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A CROSS-SECTIONAL VIEW OF BREAST CANCER IN GHANA, DATA FROM MAMMOCARE GHANA – OCTOBER 2001.
COMPILED BY F. N. GHARTEY JNR.

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BREAST CANCER AWARENESS AND SCREENING
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UNDERSTANDING CANCER OF THE BREAST – KEY POINTS

A. What causes cancer of the breast?

The causes of cancer of the breast are not yet fully understood, but certain women seem to be at a higher risk:

  • If several close members of their family have had cancer of the breast
  • If close members of their family have had cancers of the ovary and colon, as well as cancer of the breast.
  • If a close relative had cancer of the breast when under the age of 40
  • If they have no children, or had children late in life.
  • If their periods started very early, or their menopause occurred late.

B. What are the symptoms of cancer of the breast?

In most cases, cancer of the breast is first noticed as a limp in the breast. Other signs to be aware of are:

  • Breast - lump, change of size or shape, dimpling and thickening of skin
  • Nipple - becomes inverted (turns in), Bloodstained discharge (very rare)
  • Rash on nipple or surrounding area (very rare)
  • Arm - a swelling in armpit

C. How is cancer of the breast diagnosed?

Various tests are used, including:

  • Ultrasound
  • Needle aspiration
  • Needle biopsy
  • Excision biopsy
  • Mammography

Breast Cancer Patients

Breast Cancer Patients

Breast Cancer Patients

Breast Cancer Patients

What are the stages of cancer of the breast?

  • Ductal carcinoma in situation - an early form which is precancerous and which may develop into cancer if left untreated.
  • Stage one tumors - these measure under 2cm, the lymph nodes in the armpit are not affected and there are no signs that the cancer has spread.
  • Stage two tumors - these measure between 2 and 5cm, or the lymph nodes are affected, or both. However, there are no signs that the cancer has spread.
  • Stage three tumors - these are larger than 5cm, the lymph nodes are usually affected but there are no signs that the cancer has spread.
  • Stage four tumors - these are of any size, the lymph nodes are usually affected and the cancer has spread to other parts of the body.

What types of treatment are used?

Surgery, radiotherapy, hormone therapy and chemotherapy can be used, alone or in combination, to treat cancer of the breast.

How will I feel during and after treatment?

You may feel anxious, afraid or angry because of the cancer, the treatment and its effects.

The worst fear is often fear of the unknown. It may help you to find out as much as you can about the cancer, its treatment, and living with it.

The following are general guidelines suggested by the University of Pittsburgh Cancer Institute.

  • Beginning at age 18 Perform monthly breast self-exam (BSE)
  • Age 20-35 Monthly BSE + Have a health care professional check your breast every year.
  • Age 35-40 Monthly BSE + Breast exam by your health care provider yearly+ Have your first mammogram
  • Age 40-50 Monthly BSE + Breast exam by your health care provider yearly + Have a mammogram every year
  • Age 50+ Monthly BSE + Breast exam by your health care provided + Have a yearly mammogram

MAMMOCARE MAKES YOU BREAST CANCER AWARE, NOT BREAST CANCER SCARED

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