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Diagnosing and
treating breast cancer
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xNYjJ 2 KÆfL~ U¥ -
˜j TqJ¿JPrr KYKT“xJ TrJ
k´go U¥ - xNYjJ 7
FTaJ ˜j KTîKjPT kJbJPjJ krLãJ KjrLãJr kPr 8
˜j KTîKjPT xJãJ“ TrJr mPªJm˜ 3 ˜j TqJ¿JPrr irj 8

KT IJvJ TrJ pJ~ 3 IJPrJ krLãJxoNy 9

oqJPoJV´Jo 4 KYKT“xJr irj KjP~ IJPuJYjJ TrJ 9

IJuasJxJC¥ ÛqJj 5 ßp k´vú IJkKj TrPf kJPrj 10

lJAj Kjcu& FqJxKkPrvJj xJAPaJuK\ KYKT“xJTJrL hu 11

(FlFjFKx) FmÄ ßTJr mJP~JkKx 5
˜j TqJ¿JPr KYKT“xJr
krmftL krLãJ 6 IJhvt rLKf 12
IkJPrvJj 12
IJkjJr krLãJr luJlu \JjJ 6
˜j TqJ¿JPrr IjqJjq KYKT“xJ 17
ßrKcSPgrJkL 17
ßTPoJPgrJKk 19
yrPoJj ßgrJkL 20

VPmweJr \jq IjMKÔf jfáj

krLãJ-KjKrãJ 22
Fr xJPg IJjMxKñT ßgrJkLxoNy 22
F KmwP~ IJPrJ fgq \JjJ 23
FKv~Jj TKoCKjKar \jq ßxmJxoNy 23
k´P~J\jL~ KbTJjJxoNy 23

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 1

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pMÜrJP\q CPuäUPpJVq xÄUqT FKv~Jj oKyuJ FmÄ I· xÄUqT FKv~Jj kMÀw

˜j TqJ¿Jr ÆJrJ k´nJKmf y~Ç FA kMK˜TJKa ßuUJ yP~PZ ˜j TqJ¿JPrr
Kj„ke FmÄ fJr KYKT“xJr CkPrÇ FaJ hMAaJ oNu UP¥ KmnÜÇ

k´go UP¥r fgq fJPhr xmJr \jq pJPhrPT ßTJj FTaJ ßmsˆ KTîKjPT ßpP~
KmPvwùPT ßhUJPf muJ yP~KZuÇ FUJPj muJ yP~PZ ßp ßxUJPj ßpP~ IJkKj
KT IJvJ TrPf kJPrj FmÄ IJkjJr ßTJj irPjr krLãJ TrJ yPf kJPrÇ FA
Im˙J~ IJkKj hMKÁ∂J TrPf kJPrj FmÄ n~ ßkPf kJPrjÇ IJorJ IJvJ TKr
ßp FA mMTPua FmÄ Fr xJPg ßp KxKc-Ka ßh~J yPò fJPf pPgÓ kKroJPj
fgq ßh~J IJPZÇ FaJ kzPu FmÄ ÊjPu IJkKj IJkjJr K\Kk IgmJ ˜j
KmPvwPùr xJPg F xŒKTtf ßpPTJj Kmw~ KjP~ IJPuJYjJ TrPf kJrPmjÇ

FA kMK˜TJ FmÄ KxKc’r KÆfL~ UP¥ muJ yP~PZ ßp IJkjJr pKh ˜j Tq¿Jr
irJ kPz fJyPu ßTJj irPjr KYKT“xJ IJkjJPT ßh~J yPmÇ IJorJ IJvJ TKr
ßp FA U¥Ka kzPu IJkKj cJÜJPrr xJPg IJkjJr KYKT“xJr Kmw~ KjP~
IJPuJYjJ TrPf kJrPmjÇ FTA xJPg WaPf kJPr Foj KTZM kJvõt k´KfKâ~Jr
mqJkJPr xPYfj gJTPf kJrPmjÇ

pKhS FA kMK˜TJ \MPz IJorJ oKyuJ v»Ka mqmyJr TrPuS Fr IKiTJÄv fgq
˜j TqJ¿JPr IJâJ∂ kMÀwPhr ßmuJPfS UJPaÇ

2 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ

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˜j KTîKjPT xJãJ“ TrJr mPªJm˜

IJkjJr K\Kk FTaJ ßmsˆ KTîKjPT IJkjJPT ßhUJ TrPf muPm, oPj rJUPmj
ßp ßhUJ TrJr \jq IJkjJPT hMA ßgPT hv x¬Jy IPkãJ TrPf yPf
kJPrÇ (Tf Khj IPkãJ TrPf yPm fJ Kjntr TPr IJkKj ßTJgJ~ gJPTj
fJr Ckr)Ç IJkjJr K\Kk pKh oPj TPrj IJkjJPT fJzJfJKz krLãJ TrJ
CKYf fJyPu fJr xMkJKrv KYKb kJbJPjJr hMA x¬JPyr ßnfPr IJkjJPT
krLãJ TrJ yPmÇ IJkjJPT \ÀrL KnK•Pf krLãJ TrJr xMkJKrv TrJ
xP•ôS oPj rJUPmj Pp IJkjJr ˜j (mMPT) Tq¿Jr jJS yPf kJPrÇ
FjFAYFx Fr ˜j krLãJ k´TP·r IiLPj ÀKaj oqJPoJV´JlL (˜Pjr
Fé-ßr) TrJr xo~ ßTJj FTaJ xoxqJ irJ kzPuS IJkjJPT ßmsˆ KTîKjPT
krLãJr \jq ßpPf muJ yPf kJPrÇ FA ßãP© IJkjJr FuJTJr ßmsˆ
KTîKjPT IJPrJ Km˜JKrf krLãJr \jq pJS~Jr IjMPrJi TrPu IJkjJPT
FTaJ KYKb kJbJPjJ yPmÇ

KT IJvJ TrJ ßpPf kJPr

˜Pjr xoxqJ Kj„kj FmÄ Fr KYKT“xJr CkPr IKnù FT\j jJxt mJ
cJÜJr IJkjJPT k´gPo krLãJ TKrPmjÇ ßmsˆ KTîKjPTr TotL oKyuJ jJS
yPf kJPrj KT∂á fJrJ xTPuA ˜Pjr Im˙Jr mqkJPr kJrhvtL FmÄ IJkjJr
ßVJkjL~fJ S xÿJj rãJr ßYÓJ TrPmjÇ IJkjJr AÄPr\L muPf mJ mM^Pf
xoxqJ yPu ßmsˆ KTîKjPT ˆJl IJkjJr \jq FT\j ßhJnJwLr mqJm˙J TPr
ßhPmjÇ
jJxt/cJÜJr IJkjJPT Fr uãe K\ùJxJ TrPmj, IJkjJPT ßZJa FTaJ

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 3

k´Pvúr lot kMrj TrPf muJ yPf kJPrÇ FUJPj IJkjJr kKrmJPrr ˜j
xoxqJr AKfyJx FmÄ ßTJj irPjr Hwi UJPòj fJ K\ùJxJ TrJ yPmÇ
Fr kPr IJkjJr ˜Pjr krLãJ TrJ yPmÇ IJkKj mPx FmÄ ÊP~ gJTJ
Im˙J~ jJxt/cJÜJr IJkjJr krLãJ TrPmjÇ IJkjJr ˜j krLãJr cJÜJr
mVPur Kuœ V´∫L krLãJ TrPmjÇ
Fr kPr IJkjJPT IJPrJ krLãJ TrJr hrTJr yPf kJPr, Fr ßnfPr
IJPZ oqJPoJV´Jo FmÄ / IgmJ IJfisJxJC¥ ÛqJj FmÄ kPr lJAj Kjcu
FqxKkPrvJj xJAPaJK\ (FlFjFKx) FmÄ / IgmJ ßTJr mJP~JkKx (FA
mqJkJPr IJPrJ \JjPf yPu KjPY ßhUMj)Ç
˜Pjr krLãJ, oqJPoJV´Jo/IJuasJxJC¥ FmÄ FlFjFKx/ßTJr
mJP~JkKxPT FTP© Kasku& IqJPxx&Po≤ (pJYJA ©~) jJPo cJTJ y~Ç
IPjTxo~ FA xo˜ krLãJ IJkjJr k´go KnK\Par xoP~A yP~ ßpPf
kJPr FmÄ luJlu S ßxA KhjA ßkP~ ßpPf kJPrjÇ FPT muJ y~ S~Jj-
ˆk-KTîKjTÇ ßTJj ßTJj yJxkJfJPu fJ x÷m y~jJ fJA IJPrJ krLãJ IgmJ
luJlu Fr \jq IJkjJPT y~PfJ IJPrTaJ FqJkP~≤Po≤ TrPf yPmÇ FA
krLãJr luJlPur \jq IJkjJPT y~PfJ k´J~ FT x¬Jy pJm“ IJPkãJ
TrPf yPmÇ IPjT ßmsˆ KTîKjPT IPjT irPjr xo~ uJVPf kJPrÇ

oqJPoJV´Jo
oqJPoJV´Jo yPuJ ˜Pjr Fé-ßrÇ ßrKcSV´JlJr (˜Pjr Fé-ßrPf kJrhvtL
mqKÜ) IJkjJPT ßTJor kpt∂ TJkz UMuPf muPmj FmÄ oqJPoJV´JlL pPπr
xJoPj hJzJPf muPmj FmÄ FPTr kr FT hMA ˜jPTA Fé-ßr ßkäPar
oJ^UJPj rJUPmj pJPf ˜j hMAaJPT YqJ¡J TPr ßluJ y~Ç ksKfaJ ˜Pjr
hMAaJ TPr ZKm ßfJuJ yPm pJPf TPr ˜j hMAaJPT Knjú hMA KhT PgPT ßhUJ
pJ~Ç
ßTJj ßTJj oKyuJPhr TJPZ FA xo~ I˝K˜ IgmJ mqJgJ S uJVPf
kJPr, KT∂á FA kKrãJ oJ© TP~T ßxPT¥ YPuÇ
oqJPoJV´Jo xJiJrjf 35 mZPrr ßmvL oKyuJPhr TrJ y~ TJrj To m~Û
oKyuJPhr ˜Pjr KaxqM (hum≠ mJ FTK©f ßTJw) ffA Wj yP~ gJPT lPu
ZKm nJu IJPxjJÇ

4 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ

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IJfisJxJC¥ ÛqJj Có oJ©Jr v» mqJmyJPrr oJiqPo ˜Pjr ZKm ßfJuJ y~Ç
F ßãP© IJkjJPT yJf oJgJr CkPr fáPu TJCPY (IJrJo ßThJrJPf) ÊPf
muJ yPmÇ IJkjJr mMPTr SkPr ß\u (We fru khJgt) uJVJPjJ yPm FmÄ
Fr kJv KhP~ FTaJ ÛqJKjÄ ßksJm jJzJPjJ yPm, FaJ IPjTaJ VntTJuLj
xoP~ ßkPar mJóJr ZKm ßhUJr ofAÇ IJuasJxJC¥ ÛqJPj mqJgJ uJPVjJ
FmÄ FaJ TrPf TP~T KoKja xo~ uJPVÇ FaJ 35 mZPrr To m~xL
oKyuJPhr \jq CkpMÜÇ
Fé-ßrPf pKh Foj ßTJj IÄv ßhUJ pJ~ ßpaJPT IJPrJ nJPuJ TPr
ßhUJ hrTJr fUj m~x pJA ßyJTjJ ßTj IJuasJxJC¥ ÛqJj S oqJPoJV´Jo
FT xJPg TPr ßj~J yPf kJPrÇ

lJAj Kjcu& FqJxKkPrvJj xJAPaJuK\ (FlFjFKx)

FmÄ ßTJr mJP~JkKx
pKh ßTJj ßVJaJ IgmJ I˝JnJKmT KTZM uãq TrJ pJ~ fJyPu FTaJ joMjJ
ßj~J yPmÇ FaJ FTaJ lJAj Kjcu& FqJxKkPrvJj xJAPaJuK\ (FlFjFKx)
IgmJ FTaJ ßTJr mJP~JkKx yPf kJPrÇ FA hMAaJ krLãJA KjPhtvjJr \jq
IJuasJxJC¥ xy IgmJ fJ ZJzJ TrJ yPf kJPrÇ

FlFjFKx
FlFjFKx yPuJ FTaJ KYTj xNY IgmJ KxKrP†r oJiqPo ßTJw xÄV´y TrJÇ
FA joMjJ fUj krLãJVJPr kJbJPjJ y~ oJAPâJPÛJPk krLãJr \jqÇ
KmPvwùrJ FA luJlPur xJyJPpq KbT TrPmj ßp IJPrJ ßTJj krLãJr
hrTJr IJPZ KTjJÇ

ßTJr mJP~JkKx
FTaJ ßTJr mJP~JkKxr (oöJ xÄV´y TrJ) oJiqPo FTaJ ßoJaJ xNPYr oJiqPo
KaxMqr joMjJ (hum≠ ßTJPwr joMjJ) xÄV´y TrJ y~Ç KmPvwùrJ FTA xoP~
TP~TaJ joMjJ KjPf kJPrjÇ FA KaxMqr joMjJ krLãJVJPr kJbJPjJ y~ FmÄ
ßrJV yP~PZ KTjJ fJ KjKÁf yS~Jr \jq oJAPâJPÛJPk (IjMmLãepPπ)
krLãJ TrJ y~Ç

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 5

 F xoP~ IJkjJr vrLPrr G \J~VJKaPT Imv TrJr \jq ßuJTJu
FqJPjP˙Kv~J (ÊiMoJ© G \J~VJaJ Imv TPr ßj~J) ßh~J yPmÇ FA Imv
nJm ßTPa ßVPu IJkKj IJkjJr ˜Pj mqJgJ IjMnm TrPf kJPrj FmÄ
TUjS ßxUJPj ãf xOKÓ yPf kJPrÇ pKh \J~VJaJ mqJgJ TPr fJyPu
IJkjJPT mqJgJjJvT (ßkAjKTuJr) Hwi ßUPf yPf kJPrÇ

krmftL krLãJxoNy
ßrJPVr krLãJ TrJr \jq xJiJrjf Kasku FqJPxxPo≤ (Kfj irPjr
pJYJAPT FTP© Kasku FqJPxxPo≤ muJ y~) TrJ y~ KT∂á TUjSmJ IJkjJr
IJPrJ mJzKf krLãJr hrTJr yPf kJPrÇ IJr ßTJj krLãJ TrJ yPm fJ
\JjJr \jq IJkKj ßmsˆ TqJ¿Jr ßT~Jr’x ßyuk&uJAPj ßlJj TrPf kJPrj
(YJAPu ßhJnJwLr xJyJpq KjPf kJPrj)Ç

IJkjJr krLãJr luJlu \JjJ

pUj IJkKj luJlu IJjPf pJPmj fUj xJPg IJPrJ FT\j m~Û ßuJT
KjP~ pJS~J nJPuJÇ pKh fUj IJkjJr ßTJj xJyJpq hrTJr kPz fJyPu
KfKj fJ TrPf kJPrjÇ
pKh krLãJ~ ßhUJ pJ~ ßp IJkjJr TqJ¿Jr IJPZ fJyPu IJkjJr ßnfPr
IPjT irPjr IjMnëKf yPf kJPrÇ IJkjJr n~, rJV FmÄ IxyJ~ uJVPf
kJPrÇ cJÜJr IJkjJPT pJ mPuPZ fJ ßoPj KjPf IJkjJr TÓ yPf kJPrÇ
oPjJPpJV KhP~ TgJ ÊjPf FmÄ k´vú TrPf kJPrj Foj irPjr ßTC
IJkjJr xJPg gJTPu fJ ßmv CkTJPr IJPxÇ IJkjJPT ßmsˆ ßT~Jr jJPxtr
xJPg ßpJVJPpJV TKrP~ ßh~J yPm KpKj IJkjJr xJPg IJkjJr ßrJV Kj„kj
FmÄ KYKT“xJr mqJkJPr TgJ muPmjÇ KT WaPZ fJ ßmJ^Jr \jq fgq
IJkjJPT xJyJpq TrPmÇ FA kMK˜TJ kzPu FmÄ Fr xJPg ßh~J KxKc ÊjPu
ßmsˆ TqJ¿Jr ßT~Jr’x& ßyuk&uJAPj ßlJj TrPf IJkKj xJyJpq kJPmjÇ
FUJPj IJkKj IJkjJr KjP\r nJwJ~ ßTJj FT\j jJxt mJ ß˝òJPxmLr xJPg
TgJ muPf kJrPmj pJr ßmsˆ TqJ¿Jr KZPuJÇ

6 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ

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˜j TqJ¿JPrr KYKT“xJ TrJ

xNYjJ
˜Pjr TqJ¿Jr ÊiMoJ© FTaJ ßTJj ßrJV jJÇ TP~T irPjr ˜Pjr TqJ¿Jr
IJPZÇ Cjú~Pjr KmKnjú kptJP~ FPT kJS~J pJ~ FmÄ FaJ Knjú Knjú yJPr mz
y~Ç KT∂á ˜j TqJ¿Jr gJTJr oJPj FA j~ ßp IJkKj oJrJ pJPòjÇ
ßrJVaJ ßTJj KhPT ßoJz KjPm FmÄ IJkjJr ßTJj KYKT“xJ TrJ yPm fJ
IJPVr ßgPT muJ TKbjÇ pUj KmPvwù IJkjJr \jq xmPYP~ nJPuJ
KYKT“xJr mqm˙J TrPmj fUj KfKj IJkjJr m~x FmÄ ˝JP˙qr Im˙J
KmPmYjJ TrPmjÇ FA ‘xmPYP~ nJPuJ KYKT“xJ’r ßnfPr xJ\tJKr
(IkJPrvJj), ßrKcSPgrJkL, ßTPoJPgrJkL (F hMPaJPfA ßf\KÙ~fJ S
HwPir oJiqPo IJâJ∂ ßTJwPT Kj~πe TrJ y~) IgmJ yrPoJj ßgrJkL
gJTPf kJPrÇ IJkjJPT FèKur FTaJ IgmJ TP~TaJ FTxJPg ßh~J yPf
kJPrÇ
IJkKj ßU~Ju TrPmj ßp FA kMK˜TJ \MPz IJorJ ‘IJkjJr cJÜJr’ mPu
CPuäU TPrKZÇ Fr TJrj yPuJ ˜Pjr TqJ¿JPrr KYKT“xJ TrJr \jq FTxJPg
Totrf KmKnjú KmwP~ KmPvwPùr FTaJ KaPor TJPZ ßpPf muJ y~ (11 jÄ
kOÔJ ßhUMj)Ç IJr fJA FaJ èÀfôkNet ßp IJkjJr K\Kk ßpj k´go ßgPTA
IJkjJPT KmPvwù ßmsˆ ACKjPa kJbJjÇ pKh IJkjJr FuJTJr yJxkJfJPu
FrTo KmKnjú KmwP~ KmPvwù jJ gJPT fJyPu IJkjJPT Ijq ßTJj
߸vJKuˆ ßmsˆ ACKjPa kJbJPjJr xMkJKrv TrJr \jq IJPmhj TrPf
kJPrjÇ
IKiTJÄv yJxkJfJPu FTaJ ßmsˆ ßT~Jr jJxt IJPZ KpKj FA KmPvwù
hPur FT\j UMm èÀfôkNjt xhxqÇ ßmsˆ ßT~Jr jJxt IgmJ IJkjJr cJÜJPrr
xJPg IJkjJr x÷Jmq KYKT“xJ KjP~ IJPuJYjJ TrJ FmÄ ßTJj n~ gJTPu
ßxaJ k´TJPvr xMPpJV gJTPf yPmÇ IJkjJr pKh ßTJj ßhJnJwLr hrTJr kPz
fJyPu yJxkJfJu fJr mqm˙J TPr KhPmÇ IgmJ IJkKj IJkjJr TgJ IjMmJh

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 7

TPr ßhS~Jr \jq kKrmJPrr ßTJj xhxqPT KjP~ ßpPf kJPrjÇ xJŒsKfT
Umr \JjPf FmÄ IJoJPhr k´Kvãek´J¬ jJPxtr ßgPT xJyJpq ßkPf yPu
IJkKj KmjJoNPuq IJoJPhr ßy·uJAPj ßlJj TrPf kJPrjÇ IJkKj pKh
IJkjJr KjP\r nJwJ~ TgJ muPf YJj fJyPu ßhJnJwL mqmyJr TrPf
kJPrjÇ IJkKj KT TrPmj ßxA Kx≠J∂ V´yPjr mqJkJPr FA ßy·uJAj
IJkjJPT xJyJpq TrPm jJ, KT∂á fJrJ IJkjJPT kg UÅMP\ ßmr TrPf FmÄ
cJÜJrPT IJkKj KT k´vú K\ùJxJ TrPmj ßxaJ KbT TPr KhPf xJyJpq
TrPmÇ FTAnJPm, KYKT“xJr kPr IJoJPhr ßy·uJAj jJxt FmÄ ß˝òJPxmLrJ
IJkjJr ßpPTJj n~ KjP~ IJPuJYjJ TrJr \jq k´˜áf IJPZjÇ

krLãJ KjKrãJr kPr

IJkjJr cJÜJr IJkjJr xJPg KYKT“xJr mqJkJPr IJPuJYjJ TrJr IJPV
KaCoJr x’Pº pfaJ kJPrj KaCoJr x’Pº ß\Pj KjPmj pJPf TPr KbT TrJ
pJ~ ßp ßTJj KYKT“xJ IJkjJr \jq xmPYP~ nJPuJ yPmÇ

˜j TqJ¿JPrr irj
oNuf hMA irPjr ˜Pjr TqJ¿Jr IJPZ - jj-AjPnKxn TqJ¿Jr (ßp TqJ¿Jr
ZKzP~ kPz jJ) FmÄ AjPnKxn TqJ¿Jr (ßp TqJ¿Jr ZKzP~ kPz)Ç

jj-AjPnKxn TqJ¿Jr (ßp TqJ¿Jr ZKzP~ kPz jJ)

Fr Igt yPuJ IJkjJr ˜Pj TqJ¿Jr ßTJw IJPZ pJ I˝JnJKmTnJPm mJzPZ
FmÄ nJV yPòÇ FèKu ˜Pjr ÊiMoJ© ˜j jJuLPfA IJPZ (hMPir jJuL) FmÄ
fJ ˜Pjr ßnfPr IgmJ mJAPr ZzJ~KjÇ ßTJj cJÜJr FPT IJkjJr TJPZ
jj-AjPnKxn (\KzP~ kPz jJ Foj) TqJ¿Jr mPu metjJ TrPmj, Ijq
cJÜJrrJ IJkjJr TJPZ FPT TqJ¿JPrr IJPVr Im˙J mPu metjJ TrPmjÇ

AjPnKxn TqJ¿Jr (ßp TqJ¿Jr ZKzP~ kPz)

˜j TqJ¿Jr muPf pJ ßmJ^J~ FaJ yPuJ fJAÇ FA AjPnKxn TqJ¿Jr yPu
ßTJwèKu IJr ÊiMoJ© ˜Pjr jJuLr ßnfPr IJm≠ gJPT jJÇ FaJ ˜Pjr
Ijq© \jìJPò FmÄ fJr ãofJ IJPZ vrLPrr Ijq \J~VJ~ ZKzP~ kzJrÇ

8 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ

FaJ TfaáTá ZKzP~ kzPf kJPr ßxA ãofJr pJYJA TrJ y~ oJAPâJPÛJPkr
KjPY FA ßTJwPT krLãJr oJiqPoÇ FaJr jJo yPuJ ßV´KcÄÇ pUj TqJ¿Jr
ßTJw vrLPrr Ijq \J~VJ~ ZKzP~ kPz fUj F ßrJV IJPrJ oJrJ®T yP~
kPzÇ FaJPT fUj muJ y~ ßxPT¥JrL ˜j TqJ¿JrÇ

IJPrJ krLãJxoNy
IJkjJr KmPvw ßTJj TqJ¿Jr x’Pº IJPrJ \JjJr \jq FmÄ IJkjJr \jq
xmPYP~ nJPuJ KYKT“xJ KjKÁf TrJr \jq Km˜JKrf krLãJ TrJ yPf kJPrÇ
Fr ßnfPr Ijqfo èÀfôkNet yPuJ yrPoJj KrPx¡r (yrPoJj V´yeTJrL)
krLãJÇ xJ\tJKrr kPr TqJ¿Jr ßTJPw FUj FA krLãJ Kj~Kof TrJ y~Ç
vrLPrr APˆsJP\j FmÄ ßk´JPVPˆrPj (oKyuJPhr yrPoJj) FA TqJ¿Jr ãKf
TrPZ KTjJ fJ \JjJr \jq FA krLãJ TrJ y~Ç pKh krLãJr luJlPu irJ
kPz ßp FaJ ãKf TrPZ fJyPu fJr oJPj yPuJ ßp TqJ¿Jr ßpj IJr jJ y~
fJ ßbTJPjJr \jq FA yrPoJj ßgrJkL CkTJPr IJxPf kJPrÇ (20 j’r
kOÔJ~ yrPoJj ßgrJkL mqJUqJ TrJ yP~PZ)Ç

KYKT“xJr irj KjP~ IJPuJYjJ TrJ

cJÜJPrr TJPZ xm fgq IJxJr kPr fJrJ IJkjJr \jq ßTJj KYKT“xJ
xmPYP~ nJPuJ yPm ßxaJ KmPmYjJ TrPmjÇ FA xoP~ IJkKj KbT TrPmj
ßp TfaáTá ßmvL IgmJ Tf To \Kzf yPf YJj IJkKjÇ xmJA IJuJhJÇ
KTZM oKyuJ IJPZj pJrJ fJPhr IxMU x’Pº xmKTZM \JjPf YJj FmÄ fJr
ßTJj irPjr KYKT“xJ TrJ yPm fJ KbT TrJr mqJkJPr xKâ~nJPm \Kzf
gJTPf YJjÇ IjqrJ fJPhr ßrJV x’Pº kMPrJkMKr ImVf yPf YJj KT∂á ßTJj
irPjr KYKT“xJ TrJ yPm ßxA Kx≠J∂ ßjS~Jr hJK~fô cJÜJrPhr yJPf ßZPz
KhP~ fJrJ UMvLÇ ßTC IJPZj KpKj pfaáTá x÷m To \JjPf YJj FmÄ
KmPvwùPhr CkPr xm Kx≠J∂ ßZPz ßhjÇ
IJkKj ßpA Kx≠J∂ Kjj jJ ßTj, IJkjJPT fJzJÉPzJ TPr ßTJj KYKT“xJ
ßhS~J yPm jJÇ IJkKj IJxPu KT YJj fJ nJmJr \jq IJPrJ TP~TaJ mJzKf
Khj xo~ KjPu FmÄ IJkjJr ˝JoL, kKrmJr, mºM IgmJ K\Kkr xJPg KYKT“xJ
k≠Kf KjP~ IJPuJYjJ TrPu KYKT“xJr IV´VKfPf mJiJ kzPm jJÇ

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 9

ßp k´vú IJkKj TrPf kJPrj
IJkjJr oPj UMm x÷mf KTZM k´vú IJPZ FmÄ pfaáTá fgq IJkjJr k´P~\j
mPu IJkKj oPj TPrj fJr xmaáTá \JjJr \jq KjKÆtiJ~ k´vú TrPf kJPrjÇ
FA k´Pvúr ßnfPr gJTPf kJPr:
• FaJ ßTj IJoJr \jq xmPYP~ nJPuJ KYKT“xJ?
• Ijq ßTJj KmT· KT IJPZ?
• Fr x÷Jmq kJvõt k´KfKâ~J KT?
• FaJ IJoJr \jq hLWt ßo~JPh KT \KaufJ mP~ KjP~ IJxPm?

IJkKj pJ mM^Pf kJrPmj jJ, fJ IJkjJr KmPvwù hu fJ IJkjJPT mMK^P~

KhPmjÇ k´˜JKmf KYKT“xJ KjP~ ßmsˆ TqJ¿Jr ßT~Jr’x& ßy·uJAPjr TotLrJ
IJkjJr xJPg TgJ muPf kJPrj, FxoP~ IJkKj YJAPu fJrJ IJkjJr nJwJr
FT\j ßhJnJwLr xJyJpq KjPf kJPrjÇ fJrJ IJkjJPT IJPrJ fgq KhPf
kJPrj IgmJ IJkjJr nJwJnJwL ßmsˆ TqJ¿Jr ßT~Jr ßnJPuK≤~JrPhr xJPg
ßpJVJPpJV TKrP~ KhPf kJPrj pJPhr IJPV ˜j TqJ¿Jr yP~KZuÇ
IJkjJPT ßp CkPhv ßh~J yPò ßxaJ ßoPj KjPf IJkKj mJiq jj, KT∂á
oPj rJUPmj ßp IJkjJPT ßp KYKT“xJ KjPf muJ yPò ßxaJ yPuJ KYKT“xT
hPur oPf ßxrJ KYKT“xJÇ FaJ KjP~ VnLrnJPm nJmMj FmÄ pKh oPj TPrj
ßp IPjqr xJPg TgJ muPu CkTJr kJPmj fJyPu fJA TÀjÇ FTaJ Kx≠J∂
ßjS~Jr IJPV pfaJ x÷m xo~ KjP~ KY∂J nJmjJ TÀjÇ

KÆfL~ ofJoPfr \jq IjMPrJi TrJ

ßp ßTJj kptJP~ IJkKj KÆfL~ ofJoPfr \jq IjMPrJi TrPf kJPrj, FaJ
ßTJj xoxqJ jJÇ IJkKj IJkjJr K\KkPT IgmJ mftoJj ߸vJKuˆPT
IjMPrJi TrPf kJPrj ßpj IJkjJPT Ijq KmPvwPùr TJPZ kJbJPjJ y~Ç
FaJ oPj rJUJ \ÀrL ßp IJkjJPT k´gomJr ßp krJovt ßh~J yP~PZ fJr
xJPg KÆfL~ krJoPvtr ßTJj kJgtTq jJS gJTPf kJPrÇ KÆfL~ ofJof \JjJr
\jq ßp xo~ uJPV ßxaJ IJkjJr KYKT“xJr luJlPu ßTJj ãKf TPr jJÇ

KYKT“xJ KjPf rJ\L jJ yS~J

ßTJj oKyuJ KYKT“xJ KjPf rJ\L jJS yPf kJPrjÇ Fr TJrj yPuJ fJrJ oPj
TPr ßp FA KYKT“xJ fJPhr ßTJj CkTJPr IJxPm jJ IgmJ FaJ fJPhr
mftoJj \LmjpJ©J~ oJrJ®T k´nJm ßluPm IgmJ fJrJ n~ kJPòÇ
IJkjJPT ßh~J ßTJj FTaJ, IgmJ xmèKu KYKT“xJ jJ KjPf YJS~Jr

10 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ

kPrS xmtPvw Kx≠JP∂ IJxJr IJPV IJkjJPT xfTtfJr xJPg KY∂J TrPf
muJ yPòÇ ßmsˆ TqJ¿Jr ßT~Jr’x ßy·uJAPjr TotLrJ IJkjJr KYKT“xJ
k≠Kfr mqJkJPr IJkjJr xJPg IJPuJYjJ TrPf kJPrj FmÄ fgq S xJyJpq
ßkPf xJyJpq TrJr \jq IJkjJPT Ijq ßTJj xÄ˙Jr TJPZ kJbJPf kJPrjÇ

KYKT“xJTJrL hu
ßmsˆ ACKjPar KmPvwù hPur ßnfPr KjPYr ˝J˙q TotL S ßkvJ\LKmrJ
gJPTj:
• TjxJuPa≤ xJ\tj
• TjxJuPa≤ ßoKcPTu IjPTJuK\ˆ (TqJ¿Jr KmPvwù)
• TjxJuPa≤ KTîKjTqJu IjPTJuK\ˆ (ßrKcSPgrJkL KmPvwù)
• TjxJuPa≤ ßrKcSPuJK\ˆ (Fé-ßr FmÄ ÛqJPjr oJiqPo ßrJV
Kj„kPe KmPvwù)
• ßmsˆ ßT~Jr jJxt
• ßTPoJPgrJkL jJxt
• TjxJuPa≤ KyPˆJkqJguK\/xJAPaJuK\ˆ (uqJmPraKrr krLãJ
KmPväwPj KmPvwù)
• cJ~VjKˆT ßrKcSV´JlJr (Fé-ßr FmÄ ÛqJKjÄ-F KmPvwù)
• ßgrJkL ßrKcSV´JlJr (ßrKcSPgrJkL KYKT“xJ ßh~Jr mqJkJPr KmPvwù)Ç
IJoJPhr KYKT“xJ YuJTJuLj xoP~ IJkKj KmPvwù hPur TP~T\j
xhxqPT KmKnjú xoP~ ßhUPf kJPmjÇ k´P~J\j yPu FA hPur mJAPr
IjqJjq ßkvJ\LKmPhrPT IJjJ yPm, ßpoj xJAPTJuK\ˆ, käJKˆT xJ\tj,
xJAPTJPgrJKkˆ FmÄ lJotJKxˆÇ

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 11

˜j TqJ¿JPr KYKT“xJr
IJhvt rLKf
IkJPrvJj
xJiJrjf ˜j TqJ¿Jr IJPZ Foj oKyuJPhr \jq IkJPrvJj yPuJ k´go
KYKT“xJÇ ßTJj ßTJj ßãP© KaCoJrPT ßZJa TPr ßluJr \jq ßTPoJPgrJkL
IgmJ yrPoJj ßgrJkL ßh~J y~ pJPf TPr ßZJa IJTJPrr IkJPrvJj TrJ
pJ~, IgmJ IPjT xo~ FPf TPr IkJPrvJj TrJ uJPV jJÇ FaJ TrJ y~
hs∆f mitjvLu KaCoJPrr ßmuJ~ ßpUJPj IkJPrvJj TrJr oJPjA yPuJ kMPrJ
˜jKa ßTPa ßlPu KhPf yPm KT∂á oKyuJ fJ YJj jJ FmÄ pKh x÷m y~
fJyPu jJ ßTPa KYKT“xJ TrJPf YJjÇ

IkJPrvJPjr irj
k´iJef hMA irPjr IkJPrvJj IJPZ:
• IJÄKvT oqJxPaTPaJKoÇ FaJ uJPŒTaKo ßgPT ÊÀ TPr
ßTJ~JcsqJjPaTaKo (FUJPj ˜Pjr YJr nJPVr IJjMoJKjT FTnJV ßTPa
ßluJ y~) kpt∂ yPf kJPrÇ uJPŒTaKo yPuJ mMPTr IPjT \J~VJ iPr
ßTPa fáPu ßluJÇ FUJPj KaCoJrPT fJr IJPvkJPvr KTZM KaxMq xy fáPu
ßluJ y~Ç
• xŒNjt oqJxPaTPaJKoÇ FUJPj Kjku& ßgPT ÊÀ TPr kMPrJ ˜j ßTPa mJh
ßh~J y~Ç FaJ FTaJ xru oqJxPaTPaJKo yPf kJPr, FPãP© ˜Pjr
ÊiMoJ© KaxMq ßTPa mJh ßhS~J y~Ç FaJ kKrmftLf \Kau oqJxPaTPaJKo
yPf kJPr ßpUJPj kMPrJ ˜j ßTPa mJh ßh~J y~, F xoP~ TUjS mMPTr
I· FTaá oJÄxS ßTPa ßluJ y~Ç
AjPnKxn TqJ¿JPrr \jq mVPur fuJr xmaáTá Kuœ V´∫L ßTPa mJh ßhS~Jr
\jq krJovt ßhS~J y~Ç

Kuœ V´∫L krLãJ TrJ

IJkjJr mVPur fuJr Kuœ V´∫LPf TqJ¿Jr ZKzP~ kPzPZ jJKT fJ krLãJ
TPr ßhUJ IJkjJr cJÜJPrr \jq \ÀrL TJrj FaJ IJkjJr krmftL
KYKT“xJPT k´nJKmf TrPmÇ IJkjJr cJÜJPrr IjMvLuPjr CkPr Kjntr
TrPm ßp TfèKu Kuœ V´∫L fáPu ßluJ yPuJÇ

12 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ

 IPjT \J~VJ ßTJ~JcsqJjPaTaKo
iPr ßTPa fáPu ßluJ

xru oqJxPaTPaJKo kKrmftLf \Kau oqJxPaTPaJKo

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 13

IkJPrvJPjr xo~
Kk´-ßoPjJkxJu oKyuJPhr fJPhr oJKxT xsJPmr KÆfL~ nJPV oKyuJPhr vrLPr
APˆsJP\j oJ©J To gJPTÇ fUj fJPhrPT IkJPrvJj TrJ nJPuJ KTjJ ßxaJ
FTaJ VPmweJr oJiqPo \JjJr ßYÓJ TrJ yPò (IJkjJr Efá Yâ ÊÀ y~
IJkjJr oJKxPTr k´go Khj ßgPTA)Ç KT∂á FUj kpt∂ F mqJkJraJ kKrÛJr
jJ FmÄ FA VPmweJr luJlu \JjPf yPu IJPrJ TP~T mZr ßTPa pJPmÇ

ßTJj& IkJPrvJj?
Ijqfo mz ßp Kx≠J∂ IJkjJr KjPf yPm fJ yPuJ ßTJj irPjr IkJPrvJj
IJkjJr yPm ßxaJ KjitJreÇ ßTJj oKyuJPhr ˜j xÄrãe IkJPrvJj (˜Pjr
IÄv KmPvw ßTPa ßluJ) IgmJ oqJxPaTPaJKor k´˜Jm ßh~J yPmÇ k´JgKoT
kptJP~r ˜j TqJ¿JPrr IPitT ßmvLPT ˜j xÄrãe IkJPrvJPjr oJiqPo
xJrJPjJ pJ~, FaJ xJiJref ßrKcSPgrJkLr oJiqPo TrJ y~Ç VPmweJ~ ßhUJ
pJ~ ßp ˜j xÄrãe IkJPrvJj FmÄ oqJxPaTPaJKo hMPaJPfA hLWt Khj ßmÅPY
gJTJr yJr xoJjÇ IJkjJr mqKÜVf \LmPj IJkjJr kZPªr KT k´nJm
kzPm ßxaJ KjP~ F xoP~ ßmsˆ ßT~Jr jJPxtr xJPg TgJ muPu IJkKj
CkTJr ßkPf kJPrjÇ
IJkjJr ßTJj irPjr IJÄKvT oqJxPaTPaJKo TrJ yPm fJ Kjntr TrPm
TqJ¿JPrr ire, KaCoJPrr IJTJr, KaCoJrKa ˜Pjr ßTJgJ~ IJPZ FmÄ
IJPvkJPvr TfaáTá KaxMq fáPu ßluPf yPm fJr CkPrÇ IJkjJr ˜Pjr
IJTJPrr CkPrS FaJ Kjntr TrPmÇ xJ\tj IJkjJPT xmPYP~ nJPuJ
TxPoKaT ßxmJ FmÄ TJptTJrL xJ\tJKr KhPmjÇ Fr oJPj yPuJ IJmJr TqJ¿Jr
yS~Jr IJvÄTJ mOK≠ jJ TPr IJkjJr ˜Pjr pfaáTá x÷m KaKTP~ rJUJÇ
Foj xo~ IJPZ pUj xJ\tjrJ IJkjJr kMPrJ ˜j ßTPa ßluJr krJovt
KhPmjÇ xŒNet oqJxPaTPaJKo TrJ nJPuJ pUj:
• KaCoJrKa FPTmJPr oJ^UJPj FmÄ Kjku& Fr FTho ßkZPj IJPZ
• ˜jKa ßZJa FmÄ IJÄKvT oqJxPaTPaJKo TrPu ˜jKa jÔ yP~ pJPm
• ˜Pj IJPrJ TP~TKa TqJ¿JPrr oPfJ IgmJ TqJ¿JPrr ^áÅKTkNet
\J~VJ IJPZ
• oKyuJ YJPòj ßpj fJr kMPrJ ˜jKa ßTPa ßluJ y~Ç

14 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ

jj-AjPnKxn TqJ¿JPrr IkJPrvJj
k´oJe kJS~J ßVPZ ßp jj-AjPnKxn TqJ¿Jr hLWtTJu iPr gJTPu AjPnKxn
TqJ¿JPr kKref y~ ßpaJ KTjJ IJPrJ oJrJ®TÇ pKh jj-AjPnKxn
TqJ¿JrPT oqJxPaTaKo ÆJrJ KYKT“xJ TrJ pJ~ fJyPu xŒNet IJPrJVq uJPnr
xMmet xMPpJV gJPT FmÄ IJmJPrJ TqJ¿Jr yS~Jr WajJ UMm To WPaÇ Fr
oJPj yPuJ FaJ xmxo~A oqJxPaTaKo ÆJrJ KYKT“xJ TrJ y~Ç cJÜrrJ FUj
jj-AjPnKxn TqJ¿Jr x’Pº IJPrJ nJPuJ TPr \JPjj, pJr oJPj yPuJ
oqJxPaTaKo xmxo~ IkKryJpt j~Ç IKiTJÄv ßãP© ßrKcSPgrJkLr kPr G
\J~VJr IPjT \J~VJ iPr ßTPa fáPu ßluJA pPgÓÇ

kMj”KjotJj
˜j kMj”KjotJj uãq yPuJ ˜jPT FojnJPm ‰frL TrJ ßpj ßxaJ ßhUPf FmÄ
IjMnm TrPf pfaJ x÷m IJxu ˜Pjr oPfJ ßhUJ~Ç pKh IJkjJr
oqJxPaTaKo yS~Jr TgJ gJPT fJyPu IJkjJPT FTA xJPg ˜j
kMj”KjotJPjr k´˜Jm ßh~J yPmÇ FaJ IJÄKvTnJPm Kjntr TrPm ˜j TqJ¿JPrr
ire FmÄ nKmwqPf IJkjJr ßp KYKT“xJ hrTJr yPf kJPr fJr CkPrÇ
IJkKj pKh KTZM IPkãJ TPr ßhUPf YJj ßp IkJPrvJPjr kPr ßToj
uJVPZ fJyPu IJkjJr KmPvwùPT \JjJjÇ oKyuJrJ xJiJref kPr Kx≠J∂
ßj~ ßp fJrJ ˜j kMj”KjotJj TrJPmÇ IjqJjqrJ FTaJ ˜j ZJzJ gJTPf
Inq˜ yP~ kPz FmÄ fJrJ ˜j kMj”KjotJj jJ TrJr Kx≠J∂ ßj~Ç
˜j kMj”KjotJj FTaJ mz oJPkr IkJPrvJj FmÄ FaJ xfTtfJr xJPg
KmPmYjJ TrJ CKYfÇ TP~T irPer kMj”KjotJj IkJPrvJj IJPZ FmÄ IPjT
KTZM KmPmYjJ TrJ CKYfÇ FA Km˜JKrf KjP~ ßp xJ\tj IkJPrvJj TrPm fJr
xJPg IJPuJYjJ TrPf kJPrj FmÄ KfKj Fr IJPV ßp IkJPrvJj TPrPZj
fJr ZKm ßhUPf YJAPf kJPrjÇ IJkKj IJkjJr ßmsˆ ßT~Jr jJPxtr xJPg F
mqJkJPr TgJ mPu ßhUPf kJPrj IgmJ Foj ßTJj FT oKyuJr xJPg TgJ
muJr \jq IJkjJPT krJovt ßh~J yPm pJr F irPer ˜j kMj”KjotJj
IkJPrvJj yP~PZÇ

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 15

IJkjJr IkJPrvJPjr kPr
FPTT\j FPTTnJPm k´KfKâ~J mqÜ TPr KT∂á FUJPj ßp uãe metjJ TrJ
yP~PZ fJ xmJr ßnfPr y~Ç ßpoj, ßTJj ßTJj oKyuJrJ IkJPrvJPjr kPr
IxM˙ ßmJi TPrÇ FaJ Imv TrJr kJvõtk´KfKâ~J FmÄ FaJ hMA KhPj ßTPa
pJ~Ç (IJkKj pKh \JPjj ßp FqJPjP˙Kv~J IJkjJPT IxM˙ TPr ßh~ fJyPu
KpKj FqJPjP˙Kv~J ßhj fJPT FaJ \JjJj pJPf TPr IKfKrÜ FqJPjP˙Kv~J
k´KfPrJiL Hwi ßh~J y~Ç)
mMT FmÄ mJÉr KjY kpt∂ K^ÅK^Å irJr IjMnëKf, \ôuMKj, Imv nJm IgmJ
ÉÅu ßlJaJPjJ IjMnëKf k´J~vA y~ FmÄ fJ TP~T x¬Jy ßgPT oJx ImKi
YuPf kJPrÇ TJaJ \J~VJaJPf aJj kzPf kJPr FmÄ mqJgJ gJTPf kJPrÇ F
Im˙J pUj YPu fUj IJkjJr kPã msJ IgmJ Foj KTZM pJ CkPrr KhPT
YJk ßh~ fJ krJ x÷m jJS yPf kJPrÇ FUJjTJr IjMnëKf IJP˜ IJP˜ TPo
ßpPf gJTPu TJaJ kMPrJkMKr xJrJr IJV kpt∂ IJkjJr mMPTr IJTíKf láKaP~
ßfJuJr \jq FTaJ yJuTJ ßk´JxPgKxx (TíK©o ˜j) krPf kJPrjÇ
IJkjJr ßp kJPv IkJPrvJj TrJ yP~PZ ßxA kJPvr mJÉ FmÄ TJÅi
TP~T x¬JPyr \jq IJzÔ gJTPmÇ kMPrJkMKr jzJYzJ TrPf xJyJpq TrJr
\jq ßmsˆ ßT~Jr jJxt, xJ\tj IgmJ KlK\SPgrJKkˆ IJkjJPT mqJ~Jo TrPf
ßhPmjÇ ßxPr SbJr k´Kâ~Jr IÄv KyxJPm IJkKj mJzLPf YPu pJS~Jr kPr
FaJ YuPf gJTPmÇ pKh FA mqJ~Jo TrJ TÓxJiq y~ fJyPu ßkAjKTuJr fJ
ToJPf xJyJpq TrPf kJPrÇ pKh IJkjJr ßrKcSPgrJkL YuPf gJPT fJyPu
Ijq ßTJj CkJP~ I∂f hMA mZr FA mqJ~Jo èPuJ TPr pJS~J \ÀrLÇ ßmsˆ
TqJ¿Jr ßT~Jr ßgPT FéJrxJA\ IJlaJr ßmsˆ TqJ¿Jr jJPo FTaJ
ßkJˆJr/mMTPua IJkKj kJPmjÇ

KuPœJKcoJ FKzP~ YuJ

IJkjJr mJÉr KjPYr ßgPT KTZMaJ IgmJ kMPrJaJ Kuœ jJuL ßTPa mJh KhPu
fJ IJkjJr KuPœKaT mqm˙J~ k´nJm rJUPf kJPrÇ Fr lPu \oJa ßmÅPi
ßpPf kJPr FmÄ Fr lPu IJkjJr mJÉr KaxMqPf fru \oPf kJPrÇ FPT
KuPœJKcoJ muJ y~Ç pKh IJkjJr xm Kuœ ßTPa ßluJ y~ fJyPu FA
KuPœJKcoJr IJvÄTJ ßmPz pJ~Ç mVPur fuJ~ ßrKcSPgrJkLr lPu FTA
k´nJm ßhUJ ßpPf kJPrÇ

16 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ

 ßpKhPT IkJPrvJj TrJ yP~PZ ßxKhPTr yJf IgmJ mJÉ pKh láPu pJ~,
fJ pf ToA ßyJT jJ ßTj fJyPu fJzJfJKz fJ IJkjJr KmPvwù IgmJ
ßmsˆ ßT~Jr jJxtPT \JjJjÇ FaJ KYKT“xJr TP~T oJx FojKT mZrUJKjT
kPrS ßhUJ KhPf kJPrÇ KTZM kNmt xfTtfJoNuT mqm˙J V´yPer oJiqPo
KuPœJKcoJr IJvÄTJ ToJPjJ ßpPf kJPr ßpoj, ßpKhPT IkJPrvJj yP~PZ
ßxKhPTr yJf S mJÉ jJ YMuTJPjJ FmÄ ßTPa ßpj jJ pJ~ ßxKhPT uãq
rJUJr oJiqPoÇ

TíK©o Iñ mJZJA TrJ

IJkjJr ˜j pKh kMjrJ~ ‰frL TrJ jJ y~ fJyPu IJkKj FTaJ TíK©o Iñ
krJr TgJ nJmPf kJPrjÇ FjFAYFx F IJkKj ßTJj k´TJr mJzKf aJTJ jJ
KhP~A FTaJ ˙J~L IgmJ I˙J~L TíK©o Iñ kJS~Jr IiLTJr rJPUjÇ
IJkjJr ßmsˆ ßT~Jr jJxt IgmJ yJxkJfJPur FqJkäJP~¿ IKlxJr IJkjJr
\jq fJ IJKjP~ KhPf FmÄ kKrP~ KhPf kJPrjÇ yJxkJfJPu pKh xLKof
xŒh gJPT fJyPu IJkjJr VJP~r rÄ Fr xJPg Kou ßrPU mÉ irPjr TíK©o
Iñ mJZJA TrJr \jq KmKnjú xrmrJyTJrLPT TqJaJuV kJbJPf kJPrjÇ

˜j TqJ¿JPrr IjqJjq KYKT“xJ

IkJPrvJPjr kPr IJkjJr IJPrJ KYKT“xJr hrTJr yPf kJPrÇ Fr ßnfPr
IJPZ ßrKcSPgrJkL, ßTPoJPgrJkL FmÄ yrPoJj ßgrJkLÇ IJkjJr KmPvwù
Fxm KYKT“xJr FTaJ IgmJ xmèPuJ IJkjJPT ßj~Jr krJovt KhPf kJPrjÇ

ßrKcSPgrJkL
FPãP© IkJPrvJPjr kPr KaCoJPrr \J~VJr IJPvkJPv ßTJj TqJ¿Jr ßTJw
gJTPu ßxaJ ±Äx TrJr \jq I· oJ©J~ ßf\KÙ~ mqmyJr TrJ y~Ç

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 17

ßTj
ßpPTJj irPjr IJÄKvT oqJxPaTaKo TrJr kPr ßxA FTA ˜Pj TqJ¿Jr ßpj
IJr KlPr IJxPf jJ kJPr ßxaJ mº TrJr \jq xJiJref oqJxPaTaKo TrJ
y~Ç FTaJ oqJxPaTaKo TrJr kPr TUjS IJPrJ FTaJ oqJxPaTaKo TrJ
y~Ç mVPur KTZM Kuœ V´∫L IJâJ∂ yPu IgmJ ßTPa mJh KhPu ßxUJPj FaJ
ßh~J y~Ç pKh xm Kuœ V´∫L ßTPa mJh ßh~J y~ fJyPu FaJ IJr mVPu
ßh~J y~ jJÇ

TUj
IJkjJr IkJPrvJj yS~Jr TP~T x¬Jy kPr KYKT“xJ ÊÀ y~, FxoP~r
ßnfPr IJkjJPT xJ\tJKr ßgPT ßxPr SbJr xo~ ßh~J y~Ç KYKT“xJr
kKrT·jJr ßnfPr kJgtTq ßhUJ pJ~ KT∂á xJiJref Kfj ßgPT Z~ x¬Jy
iPr x¬JPy kJÅY Khj ßrKcSPgrJkLr \jq IJkjJPT k´KfKhj yJxkJfJPu
ßpPf yPmÇ FqJkP~≤Po≤ ßpj mJh jJ pJ~ ßxKhPT uãq rJUJ èÀfôkNet,
KT∂á pKh IJkjJr ßTJj kJKrmJKrT hJK~fô IgmJ TJ\ gJPT fJyPu IJkKj
IJkjJr xo~ xMPpJV IjMpJ~L xoP~r \jq IJPmhj TrPf kJPrjÇ

KT WPa
IJkjJr ßrKcSPgrJkL ÊÀ yS~Jr IJPV ßrKcSPgrJkLˆ IJkjJPT KYKT“xJ
mqJUqJ TPr KhPmj, KfKj IJkjJPT muPmj ßp ßTj IJkjJPT FaJ ßh~J
yPò, KTnJPm FaJ TrJ yPm FmÄ IJkjJr KYKT“xJr xo~xNYL ßToj yPmÇ
fUj IJkjJPT KTZMãe KxoMPuaJr ACKjPa gJTPf yPm, FUJPj ßrKcSV´JlJr
IJkjJr TfaáTá \J~VJ \MPz KYKT“xJ TrJ yPm fJr oJk KjPmj FmÄ Fr
kJPv hJV KhPmj pJPf TPr k´KfmJr ßxA FTA \J~VJ~ KYKT“xJ TrJ y~Ç
FA hJVèPuJ KYr˙J~L j~ KT∂á IJkjJr KYKT“xJ YuJTJuLj xoP~ xfTt
gJTáj ßpj FaJ ÊTjJ gJPT pJPf TPr FaJ oMPZ jJ pJ~Ç Fr KmT· KyxJPm
FA \J~VJaJPf KYr˙J~L KkjKk´T aqJaá FÅPT ßh~J pJ~Ç

˝· ßo~JhL kJvõt-k´KfKâ~J
xmJA FPT IPjqr ßgPT IJuJhJ, KT∂á ßrKcSPgrJkLr xJiJre KTZM kJvõt-
k´KfKâ~J yPuJ YJozJ~ k´KfKâ~J, ßpoj YMuTJKj, \ôuMKj FmÄ xNPptr fJPk
kMPz pJS~Jr IjMnëKfÇ IJkjJr kJvõt-k´KfKâ~J IjMpJ~L ßTJj irPer pfú
KjPf yPm ßx KmwP~ ßrKcSPgrJkL TotL IJkjJPT krJovt KhPmjÇ

18 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ

 KYKT“xJr ßvPwr KhPT IJkKj oJrJ®T hNmtu IjMnm TrPf kJPrjÇ
TîJK∂r FA kJvõt-k´KfKâ~J IPjPTrA yP~ gJPT FmÄ FaJ TP~T oJx iPr
YuPf kJPrÇ fJA FaJPT xy\nJPm ßoPj Kjj FmÄ ˝JnJKmT \LmjpJ©J
YJKuP~ pJjÇ

hLWt ßo~JhL kJvõt-k´KfKâ~J

hLWt ßo~JPh ßTJj oKyuJr KuPœJKcoJ yPf kJPr (F KmwP~ FA mMTPuPar
k´gPo CPuäU TrJ yP~PZ)Ç KaxMq, ˚J~M IgmJ yJPz ßf\KÙ~fJr TJrPj
IjqJjq xoxqJèPuJ IJPrJ IPjT mZr kPr ßhUJ ßpPf kJPr, pKhS IJiMKjT
KYKT“xJ mqm˙J~ FirPer Kmw~èPuJ UMmA To ßhUJ pJ~Ç

ßTPoJPgrJkL
ßTPoJPgrJkLr oJiqPo KmKnjú irPjr TqJ¿Jr k´KfPrJiL Hwi mqmyJr TPr
kMPrJ vrLPrr KYKT“xJ TrJ y~ pJPf TPr TqJ¿JPrr ßTJwèPuJ ±Äx yP~
pJ~ FmÄ FA TqJ¿JPrr ßTJwèPuJ KaCoJPrr \J~VJ ßgPT rPÜ KVP~ KovPf
jJ kJPrÇ FA HwièPuJ vrLPrr iojLPf AP†TvJPjr oJiqPo, iJrJmJKyT
AjKlCvJj (ßlJÅaJr oJiqPo) IgmJ aqJmPuPar oJiqPo ßh~J y~Ç

ßTj
KmKnjú KmwP~r CkPr Kjntr TPr IJkjJPT ßTPoJPgrJkL ßh~J yPf kJPr
ßpoj, KaCoJr irPer FmÄ ßxaJ Tf mz FmÄ IJkjJr Kuœ ßTJwèKu Fr
xJPg \Kzf KTjJÇ

TUj
xJ\tJKrr kPr KT∂á ßrKcSPgrJkLr IJPV IJkjJPT ßTPoJPgrJkL ßh~J yPf
kJPr, pKhS FaJ TUjS CPfiJ yPf kJPrÇ ßTJj ßTJj ßãP© FaJ CPfiJ
TrJS y~Ç KTZM KTZM ßãP© xJ\tJKrr IJPV oKyuJPhr ßTPoJPgrJkL ßh~J y~
ßpj fJ mz KaCoJrPT ßZJa TPr ßlPu, IgmJ pKh ßhUJ pJ~ ßp KaCoJr UMm
hs∆f mJzPZ fJyPu ßTPoJPgrJkL ßh~J y~Ç

KT WPa
IJkJjJPT xJiJrjf FT\j KmPvwù ßTPoJPgrJkL jJPxtr ÆJrJ IJCaPkPv≤
KyxJPm ßTPoJPgrJkL ßhS~J yPmÇ ßTJj FTaJ KjKhtÓ xo~ iPr IJkjJPT
CkPr mKetf ßTJj FTaJ CkJP~ Hwi ßUPf ßh~J yPmÇ

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 19

kJvõt k´KfKâ~JxoNy
ßTJj ßTJj oKyuJPhr ßnfPr ßTPoJPgrJkLr TJrPj KTZM kJvõt k´KfKâ~J
ßhUJ pJ~ KT∂á IjqPhr ßnfPr FaJ IJPrJ ßmvL ßhUJ pJ~Ç HwPir KmKnjú
kJvõt k´KfKâ~J IJPZ FmÄ FTA oJPkr Hwi KmKnjú oKyuJPhr ßnfPr KmKnjú
oJ©J~ k´nJm rJUPf kJPrÇ oMPUr ßnfPr IJuxJr, IxM˙PmJi TrJ, mKo TrJ
FmÄ YMu kPz pJS~J yPuJ UMmA xJiJrj KTZM kJvõt k´KfKâ~JÇ
FA kJvõt k´KfKâ~JèPuJr ßTJj ßTJjKaPT ToJPjJ ßpPf kJPrÇ ßpoj,
FA IxM˙fJ FmÄ mKo nJm ToJPjJr \jq IJkjJPT Hwi ßh~J yPf kJPrÇ
IJkjJr KYKT“xJ YuJTJuLj xoP~ YMu kzJ ToJPjJ \jq IJkjJPT FTaJ
ßTJfl TqJk krJr k´˜Jm ßh~J yPf kJPrÇ (ßTJfl TqJk YMPur ßVJzJ~ rPÜr
k´mJy TKoP~ ßh~, pJr Igt yPuJ YMPur ßVJzJ~ HwPir k´mJyS TPo pJ~)Ç
ßTPoJPgrJkL xM˙ rÜ ßTJwPT k´nJKmf TrPf kJPr, Fr lPu IJkjJr
ãf FmÄ FqJKjKo~J (I· xÄUqT rÜ TKjTJ) yPf kJPrÇ FTJrPj k´KfmJr
KYKT“xJr IJPV FTmJr TPr IJkjJr rÜ krLãJ TrJ yPmÇ
IJkjJr KmPvwù IgmJ ßTPoJPgrJKkˆ jJxtPT ßTJj kJvõt k´KfKâ~J
x’Pº muMj, FPf TPr fJrJ IJkjJPT ßhS~J Hwi kKrmftj TPr KhPf
kJPrÇ

yrPoJj ßgrJkL
yrPoJj yPuJ ˝JnJKmT FTaJ Kmw~ pJ vrLPrr xM˙ ßTJwèPuJr TJptâo FmÄ
mOK≠PT Kj~πe TPrÇ IKiTJÄv ˜j TqJ¿Jr oKyuJPhr yrPoJj APˆsJP\Pjr
CkPr k´nJm rJPU, FA APˆsJP\j ˜j TqJ¿JPrr ßTJPwr mOK≠Pf xyJ~fJ
TPrÇ FèPuJPT muJ y~ APˆsJP\j V´yjTJrL kK\Kan KaCoJrÇ
APˆsJP\j V´yjTJrL kK\Kan ˜j TqJ¿JPrr KYKT“xJ TrJr \jq TP~TaJ
yrPoJj HwiPT mqmyJr TrJ y~Ç IJkjJr KaCoJr pKh APˆsJP\j
xÄPmhjvLu jJ yP~ gJPT (APˆsJP\j V´yjTJrL ßjPVKan) fJyPu yrPoJj
ßgrJkL xJiJref TJ\ TPr jJÇ

20 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ

kJvõt k´KfKâ~JxoNy
yrPoJj KYKT“xJr kPr IPjT oKyuJPhr kJvõt k´KfKâ~J ßhUJ ßh~Ç Fr
ßnfPr IJPZ ßoPjJkxJu uãe ßpoj Vro nJk uJVJ, S\j mJzJ, ßpJjL kg
KhP~ xsJm yS~J, oPjJxÄPpJV jJ TrPf kJrJ FmÄ ßTJj Kmw~ Kj~πPe jJ
IJjPf kJrJr IjMnëKfÇ
IJkKj pKh kJvõt k´KfKâ~JxoNPyr TJrPj yrPoJj KYKT“xJ mº TrPf YJj
fJyPu FA Im˙J k´gPo IJkjJr cJÜJr FmÄ IJkjJr ßmsˆ ßT~Jr jJPxtr
xJPg IJPuJYjJ TÀj TJre Foj IjqJjq Hwi gJTPf kJPr pJ IJkjJr
xJPg nJPuJ oJjJPmÇ

FAYIJrKa FmÄ ˜j TqJ¿Jr

KTZM oKyuJ IJPZ pJPhr TqJ¿Jr irJ kzJr kPr ßoPjJkxJu uãe ßhUJ ßh~,
fJPhr ßnfPr IPjPT yrPoJj KrPkäxPo≤ ßgrJkL (FAYIJrKa) ßjjÇ
VPmwjJ~ ßhUJ pJ~ ßp FAYIJrKa ßjS~Jr lPu ˜j TqJ¿JPrr ^áÅKT xJoJjq
ßmPz pJ~, ˜j TqJ¿Jr IJPZ Foj TJCPT FAYIJrKa ßjS~J mº TPr
ßhS~Jr krJovt ßhS~J y~Ç
IJkjJr ßnfPr ßoPjJkxJu uãe ßpoj Vro nJk uJVPf kJPr TJrj
IJkKj y~PfJ FAYIJrKa ßjS~J mº TPr KhP~PZj IgmJ FaJ IJkjJr
KYKT“xJr lPu WaPZÇ oPj rJUPmj ßp ßmsˆ ßT~Jr jJxt IgmJ K\Kkr xJPg
TgJ muPu IgmJ ßmsˆ TqJ¿Jr ßT~JPrr ßy· uJAPj ßlJj TrPu Foj
K\Kjx \JjPf kJrPmj pJ IJkjJPT xJyJpq TrPf kJPrÇ

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 21

VPmweJr \jq IjMKÔf jfáj krLãJ-KjrLãJ
VPmwTrJ ˜j TqJ¿JPrr KYKT“xJ CjúKfr \jq FTaJjJ ßYÓJ TPr pJPòjÇ F
TJrPj IJkjJPT KTîKjTqJu asJ~JPu (VPmweJr \jq IjMKÔf jfáj krLãJ-
KjrLãJPf) IÄv KjPf muJ yPf kJPrÇ ßTJj FTaJ KmPvw Im˙Jr ßxrJ
KYKT“xJ ßmr TrJr \jq FA KTîKjTqJu asJ~JPur VPmweJ TrJ y~Ç FaJ ßTJj
jfáj HwPir krLãJ TrJ IgmJ Ijq ßTJj KYKT“xJ ßpoj Ijq irPjr
xJ\tJKr, Knjú oJ©Jr ßrKcSPgrJkL FmÄ KYKT“xJr ßnfPr kJgtTq ßmr TrJr
\jq TrJ y~Ç
IJkjJPT CkpMÜ ùJe FmÄ IJkjJr xÿKf ZJzJ IJkjJr ßTJj k´TJr
KYKT“xJ ÊÀ TrJ yPm jJÇ Fr oJPj yPuJ FA KYKT“xJr CP¨vq IJkjJPT
ßmJ^JPjJ yPm, ßTj IJkjJPT FA KYKT“xJ TrJ yPm fJ \JjJPjJ yPm FmÄ
IJkjJPT \JjJPjJ yPm ßp FaJr lPu IJkjJr KT yPmÇ IJkjJPT KuKUf
IJTJPr kMPrJ fgq \JjJPjJ yPm FmÄ kptJ¬ xo~ IJkjJPT ßh~J yPm pJPf
TPr IJkKj KmT· KjP~ IJPuJYjJ TrPf kJPrjÇ IJkjJPT pKh ßTJj FTaJ
KYKT“xJ k≠Kfr \jq oPjJKjf TrJ y~ FmÄ IJkKj fJ V´yPe I˝LTJr
TPrj fJyPu FaJ oPj TPr n~ kJPmj jJ mJ IjMPvJYjJ TrPmj jJ ßp
IJkjJr cJÜJrrJ IJkjJPT KnjúnJPm KYKT“xJ TrPmÇ IJkKj IJPVr oPfJA
pfú FmÄ KYKT“xJ kJPmjÇ Kx≠J∂ kMPrJkMKr IJkjJr CkPr Kjntr TPrÇ

Fr xJPg IJjMxKñT ßgrJkLxoNy

Fr xJPg IJjMxKñT ßgrJkLxoNPyr ßnfPr IJPZ KmKnjú irPjr k≠Kf pJ
xJiJrj KYKT“xJr xJPg k´P~JV TrJ y~Ç FA ßgrJkLxoNy oOhM FmÄ k´JTíKfT
FmÄ FèPuJ vJKrKrT FmÄ oj˜JKfôT CkTJPr IJPxÇ FèPuJ TqJ¿JPrr
ßrJVLPhr fJPhr \LmPjr CkPr IJPrJ ßmvL Kj~πe KjP~ IJxPf xJyJpq
TPrÇ
FqJPrJoJPgrJkL, Kv~J“xM FmÄ IjqJjq irPer yJuTJ oqJxJ\ UMm
IJrJohJ~T yPf kJPrÇ k´JgtjJ FmÄ ßoKcPavJj IJPmVVf TÓ ßgPT Kj˜Jr
ßkPf xJyJpq TPrÇ IxM˙fJ, mqJgJ FmÄ ßajvJj ToJPjJr \jq
IJTákJÄYJPrr xJyJpq ßj~J ßpPf kJPrÇ IJ~MPmtKhT Hwi ˝J˙q nJPuJ TrPf
xJyJpq TPrÇ FèPuJ ßTJj ßTJj ßgrJkL yrPoJj ßgrJkLr TJrPj xOÓ
oPjJkxJu xoxqJr xoJiJPj xJyJpq TrPf kJPrÇ
22 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ
F KmwP~ IJPrJ fgq \JjJ
FKv~Jj TKoCKjKar \jq ßxmJxoNy
KmPvwnJPm FKv~Jj TKoCKjKar \jq xJrJ ßhv\MPz ßk´JP\Ö IJPZÇ IJkjJr
FuJTJr ßTJj ßxmJ x’Pº \JjJr \jq IJkjJr ßmsˆ ßT~Jr jJxtPT K\ùJxJ
TÀj IgmJ ßmsˆ TqJ¿Jr ßT~Jrx& ßy·uJAPj 0808 800 6000 j’Pr
ßlJj TÀj (vsmj k´KfmºLPhr \jq ßaéa&PlJj j’r
yPuJ 0808 800 6001)Ç

k´P~J\jL~ KbTJjJxoNy
TqJ¿Jr KmFKxACKk (CancerBACUP)
3 Bath Place
Rivington Street
London EC2A 3JR
IKlx: 020 7696 9003
TqJ¿JPrr mqJkJPr mJÄuJ~ fgq FmÄ krJovt kJS~Jr lsLPlJj ßy· uJAj:
0808 800 0131
l∑LPlJj ßy·uJAj (ßpPTJj nJwJ~ TqJ¿Jr KmwP~ fgq): 0808 800 1234
(ßxJo ßgPT ÊâmJr, xTJu 9 aJ ßgPT xºqJ 7 aJ)
APoAu: info@cancerbacup.org
SP~mxJAa: www.cancerbacup.org.uk
TqJ¿Jr KmFKxACKk yPuJ TqJ¿Jr IJâJ∂ mqKÜPhr fgq S xyJ~fJ k´hJPjr \jq
FTKa k´iJj xÄVbjÇ FA ßxmJr ßnfPr IJPZ ßy·uJAj, FPhr ßnfPr IJPZ
TqJ¿Jr fPgqr CkPr KmPvwù jJxt, FTaJ SP~mxJAa, TqJ¿Jr fPgqr CkPr
mMTPua FmÄ FuJTJr fgq ßTªsÇ TqJ¿Jr KmFKxACKk Fr xm ßxmJ TqJ¿Jr IJâJ∂
ßuJTPhr \jq KmjJoNPuq ßh~J y~Ç

˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ 23

oqJTKouJj TqJ¿Jr KrKul (Macmillan Cancer Relief)
89 Albert Embankment
London SE1 7UQ
ßaKuPlJj: 020 7840 7840
oqJTKouJj TqJ¿JruJAj: 0808 808 2020
ßaéa&PlJj: 0808 808 0121
APoAu: cancerline@macmillan.org.uk
SP~mxJAa www.macmillan.org.uk
oqJTKouJj TqJ¿Jr KrKul ßxxm ßuJTPhr xJyJpq TPr IJxPZ pJrJ TqJ¿Jr KjP~
ßmPÅY IJPZ FmÄ pJPhr UMm TPr mJ˜KmT FmÄ IJPmVVf xJyJpq hrTJrÇ KmPvwù
ßxmJr ßnfPr IJPZ oqJTKouJj jJxt FmÄ cJÜJr, TqJ¿Jr ßTªs, KmKnjú irPjr
TqJ¿Jr fgq FmÄ xrJxrL IJKgtT xJyJpqÇ hqJ oqJTKouJj TqJ¿Jr uJAj fgq FmÄ
IJPmVVf xJyJpq KhP~ gJPTÇ ßaéa&PlJj TrJ pJ~Ç

24 ˜j TqJ¿Jr Kj„ke FmÄ fJr KYKT“xJ

ßTªsL~ IKlx
ßmsˆ TqJ¿Jr ßT~Jr (Breast Cancer Care)
Kiln House 210 New Kings Road
London SW6 4NZ
ßaKuPlJj 020 7384 2984
lqJé 020 7384 3387
APoAu info@breastcancercare.org.uk

ßTªsxoNy
ßmsˆ TqJ¿Jr ßT~Jr ÛauqJ¥
ßaKuPlJj 0141 221 2244
APoAu sco@breastcancercare.org.uk
ßmsˆ TqJ¿Jr ßT~Jr xoJj IiLTJr FmÄ xTPur
ßmsˆ TqJ¿Jr ßT~Jr KxoÀ \jq ßxmJ k´hJPj IñLTJrJm≠Ç
ßaKuPlJj 029 2023 4070 ßrK\ˆsJct YqJKrKa jÄ 1017658
APoAu cym@breastcancercare.org.uk AÄuqJP¥ ßrK\ˆsJPrr YqJKrKa jÄ 2447182
Company limited by guarantee
ßmsˆ TqJ¿Jr ßT~Jr jgt FqJ¥ KocuqJ¥x&
ßaKuPlJj 0114 276 0296 ISBN 1 870577 51 5
APoAu nrc@breastcancercare.org.uk © ßmsˆ TqJ¿Jr ßT~Jr ßo 2004. FA kMK˜TJr
ßmsˆ TqJ¿Jr ßT~Jr u¥j FqJ¥ xJCg ßTJj IÄv k´TJvPTr TJPZ kNmt KuKUf KYKbr
oJiqPo IjMoKf ßj~J ZJzJ ßpPTJj CkJP~
ßaKuPlJj 020 7566 5880 kMe”k´TJv, KuKkm≠ TrJ mJ k´TJv TrJ pJPm jJÇ
APoAu src@breastcancercare.org.uk
IÄTj © IqJPuéJ rJhJrPlJct
jTvJ FxFoKc Kc\JAj
xTu irPer ˜j TqJ¿Jr IgmJ ˜Pjr ˝J˙q x’Pº \JjPf mJÄuJ IjMmJh FmÄ aJAkPxKaÄ:
yPu 0808 800 6000 j’Pr IJoJPhr \JfL~ KjCTo ACPT KuKoPac
ZJkJ: IJukJAj ßk´x
ßy·uJAPj ßlJj TÀj (ßaéa&PlJj 0808 800 6001)
IgmJ IJoJPhr SP~mxJAa kKrhvtj TÀj
www.breastcancercare.org.uk.

ßmsˆ TqJ¿Jr ßT~Jr fJPhr ßrJVLPhr KmjJoNPuq ßxmJ ßhS~Jr

\jq \jVe ßgPT kJS~J IjMhJPjr CkPr Kjntr TPrÇ
IJkKj pKh ßTJj aJTJ KhPf YJj fJyPu IjMV´y TPr IJkjJr
ßYT FA KbTJjJ~ kJbJj: Breast Cancer Care,
Freepost Lon 644, London SW6 4BR. IgmJ
IjuJAPj IJoJPhr KjrJkh xJAPar oJiqPo IjMhJj KhPf
kJPrj: www.breastcancercare.org.uk.
ßmsˆ TqJ¿Jr ßT~Jr yPuJ pMÜrJP\qr k´iJjfo xÄVbj pJrJ ˜j
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 INFORMATION •

SUPPORT
Diagnosing
and treating
breast cancer

BENGALI

Diagnosing and
treating breast cancer
Contents
Introduction 2 Part two –
Treating breast cancer
Part one – Introduction 7
Referral to a breast clinic
After diagnosis 8
Breast clinic appointment 3 Types of breast cancer 8
What to expect 3 Further tests 9
Mammogram 4 Discussing treatment options 9
Ultrasound scan 5 Questions you may want to ask 10
Fine needle aspiration cytology The treatment team 11
(FNAC) and core biopsy 5
Standard treatment for
Further tests 6 breast cancer 12
Surgery 12
Getting your results 6
Additional treatments for
breast cancer 17
Radiotherapy 17
Chemotherapy 19
Hormone therapy 20

Clinical trials 22
Complementary therapies 22
Finding out more 23
Services for Asian communities 23
Useful addresses 23

Diagnosing and treating breast cancer 1

Introduction

In the UK, breast cancer affects a significant number of

Asian women and a small number of Asian men. This
booklet is about diagnosing and treating breast cancer.
It is divided into two main parts.

The information in the first part is for anyone who has

been referred to see a specialist at a breast clinic. It tells
you what to expect at the clinic and talks about the
different tests you may have. You may be feeling very
worried and anxious at this stage. We hope the booklet
and the CD that goes with it will give you enough
information to be able to talk to your GP or breast
specialist about any questions or concerns you may have.

The second part of the booklet and CD describes the

range of treatments you may be offered if you have been
diagnosed with breast cancer. We hope the information
in this part will enable you to discuss your treatment fully
with your doctors, and be aware of some of the side
effects that may occur.

Although we refer to ‘women’ throughout the booklet,

most of the information applies also to men who have
been diagnosed with the disease.

2 Diagnosing and treating breast cancer

Part one
Referral to a breast clinic

Breast clinic appointment

Once your GP refers you to a breast clinic you can expect to
wait between two and ten weeks for an appointment.
(Waiting times will vary depending on where you live.) If your
GP feels the referral is urgent you will be seen within two
weeks of her/him sending the referral letter. Even if you are
referred urgently, it is important to remember that the
problem may still turn out not to be breast cancer.
You may also be referred to the breast clinic if a problem
has been picked up on a routine mammogram (breast x-ray)
that you have had as part of the NHS breast screening
programme. In this case you will be sent a letter asking you
to attend your local breast clinic for further tests.

What to expect
A doctor or specialist nurse experienced in diagnosing and
treating breast problems will see you first. The breast clinic
staff may not all be female but they are all experienced in
dealing with breast conditions and will do their best to ensure
your privacy and dignity. If you have difficulty understanding
English, the breast clinic staff may be able to book an
interpreter for you.
The doctor/nurse will ask you about your symptoms. You
may be asked to fill in a short questionnaire with questions

Diagnosing and treating breast cancer 3

about any family history of breast problems and any
medication you are taking.
This will be followed by a breast examination. The
doctor/nurse will check both your breasts while you are
sitting and when you are lying down. After checking your
breasts, s/he will usually examine the lymph glands in your
armpits.
You may then need to have further tests. These will usually
include a mammogram and/or an ultrasound scan followed
by fine needle aspiration cytology (FNAC) and/or core biopsy.
(See below for more information about these tests.)
The breast examination, mammogram/ultrasound and
FNAC/core biopsy are known as triple assessment.
Sometimes all these tests can be done on your first visit
with the results available later that day. This is known as a
one-stop clinic. In some hospitals this isn’t possible and you
may have to make another appointment for further tests or to
get your results. You may have to wait for about a week for
your test results. This will vary with each breast clinic.

Mammogram
A mammogram is a breast x-ray. The radiographer (expert in
taking breast x-rays) will ask you to undress to the waist and
stand in front of the mammography machine. She or he will
then rest each breast in turn between two x-ray plates so that
it is compressed and flattened. Two images of each breast will
be taken so that it can be seen from two different angles.
Some women may find this uncomfortable or even
painful, but it only lasts a few seconds.
Mammograms are usually only done on women over the
age of 35, as younger women’s breast tissue is generally too
dense to produce a good image.

4 Diagnosing and treating breast cancer

Ultrasound scan
An ultrasound scan uses high-frequency sound waves to
produce an image of the breast. You will be asked to lie on a
couch with your arm above your head. Some gel will be
spread on your breast and a scanning probe will be moved
around it. This is the same technique used to look at babies
in the womb during pregnancy. An ultrasound scan is
painless and only takes a few minutes to do. This is more
suitable for women under the age of 35.
Regardless of age, sometimes an ultrasound scan may be
done as well as a mammogram when there is an area on the
x-ray that needs to be looked at more closely.

Fine needle aspiration cytology (FNAC)

and core biopsy
If a lump or an abnormal area is found a sample will be
taken. This can be a fine needle aspiration (FNAC) or a core
biopsy. Both these tests can be done with or without using
ultrasound for guidance.

FNAC
FNAC is where cells are drawn off using a fine needle and
syringe. The sample is then sent to the laboratory where it is
looked at under a microscope. The specialist will use the
result to help her/him decide what further tests or treatment
are needed.

Core biopsy
A core biopsy uses a larger needle to obtain a sample of
tissue. The specialist may take several samples at the same
time. The tissue samples are sent to the laboratory where
they are looked at under the microscope to confirm a
diagnosis.

Diagnosing and treating breast cancer 5

 You will be given a local anaesthetic to numb the area.
Once this wears off you will probably find that your breast
aches and it may also be bruised. You may need to take
painkillers if the area is tender or painful.

Further tests
A triple assessment is usually all that is needed to make a
diagnosis but sometimes you may need further tests. You can
call Breast Cancer Care’s helpline (using an interpreter if you
like) to find out more about any tests you may be having.

Getting your results

It may be a good idea to have another adult with you when
you get your results. That way you can be sure of support if
you need it.
If your results show that you have cancer you may feel all
sorts of emotions such as fear, anger and helplessness, and
you may find it hard to take in what you are being told.
Having someone with you who can listen carefully or ask
questions can be very helpful. You will also be put in contact
with a breast care nurse who will talk to you about your
diagnosis and treatment. Information can help you
understand what is happening. As well as reading this booklet
or listening to the CD that goes with it, you might find it
helpful to call Breast Cancer Care’s helpline and talk in your
own language to a nurse or a volunteer who has had
breast cancer.

6 Diagnosing and treating breast cancer

Part two
Treating breast cancer

Introduction
Breast cancer is not one single disease. There are several types
of breast cancer. It can be found at different stages of
development and can grow at different rates. But having
breast cancer doesn’t automatically mean that you are going
to die.
It is difficult to predict what course the disease will take
and what treatment you will have. Factors such as your age
and your general health will all be considered by your
specialists when they are working out the best treatment for
you. The ‘best treatment’ may involve surgery, radiotherapy,
chemotherapy or hormone therapy, either given alone or in
any combination or order.
You will see that we refer throughout the booklet to ‘your
doctors’. This is because it is recommended that breast
cancer treatment is carried out by different specialists who
work together as a team (see page 11). So it is important that
your GP refers you to a specialist breast unit from the start. If
your local hospital doesn’t have such a complete team of
specialists you can ask to be referred to a specialist breast unit
elsewhere.
Most hospitals have a breast care nurse who is a very
important member of the team of specialists. There should be
opportunities for you to discuss your treatment options with
the breast care nurse or your doctors, and to raise any issues
or concerns. If you need an interpreter the hospital should
provide one. Or you can take along a family member or

Diagnosing and treating breast cancer 7

friend to translate for you. You can also ring our free helpline
to get up-to-date information and support from our specially
trained nurses, using an interpreter if you want to talk in your
own language. They won’t tell you what to do, but they will
help you consider your options and suggest questions you
may want to take back to your doctors. Similarly, after
treatment, our helpline nurses and volunteers are there to
discuss any concerns you may have.

After diagnosis
Before your doctors discuss your treatment with you, they will
need to know as much as possible about the tumour to help
them decide the best treatment options for you.

Types of breast cancer

There are two main types of breast cancer – non-invasive
cancer and invasive cancer.

Non-invasive cancer
This means there are cancer cells in your breast tissue that are
growing and dividing abnormally. They are only in the breast
ducts (milk ducts) in the breast and have not spread either
within or outside the breast. Some doctors may describe it to
you as a non-invasive (non-spreading) cancer while others
may call it a pre-cancerous condition.

Invasive cancer
This is what is generally meant by the term ‘breast cancer’.
With invasive cancer, the cells are no longer confined to the
breast ducts. They are growing elsewhere in the breast and
have the potential to spread to other parts of the body. This
potential for spread is measured by looking at the cells under

8 Diagnosing and treating breast cancer

a microscope. This is known as grading. When cancer cells
spread to other parts of the body the disease becomes more
serious. This is known as secondary breast cancer.

Further tests
Further tests may be done to find out more about your
particular cancer and to help make sure you get the most
suitable treatment.
One of the most important is called a hormone receptor
test. This test is now routinely carried out on the cancer cells
following surgery. It is done to find out whether a cancer is
sensitive to oestrogen and progesterone (female hormones)
in the body. If the test result is positive it means that
hormone therapy may be particularly helpful in preventing
the cancer coming back. (Hormone therapy is explained on
page 20.)

Discussing treatment options

Once your doctors have all the information together they will
consider the best treatment for you. This is the point where
you can decide how much, or how little, involvement you
want. Everyone is different. Some women want to know
everything they can about their disease and expect to be fully
involved in making decisions about their treatment. Others
may want to be well informed about what is going on but
are happy to leave the treatment choices to their doctors.
Some may want to know as little as possible and leave all the
decisions to the specialists.
Whatever you decide, you don’t have to be rushed into
treatment. A few extra days to think about what you really
want, and a chance to discuss your options with your
husband, family, friends or GP will make no difference to the
progress of the disease.

Diagnosing and treating breast cancer 9

Questions you may want to ask
You will probably have some questions and you should feel
free to ask for as much information as you feel you need.
Questions might include:
• Why is this the best treatment for me?
• Are there any other options?
• What are the possible side effects?
• Are there any long-term implications for me?

Your specialist team will be able to explain anything you

don’t understand. Breast Cancer Care’s helpline staff can also
talk to you about your proposed treatment, using an
interpreter who speaks your own language if you wish. They
may be able to provide you with more information or put
you in touch with a Breast Cancer Care volunteer who speaks
your language and has had breast cancer.
You don’t have to accept the advice you are offered, but
remember that the treatment recommended to you is the
best option in the opinion of the treatment team. Think
about it carefully and talk it over with other people if you feel
this would help. Take as much time as you need before
making a decision.

Asking for a second opinion

You can ask for a second opinion at any stage and this
shouldn’t be a problem. You can either ask your GP or your
current specialist to refer you to another consultant. It is
important to remember that the second opinion may not be
different from the one you have already had. The time taken
to get a second opinion should make no difference to the
outcome of your treatment.

Declining treatment
Some women may consider not having any treatment. This
may be because they think the treatment will do them no

10 Diagnosing and treating breast cancer

good or that it will seriously affect their quality of life, or they
may simply be scared.
Even if you think you don’t want to accept one, or all, of
the treatments being offered, do consider the alternatives
carefully before making a final decision. Breast Cancer Care’s
helpline staff can discuss your options and refer you to other
organisations and sources of information and help.

The treatment team

The specialist team in a breast unit will usually include the
following health professionals:
• consultant surgeon
• consultant medical oncologist (cancer specialist)
• consultant clinical oncologist (radiotherapy specialist)
• consultant radiologist (specialist in diagnosing disease
through x-rays and scans)
• breast care nurse
• chemotherapy nurse
• consultant histopathologist/cytologist (specialist in
analysing laboratory tests)
• diagnostic radiographer (specialist in x-rays and scanning)
• therapy radiographer (specialist in giving radiotherapy
treatment).
You will see several members of the specialist team at
different times during your treatment. Other professionals
outside the team may also be brought in if needed, such as
psychologists, plastic surgeons, physiotherapists and
pharmacists.

Diagnosing and treating breast cancer 11

Standard treatment for
breast cancer
Surgery
Surgery is usually the first treatment for most women with
breast cancer. In some cases chemotherapy or hormone
therapy may be offered first to shrink the tumour so that
surgery can be less extensive, or even avoided altogether.
Such cases might include fast-growing tumours or where
surgery would mean removing the whole breast and a
woman feels very strongly about keeping her breast if at all
possible.

Types of operation
There are two main types:
• a partial mastectomy. This can range from lumpectomy or
wide local excision (where the tumour is removed with a
small amount of surrounding tissue) to quadrantectomy
(where approximately a quarter of the breast is removed).
• a total mastectomy, where all breast tissue is removed,
including the nipple. This can either be simple
mastectomy, which removes the breast tissue alone, or
modified radical mastectomy where the whole breast is
removed, and, occasionally, one of the small muscles on
the chest wall.

For invasive cancer it is recommended that some or all of the

lymph nodes (glands) in the armpit are removed.

Checking the lymph nodes (glands)

It is important for your doctors to find out whether the
cancer has spread to the lymph nodes in your armpit because
this will influence your further treatment. The number of
lymph nodes removed will vary depending on the practice of
your surgeon.

12 Diagnosing and treating breast cancer

Wide local excision Quadrantectomy

Simple mastectomy Modified radical mastectomy

Diagnosing and treating breast cancer 13

Timing of operation
An ongoing study is looking at whether it may be better for
pre-menopausal women to be operated on in the second half
of their menstrual cycle when their oestrogen levels are lower.
(Your menstrual cycle begins on the first day of your period.)
As yet, the evidence is not clear and it will be several years
before the results of this study are known.

Which operation?
One of the first big decisions you may have to make may be
the type of operation you have. Some women will be offered
a choice between breast conserving surgery (removal of part
of the breast) or a mastectomy. More than half of early stage
breast cancers can now be treated by breast conserving
surgery, usually followed by radiotherapy. Studies show that
long-term survival is the same for breast conserving surgery
as for mastectomy. This is a time when you may find it
helpful to talk to your breast care nurse about the impact of
your choice on your personal life.
The type of partial mastectomy you have will be based on
the type of cancer, the size of the tumour, where it is in the
breast and how much surrounding tissue needs to be
removed. It will also depend on how large your breasts are.
The surgeon will want to give you the best cosmetic result
possible as well as the most effective surgery. That means
conserving as much as possible of your breast without
increasing the risk of the cancer coming back.
There are times when the surgeon will have good reasons
for recommending the removal of the whole breast. Total
mastectomy can be the better option when:
• the tumour is in the centre of the breast or directly behind
the nipple
• the breast is small and would be distorted by a partial
mastectomy

14 Diagnosing and treating breast cancer

• there are several cancerous or pre-cancerous areas in the
breast
• the woman would rather have the whole breast removed.

Surgery for non-invasive cancer

There is evidence that non-invasive cancer can develop over a
period of years into invasive cancer, which is more serious. If
non-invasive cancer is treated with a mastectomy the chances
of complete cure are very high and recurrence is rare. This
used to mean that it was always treated by mastectomy.
Doctors now have a better understanding of non-invasive
cancer, which means that mastectomy is not always
necessary. In most cases a wide local excision followed by
radiotherapy is sufficient treatment.

Reconstruction
The aim of breast reconstruction is to make a breast that
looks and feels as much like the natural breast as possible. If
you are going to have a mastectomy you should be offered a
breast reconstruction at the same time. This will depend
partly on the type of breast cancer you have and any future
treatment you may need. If you prefer to wait a while and see
how you feel after surgery, then tell your specialist. It is quite
common for women to decide later that they would like to
have a reconstruction. Others find that they become used to
living without a breast and eventually decide against a
reconstruction.
Reconstruction is major surgery and should be considered
carefully. There are different types of reconstructive surgery
and many issues to consider. You can discuss the details with
the surgeon who is going to do the operation and ask to see
photographs of the operations she or he has done. You might
like to talk it over with your breast care nurse or ask to meet a
woman who has had the same type of reconstruction.

Diagnosing and treating breast cancer 15

After your surgery
Everyone reacts differently but the symptoms described here
are very common. For instance, some women feel sick after
their operation. This is due to the anaesthetic and should pass
within a day or two. (If you know anaesthetics make you sick
tell the anaesthetist first as extra anti-sickness drugs can be
given.)
Pins and needles, burning, numbness or darting sensations
in the chest area and down the arm on the operated side are
quite common and can go on for weeks or even months. The
scar may feel tight and tender. While this lasts you may not
be able to wear a bra or anything that puts pressure on the
area. As it becomes less sensitive you may choose to wear a
lightweight prosthesis (an artificial breast) to help restore your
shape until your scar heals completely.
Your arm and shoulder on the operated side are likely to
feel stiff and sore for some weeks. Your breast care nurse,
surgeon or physiotherapist will give you exercises to help you
regain full movement. This is part of the healing process
which you should continue after you go home. If doing the
exercises is painful, painkillers may help. If you have
radiotherapy it is important to continue these exercises in a
modified form, probably for at least two years. You can also
get a poster/booklet from Breast Cancer Care called Exercises
after breast surgery.

Avoiding lymphoedema
Surgery to remove some or all of the lymph nodes under
your arm may affect your lymphatic system. It can cause a
blockage that results in a build up of fluid in the tissue of
your arm. This is called lymphoedema. The risk of
lymphoedema is greater if you have all your lymph nodes
removed. Having radiotherapy to the armpit can have a
similar effect.

16 Diagnosing and treating breast cancer

 If you notice any swelling of the hand or arm on the
affected side, tell your specialist or breast care nurse as soon
as possible, however trivial it may seem at the time. This can
happen months, or even years, after treatment. You may
reduce your risk of developing lymphoedema by taking some
precautions, such as avoiding scratching or cutting your hand
and arm on the affected side.

Choosing a prosthesis
If you don’t have a reconstruction you may want to wear a
prosthesis. On the NHS you are entitled to both a temporary
and a permanent prosthesis without having to pay for them.
Your breast care nurse or the hospital’s appliance officer can
fit you and order the one you choose. If the hospital has a
limited choice, you can find out about the full range of
prostheses, including ones matching your skin colour, by
sending for catalogues from different suppliers.

Additional treatments for

breast cancer
You may need further treatment after your surgery. This may
include radiotherapy, chemotherapy and hormone therapy.
Your specialist may advise you to have one or all of these
treatments.

Radiotherapy
This uses radiation in small doses to destroy cancer cells that
may remain in and around the site of the tumour after
surgery.

Diagnosing and treating breast cancer 17

Why
Radiotherapy is usually recommended after any type of partial
mastectomy to reduce the risk of the cancer coming back in
the same breast. It is also sometimes given after a
mastectomy. It may be given to the armpit if some lymph
glands have been removed and are affected. It will not
usually be given to the armpit if all the lymph glands have
been removed.

When
Your treatment will usually start a few weeks after your
operation, giving you time to recover from your surgery.
Treatment plans vary but generally you will have to go to the
hospital for radiotherapy each day, usually five days a week
for three to six weeks. It is important not to miss your
appointments but you can ask for a time that suits you, for
example if you have family commitments or are working.

What happens
Before your radiotherapy begins the radiotherapist will
explain the treatment, why you are having it, how it will be
done and what your treatment schedule will be. You will then
spend some time in a simulator unit where the radiographer
will measure the area to be treated and draw lines around it
so that exactly the same area is treated each time. These lines
are not permanent, but try to keep the skin in that area dry
during the period of your treatment to avoid smudging
them. Alternatively the area might be marked with a
permanent pinprick tattoo.

Short-term side effects

Everyone is different, but a common side effect of
radiotherapy is a skin reaction: itching, soreness and a feeling
rather like sunburn. The radiotherapy staff will advise you on
how to take care of your skin according to the type of
reaction you have.

18 Diagnosing and treating breast cancer

 You may feel extremely tired towards the end of the
course of treatment. This feeling of fatigue is common and
can last for months, so be kind to yourself and try to ease up
on your commitments.

Long-term side effects

In the long term, some women may develop lymphoedema
(which was mentioned earlier in the booklet). Other problems
can appear years later because of radiation damage to the
tissues, nerves or bones, although with modern treatment
this is rare.

Chemotherapy
Chemotherapy treats the whole body with a combination of
anti-cancer drugs to destroy cancer cells that may have
spread from the tumour site into the bloodstream. The drugs
may be given by injection into a vein, by continuous infusion
(a drip) or by tablet.

Why
Chemotherapy may be offered to you depending on different
factors, for example the type and size of tumour and whether
your lymph nodes are involved.

When
You are most likely to be given chemotherapy after your
surgery but before radiotherapy, although sometimes it may
be the other way round. In some cases, women may be given
chemotherapy before surgery to try and shrink large tumours,
or if the tumour seems to be growing very fast.

What happens
You will usually be given chemotherapy by a specialist
chemotherapy nurse as an outpatient. You receive a course of
drugs by one of the methods described above every three or
four weeks for a specified period.

Diagnosing and treating breast cancer 19

Side effects
Some women have few side effects from chemotherapy while
others may not be so fortunate. Drugs have different effects
and the same dosage and combination can affect women
quite differently. Mouth ulcers, feeling sick, vomiting and hair
loss are some of the more common side effects.
Some of these side effects can be minimised. For instance,
you can be given drugs to control the sickness and vomiting.
You may be offered a ‘cold cap’ to wear before and during
your treatment to help reduce hair loss. (A cold cap reduces
the blood flow to the hair follicles, which means that the
amount of drugs that reaches the hair follicles is also
reduced.)
Chemotherapy can affect the healthy blood cells, making
you more prone to infections and anaemia (low red blood
cells). This is why you will be given a blood test before each
treatment.
Tell your specialist or chemotherapy nurse about any side
effects you have as they may be able to change your
combination of drugs.

Hormone therapy
Hormones are naturally occurring substances that control the
growth and activity of normal cells in the body. Most breast
cancers are sensitive to the female hormone oestrogen, which
can promote the growth of breast cancer cells. These are
called oestrogen receptor positive tumours.
Several hormone drugs are used to treat oestrogen
receptor positive breast cancer. If your tumour isn’t sensitive
to oestrogen (oestrogen receptor negative) hormone therapy
is not usually appropriate.

20 Diagnosing and treating breast cancer

Side effects
Many women have side effects from hormone treatment.
These can include menopausal symptoms such as hot flushes,
weight gain, vaginal discharge, inability to concentrate, and a
general sense of not being on top of things.
If you are tempted to stop hormone treatment because of
side effects, discuss the situation first with your doctors and
your breast care nurse, as there may be another drug that
may suit you better.

HRT and breast cancer

Some women will be going through the menopause when
their cancer is diagnosed, and they may be taking hormone
replacement therapy (HRT). As studies have shown that HRT
slightly increases the risk of developing breast cancer, anyone
diagnosed with breast cancer will be advised to stop HRT.
You may have menopausal symptoms such as hot flushes
either because you have stopped taking HRT or because of
your treatment. Remember that there are things that can
help and you can find out more by talking to your breast care
nurse or GP or ringing Breast Cancer Care’s helpline.

Diagnosing and treating breast cancer 21

Clinical trials
Researchers are constantly trying to improve breast cancer
treatments. This is why you may be asked to take part in a
clinical trial. Clinical trials are studies to find out the best
treatment for a particular condition. They may be to test new
drugs or other treatments such as types of surgery, varying
doses of radiotherapy and differences between treatments.
You will not be entered into a trial without your
knowledge and without giving your informed consent. This
means fully understanding the purpose of the trial, why you
are considered suitable for it and what it will mean for you.
You should be given detailed written information and plenty
of time to discuss your options. If you have been asked to
take part in a trial and you decide not to, don’t feel guilty or
worried that your doctors will treat you differently. You will
continue to have treatment and care as before. The decision
is entirely up to you.

Complementary therapies
Complementary therapies include a wide range of
approaches that can be used in addition to standard medical
treatment. The therapies are mainly gentle and natural and
their benefit can be psychological as well as physical. They
can often help people with cancer feel more in control of
their lives.
For example, aromatherapy, shiatsu and other types of
gentle massage can be very relaxing. Prayer or meditation
may help you cope with emotional stress. Acupuncture can
be used to ease sickness, pain and tension. Ayurvedic
medicine can promote health and general well being. Some
of these therapies can also help with menopausal symptoms
caused by hormone therapy.

22 Diagnosing and treating breast cancer

Finding out more
Services for Asian communities
There are projects around the country specifically for Asian
communities. For details of any services in your local area, ask
your breast care nurse or call Breast Cancer Care’s helpline on
0808 800 6000 (textphone for deaf callers 0808 800 6001).

Useful addresses
CancerBACUP
3 Bath Place
Rivington Street
London EC2A 3JR
Office: 020 7696 9003
Freephone helpline for cancer information in Bengali:
0808 800 0131
Freephone helpline (for cancer information in any language):
0808 800 1234 (Mon-Fri, 9am-7pm)
Email: info@cancerbacup.org
Website: www.cancerbacup.org.uk
CancerBACUP is the leading national information and support
charity for people affected by cancer. Services include a
helpline, staffed by specialist cancer information nurses, a
website, cancer information booklets and local information
centres. All CancerBACUP services are free to people affected
by cancer.

Diagnosing and treating breast cancer 23

Macmillan Cancer Relief
89 Albert Embankment
London SE1 7UQ
Telephone: 020 7840 7840
Macmillan CancerLine: 0808 808 2020
Textphone: 0808 808 0121
Email: cancerline@macmillan.org.uk
Website: www.macmillan.org.uk
Macmillan Cancer Relief is helping people who are living with
cancer through the provision of immediate practical and
emotional support. Specialist services include Macmillan
nurses and doctors, cancer centres, a range of cancer
information and direct financial help. The Macmillan
CancerLine provides information and emotional support.
Textphone available.

24 Diagnosing and treating breast cancer

Central Office
Breast Cancer Care
Kiln House 210 New Kings Road
London SW6 4NZ
Telephone 020 7384 2984
Fax 020 7384 3387
Email info@breastcancercare.org.uk

Centres
Breast Cancer Care Scotland
Telephone 0141 221 2244
Email sco@breastcancercare.org.uk
Breast Cancer Care is committed to
Breast Cancer Care Cymru equal opportunities and access for all.
Telephone 029 2023 4070 Registered charity no 1017658
Email cym@breastcancercare.org.uk Registered in England company
no 2447182
Breast Cancer Care North & Midlands
Company limited by guarantee
Telephone 0114 276 0296
Email nrc@breastcancercare.org.uk ISBN 1 870577 51 5

Breast Cancer Care London & South
Telephone 020 7566 5880
Email src@breastcancercare.org.uk
For all breast cancer or breast
health concerns, call our free,
national helpline on 0808 800 6000
(textphone 0808 800 6001) or visit
www.breastcancercare.org.uk.
© Breast Cancer Care May 2004.
All rights are reserved. No part of this
publication may be reproduced, stored
or transmitted, in any form or by any
means, without the prior permission
in writing of the publishers.
Illustrations © Alexa Rutherford
Design: SMD Design
Bengali translation and typesetting:
Newcom UK Ltd
Print: Xxxxxxx Xxxxxxxx

Breast Cancer Care relies on donations from

the public to provide its services free to
clients. If you would like to make a donation,
please send your cheque to: Breast Cancer
Care, Freepost Lon 644, London SW6 4BR.
Or donate online via our secure site at:
www.breastcancercare.org.uk.
Breast Cancer Care is the UK’s leading
provider of information, practical assistance
and emotional support for anyone affected
by breast cancer. Every year we reach over
750,000 people with breast cancer or breast
health concerns. All our services are free.

If you have any breast cancer or breast

health concerns you can talk to someone in
English or in your own language by calling
our helpline on 0808 800 6000 (textphone
for deaf callers 0808 800 6001).