1. Breast Health/Breast Cancer Awareness Program Workplace Session Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved.

2. PROPRIETARY NOTICES FOR KOMEN INTELLECTUAL PROPERTY: © 2008 Susan G. Komen for the Cure. All rights reserved. Unauthorized reproduction is prohibited by law. No part of this publication may be disclosed, distributed, reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the express written permission of Susan G. Komen for the Cure. Susan G. Komen for the Cure does not endorse, recommend or make any warranties or representations as to the accuracy, completeness, timeliness, quality or non-infringement of any of the materials, products or information contained herein. All items are provided "as is" with no warranties or representations of any kind, all of which are hereby disclaimed by Susan G. Komen for the Cure. Any resources provided herein are only suggested and are not a complete listing of breast health and breast cancer materials or information. The information contained herein is not meant to be used for self-diagnosis or to replace the services of a medical professional.

3. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. AGENDA Why Discuss Breast Cancer? Breast Cancer Statistics What is Breast Cancer? Risk Factors Early Detection Screening Mammogram Clinical Breast Exam Breast Self-Exam Diagnosis Treatment Clinical Trials Support To Review/Q&A Resources

4. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. BREAST CANCER IS A PROBLEM IN THE WORLD AND IN OUR COMMUNITY Worldwide, breast cancer is the leading cause of cancer-related deaths for women aged 15 to 64 Worldwide, one person is diagnosed with breast cancer every 30 seconds Worldwide, one person dies of breast cancer every 90 seconds

5. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. BREAST CANCER IN WESTERN ASIA Western Asia25,16310,73843% UAE1797744% World1,151,198410,71235% More developed636,128189,76527% Mortality/ # New Cases Deaths Incidence

6. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. BREAST CANCER IN THE UAE (2002-2005) Breast Cancer in UAE women Nationals, 63 % occurrence in ages 35 - 54 Non-nationalities, 71 % occurrence in ages of 35 - 54 Breast Cancer in UAE men Nationals, 1 out of 184 occurrence in men Non-nationalities, 5 out of 598 occurrence in men Breast Cancer is the most common cancer found in women among both nationals and non-nationalities:

7. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. WHAT IS BREAST CANCER? Breast cancer is a disease where cells in the breast tissue divide and grow without the normal control

8. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. WHAT CAUSES BREAST CANCER? We really don’t know.

9. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. RISK FACTORS AND RISK REDUCTION The two most common risk factors are getting older and being female There are known risk factors that you can control and others you cannot change Those that cannot be controlled include having a genetic mutation, radiation exposure to the breasts at a young age, a strong family history, dense breasts on mammograms, and others Lifestyle factors that may decrease risk include maintaining a healthy weight, being physically active, avoiding the use of postmenopausal hormones and breastfeeding if you can

10. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. WE DO KNOW THAT MORE LIVES CAN BE SAVED IF IT IS FOUND EARLY When diagnosed early, the better the treatment options and the better the chance of survival When breast cancer is confined to the breast in the U.S., the 5-year survival rate is 98 percent There are 2.4 million breast cancer survivors in the U.S. today

11. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. BARRIERS TO EARLY DETECTION I don’t have time to take care of health, but it just takes a few minutes I don’t have any symptoms of a problem, but early stage breast cancer has no symptoms If I had breast cancer, I don’t want to know, but women who find breast cancer early have the greatest chances of a full recovery There is no breast cancer in my family, but most breast cancers are found in women with no family history I am too old to develop breast cancer, but risk actually increases as a woman gets older

12. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. MAMMOGRAPHY Best screening tool widely available for finding breast cancer early Annual screening mammography for women starting at age 40. If a woman is under 40 and has a family history of breast cancer or other concerns about breasts, she should talk to her health care provider about her risk, when to start getting mammograms and how often to have them

13. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. BARRIERS TO GETTING ANNUAL MAMMOGRAM My doctor hasn’t recommended getting a mammogram, but it still should be done annually I am afraid of radiation, but it’s a very small dose and not harmful Having a mammogram may be uncomfortable, but it just takes a few minutes I think breast exam is a substitute for mammogram, but it’s not

14. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. PREPARING FOR A MAMMOGRAM Schedule several days after your menstrual period ends Wear no perfume, powder or deodorant Bring previous mammograms if they were performed at another mammography facility

15. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. CLINICAL BREAST EXAMINATION (CBE) Doctor or nurse will look and feel breasts and under arms for changes Sometimes breast cancer will not show up on a mammogram but can be felt Have breast exams at least every 3 years between age 20 and 39 Have breast exams every year at age 40 and over

16. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. BREAST SELF-EXAMINATION (BSE) Looking Feeling

17. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. WHAT TO LOOK FOR WHEN PERFORMING BREAST SELF-EXAM Lump, hard knot or thickening Swelling, warmth, redness or darkening Change in the size or shape of nipple or breast Dimpling or puckering of the skin Itchy, scaly sore or rash on the nipple Pulling in of your nipple or other parts Nipple discharge that starts suddenly New pain in one spot that does not go away Pain or tenderness not associated with menstrual cycle

18. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. IF SOMETHING IS FOUND… Most signs and symptoms are harmless BUT they still need to be checked Don’t ignore them The doctor needs to determine if a problem exists

19. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. DIAGNOSIS AND STAGING

20. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. DIAGNOSIS Not all breast cancer is the same – there are several different types. Today a biopsy is needed to make a diagnosis of breast cancer. There are several ways a biopsy can be done – some with a needle and some in the operating room. The findings from a biopsy are reported on a pathology report. The pathology report will guide treatment.

21. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. TREATMENT OPTIONS Surgery—mastectomy, breast- conservation with radiation, reconstruction Radiation Chemotherapy Hormonal therapy Targeted biologic therapy Treatment options are available due to clinical trial findings.

22. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. CLINICAL TRIALS What is a clinical trial? Why are they important? Patient protections Pros and cons

23. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. SUPPORT Sources of support Co-Survivors Types of support Benefits of support Breast cancer does not affect just the person with the diagnosis; it is a family disease.

24. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. TO REVIEW… Breast cancer is a problem in our community Every woman is at risk When found early, the 5-year survival rate is over 98 percent in the U.S. Talk about the history of breast cancer in your family to help you understand your personal risk Incorporate healthy lifestyle habits into your routine – get screened, be aware of your body, control your weight and exercise Be assertive about reporting a breast change to health care provider

25. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. BECAUSE ALL WOMEN ARE AT RISK FOR BREAST CANCER, WE ENCOURAGE YOU TO… Increase awareness Be proactive Share this information

26. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. WHAT CAN MEN DO? Know that it is possible for them to get breast cancer too Encourage the women they care about to get screened for breast cancer Remember that breast cancer is a family disease

27. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. QUESTION AND ANSWER SESSION

28. Copyright © 2008 by Susan G. Komen for the Cure. All rights reserved. RESOURCES www.komen.org 1-877-GO KOMEN