PREVENTING BREAST CANCER IN ADOLESCENTS

Previously, breast cancer attacks many people with old age, but now breast cancer can also attack young people. Cases of breast tumors that are at risk of becoming cancer are found in women aged 25 years and under (Okezone, 2010). Karma, et al. (in Rianti, et al. 2012: 12) states that young women who have a history of tumors have a 4.37 times more risk of developing breast cancer than those who have no tumor history. Similarly, young women who experience menarche (first menstruation) at the age of <12 years are more likely to develop breast cancer than those who experience menarche at the age of> 12 years. Heredity is only one of the causes of a person can develop breast cancer, busyness on the move and an unhealthy lifestyle are other contributing factors. Most cases of breast cancer occur due to late detection so that the disease is detected when it is advanced stage.

Based on the situation, a service activity was carried out aimed at getting female students to recognize the health of their breasts. Healthy life behavior that can be started from oneself, students must always be responsive and vigilant and can apply the techniques of SADARI (Self Breast Check) and SADANIS (Aware of Clinical Examination) as an early detection of breast cancer risk. According to Yayasan Kanker Indonesia (the Indonesian Cancer Foundation) breast self-examination can be done through three positions namely as follows.

1.      First, the Standing Position in Front of the Mirror.
- Look closely at your breasts in front of the mirror (without dressing) with both arms straight down. Pay attention if there are lumps and changes in the shape of the breasts.
- Raise both arms straight up and repeat the examination as above.
- Put your hands behind your head, or put your hands on your hips so that the chest muscles are tense.
- After that pay attention to whether there are changes in the size or shape of the breasts, is there a hollow in the skin of the breast, or changes in the shape of the nipple or nipple to ooze fluid.

2.      Second, Reclining Position.
- Lie with your right hand under your head and place a pillow in the small under the right back.
- Touch the entire surface of the right breast with your left hand to the armpit area. Pay attention if there are suspicious lumps.
- Do the same touch to the left breast.
- Touch the breast with three middle fingers pressed together. Make a circular motion starting from the edge by following the clockwise direction to feel the presence or absence of a lump. Examine all breasts, underarms and behind the nipples. Repeat this movement using your left hand to examine the right breast.

3.      Third, the Standing Position in Pancoran Air.
- Raise your right hand above your head.
- The left palm is given soap / foam and use it to examine the breasts as described in the "lying position".
- Repeat steps similar to the right hand to check the left breast.

Further information also needs to know the general characteristics of normal and abnormal breast.
1. Normal Breasts.
   - Breasts do not change size.
   - Both breasts are equal (symmetrical).
   - There are no lumps in both breasts.
   - Not felt enlarged lymph nodes in the folds of the armpits or neck.
   - There is no swelling in the upper arm.

2. Abnormal Breasts.
   - Breasts grow abnormally
   - One breast hanging lower than usual
   - There are hollows or creases in the nipples
   - Changes in the appearance of breast nipples
   - Liquid comes out like milk or blood from one of the nipples
   - There is a lump in the breast
   - Enlarged lymph nodes in the armpit or neck folds
   - There was swelling in the upper arm

The participants of the service are expected to be aware and motivated to behave in a healthy life to avoid breast cancer as follows.
   1. Having knowledge about health and breast cancer.
   2. Running a healthy lifestyle and lifestyle
       - Eat healthy and regular foods such as fruits, vegetables, whole grains that are low in fat.
       - Avoid consuming alcoholic drinks
       - Avoid cigarette smoke
       - Maintain mental health
       - Maintain weight with a healthy way of life, because being overweight after menopause increases the risk of breast cancer.
       - Perform physical activity or exercise regularly
       - Breastfeeding children with their own milk (ASI) for those who have given birth.
   3. Perform breast examination with SADARI and SADANI methods
       - Check your own breasts (aware) can be done alone regularly, once a month with the same period for those who start at the age of 20 years.
       - Sadani, which is aware of the clinical examination. It is recommended for women over the age of 40 to be aware and willing to carry out an    examination or clinical trial by visiting a health professional once a year.