SMG PPG Meeting 21st April 2018

Dr Andrew Holden BREAST CANCER CERVICAL CANCER

BREAST CANCER

BREAST CANCER https://www.nhs.uk/conditions/breast-cancer/ https://www.macmillan.org.uk/information-and-support/breast-cancer/what-is-breast-cancer.html#258895 https://patient.info/health/breast-cancer-leaflet

A FEW THOUGHTS…. What to look out for Screening process

A FEW THOUGHTS…. What to look out for

A FEW THOUGHTS…. What to look out for “Get to know your breasts so that you can spot changes”

A FEW THOUGHTS…. What to look out for “Remember most breast changes don’t turn out to be cancer”

BREAST CANCER What to look out for

BREAST CANCER What to look out for

BREAST CANCER What to look out for

BREAST CANCER What to look out for

BREAST CANCER What to look out for

BREAST CANCER What to look out for

BREAST CANCER What to look out for

BREAST CANCER What to look out for

What to look out for BREAST CANCER https://www.breastcancercare.org.uk/information-support/have-i-got-breast-cancer/signs-symptoms-breast-cancer

BREAST CANCER What to look out for What to do – see GP

BREAST CANCER Risk factors

BREAST CANCER Risk factors GENETICS –Family history

Risk factors BREAST CANCER GENETICS –Family history 1 in 20 people with breast cancer have genetic link

A FEW THOUGHTS…. What to look out for Screening process

A FEW THOUGHTS…. Screening process

A FEW THOUGHTS…. Screening process

A FEW THOUGHTS…. Screening process Women in the UK aged between 50 and 70 are invited to have a routine mammography every three years. This is gradually being extended to women aged 47-73.

A FEW THOUGHTS…. Screening process At your appointment, you will have a test called a mammogram (a breast x-ray) to look for cancer that may be too small to see or feel. The sooner breast cancer is diagnosed, the more effective treatment is likely to be.

A FEW THOUGHTS…. Screening process It prevents 1,300 deaths from breast cancer a year.

A FEW THOUGHTS…. Screening process It prevents 1,300 deaths from breast cancer a year.

A FEW THOUGHTS…. Screening process Having screening mammograms cannot prevent a breast cancer. It is also possible for a breast cancer to develop in between each three yearly mammogram.

A FEW THOUGHTS…. Screening process That’s why it’s important to continue to be breast aware and report any changes to your GP even if you’ve had a mammogram recently.

A FEW THOUGHTS…. Screening process ENGLAND AVERAGE 72.5% LOCAL CCG AVERAGE 73.6% SWAN MEDICAL GROUP 76.5%

Dr Andrew Holden BREAST CANCER CERVICAL CANCER

CERVICAL CANCER 14TH commonest cancer – falling year on year Most cases develop in women aged between 25 and 45. Some cases develop in older and younger women. It is rare in women aged under 25 years.

CERVICAL CANCER 14TH commonest cancer – falling year on year Most cases develop in women aged between 25 and 45. Some cases develop in older and younger women. It is rare in women aged under 25 years.

CERVICAL CANCER This is because cervical cancer can be prevented by regular cervical screening tests. In less developed parts of the world, cervical cancer is the second or third most common type of cancer in women.

CERVICAL CANCER -Symptoms? Bleeding between normal periods (intermenstrual bleeding). Bleeding after having sex (postcoital bleeding).

CERVICAL CANCER -Symptoms? Any vaginal bleeding in women past the menopause. A vaginal discharge that smells unpleasant. Discomfort or pain during sex

CERVICAL CANCER HPV and cervical cancer Two types, HPV 16 and 18, are involved in the development of most cases of cervical cancer (70%). (Note: some other strains of HPV cause common warts and verrucas. These strains of HPV are not associated with cervical cancer.)

CERVICAL CANCER HPV and cervical cancer The HPV vaccine has been introduced for girls from the age of 12 years in the UK. It is very effective at stopping cancer of the cervix from developing – 70% reduction

CERVICAL CANCER HPV and cervical cancer However, even if you have had the HPV vaccine, you must attend for cervical screening. This is because the vaccine does not guarantee complete protection against cervical cancer.

BREAST CANCER CERVICAL CANCER Any questions? Thank you for coming!

SMG PPG Meeting 21st April 2018