Cancer Course Empowerment

– objective - for
Fundamentals laypeople to have an
and understanding of the
Generalities in FUNDAMENTALS
Medical and GENERALITIES in
Management the MEDICAL
of Breast MANAGEMENT of
Cancer – Part 2 BREAST CANCER.
 Nov. 27, 2021
1400H - 1500H
Via Zoom
Welcome all!

Cancer Course Empowerment MUTE yourself but always

show your video picture.
– objective - for
Fundamentals laypeople to have an Sign in your name, FB
account, or email address in
and understanding of the the Chat Box! Include names
of companions attending.
Generalities in FUNDAMENTALS
Medical and GENERALITIES in Use the Chat Box to ask
questions and make
Management the MEDICAL comments while the PEP TALK
of Breast MANAGEMENT of is on.

Cancer – Part 2 BREAST CANCER. Group pictures at start and

end of PEP TALK – show your
face in video.
 Reminder:

Cancer Course Empowerment Take the Online Learning

cum Evaluation Test
– objective - for Exercise (OLETE) for
Fundamentals laypeople to have an mastery of learning and
and understanding of the have a perfect score to get
a Certificate.
Generalities in FUNDAMENTALS Link is in Chat Box.
Medical and GENERALITIES in
Management the MEDICAL
of Breast MANAGEMENT of
Cancer – Part 2 BREAST CANCER.
 Reminder:
50 OLETE Certificates = 1
Cancer Course Empowerment Voucher for ROJoson
Telemedical Consultation
– objective - for
Fundamentals laypeople to have an
and understanding of the
Generalities in FUNDAMENTALS
Medical and GENERALITIES in
Management the MEDICAL
of Breast MANAGEMENT of
Cancer – Part 2 BREAST CANCER.
 Welcome all!
Cancer Course Empowerment Mabuhay!
– objective - for LET’S NOW HAVE A
Fundamentals laypeople to have an GROUP PICTURE
and understanding of the TAKING BEFORE WE
Generalities in FUNDAMENTALS START IN 2 MINUTES!
Medical and GENERALITIES in
Management the MEDICAL Pls. turn on your
video!
of Breast MANAGEMENT of Show your face!
Cancer – Part 2 BREAST CANCER.
Cancer Course Empowerment ROJoson PEP Talk
– objective - for
Fundamentals laypeople to have an I have a Patient
and understanding of the Empowerment
Program in which I
Generalities in FUNDAMENTALS
like to empower the
Medical and GENERALITIES in lay people or
Management the MEDICAL patients to take
of Breast MANAGEMENT of control in the
Cancer – Part 2 BREAST CANCER. management of
their health.
 There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer.
 My PEP TALK today
Cancer Course Empowerment is entitled:
– Fundamentals and
objective - for
Generalities in
Fundamentals laypeople to have an
Medical
and understanding of the Management of
Generalities in FUNDAMENTALS Cancer, Part 2. This
Medical and GENERALITIES in is part of the Cancer
Management the MEDICAL Course.
of Breast MANAGEMENT of
Cancer – Part 2 BREAST CANCER.
Fundamentals Definition of Terms in Title AND Delimitation of
and Coverage of Talk:
Generalities in
Medical Fundamentals – simplest and essential facts and
Management theories which can serve as a basis or foundation
of Breast and support for advanced information
Cancer
Generalities – general statements of info, not
covering specifics and details

Medical Management – diagnosis and treatment

of breast cancer by physicians
Fundamentals Contents:
and • Screening for breast cancer PART 1
Generalities in • Symptoms that will lead to suspected presence
Medical of breast cancer
Management • Clinical diagnosis of breast cancer
of Breast • Paraclinical diagnostic procedures for breast
Cancer cancer

• Treatment for breast cancer

• Surveillance of breast cancer PART 2
• Prognosis of breast cancer
• Palliative and hospice care for breast cancer
patients
Fundamentals Treatment for breast cancer
and
Generalities in
Medical
Management
of Breast
Cancer
Fundamentals Treatment for breast cancer
and
Generalities in After formulating the pretreatment diagnosis,
Medical including determining the extent of the breast
Management cancer and other factors with effect on treatment,
of Breast first thing to do before considering and comparing
Cancer the options of treatment methods or modalities is
to spell out the specific objective or goal of
treatment:
whether curative or palliative.
Fundamentals Treatment for breast cancer
and
Generalities in The usual goals of cancer treatment include 
Medical • eradicating known tumors / cancers entirely,
Curative goal
Management preventing the recurrence or spread of the
of Breast primary cancer, and
Cancer • relieving symptoms if all reasonable curative
Palliative goal
approaches have been exhausted. 
Fundamentals Treatment for breast cancer
and
Generalities in At the time of treatment, a patient may present in Thus, objective of
a cancer stage in which the goal is at best treatment is primarily
Medical
palliative only (relieving symptoms). These are dependent on the
Management stage or extent of
of Breast usually the patients with advanced cancers.
cancer at the time of
Cancer treatment.
For patients presenting with early staged cancers,
the goal is curative that is, eradicating the
tumors / cancers entirely and preventing the
recurrence or spread of the primary cancer.
Fundamentals TNM Staging
Treatment for breast cancer
and T = tumor
Stage and Staging of Cancers N = nodes
Generalities in
M = metastasis
Medical Stage and staging describe the extent of a cancer.
Management There are so many ways of staging cancers. Stage 1 – localized
of Breast
- early stage and advanced stage
Cancer Stage 2 – bigger T
- localized, regional and distant
size / (+) nodes
- localized, early locally advanced, late locally (regional)
advanced, and metastasized Stage 3 – greater T
- TNM Staging describe the size of the cancer size / (++) nodes
and how far it has grown.
Stage 4 – (+) distant
Fundamentals TNM Staging
Treatment for breast cancer
and T = tumor
Staging Systems for Breast Cancers N = nodes
Generalities in
M = metastasis
Medical
Management • Anatomic staging
Stage 1 – localized
of Breast defined by the areas of the body where the breast
Cancer cancer is found
Stage 2 – bigger T
• Prognostic staging
size / (+) nodes
how likely a patient is to be cured of the cancer
(regional)
assuming that all appropriate treatment is given.
Stage 3 – greater T
size / (++) nodes

Stage 4 – (+) distant

Fundamentals Treatment for breast cancer TNM Staging
and T = tumor
Generalities in Anatomic Staging Systems for Breast Cancers N = nodes
M = metastasis
Medical Stage 0 - localized to milk ducts (ductal carcinoma in situ)
Management Stage I - T smaller than 2 cm NO MO Stage 1
of Breast Stage II A – N+ MO T <2cm or T- 2 to 5 cm Stage 2A, 2B
Cancer Stage II B – T >5 cm, NO MO
Stage 3A, 3B
Stage III - "locally advanced breast cancer" Stage 4 – (+)
Stage III A – N+ adherent to one another, T any size, MO metastasis
Stage III B – T has spread to skin, chest wall, or internal
mammary lymph nodes, N+ M0

Stage IV - (+) M, such as bones, lungs, liver or brain.

Fundamentals Treatment for breast cancer ERA – Estrogen
and Receptor Assay
Generalities in Prognostic Staging Systems for Breast Cancers
PRA – Progesterone
Medical Examples:
Receptor Assay
Management Prognostic grouping of information on the cancer
of Breast cells using receptor-assays and HER2 gene HER2 - human
Cancer • ERA + / PRA+ / HER2 neg epidermal growth
• ERA + / PRA neg / HER2 neg factor receptor 2
• ERA neg / PRA neg / HER2 +
• ERA neg / PRA neg / HER2 neg (triple
negative)
Fundamentals Treatment for breast cancer
and
Generalities in There are a lot of cancer treatment being
Medical advocated.
Management Mainstream ones – accepted by and being
of Breast promoted by majority of the physician-cancer
Cancer specialists – conventional, standard – with well-
documented evidences for effectiveness in
various degrees
Non-mainstream ones – outside the mainstream
ones – alternative – with health claims usually not
meeting evidence-based standards
Fundamentals Treatment for breast cancer
and
Generalities in The mainstream modalities of treatment for
Medical cancer are currently the following:
Management • Surgery – operation – cutting
of Breast • Radiotherapy – radiation - burning
Cancer
• Chemotherapy – drugs – killing
• Hormonal therapy – hormone manipulation
• Immunotherapy – immune system
manipulation
• Targeted therapy – gene manipulation
Fundamentals Treatment for breast cancer Alternative
and medicine is defined
The commonly used non-mainstream or loosely as a set of
Generalities in
alternative medicine treatment for cancer are products, practices,
Medical
currently the following: and theories that are
Management
of Breast • Herbs and herbal medicine believed or perceived
by their users to have
Cancer • Special diet
the healing effects of
• Supplements including vitamins medicine, but whose
• Acupuncture effectiveness has not
been established
• Lifestyle medicine - healthy eating, physical
using scientific
activity, and other healthy behaviors without methods.
the use of medicine
Fundamentals Treatment for breast cancer After a median of 5
and years, patients with
Words of caution on ALTERNATIVE MEDICINE for breast or colorectal
Generalities in cancers:
Medical cancer were nearly
Management five times as likely to
•Delaying surgery, radiation, chemotherapy, or
of Breast die if they had used
other traditional treatment by using an an alternative
Cancer alternative therapy can allow the cancer to grow therapy as their initial
and spread to other parts of the body. treatment than if they
had received
•Evidence shows that people who use alternative
conventional
therapies in place of standard cancer treatments treatment. (2017 -NCI)
have much higher death rates.
Fundamentals Treatment for breast cancer
and
The mainstream modalities of treatment for
Generalities in
breast cancer can be classified into:
Medical
Management Localized therapies - treatment that are directed
of Breast to a specific limited area such as the breast and
Cancer the armpit. They include surgery and
radiotherapy.
Systemic therapies - drugs that spread throughout
the body to treat breast cancer cells wherever
they may be. They include chemotherapy,
hormonal therapy, targeted drugs, and
immunotherapy.
Fundamentals Treatment for breast cancer
and Breast cancer treatment may be single or
Generalities in combined modalities depending on the extent
Medical and track records of effectiveness.
Management
of Breast May use
Cancer • localized therapy only (surgery or radiotherapy)
• Systemic therapy only (drugs)
• Localized + systemic therapy
Examples:
• Surgery – Chemo – Radio
• Chemo – Surgery – Chemo – Radio
• Surgery – Hormonal Therapy
Fundamentals Treatment for breast cancer There are many types
and of operations,
Any cancer treatment can be used as a primary
Generalities in radiotherapy,
treatment, but the most common primary cancer
Medical chemotherapy,
treatment for breast cancer is surgery (especially
Management hormonal therapy and
those in the operable stage).
other therapies.
of Breast
Cancer Other combinations of treatment are done
depending on the anatomic stage, prognostic
stage and other factors like track records of
effectiveness.
Fundamentals Treatment for breast cancer There are many types
and of operations,
Operation:
Generalities in radiotherapy,
Total mastectomy; subtotal mastectomy; axillary
Medical chemotherapy,
dissection; axillary sampling
Management hormonal therapy and
other therapies.
of Breast Radiotherapy:
Cancer External beam radiation therapy; brachytherapy
Fundamentals Treatment for breast cancer There are many types
and of operations,
Chemotherapy: multiple / single; different
Generalities in radiotherapy,
combinations: CMF, CAF, Taxane-Docetaxel
Medical chemotherapy,
Management hormonal therapy and
Hormonal therapy: tamoxifen; letrozole;
other therapies.
of Breast anastrozole; exemestane
Cancer
Other therapies: trastuzumab; fulvestrant
Fundamentals Treatment for breast cancer After the physician
and Procedures Benefit Risk Cost Availability
has decided on the
Generalities in (goal of goal of treatment, he
treatment)
Medical gives or lists the
Management Option1         various options of
Option2        
of Breast Option3        
treatment and then
Cancer gives data on the
BRCA.
With the data given,
the patient is asked
what s/he prefers.
Fundamentals Treatment for breast cancer Example of BRCA
and comparative analysis
Generalities in of treatment
Medical procedures
Management Procedures Benefit (goal of Risk Cost (PhP) Availability
of Breast treatment)
Cancer Option1 greatest survival rate acceptable 5000 available
Option2 rate < 1  > 3 acceptable 6000 available
Option3 least survival rate acceptable 3000 available
Fundamentals Surveillance of breast cancer
and
Generalities in
Medical
Management
of Breast
Cancer
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Generalities in Surveillance after cancer treatment –
• By whom?
Medical MONITORING for
• How long?
Management • Recurrence after all the evident cancers are
• How often?
of Breast eradicated (after curative treatment)
• What methods?
Cancer • For progression / regression after palliative
treatment (when all the evident cancers are
not / cannot be eradicated totally)
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Generalities in Surveillance after cancer treatment –
MONITORING for outcome
• By whom?
Medical • How long?
Management BY WHOM?
• How often?
of Breast • Oncologist/s • What methods?
Cancer • Family physician

whom you prefer (competence - expertise,

professionalism, holistic and compassionate care,
cost, availability, convenience, etc.)
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Generalities in Surveillance after cancer treatment –
• By whom?
Medical MONITORING for outcome
• How long?
Management BY WHOM?
• How often?
of Breast • Oncologist/s (MD with specialty in cancer • What methods?
Cancer management - various types)
May choose one or more as
• Surgical oncologists
indicated and as preferred
• Medical oncologists
whom you prefer (competence - expertise,
• Radiation oncologists professionalism, holistic and compassionate
• Others care, cost, availability, convenience, etc.)
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Generalities in Surveillance after cancer treatment –
MONITORING for outcome
• By whom?
Medical • How long?
Management HOW LONG?
• How often?
of Breast • For those with curative treatment goal • What methods?
Cancer • LIFETIME as all cancers have the potential
to recur even after a long period of
remission (even after 10 to 15 years)
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Surveillance after cancer treatment –
Generalities in • By whom?
MONITORING for outcome
Medical • How long?
Management HOW LONG?
• How often?
of Breast • For those with palliative treatment goal
• What methods?
Cancer • Until signs of progression / regression occur
(another round of decision thereafter)
• Until a call / decision for hospice care is
made (no more aggressive anti-cancer
treatment)
• Until the end of life
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Generalities in Surveillance after cancer treatment –
MONITORING for outcome
• By whom?
Medical • How long?
Management HOW OFTEN?
• How often?
of Breast Two situations: • What methods?
Cancer
- Monitoring for immediate results of
treatment
- Monitoring for recurrence of cancer
after curative treatment
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Surveillance after cancer treatment –
Generalities in • By whom?
MONITORING for outcome
Medical • How long?
Management HOW OFTEN?
• How often?
of Breast - Monitoring for results of treatment • What methods?
Cancer - side-effects / complications of treatment
- response to treatment (chemotherapy /
radiotherapy / etc.)
Duration of monitoring – depending on types and duration of treatment;
recuperation time; expected response time (such as 2-3 months for
chemo); etc. Frequency – ranging from daily to every month - average of 6 months.
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Generalities in Surveillance after cancer treatment –
MONITORING for outcome
• By whom?
Medical • How long?
Management HOW OFTEN?
• How often?
of Breast - Monitoring for recurrence of cancer • What methods?
Cancer
after curative treatment
• Depends on the type of cancer; treatment
done; usual prognosis; time of treatment (soon
after – long after); mind-set and personality of
patients; etc.
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Surveillance after cancer treatment –
Generalities in • By whom?
MONITORING for outcome
Medical • How long?
Management HOW OFTEN?
• How often?
of Breast - Monitoring for recurrence of cancer • What methods?
Cancer after curative treatment
General guidelines:
• More often for those with higher risk for recurrence such
as aggressive type of cancer; early post-treatment say 1
to 2 years when recurrence usually appears; and anxious
patients who need frequent psychological support from
physicians.
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Surveillance after cancer treatment –
Generalities in • By whom?
MONITORING for outcome
Medical • How long?
Management WHAT METHODS?
• How often?
of Breast - Symptom-sign directed surveillance • What methods?
Cancer approach
- Regular screening instrumental –
laboratory diagnostic tests directed
surveillance approach
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Surveillance after cancer treatment –
Generalities in • By whom?
MONITORING for outcome
Medical • How long?
Management WHAT METHODS?
• How often?
of Breast - Symptom-sign directed surveillance • What methods?
Cancer approach
• Patient’s symptoms and physician’s sign
findings will direct instrumental-
laboratory diagnostic tests to be done.
Fundamentals Surveillance of breast cancer Questions / Issues:
and
Surveillance after cancer treatment –
Generalities in • By whom?
MONITORING for outcome
Medical • How long?
Management WHAT METHODS?
• How often?
of Breast - Regular screening instrumental – • What methods?
Cancer laboratory diagnostic tests directed
surveillance approach
• Battery of screening tests on possible
sites of recurrence are done even in the
absence of symptoms and signs.
Fundamentals Surveillance after breast cancer treatment
and Procedures Benefit Risk Cost Availability
The physician gives or
Generalities in (early lists the options of
detection)
Medical surveillance and then
Option1    Symptom-sign  directed  
Management Option2       directed  
gives data on the
Battery of tests
of Breast BRCA.
Procedures Benefit Risk Cost Availability
Cancer (survival) With the data given,
Option1         the patient is asked
Option2        
what s/he prefers.
Procedures Benefit Risk Cost Availability
(quality of
life)

Option1        
Option2        
Fundamentals Surveillance after breast cancer treatment
and Procedures Benefit Risk Cost Availability
The physician gives or
Generalities in (early lists the options of
detection)
Medical surveillance and then
Option1  +  Symptom-sign  directed  
Management gives data on the
Option2  +++  
Battery   directed  
of tests
of Breast BRCA.
Procedures Benefit Risk Cost Availability
Cancer (survival) With the data given,
Option1 Same       the patient is asked
Option2 Same  Pain    
what s/he prefers.
Procedures Benefit Risk Cost Availability
(quality of
life)

Option1  Better    P   √
Option2  Poorer  False (+)  PPPPPP   √
Fundamentals Prognosis of breast cancer
and
Generalities in
Medical
Management
of Breast
Cancer
Fundamentals Prognosis of breast cancer
and ESTIMATE HOW THE CANCER WILL GO FOR YOU!
Generalities in
• The likely course of the CANCER without
Medical
Management treatment
of Breast • If with treatment, whether curative or
Cancer palliative, the likely outcome
• Chances of recovery from cancer
• Chances of response to treatment: cure-
remission or recurrence.
• ESTIMATE OF 5- TO 10-YEAR SURVIVAL RATE /
MEDIAN SURVIVAL RATE
Fundamentals Prognosis of breast cancer
and Dependent on:
Generalities in
• Type of cancer
Medical
Management • Stage of cancer
of Breast • Inherent biologic behavior of cancer
Cancer • With or without co-morbidities (other
illnesses) and gravity of co-morbidities
• Track records of the cancer
Fundamentals Prognosis of breast cancer
and Track records of cancers
Generalities in
 Studies on 5- / 10-year survival rates and
Medical
Management median survival of different cancers
of Breast • By stage of cancers
Cancer • With and without treatment
Fundamentals Prognosis of breast cancer
and Track records of cancers
Generalities in
Medical 5- / 10-year survival rate of cancers
Management The percentage of patients who are alive five
of Breast years / 10 years after they were diagnosed with
Cancer or started treatment. 
Fundamentals Prognosis of breast cancer
and Track records of
Generalities in cancers
Medical 5- / 10-year survival
Management rate of cancers
of Breast
The percentage of
Cancer
patients who are alive
five years / 10 years
after they were
diagnosed with or
started treatment. 
Fundamentals Prognosis of breast cancer
and
Generalities in
Medical
Management
of Breast
Cancer
Fundamentals Prognosis of breast cancer OVERALL MEDIAN
and SURVIVAL
Track records of cancers
Generalities in ---- ? months
Medical Median survival of cancers
Management The length of time from either the date of Median survival time
of Breast diagnosis or the start of treatment for a cancer, with treatment /
that half of the patients diagnosed with the without treatment
Cancer
disease are still alive.
Median survival time
- based on stage
- based on types of
metastasis
Fundamentals Prognosis of breast cancer The median survival
and ranged from 8.0 
Track records of cancers
Generalities in months for patients
Medical Median survival of cancers with brain metastasis
Management The length of time from either the date of to 36.0 months for
of Breast diagnosis or the start of treatment for a cancer, patients with bone
that half of the patients diagnosed with the metastasis.
Cancer
Liver //// Lung
disease are still alive.
Median Survival in Breast Cancers https://
bmccancer.biomedcen
Stage IV tral.com/articles/
5-year survival rate is about 20%.
The median survival rate is about 3 years (26 months)
10.1186/s12885-019-
6311-z
Fundamentals Prognosis of breast cancer OVERALL MEDIAN
and SURVIVAL
Stage 4: Kim Green Has Lived With Metastatic ---- ? months
Generalities in Breast Cancer For Past 19 Years.
Medical
A two-time cancer survivor became the oldest Median survival time
Management
living American. with treatment /
of Breast Thelma Sutcliffe turned 114 years old in October. without treatment
Cancer She now holds the record as the oldest living
American, as the previous record holder died Median survival time
recently at age 116. Sutcliffe has survived breast - based on stage
cancer twice during her lifetime. She was born in - based on types of
Lancaster County, South Carolina in 1905 when metastasis
Teddy Roosevelt was president, and now resides
in Omaha, Nebraska.
Fundamentals Palliative and hospice care for breast
and cancer patients
Generalities in
Medical
Management
of Breast
Cancer
Fundamentals Palliative and hospice care for breast
and cancer patients
Generalities in
Medical There are two terms that one will encounter in
Management the medical management of cancer patients
which most Filipino laypeople are not familiar
of Breast
with and which most Filipino physicians do not
Cancer
acquaint the cancer patients with.

Palliative Care
Hospice Care
Fundamentals Palliative and hospice care for breast
and cancer patients
Generalities in
Medical Palliative and hospice care are being used
Management in patients with advanced cancer patients
of Breast who have little or no prospect of cure and
Cancer who are expected to die and for whom the
primary goal is to optimize the quality of
their remaining life on earth.
Fundamentals Palliative and hospice care for breast Advanced Cancers
and cancer patients
Generalities in Palliative Goal
Medical Both palliative care and hospice care
Management provide COMFORT for advanced cancers
of Breast (physical and mental/spiritual).
• Palliative care can begin at diagnosis and at the Palliative Care
Cancer
same time as treatment. (may consist of anti-
cancer treatment).
• Hospice care begins after treatment of the Hospice Care
cancer is stopped (no anti-cancer treatment
anymore) when it is clear that the person is not
going to survive the cancer.
Fundamentals Contents: Summary
and • Screening for breast cancer Take Away
Generalities in • Symptoms that will lead to suspected presence
Medical of breast cancer
Management • Clinical diagnosis of breast cancer
of Breast • Paraclinical diagnostic procedures for breast PART 1
Cancer cancer

• Treatment for breast cancer

• Surveillance of breast cancer PART 2
• Prognosis of breast cancer
• Palliative and hospice care for breast cancer
patients
Fundamentals Be always in touch with reliable medical Take Away in
and information on fundamentals and relation to
Generalities in generalities in medical management of
Medical Patient
breast cancer. Empowerment
Management
of Breast Knowledge is power; it gives power.
Cancer
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions in
medical management of breast cancer.
Cancer Course Empowerment
– objective - for
Fundamentals laypeople to have an
and understanding of the
Generalities in FUNDAMENTALS
Medical and GENERALITIES in
Management the MEDICAL
of Breast MANAGEMENT of
Cancer – Part 2 BREAST CANCER.
 Reminder:

Cancer Course Empowerment Take the Online Learning

cum Evaluation Test
– objective - for Exercise (OLETE) for
Fundamentals laypeople to have an mastery of learning and
and understanding of the have a perfect score to get
a Certificate.
Generalities in FUNDAMENTALS Link is in Chat Box.
Medical and GENERALITIES in
Management the MEDICAL
of Breast MANAGEMENT of
Cancer – Part 2 BREAST CANCER.
 Reminder:
50 OLETE Certificates = 1
Cancer Course Empowerment Voucher for ROJoson
Telemedical Consultation
– objective - for
Fundamentals laypeople to have an
and understanding of the
Generalities in FUNDAMENTALS
Medical and GENERALITIES in
Management the MEDICAL
of Breast MANAGEMENT of
Cancer – Part 2 BREAST CANCER.
 Welcome all!
Cancer Course Empowerment Mabuhay!
– objective - for LET’S NOW HAVE A
Fundamentals laypeople to have an GROUP PICTURE
and understanding of the TAKING BEFORE WE
Generalities in FUNDAMENTALS START Q&A AND
Medical and GENERALITIES in INTERACTIONS!
Management the MEDICAL
Pls. turn on your
of Breast MANAGEMENT of video!
Cancer – Part 2 BREAST CANCER. Show your face!