 Hi, this is Dr. Ganesh Reddy, consultant surgical oncologist at Manipal Hospital, Vijayawada. As October is a breast cancer awareness month, we will learn few points about breast cancer. As the breast cancer incidence is increasing day by day, there are lot of breast cancer patients as well as deaths because of breast cancer. The symptoms usually the patients present with a breast lump or any breast swellings and also which is usually painless and also they can present as with a nipple discharge that is bloody nipple discharge and also any swellings in the axilla. That is axilla swellings like lymph nodal masses and all usually 80% of the patients present with these symptoms. So, it is very important for any women with these symptoms usually they should consult nearest oncologist and once they come to the hospital after seeing any breast lump, we usually first confirm the cancer by doing a biopsy that is taken biopsy and also we stage the disease. That is we do scans to stage the breast cancer. There are 4 different stages that is stage 1, stage 2 which is called early breast cancer and stage 3 which is called local advanced breast cancer and also stage 4 that is called as metastatic breast cancer. That is breast cancer has already spread to either lungs, bone and brain or liver. After doing all these tests we stage the disease and there are different treatment modalities such as surgery where we do surgery like removal of complete breast or a part of breast along with the lymph node. As well as lymph node dissection or central lymph node biopsies and also chemotherapy, radiotherapy, immunotherapy and targeted therapy and hormonal therapy. So, based on these stages of the disease we do a combination of these treatments after discussing in multidisciplinary tumor bed where surgical oncologist, radiation oncologist, medical oncologist and pathologist and radiologist we sit together and decide and do the best for the patient. And it is very important for us to detect these cancer at a very early stage. So, we have to do a screening. What is screening? Every woman who crosses 40 years of age group they must do a yearly mammogram so that we detect these cancers at very early stage and we can cure the patient of disease. So, it is very important to do a screening mammogram yearly after 40 years of age. By detecting the cancer at very early stage we can cure the cancer completely so that I recommend all the women above 40 years of age group to get yearly mammogram and to get treated at very early stage and to save many lives. Thank you.