Perform BSE a week after your menses starts.

For those without menses, do it on the same day every month.

• Step 1
  Raise your left arm to the back of your head.
• Step 2
  With your right hand, examine your left breast.
• Step 3
  Move your hand around your breast with up and down or circular movement, feel for any lumps with your fingers.
• Step 4
  Examine your armpit too. Repeat on the other breast.

In front of a minor, look for…

• Irregular shape or size
• Dimpling or bulging of skin
• Nipple discharge
• Inverted nipple (pulled in) or anything unusual

Early detection saves lives!

If you find anything unusual, visit a doctor as soon as possible.

For more information, please contact:
+606 285 2893 (Ms Chua) / +606 285 2946 (Ms Loo)

Some may experience certain symptoms and some may not experience any. The symptoms include:

1. New lump in the breast or underarm (armpit)/ painless lump.
2. Thickening or swelling of part of the breast.
3. Irritation or dimpling of breast skin.
4. Redness of flaky skin in the nipple area or the breast.
5. Inverted nipple or pain in the nipple area.
6. Nipple discharge other than breast milk, including blood.
7. Any change in the size or the shape of the breast.
8. Pain in any area of the breast.

For more information, please contact:

Mahkota Cancer Centre
+606 285 2893 (Ms Chua) / +606 285 2946 (Ms Loo)

Reshape your mammogram experience.

Its ergonomic design provides you with a new experience.

• Less pain
• Comfortable
• Anxiety-free

The new feature Contrast-Enhanced Spectral Mammography (CESM) provides normal mammography examination with additional contrast media injection which helps to provide high-quality clinical images to contribute clearer information for the diagnosis of diseases.

For more information, please contact:

Radiology Department
+606 285 2858

Surgery

• Breast Surgery
  • Breast Removal (Mastectomy)
  • Breast Conservation
• Axilla Surgery (Lymph node surgery)
  • Sentinel node biopsy: to stage the disease and to guide subsequent treatment after surgery
  • Axilla clearance: to clear positive lymph node

Chemotherapy

Anticancer drug to reduce risk of recurrence, size prior to surgery, and cancer that has spread to other part of body.

• Stage 1
  Required when it is high risk (RT-PCR testing (Oncotype DX, <26))
• Stage 2 & 3
  Required
• Stage 4
  Required as it helps to reduce the size of cancer, if tumour regress, operation will be conducted follow by radiotherapy with or without hormone therapy. If disease advanced, palliative intend chemo-radiotherapy is done.

Hormonal Therapy

Blocks the receptor or production of hormones.

• Premenopausal
  Tamoxifen 20mg for 5 to 10 years
• Postmenopausal
  Aromatase Inhibitor (AI)
• For premenopausal high risk case
  Ovarian removal is done followed by AI drugs given.

Biological Therapy

Uses the body’s immune system to kill cancer cells.

• Herceptin attach itself to HER2 receptor and stop the growth of cancer. Herceptin is an immune targeted therapy.
• In hormone positive and HER2 negative, CDK 4/6 inhibitors have also given with promising result.

Radiotherapy

High energy rays used to kill cancer cells to reduce the loco regional recurrence or recurrence has already occurred.

For more information, please contact:

Mahkota Cancer Centre
+606 285 2893 (Ms Chua) / +606 285 2946 (Ms Loo)