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Empowerment
objective - for
laypeople to have an
understanding of the
Breast Self-
importance of
Examination:
cultivating BREAST
A Health Habit
SELF-EXAMINATION
to Cultivate
as a health habit in
the light of high
incidence of breast
cancer.
Empowerment
objective - for ROJoson PEP Talk
laypeople to have an
understanding of the I have a Patient
Breast Self- Empowerment
importance of
Examination: Program in which I
cultivating BREAST
A Health Habit like to empower the
SELF-EXAMINATION
to Cultivate lay people or
as a health habit in patients to take
the light of high control in the
incidence of breast management of
cancer. their health.
I started the PEP Talk
on May 15, 2021.
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 depending on
our enthusiasm and
perseverance.
Empowerment
objective - for My PEP TALK today
laypeople to have an is entitled: BREAST
understanding of the SELF-EXAMINATION
Breast Self- – A Health Habit to
importance of
Examination: Cultivate.
cultivating BREAST
A Health Habit This PEP Talk is part
SELF-EXAMINATION
to Cultivate of the promoting
as a health habit in
activities and
the light of high
requirements in the
incidence of breast BREAST SELF-EXAM
cancer. AWARDS.
In the light of breast cancer being the most
Breast Self- common cancer in the world and in the
Examination:
Philippines,
A Health Habit
to Cultivate all females with breasts should always be
on guard for breast cancer development in
order to catch it as early as possible
and then consult and have it treated as
early as possible
to avoid the high death rate in advanced
stage.
Another reason why all females with
Breast Self- breasts should always be on guard for
Examination:
breast cancer development is that up to
A Health Habit
now, we don’t know its exact cause.
to Cultivate
So there is really NO effective and practical
way of prevention.
It can strike anybody as no female is totally
immune from it.
It can strike anytime; we don’t know
when.
So, how should Filipino females be on guard for What should be the
Breast Self- breast cancer development in order to catch it as sequential order on
Examination: early as possible? guarding?
A Health Habit Currently, there are 3 ways:
• Start with breast
to Cultivate self-examination.
• Breast self-examination • Then, breast
• Breast specialist clinical examination specialist clinical
• Imaging procedures such as examination as
indicated.
mammography and ultrasound • Then, imaging
procedures as
indicated.
Why start with breast self-examination or BSE as Make BSE a health
Breast Self- the first and foremost strategy in being on guard habit.
Examination: against breast cancer development? Cultivate this habit.
A Health Habit • Because you carry your breasts all the time, • If you love
to Cultivate day in day out. yourself.
• You can easily examine your breasts at any • If you want to be
time and anywhere. on guard against
• Breast self-examination costs nothing at all (no breast cancer.
medical expense whatsoever). • If you want to
• It is simple and can be mastered as long as you avoid the suffering
are committed and willing to learn to protect and death from
yourself from breast cancer. breast cancer.
Why start with breast self-examination or BSE as
Breast Self- the first and foremost strategy in being on guard
Examination: against breast cancer development?
Why?
A Health Habit My advice is: Do not omit BSE and jump to the 2nd If you do BSE
to Cultivate and 3rd ways: regularly, particularly
• Breast specialist clinical examination monthly, and if you
• Imaging procedures such as mammography are committed and
and ultrasound trained to do it, you
are in a better
position to detect
breast cancer early.
Why NOT to omit BSE and jump to the 2nd way
Breast Self- (just relying on a breast specialist)?
Examination: If you do BSE regularly, particularly monthly, and My advice is: Do not
A Health Habit if you are committed and trained to do it, you are omit BSE and jump
to the 2nd and 3rd
to Cultivate in a better position to detect breast cancer early. ways:
• Breast specialist
BETTER THAN A BREAST SPECIALIST particularly
clinical
for a starting small breast cancer, because you are
examination
more familiar with feel of your breasts and any • Imaging
abnormality that may appear there.
procedures such
as mammography
and ultrasound
A big reason why you
Why NOT to omit BSE and jump to the 2nd way should do regular
Breast Self- BSE and NOT omit it
(just relying on a breast specialist)?
to just rely on the
Examination: You have more opportunities to feel and palpate breast specialist’s
A Health Habit your breasts daily (again and again) once you note examination.
to Cultivate of anything unusual.
A breast specialist does not have this advantage. You may be able to
help the breast
He may miss the small abnormality that is not specialist in detecting
evident on the surface (NOTE: a physician is not your small breast
always 100% accurate / perfect.) cancer.
He may miss the small abnormality if you don’t
point it to him. AVOID MISSING
ONE!
Why NOT to omit BSE and jump to the 2nd way
Breast Self- (just relying on a breast specialist)?
Examination: When you consult a breast specialist, he will or This shows the
A Health Habit should always ask you initially whether you have importance of doing
to Cultivate felt an abnormal lump in your breasts before he BSE and supplying a
does inspection and palpation. breast specialist with
information from
If you consult for a “lump” or “mass” you your BSE to help him
palpated on the breast, again, he will or should make an accurate
always ask you where you palpated the lump. diagnosis.
A big reason why you should do regular BSE and NOT omit it
to just rely on the breast specialist’s examination.
Why NOT to omit BSE and jump to the 2nd way A big reason why you
Breast Self- should do regular
(just relying on a breast specialist)?
BSE and NOT omit it
Examination: If there is an abnormal lump palpated by both you to just rely on the
A Health Habit and the breast specialist, the latter will ask for breast specialist’s
to Cultivate information on the changes that may occur from examination.
the initial detection to the time of consultation.
You may be able to
The breast specialist uses these information from help the breast
your BSE to get to an accurate diagnosis. specialist in making
an accurate
diagnosis.
If you do monthly
Why NOT to omit BSE and jump to the 2nd way
BSE, you may be able
Breast Self- (just relying on a breast specialist)?
to detect the breast
Examination: Another reason why you should NOT omit BSE cancer earlier by
A Health Habit and just rely on a breast specialist - yourself and then go
to Cultivate back to the breast
A breast specialist has limitations. He is not specialist sooner
always 100% accurate in his evaluation. than the next
If he misses a breast cancer on a medical scheduled check-up.
consultation, if he asks for a breast check-up after
A big reason why you
6 months or one year, the missed breast cancer
should do regular BSE
can be bigger or more advanced at the time of the and NOT omit it to just
next scheduled check-up. rely on the breast
specialist’s examination.
If you do monthly
Why NOT to omit BSE and jump to the 2nd way
BSE, you may be able
Breast Self- (just relying on a breast specialist)?
to detect the breast
Examination: We don’t know when breast cancer will appear cancer earlier by
A Health Habit and become evident. yourself and then go
to Cultivate Example. If during a medical consultation, there back to the breast
was no evident cancer yet. The breast specialist specialist sooner
advises breast check-up after 2 years. After the than the next
initial medical consultation, the breast cancer scheduled check-up.
becomes evident, say 6 months after. If one relies
A big reason why you
on the breast specialist only without BSE, the
should do regular BSE
breast cancer can be bigger or more advanced at and NOT omit it to just
the time of the next scheduled check-up. rely on the breast
specialist’s examination.
Why NOT to omit BSE and jump to the 2nd way
Breast Self- (just relying on a breast specialist)?
Examination: So, do regular BSE.
A Health Habit Do NOT omit to just rely on the breast specialist.
to Cultivate Your BSE will be of great importance.
• It can avoid missing a breast cancer by a breast
specialist.
• It can assist in making an accurate diagnosis of
a breast disorder.
• It can complement breast specialist’s objective
of early detection.
• IT CAN PROMOTE EARLY DETECTION OF BREAST
CANCER BY YOURSELF.
Why NOT to omit BSE and jump to the 3rd way
Breast Self- (just relying on imaging procedures)?
Examination: If you do BSE regularly, particularly monthly, and My advice is: Do not
A Health Habit if you are committed and trained to do it, you are omit BSE and jump
to the 2nd and 3rd
to Cultivate in a better position to detect breast cancer early ways:
and without the frequent uncertain readings and • Breast specialist
undue false alarms of imaging procedures
clinical
(specifically, mammography and ultrasound).
examination
• Imaging
procedures such
as mammography
and ultrasound
Why NOT to omit BSE and jump to the 3rd way The survival rates of
Breast Self- (just relying on imaging procedures)? Stage 1 (1 cm to less
Examination: BSE, if done properly, will be able to catch a than 2 cm tumor
A Health Habit breast cancer as small as 1 cm. which is in the size) and Stage 0
(less than 1 cm
to Cultivate early stage. tumor size) have
little difference.
Although imaging procedures such as
mammography and ultrasound can catch breast
Stage 1 – 98% 5-year
cancer lesser than 1 cm, they carry a lot of
SR
uncertain readings and false alarms thereby
Stage 0 – 99% 5-year
causing undue anxiety and unwanted operations.
SR
Why NOT to omit BSE and jump to the 3rd way A big reason why you
Breast Self- (just relying on imaging procedures)? should do regular
Examination: Imaging procedures are not always 100% BSE and NOT omit it
A Health Habit accurate. to just rely on the
imaging procedures.
to Cultivate
They may miss and erroneously interpret lumps
You may be able to
palpated by patients in BSE and breast specialists
help the breast
in their clinical examination.
specialist in making
an accurate
These can be corrected by the breast specialists’
diagnosis.
examination and correlation with BSE findings.
BSE data are needed.
If you do monthly
Why NOT to omit BSE and jump to the 3 way
rd
BSE, you may be able
Breast Self- (just relying on imaging procedures)? to detect the breast
Examination: Imaging procedures are not always 100% cancer earlier by
A Health Habit accurate. yourself and then to
to Cultivate the breast specialist
They may miss a breast cancer. sooner than the next
If patients rely on imaging procedures and the scheduled check-up.
next schedule is one to 2 years, then the missed
breast cancer can be bigger or more advanced at
the time of the next scheduled procedures.
Why NOT to omit BSE and jump to the 3rd way A big reason why you
Breast Self- (just relying on imaging procedures)? should do regular
Examination: Once reports of imaging procedures come in, the BSE and NOT omit it
A Health Habit breast specialists will correlate the findings with to just rely on the
imaging procedures.
to Cultivate their physical examination findings and with the
history of the patients, particularly on the BSE
You may be able to
information of the patients if it is regularly done.
help the breast
specialist in making
Correlation of these three sets of data and info
an accurate
are important to come out with an accurate
diagnosis.
diagnosis.
BSE data are needed.
Why NOT to omit BSE and jump to the 3rd way
Breast Self- (just relying on imaging procedures)?
Examination: Except for patients with high risk for breast cancer
A Health Habit (where mammography is being recommended as
to Cultivate a screening procedure), imaging procedures
should be done only as indicated (that is, only if
there is an abnormality detected by the breast
specialist and there is uncertainty in his diagnosis
that a diagnostic test is needed.)
February to October
9 months
What is the Breast Self-Exam Awards?
Breast Self- • Document their performance of regular breast
Exam Awards self-examination for at least 9 consecutive
months with a report card and a video every
quarter with clothes on (total of 3 videos).