present themselves as secondary deposits in the lung, bone or liver. Thus, breast cancer is looked upon as a systemic disease and can be very challenging. Active after treatment monitoring and follow-up is therefore of importance.
Sites to check out:
http://www.radiologymalaysia.org/breasthealth
http://www.radiologymalaysia.org/breasthealth/BCWA/aboutbcwa.htm
http://www.radiologymalaysia.org/breasthealth/MBCC/index.htm
http://www.cancer.org.my/can_det_centre.htm