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©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of...

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©2012 Philip Hoekstra, PhD
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Page 1: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.

©2012 Philip Hoekstra, PhD

Page 2: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.

Ductal Carcinoma: 80% of breast cancers

Lobular Carcinoma:10-16% of breast cancers

Page 3: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.

Ductal and lobular tissues have a rapid turn-over and are highly vulnerable to the effects of mutations. The sources of carcinogenic mutations are multi-factorial.

A.Environmental Mutations.1. Radiation2. Chemicals

B. Inherited genetic defects in anti-cancer mechanisms.

A. BRAC-1/2

C. Nutritional deficiencies that makes cells vulnerable to mutations.

©2012 Philip Hoekstra, PhD

Page 4: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.
Page 5: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.

A woman’s chance of being diagnosed with breast cancer is:

from age 30 through age 39 1 in 233

from age 40 through age 49 1 in 69 (the most common cause of death for women aged 35-50)

from age 50 through age 59 1 in 38 from age 60 through age 69 1 in 27 Lifetime risk 1 in 8

– NIH SEER Statistical Review 1975-2003.

Page 6: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.

Age of Women Average tumor doubling time

Under age 50 years 80 days

Age 50-70 years 157 days

Over age 70 years 188 days

Source: Cancer 1993,71:3547-3551

Page 7: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.

______

Page 8: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.

96% chance of being alive 5 years after a diagnosis of early breast cancer.

Less than 40% if that diagnosis is made at later stages.

Source: breast cancer meta-analysis, Lancet 1991

Page 9: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.

Imaging Fine Needle Biopsy

©2012 Philip Hoekstra, PhD

Page 10: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.

Physical Examination◦ Self◦ Clinical

Mammography◦ Film◦ Digital

Thermal Imaging◦ Thermography◦ Thermology

Ultrasound Magnetic Resonance Imaging (MRI)

◦ Static◦ Dynamic or 4 Dimensional

©2012 Philip Hoekstra, PhD

Page 11: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.

Earlier Detection

No vessels

Angiogenesis begins

<2 mm 5-10 mm 2 cm > 4 cm

Thermology Mammography Clinical Exam Self-Exam

©2012 Philip Hoekstra, PhD

Page 12: ©2012 Philip Hoekstra, PhD. Ductal Carcinoma: 80% of breast cancers Lobular Carcinoma: 10-16% of breast cancers.

Quantitative and objective with high sensitivity and specificity but poor localization.

©2012 Philip Hoekstra, PhD


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