Ana de Luca
BREAST AND UTERINE CANCER SCREENING It should not be oriented towards the recognition of injuries.
It is not useful for early detection.
It may bringfalse security that if you're not palpating, you don't
BREAST CANCER
need to have a mammogram.
It is the most common type of cancer among women in the world
and in Brazil, after non-melanoma skin cancer.
Men (1% of the total cases of the disease).
Leading cause of death from female cancer in Brazil.
It was 56.09/100,000 women in 2015.
3 pillars of early diagnosis:
1. Woman informed.
2. Health professionals trained to evaluate suspected cases. Recommended for the woman to havethe best of her own body.
3. Ensuring timely diagnostic confirmation, with
comprehensivecare throughout the care line. Ultrasound and magnetic resonance imaging: the MS
recommends against screening for breast canceror
Mastalgia - Benign Breast Diseases Epidemiology breastresonance, either alone or in conjunction with breast
angiography.
- Strong contrary recommendation: possible damages are likely
to outweigh the possible benefits.
Screening mammography is recommended for: women aged
between 50 and 69 years (every two years) → in countries with
organized screening.
- Mammography to assess a suspected breast alteration
(diagnostic mammography) can be performed at any age.
Brazil has no organizedrast reamento.
Tracking - who?
What are the risks of mammography outside the
how? who? when? recommended age when the woman has no symptom?
Self breast exam? ultrasound? Mri? Mammography?
Women under 50: the exam is limited to identify the changes,
generating many incorrect results, false alarm and needs for
Mammography is the standard method for early detection of
more examinations. It generates health costs. Normal to have
breast cancer!
change at this age because of the density of the parenchyma.
There are limits! It should be carried out with adequate quality
control. It is less sensitive (misses more) in women before
Women aged 70 years or older: in this age group there isa
menopause (denser).
higher risk of revealing a type of breast cancer that would not
cause women to be treatedunnecessarily.
Resonance and ultrasound are complementary. Who does the
tracking is the mamogrsharpens.
And when a woman has a high risk of breast cancer?
Self-examination of breasts
High risk (genetic alteration): women with a history of several
cases of breastcancer (including male breast cancer) or ovary in
It has not proved to be beneficial for the early detection of tumors
blood cells, especiallyat a young age → it is recommended that
and for bringing false safety, doubt and excess invasive
they talk to the doctor for risk assessment and the conduct to be
examinations.
followed.
BREAST AND UTERINE CANCER SCREENING It should not be oriented towards the recognition of injuries.
It is not useful for early detection.
It may bringfalse security that if you're not palpating, you don't
BREAST CANCER
need to have a mammogram.
It is the most common type of cancer among women in the world
and in Brazil, after non-melanoma skin cancer.
Men (1% of the total cases of the disease).
Leading cause of death from female cancer in Brazil.
It was 56.09/100,000 women in 2015.
3 pillars of early diagnosis:
1. Woman informed.
2. Health professionals trained to evaluate suspected cases. Recommended for the woman to havethe best of her own body.
3. Ensuring timely diagnostic confirmation, with
comprehensivecare throughout the care line. Ultrasound and magnetic resonance imaging: the MS
recommends against screening for breast canceror
Mastalgia - Benign Breast Diseases Epidemiology breastresonance, either alone or in conjunction with breast
angiography.
- Strong contrary recommendation: possible damages are likely
to outweigh the possible benefits.
Screening mammography is recommended for: women aged
between 50 and 69 years (every two years) → in countries with
organized screening.
- Mammography to assess a suspected breast alteration
(diagnostic mammography) can be performed at any age.
Brazil has no organizedrast reamento.
Tracking - who?
What are the risks of mammography outside the
how? who? when? recommended age when the woman has no symptom?
Self breast exam? ultrasound? Mri? Mammography?
Women under 50: the exam is limited to identify the changes,
generating many incorrect results, false alarm and needs for
Mammography is the standard method for early detection of
more examinations. It generates health costs. Normal to have
breast cancer!
change at this age because of the density of the parenchyma.
There are limits! It should be carried out with adequate quality
control. It is less sensitive (misses more) in women before
Women aged 70 years or older: in this age group there isa
menopause (denser).
higher risk of revealing a type of breast cancer that would not
cause women to be treatedunnecessarily.
Resonance and ultrasound are complementary. Who does the
tracking is the mamogrsharpens.
And when a woman has a high risk of breast cancer?
Self-examination of breasts
High risk (genetic alteration): women with a history of several
cases of breastcancer (including male breast cancer) or ovary in
It has not proved to be beneficial for the early detection of tumors
blood cells, especiallyat a young age → it is recommended that
and for bringing false safety, doubt and excess invasive
they talk to the doctor for risk assessment and the conduct to be
examinations.
followed.
