ब्रेस्ट कॅन्सरची गाठ कशी ओळखायची? | Breast Cancer | Breast Cancer Awareness
#BreastCancer #BreastCancerAwareness #BreastLump #BreastHealth #CancerAwareness #BreastSelfExamination #WomensHealth #HealthAwareness #EarlyDetection #BreastCancerSymptoms #ArogyavarBoluuKahi #LokmatSakhi #PaidContent
ब्रेस्ट कॅन्सरची गाठ कशी ओळखायची? ब्रेस्टमध्ये गाठ आली म्हणजे ती कॅन्सरचीच असते का? ब्रेस्ट कॅन्सरची सुरुवातीची लक्षणं, तपासण्या, उपचार आणि किमोथेरपीबद्दल या भागात जाणून घेऊया. यासाठी आपल्यासोबत आहेत Medical Oncologist आणि Hematologist Dr. Avinash Talele.
Dr Avinash Talele
(MD, DM) Gold Medalist and Consultant Medical Oncologist
Restora Onco Care Centre
Contact: 8128702655 / 8433680842 / 8976860666
Website: dravinashtalele.com / dravinashtalelecancure.com
Email: dravinashmedicaloncology@gmail.com
Clinic Address: Gharda Circle, Dombivli East & Jupiter Hospital (Thane)
#BreastCancer
#BreastCancerAwareness
#BreastCancerSymptoms
#CancerAwareness
#WomensHealth
#AarogyavarBoluKahi
#HarshaSRodge
#LokmatSakhi
#BreastCancer #BreastCancerAwareness #BreastLump #BreastHealth #CancerAwareness #BreastSelfExamination #WomensHealth #HealthAwareness #EarlyDetection #BreastCancerSymptoms #ArogyavarBoluuKahi #LokmatSakhi #PaidContent
ब्रेस्ट कॅन्सरची गाठ कशी ओळखायची? ब्रेस्टमध्ये गाठ आली म्हणजे ती कॅन्सरचीच असते का? ब्रेस्ट कॅन्सरची सुरुवातीची लक्षणं, तपासण्या, उपचार आणि किमोथेरपीबद्दल या भागात जाणून घेऊया. यासाठी आपल्यासोबत आहेत Medical Oncologist आणि Hematologist Dr. Avinash Talele.
Dr Avinash Talele
(MD, DM) Gold Medalist and Consultant Medical Oncologist
Restora Onco Care Centre
Contact: 8128702655 / 8433680842 / 8976860666
Website: dravinashtalele.com / dravinashtalelecancure.com
Email: dravinashmedicaloncology@gmail.com
Clinic Address: Gharda Circle, Dombivli East & Jupiter Hospital (Thane)
#BreastCancer
#BreastCancerAwareness
#BreastCancerSymptoms
#CancerAwareness
#WomensHealth
#AarogyavarBoluKahi
#HarshaSRodge
#LokmatSakhi
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NewsTranscript
00:00If you examine yourself, do you need to know how to get breast cancer?
00:03I think that there is a very big part of self-breast examination.
00:09Which test of breast cancer?
00:12There is a mammography, sonography, biopsy.
00:16What is the difference between the cancer?
00:19We have to get rid of the cancer.
00:21Then we will cover it again.
00:25There is a breast cancer, the one side of the breast is cut.
00:29So we can change that we have 30 procedures,
00:33that we can't cut one side of the breast,
00:36or we can do a successful treatment.
00:38We know that the initial investigation is going to be ultra sound.
00:43That we can easily define,
00:45the radiologists can easily define.
00:47This is the same or the same.
00:57This is the same as the breast cancer.
00:59This is Dr. Avinash.
01:04This is the MBBS,
01:06which is located in the area.
01:08This is MD Medicine,
01:10D.M. Oncology.
01:11This is the D.M.
01:12Cancer Research Institute.
01:15This is the Tata Memorial Hospital in Mumbai.
01:29This is the U.S. Medical Hospital of Mumbai.
01:40This is the medical oncologist in Mumbai.
01:43It's been a long time since the pandemic has been a long time since the pandemic has been a long
01:48time since the pandemic.
01:52So, let's start.
01:54Sir, welcome to your audience.
01:58Cancer means that it's a good thing, but it's also a very important thing about breast cancer.
02:04So, how do you start with the basic question?
02:05Why do you start with breast cancer?
02:08Breast cancer means that you can do it.
02:11Any abnormal rapid multiplication of cells, uncontrolled multiplication of cells.
02:17It means that the patient has a long time since the patient has a long time.
02:21And the patient has a long time since the patient has a long time.
02:25That's why we have cancer.
02:27Basically, the normal mechanism, like cell growth, aging, and senorescence,
02:33So, when it's disturbed, there are some cells that are affected by the patient.
02:39So, it means that it's cancer.
02:41Okay.
02:41I'm talking about breast cancer.
02:43But what is important about hormones, genetics?
02:46What is our lifestyle?
02:48How can we be happy about breast cancer?
02:51We can divide two parts of breast cancer.
02:53Modifiable and not-modifiable.
02:55Not-modifiable factors are gender.
02:58Female gender.
02:59Age.
03:01Okay.
03:02And in female gender, usually, breast cancers are very common in female people.
03:07Other than hormonal changes.
03:09For prolonged estrogen exposure, the same as menstruation starts.
03:14The next thing is that it is that the next day, the next day, the next day, the next day,
03:18The next day, the next day, the next day, the next day, the next day, the next day.
03:32When we are in the first pregnancy, we have the duration of the first pregnancy
03:36We have the age of 30 to 24, so we have the age of 30 to 34
03:42So we have prolonged estrogen exposure, delayed first pregnancy
03:47These are risk factors
03:49In the future, we have infertility treatments
03:53We have hormonal therapies, so we have estrogen stimulation
03:59According to this, it is obesity
04:01In order to be hormonal imbalance, we have risk to breast cancer
04:06These are some of the factors
04:09Since we have mentioned breast cancer, we have a period of time
04:13So we have breast cancer and body
04:15We often call our weak blood
04:17We have cancer or we have normal blood
04:21So that's the first procedure of the cancer
04:23In the future, the body is deployed to visit,
04:27In breast cancer, there is no doubt about breast cancer.
04:32Most of the time, the gut is non-malignant or non-cancerous.
04:38But the gut is true.
04:40Your diagnosis is non-negotiable and compulsory.
04:48I am concerned about breast cancer and gut.
04:54But what is the most important thing about breast cancer?
04:58Like in the nipple or the skin?
05:03That is a bit different.
05:05We have discussed the common symptoms of breast cancer.
05:07We have discussed that there is a painless gut.
05:10There is a painless gut.
05:11There is a common presentation.
05:15The other presentation is that the skin is not a bugle,
05:18but the gut is not a body.
05:21This is the presentation.
05:23The third thing is that the skin changes the skin.
05:25Thus, we have pure orange appearance.
05:28The skin is thick.
05:31In this case, the skin is swollen,
05:33the veins are prominent.
05:36This is the most important thing.
05:37Sometimes, breast or nipple are abnormal blood discharge.
05:41if there are some abnormal nipple discharges,
05:44these are common presentations.
05:47And these are usually breast cancer
05:50initial presenting symptoms.
05:51Okay, and in the morning,
05:53it's very painful.
05:55Usually, it's very painful.
05:57So, do you have to worry about it?
06:00Or do you have to worry about it?
06:01No, no.
06:02Because when you are pre-menopausal females,
06:07there are cyclical hormonal changes
06:09in the breast.
06:09It is not a good thing.
06:11So, we have to worry about it.
06:13We have to worry about it.
06:14We are very common.
06:15The most common discomfort is that
06:17you don't need to panic.
06:20But when you are getting out of the problem,
06:22there are some abnormalities
06:23then you just need to address it.
06:26Okay, and we have to go back to the doctor's
06:29doctor's and then check-up.
06:31But we have to worry about it.
06:33we can do some things at home.
06:35We have to go back to home.
06:36I think it's important that there are many people who are doing this.
06:38Do you want to examine this?
06:40Do you want to examine this?
06:41Is it possible to examine this breast cancer?
06:42I think that if we all have a first part,
06:46we have to do self breast examination.
06:49Self breast examination
06:50every month
06:52starting from the age of 30 years of age
06:54till 60 years of age
06:56then we have to do that.
06:57Self breast examination
06:58is the first part of the month
06:59after the month of the month
07:01after the month of the month
07:03only for 10 minutes
07:04we have to examine the breast
07:06and then we have to get a lump
07:0910 years of age
07:11after 8 to 10 days of their month
07:16after the month of the month
07:16we can do self breast examination
07:19then we have to get a lump
07:21or in the back of the month
07:22we have to get a lump
07:23and we have to get a lump
07:23we have to get a lump
07:34so we have to get a lump
07:36so we have to do this
07:37to change the sample
07:38where the baby's blood
07:40is in the middle of the month
07:42we can do a self breast examination
07:45so that is important
07:47and that is important
07:49so we have to deal with this
07:53Yes, yes...
07:54Okay, so do you know that the doctor is going to take a doctor and if we go to the
08:01doctor,
08:02he will take a test for breast cancer.
08:06And there is a mammography, sonography, biopsy, or if there is a difference.
08:11First of all, we have discussed that the self-brace examination is compulsory and non-negotiable.
08:17In this case, when we go to the doctor, the doctor started to get the ultrasound of the breast.
08:26The ultrasound of the breast is done.
08:31The ultrasound of the breast is done with detail.
08:34The size of the doctor, the actual doctor, the cysts, the other, the other doctor is done with the ultrasound.
08:41These women are more than 30 years, so they have mammography and breast ultrasound.
08:51So if I have a correlation between the two, I will report it.
08:54They give it a bi-rads category.
08:57Bi-rads category is standardized.
09:00So I will report it as well.
09:02So bi-rads 0, 1, 2, 3, and bi-rads 6.
09:05I will report it as well.
09:08Any bi-rads below 3 is absolutely normal.
09:12Bi-rads 4 and above, we will define it further.
09:16Okay.
09:16So if we have a bi-rads 4, then we will do a biopsy.
09:23So this biopsy is used as a biopsy.
09:29This biopsy is ultrasound-guided.
09:34When it comes to a small plant, it can be easily done without any incision or cut.
09:41So our intervention radiologist can be used as a biopsy.
09:47By the biopsy, we know exactly how it is,
09:51So if we have a biopsy, we can confirm the diagnosis.
09:57Okay.
09:58So the cancer means that we have one cancer,
10:02I don't know if we have any cancer.
10:04If we have any cancer, we have to know that.
10:07What is that?
10:08But if we have a cancer, we can cover it as well.
10:15What is that?
10:16Also, early diagnosis will save lives.
10:21This is the case.
10:23The cancer has been a big deal of cancer.
10:25Then we have to deal with it.
10:27So even in breast cancers,
10:29there are stage 1 and stage 2 breast cancers.
10:32There are 90% of the cure rates that are easily achieved.
10:37And those people are completely normal.
10:39They contribute to society, life and workplace.
10:43So breast cancer or cancer detected early is highly curable.
10:49And it is easily possible.
10:50But it is very important to see the symptoms.
10:53Exactly.
10:54So with the symptoms,
10:55Madam,
10:56there is a big barrier in this awareness.
10:58You have to tell me that in India,
11:01most of the cases are locally advanced cases.
11:05Stage 3 and Stage 4.
11:07You don't know in the West,
11:09Europe and US.
11:11But in the West,
11:1270-80% of cases are early diagnosed.
11:16And this is an ironic situation.
11:20If you have a doctor,
11:22you can find an appointment before.
11:23Then you can find the doctor.
11:24You can find the doctor.
11:25If you are in the morning,
11:26you will be able to sit down.
11:27But you are in the NHS,
11:28you will go to the US.
11:29Then you have to sit down in the appointment.
11:31You will be able to sit down in six months.
11:32You will be able to be a specialist.
11:33So there is a data.
11:35The main reason is awareness.
11:37There is a big barrier.
11:39Awareness starts with us.
11:41When we have awareness,
11:43and people have self-breast examination,
11:46and follow-up,
11:48we can also do the same thing.
11:52And the same cure rate
11:53we can offer.
11:55Okay.
11:56I am talking about
11:57breast cancer.
11:58There are stages,
11:591st, 2nd, 3rd, 4th.
12:01But in these stages,
12:03you have treatments.
12:04Do you change them?
12:06Yes.
12:06Yes.
12:07We change them.
12:07Then, what we will do?
12:09I am always thinking of as well.
12:12Some believe that there is cancer,
12:13or not.
12:14If cancer has cancer,
12:15then it is possible.
12:17There are gaping,
12:19Then it is the gaping,
12:20then there is a gaping.
12:21Then we are setting up.
12:21So,
12:22it is the быстр-eating stage 1.
12:23Usually,
12:24it is the early stage.
12:25There is a bone from 2cm to the ground.
12:27In a region,
12:29and there is a bone from one area.
12:29And there is also no bone from the ground.
12:32There is stage 1.
12:34Stage 2 is
12:35It is 2 cm, but in the body, it is not lymph nodes.
12:402-5 cm is stage 2.
12:44In stage 3, there are breasts and in the back of the body.
12:47There are 2 bodies.
12:49Then it is stage 3.
12:51Stage 4 is that the body is spread out in the breast and the body is spread out.
12:57For example, the bone, the liver, the lung, the brain.
13:01So, the organ of origin is spread out in the other organ.
13:06This is stage 4.
13:07Stage 1, stage 2 is early breast cancer.
13:10Stage 3 is locally advanced.
13:13Stage 4 is metastatic breast cancer.
13:16Early breast cancer is 90% of the body.
13:19Locally advanced is 75-85% of the body.
13:24Metastatic breast cancer is easily controlled.
13:28So, it is just like a chronic disease.
13:30There is a diabetes.
13:31If you eat the liver, you eat the liver, you eat the liver, you eat the liver, you eat the
13:35liver.
13:35Then you eat the other option.
13:36Similarly, with oral tablets, with simple tablets, we can control the disease for prolonged duration.
13:42And we can offer the normal quality of life.
13:46So, if it is advanced, it is easily controllable.
13:49Okay.
13:51Now, when you think that a lot of cancer is coming, then which treatment should you do?
13:58Whether it is chemotherapy, radiation, or hormone therapy?
14:04Which treatment should you do?
14:06How do you do it?
14:07First of all, we can assess the symptoms and imaging and biopsy.
14:12The biopsy is due.
14:13The biopsy is due.
14:14The biopsy is due.
14:16The biopsy is due.
14:16We have a special additional test.
14:19Once we confirm that it is breast cancer, then we test the IHC.
14:24IHC means immunohistochemistry.
14:26If we know the ER, PR, and HER2 receptors, estrogen, progesterone, and HER2 receptors, how important are expressed.
14:34And the parameters of this is Ki67.
14:37That the gut is, how aggressive the gut is, how aggressive the gut is, we can test the treatment.
14:43Depending upon the hormone receptors expressed, we categorize them and plan on treatment.
14:49If there is a hormone-positive breast cancer, then it is an early operable.
14:54If there is an operation, then we offer an adjuvant chemotherapy and hormonal therapy for 10 years.
15:03In some conditions, HER2 has positive breast cancer.
15:07HER2 means that it is an oncogene driver.
15:10It is an oncogene driver.
15:11It is an oncogene driver.
15:13It is an oncogene driver.
15:18In some cases, we will add specific targeted therapies.
15:21In these cases, we will add chemotherapy and targeted therapies,
15:25and in our skin, we will get the surgery.
15:30In the studies, we have proven that in some cases,
15:34such as HER2-positive breast cancer and triple-negative breast cancer,
15:38we will be given the same chemotherapy into our skin,
15:40so the cure rate and the survival rate could be down to 15%.
15:43But with the treatment protocols, the disease-specific and patient-specific
15:50will be discussed in a tumor board, then plan out.
15:53And the best possible treatment plan will be check-out.
15:56Okay.
15:57And when the cancer began, Sagan had a big deal with cancer
16:01and said that he knew exactly what happened
16:04and that there was a case in chemotherapy.
16:07He said that there was a case in chemotherapy.
16:08He said that chemotherapy is a case in chemotherapy.
16:10So, are there any treatments for them?
16:13Is there any solution to the side effects?
16:18Yes.
16:20I think chemotherapy is a group of drugs.
16:25There are more than 8,000 different medicines,
16:29which means chemotherapy.
16:32There are cases that there are cases.
16:35There are cases that there are cases that they don't have hair loss.
16:38So, what do we understand about hair loss?
16:41In chemotherapy, by principle,
16:43we act rapidly dividing cells in our body.
16:47Okay.
16:48Cancer by property.
16:49We are told that there is a rapidly uncontrolled proliferation of cells.
16:53So, what does that kill?
16:54If we are able to control the body,
16:57we are able to control the cells of the body.
16:58Like hair follicles,
16:59the toned, the smell of the skin,
17:02the skin, the skin, the skin, the skin.
17:04So, there is a lot of chemotherapy drugs that we have to do.
17:08So, there is a lot of chemotherapy drugs that we have to do.
17:09We can reduce the skin and prevent the skin.
17:11There are some scalp cooling techniques.
17:13So, we can do a little bit of a muscle.
17:14Like a couple of medications,
17:18we can do the same.
17:19And we can do the same.
17:21We have to do the same as a couple of medications,
17:22we can do that.
17:23So we can do that.
17:24So, we can do that.
17:24But, some medicines have hair loss.
17:27Some medicines don't happen.
17:28Okay.
17:29And one question is that the breast cancer is not the one side of the breast cancer.
17:37So, do we have to change that we have to do a third procedure,
17:40that one side of the breast is not the one side of the breast,
17:43or we can do a successful treatment?
17:46Nishjit, this is an important question.
17:48Because, as we say, we have to say that
17:50the treatment of radical mastectomy is not the one side of the breast is not the one side of the
17:56breast.
17:58In the first scenario, BCS, breast conservation surgery,
18:04we have to say that the breast is not the one side of the breast.
18:08The treatment of chemotherapy is not the one side of the breast.
18:13The breast, along with some normal margins,
18:17we have to say that the breast is conserved.
18:20It is very much possible and we do it very frequently.
18:23So, breast conservation surgery, it is a common procedure.
18:26because of that, we have to do it very well.
18:28If we have to say that, we need to do everything,
18:31we can do it very well.
18:32We can do it very well.
18:33We can do it very well.
18:37There are some steps,
18:43if we have to do it in breast conservative surgery,
18:49we can do it in the radiation.
18:51Okay.
18:51In this case, breast reconstruction is available and is possible in your family.
18:57Okay, so when there is a history in the family of Adhi, Kunal, and Cancer,
19:03then how many of these families are affected by cancer?
19:10That's an important question.
19:12Family history, first degree family relatives,
19:16there is an eye, a mouse, a sister, a mother.
19:22If there is a history of breast cancer,
19:25then the population of normal population is 1% per year.
19:31When the normal screening criteria started in normal screening,
19:35they started the screening after 30.
19:38Thus, when people have BRCA mutation positive,
19:44BRCA1, BRCA2, PALB2 mutation,
19:47there are hereditary breast cancer mutations positive.
19:49Those family members have to start screening early.
19:53Then, breast cancer screening, self-breast examination,
19:56and a sonomemo.
19:58Then, for 10 years, they need to start screening.
20:00Okay.
20:01And I think it's important that breastfeeding,
20:04when we don't have breastfeeding,
20:05that it was late when the baby came.
20:06Then, why do we need to take care of cancer?
20:10Do we need to take care of it?
20:11Madam, there is a risk factor.
20:15Delayed pregnancy or no pregnancy is a risk.
20:18There is no absolute correlation.
20:20There is never one single factor for anything.
20:26Amongst all these factors,
20:28there is no risk factor.
20:30So, in delayed pregnancies,
20:33it is observed that people have a little bit of normal population risk.
20:36But there is no absolute risk factor.
20:38Okay.
20:39And today,
20:40we had a lot of experience in fitness.
20:42We had a lot of experience.
20:44We had a lot of experience.
20:45We had a lot of experience.
20:47We had a lot of experience.
20:50What is obesity?
20:51Obesity is one of the modifiable risk factors.
20:55That, if we are obese,
20:5710% of weight loss is reduced.
20:59Weight loss means fat loss.
21:02If somebody reduces their weight or fat loss by 10%,
21:06breast cancer, colon cancer, and lung cancer,
21:09risk of 30% lower risk.
21:12Obesity is a hormonal imbalance
21:16So, yes, definitely having a healthy weight is going to help us to reduce the breast cancer.
21:22So, it is a preventive thing to reduce the breast cancer.
21:24Okay.
21:25And if we take a moment,
21:26if we take a moment,
21:27if we take a moment,
21:28if we take a moment,
21:28when we take a moment,
21:29we feel like we have a blood cancer.
21:31Then, how can we take a moment?
21:32Or, what can we take care of?
21:33Yes.
21:34Normally,
21:35normal females have benign breast disorders.
21:38When we take a moment,
21:39they don't have cancer.
21:41In pregnancy,
21:42or in peri-partomeria,
21:43there are many of them.
21:44There are many of them.
21:46There are many of them.
21:46There are many of them.
21:47So, the initial investigation is called ultrasound.
21:50We can easily define that.
21:52The radiologists can easily define that.
21:54Is it healthy or healthy?
21:56And that is,
21:57we can't think of the final questions.
21:59So, the answer is,
22:00we can understand that we can do it.
22:01Okay.
22:03If we take a moment,
22:04there are many of them.
22:05There are many of them.
22:07There are many of them types of cancer.
22:09there are many pressure,
22:11there are many things.
22:12So,
22:12how do we get to study abroad?
22:15What should we support the family?
22:17Yes.
22:18For being there is cancer diagnosis,
22:20we are not a patient,
22:21we are not a patient,
22:22we are absolutely shocked.
22:23And this treatment is not only one or two years old,
22:27but it's not only one month or two,
22:30so that's why the patient will be able to complete counseling.
22:34This is very important.
22:36Usually, the patient will be able to do a relaxation technique.
22:41We have a wellness guide.
22:43The patient will be able to address his emotions and express them.
22:47To handle that, it will be easily possible.
22:50Okay.
22:52Today's lifestyle is so busy.
22:56There are so many things.
22:57There is a lot of stress.
22:59There is no stress at home.
23:01How much stress is the answer to cancer?
23:06Mostly, it's not.
23:08Stress is not a direct cancer.
23:10Stress is an indirect factor.
23:12Stress is an inflammation.
23:14We can contribute to these things.
23:19We can do these things.
23:20We can do these things like cheap dopamine, alcohol, smoking.
23:24These things are risked by cancer.
23:27For example, there is a place where the body is located.
23:30There is a physical movement.
23:31Sitting is the new smoking.
23:33We can do this work.
23:36But still, there is no mobility.
23:39There is no movement.
23:39There is no exercise.
23:40There is no movement.
23:42There is no risk of cancer.
23:43So, there is no risk of cancer.
23:45There is no risk of cancer.
23:46So, if you have some physical activity, some sport you can play.
23:50So, it will definitely help us, to keep ourself balanced.
23:53Swatha, you have started with the Restore & Oncocare Center,
23:57so how did you get started in Atlant?
24:00How did you manage the facilities, facilities and patients?
24:05I started with Restore & Oncocare,
24:07because I have always told that the patients are traveling a lot.
24:12Yes, yes.
24:13So patients are traveling a lot,
24:17but patients are traveling a lot,
24:21It is very stressful. The whole purpose of starting Restore OncocoCare is to restore them back and to get these
24:34facilities as closer to the patient's home as possible.
24:38We have a dedicated NABH accredited center where we offer all the safety protocols and standard of care treatments.
24:45We offer a treatment for the patient's home as well as the wellness guide.
24:53We have a dietitian who has a proper diet analysis and has a diet chart.
24:59We have a lot of people say that they are tired and fatigued.
25:02They have an important diet.
25:06We have to keep our diet and we don't have weight loss.
25:09The treatment is hassle-free and smooth.
25:12There are many facilities that we don't know.
25:15There are many barriers to access to the quality treatment.
25:19If people are late, they will be able to get rid of them.
25:23So, we have the treatment for the people's home.
25:26We have to be available for the affording prices.
25:29We have to be available for the people's home.
25:30We have to be available for the people's home.
25:31We have to be available for the people's home.
25:41And I was asked what's the case about the Surwav explains,
25:47distancing costs are already are also hard.
25:49Does it cost?
25:56I think we have to buy a reasonable amount of care finance.
26:01So, the cost is very low.
26:04We can do the treatment of cancer.
26:09We can do the treatment in two ways.
26:11One is the cost of hospital and one is the cost of medicine.
26:15The second is the cost of the combine.
26:17And the other is the complications.
26:19We can avoid diet, nutrition and wellness.
26:23We can avoid the complications of cancer.
26:26So, there is a difference between the insurance.
26:31We can also use it optimally.
26:32We can reduce the cost of the cost.
26:36We can give the idea to the treatment of the treatment.
26:40We can optimize it.
26:41We can reduce the cost of the treatment.
26:44And sometimes, the insurance is not the same.
26:48We can do the same.
26:49We can do the same.
26:50We can do the same.
26:51We can do the same.
26:55We can do the same.
26:57We can do the same.
26:58We can do the same.
26:58We can do the same.
26:59We can do the same.
26:59So, there is a social wing.
27:00So, there is a social wing.
27:01We can do this.
27:03We can do the same.
27:03And we see to it.
27:04That there is nobody left behind.
27:05If there is a curative patient or person.
27:08If there is a treatment that we have to do it.
27:11Okay.
27:12And the task for us today is a very important topic.
27:14Targeted therapy and immune therapy.
27:17Exactly what types of therapy are we can do?
27:18And the same will take us to do all the same.
27:21Targeted therapy is what we can do.
27:23We discussed that there are two positive breast cancers, so there are two receptors.
27:28This receptor is a specific target therapy.
27:32This is a chemo therapy.
27:35In chemo therapy, there are two cells of cancer cells.
27:40So we have to know some side effects.
27:42In targeted therapy, exactly like the address of our GPS,
27:46there are specific cells of cancer cells, but they are killed.
27:50The response rate is robust, effective, and there are no side effects.
27:55Most of the HER2-positive breast cancers are commonly used.
28:00Coming to immunotherapy, there are many cancers.
28:04There are triple-negative breast cancers.
28:06There are some biomarkers.
28:08There are PD-L1 or Tumor Mutation Burden.
28:11There are also immunotherapy.
28:15What is immunotherapy?
28:15It is a good point to see that the cancer cells are easily located.
28:23And when we identify our body, we have normal immunity.
28:26Like natural killer cells, CD4 cells.
28:29If we activate it, we kill the cancer cells.
28:33Immunotherapy is a standard of treatment.
28:36It is easily available.
28:37And it is effective in some cancers.
28:39Especially in triple-negative breast cancers.
28:42If cancer is involved with cancer cells with mental health or the patient,
28:47we can treat them with medical care.
28:50With cancer cells, we can treat them with the single bowel system and have an issue
28:54and can be able to treat them with the same cancer.
28:55Each of the mutations are called the same.
28:59And every couple months, we can treat them with the same human health.
29:00The procedure is called drive-in.
29:01If you start the procedure, you cannot agree with the same,
29:05it is also not even costly to them.
29:06There is a lot of options here.
29:10So, if there is a situation that in the family,
29:13who has cancer?
29:15I'm wondering what treatment is.
29:17What can I do?
29:19First of all, don't worry.
29:21There is no contagious disease.
29:24If you have a first degree relationship in your family,
29:27who has cancer?
29:28If you have a qualified oncologist,
29:30you will have the treatment complete.
29:33Okay.
29:33I will complete it.
29:34So, your oncologist is related to the BRCA test.
29:40BRCA test.
29:42BRCA test.
29:43BRCA mutation.
29:45Mutation means how to change.
29:46This is to be ordered in breast cancer.
29:48These are two types of BRCA testing.
29:50One is somatic,
29:52which means that the tumor of the gut is BRCA mutation.
29:55That is positive.
29:57So, if you have treatment,
29:59you will have a simple targeted therapy tablet.
30:01you will have blood.
30:02Okay.
30:04And if you have a somatic mutation positive,
30:06then you will need to check the first degree relative.
30:10If there is no BRCA.
30:12If there is no BRCA.
30:13In case there is no BRCA mutation.
30:14If there is no BRCA mutation,
30:15then you will have to take the screening.
30:18That is possible.
30:19That is possible.
30:19You will be aware.
30:21If there is no BRCA.
30:22If there is no BRCA mutation,
30:31but there is no BRCA mutation,
30:33you will have to take the treatment.
30:34The treatment of cancer is
30:36like in the hormone positive breast cancer,
30:38there is a maintenance therapy.
30:40There are 10 years of oral tablets.
30:42So, we have to start the maintenance therapy.
30:44In that case,
30:46we have to take some surveillance.
30:48Surveillance means
30:48that we have to test three months,
30:50six months,
30:51or six months.
30:52We have to take a mammography.
30:54We can do this.
30:56It is a certain condition.
30:56But, the cancer could not happen.
30:58If there is no BRCA mutation,
31:01that is the same reaction.
31:01Our answer is in which we have to take on stage.
31:04We have to take on stage 1.
31:06When the occurrences are the same.
31:07Basic 90% of the disease is completely cured
31:08we have to return to 10% of people who have recurrence.
31:12We have to take risk.
31:13This is the same,
31:14and we have to take off risk.
31:16We have to take this risk as well.
31:16And if we have to reduce the data
31:17we have to create a healthy diet,
31:19normal weight,
31:20and the surveillance of time,
31:22so,
31:22you could see the earliest data.
31:26If you know that there is cancer, there are treatments that are being disturbed, what is your message?
31:36If you have cancer, don't worry, just take the day as it comes, breathe, together we will make it happen
31:43We can treat it as well, we can treat it as well
31:46We can treat it as well as many people, you can do it as well
31:49We can manage it easily
31:54We can treat it as well
31:54You have already had cancer, we have already had a patient, but we don't have relatives
32:00They have to treat it as well, so what is your message?
32:05First of all, if you don't have a patient and you are very anxious, we can do the same thing
32:12We can do the same thing, we are going to take care of our own
32:15Relatives are constantly engaged, there is a care giver burnout
32:20So we can treat them as well, we can treat them as well, we can treat them as well
32:25So we have to handle them as well
32:28And we can treat them as well
32:44We can treat them as well, we can treat them as well, we can treat them as well
32:49So we can treat them as well, we can treat them as well
32:54That is very important
32:55And the other thing, if there are concerns and queries, we can treat them as well
33:01We can treat them as well, we can treat them as well, we can treat them as well
33:09You can treat them as well, and understand them as well, we can treat them as well
33:18That you can treat them as well, we can treat them as well, and we have the patients
33:38we are going to get along with our own interesting levels and one of the questions quite
33:39well what we do is try to get too hurt.
33:41Okay.
33:43Well so you can tell us about your own problems and let's talk about your problems.
33:52Okay.
33:53Okay.
33:54Well you can tell us about your problems.
33:57Okay.
33:57Well okay.
33:58Well you can tell us though we are all about to address the problem and say, but that
34:03Okay.
34:04Okay.
34:04Well we are going to address the problem.
34:04She got a lot of pain, but breast cancer is only a million.
34:09The treatment of breast cancer is very hard.
34:11So, you said that the ERD is so good.
34:15The doctor said that there is a chance to get a lot of pain.
34:22So, you said that the ERD is so good.
34:25And I hope that there will be a lot of myths and doubts.
34:30So, thanks a lot.