For this session, we have a renowned lady oncologist with us.

Dr See Hui Ti is a Senior Consultant at PCC, specializing in breast and gynaecological cancers.

Breast Cancer is one of the most common cancer among women and knowledge is of utmost importance for the fight against it.

Take this chance to educate yourself about breast cancer; The “whats”, the signs and symptoms, the preventive and detection measures, the treatments, or just a shoutout in support of breast cancer fighters and survivors.

Dr See will be available for open discussion on this topic critical for women health. Just post on this event wall from now till the event date and Dr See will join the discussion on this wall on the event day.

Click “Join” to take part in this meaningful discussion and share this event with your friends so that they too can participate.

Date: 26 April 2013, Friday

Time: 4:00pm – 4:30pm

Place: Online, on this event wall

►►► Post now on our Facebook #Ask The Expert Q&A Event Wall.

More about Dr See Hui Ti:

Dr See Hui Ti is a Medical Oncologist at Parkway Cancer Centre, Mount Elizabeth Hospital. She was previously a Consultant in Medical Oncology at the National Cancer Centre as well as a Visiting Consultant at the KK Women’s and Children’s Hospital specialising in adult breast and gynaecological cancers.

She is registered with the General Medical Council (UK), and worked at Queen Elizabeth Hospital in Birmingham, UK, before continuing her internal medicine training at the Singapore General Hospital. She has recently obtained her fellowship from the college of physicians (FRCP) from Edinburgh.

Dr See was awarded the Singapore Government HMDP fellowship in 2002 after completing advanced oncology training at the National Cancer Centre. From 2003 to 2004, she furthered her training in Medical Oncology at the M.D. Anderson Cancer Center in Houston, Texas.

Dr See is a member of the International Gynecologic Cancer Society, American Society of Clinic Oncology and the Singapore Medical Association. She served as an executive committee member of the Singapore Society of Oncology from 2001 to 2007.  

Recap for #ASK THE EXPERT Session (26 April 2013) with Senior Oncologist Dr See Hui Ti : Understanding Breast Cancer

Q1. What percentage of women scanned, having lumps in their breasts, have breast cancer?

On doing mammograms, for about 1000 mammograms we see about 2% of patients with breast cancer.

Q2. Are mammograms always accurate?

Mammograms are not always accurate. For young ladies, mammograms can be as inaccurate as about 20-30% if they have dense breasts. So if a younger (less than 50 year old lady) has dense breast, if she can feel a lump then we must consider both mammograms and ultrasounds of the breast as adjuncts. Nevertheless, for breasts with no lumps, mammograms are easy and relatively inexpensive scans as a screening tool.

Q3. I had Stage 1B breast cancer in mid 2011. As the tumour is triple negative and grade 3, I was given the most intensive chemotheraphy (8 cycles) and radiotheraphy (33 sessions). Recent blood test seemed to show the tumour marker for CA153 at 14.6 which was a 3 point increase from the prior check and seemed to be raising steadily (result compared to those BT after the treatment). Does this imply a possibility gradual relapse of the cancer?

I think it is an important question to answer. However, the Ca153 is non specific. It can increase even when there is no recurrence. There are many reasons why it can increase. For example weight gain. Nevertheless, I would encourage you to consider getting the blood check again in about 2 months time to see if this increase is real. Thereafter, if it is still increasing, you can ask your doctor for a scan of the whole body.

Q4. There were 2 spots found in my ultrasound report and have seen a grow in size within 7 months.biggest one at 1.42cm However there is no change in their shape hence was suggested to wait for a further 9 mths review for further decision on biopsy. What is the chances of these being cancerous? Do we wait till 9 months or could we even do the biopsy now?  Meanwhile is there anything I could do for prevention?

It is not possible to be sure from your post, It is because we need to know your age and if there is a family history. There is always a small chance that a benign lump can be associated with a cancerous lump. We would estimate the risk of malignancy in the lump to be able 2%-5%. If you are worried, I suggest you get a second opinion.

Q5. What is the chances of getting Breast Cancer? I hear from friends that the bigger ur breast the higher chance of getting it how true is it?

In Singapore the chances of getting breast cancer is about 1 in 15-20 ladies. No it is not true that bigger breasts get higher chances of getting breast cancers.

Q6. My right breast felt bloated and pain normally 1 week before my menstruation. n it will last 3-4 days usually, it is normal or it is a sign of cancer?

That would be perfectly normal, In fact, we do not do mammograms and ultrasounds on the days just before menstruation because it affects the accuracy of the scans. We only do it after the menses completed for one week, only then it would be more accurate.

Q7. If my mum had cancer 7 years ago, now she is good no sign of relaps. However what is the percentage of her children will get it? Is there anyway to prevent it? Does eating well really help?

Breast cancer is so common in Singapore that it does not always require a positive family history. It is however, advisable that you get professional check ups 5 years before the age that you mom got cancer: Meaning that if you mom got breast cancer when she was 42, then you should get checked when you are 37.. etc. Eating well as above in my post does help. Keeping your weight down, exercise regularly and eating low fat helps a lot.