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How to reach to
remote areas?
Pepsi coke ads
gone in villages
Mobiles phones
even used well
in villages
Myths
BC next most common to
Cervical cancer
Mostly genetic
All patients invariably die of
the disease
Happens only in women
Facts
BC- now most common in urban women
5-10% only hereditary
Early stage- 90-100% cure rate
Locally advanced stage-50-70% cure rate
Happens in men too but less frequent
2 types of people
Ignorant and then present
late
Who know well but still
present late
What is Cancer?
Disease that
causes cells to
changemutation and
grow out of
control
Problems
No organized breast cancer
screening program in India
Late stage of disease
presentation
Increased cost of treatment
Alternate pathies
Heterogeneous treatment
facilities
Low survival rates
More treatment related
complications
Risk factors
Nonmodifiable
Hereditary-510%
Benign breast
disease-certain
type
Early menarche
Late menopause
Modifiable
Nulliparity
Breast feeding
Obesity
Alcohol
RML
O
Treatment
Deleterious BRCA
mutation in the family
cancer
TNBC
Pancreatic with breast
or ovarian cancer in
the family
BSE Benefits
Easy to do
No cost
No equipments
No trained personnel needed
The diagnostic power of BSE is 8090% and can result in 50% reduction
in mortality(Shiraly et al., 2010)
Opportunistic screening
Mammogram who can afford it
Talk about it
Write about it
Role plays, patient support groups
Awareness walks
Bill boards , Advertise everywhere
School/college programs
Collaborate with social workers,
Anganwadi workers
Thank you