Breast Cancer Awareness
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Wednesday, October 26, 2016 | B1
BREAST CANCER AWARENESS
B2 | Wednesday, October 26, 2016
Democrat News
October is Breast Cancer Awareness Month JANET HACKERT, NUTRITION AND HEALTH EDUCATION SPECIALIST, HARRISON COUNTY, UNIVERSITY OF MISSOURI EXTENSION
Breast cancer is so prevalent that most people know someone who has had it. In fact, one in eight women will be diagnosed with breast cancer in their lifetime. October is Breast Cancer Awareness Month so here are a few facts, some of which may be surprising. A family history of breast cancer is considered a risk factor, so if a woman’s mother, sister, aunt or grandmother has had it, she should be more careful about looking for it. However, having this risk factor does not mean that you will get breast cancer. According to the American Cancer Society, “only 20-30 percent of women with breast cancer have a family member with this disease.” This means that 7 or 8 out of every 10 women who have breast cancer are NOT related to someone who has had it. As a woman ages, her risk of developing breast cancer increases. “Nearly 8 out of 10 breast cancers occur in women over age 50,” says the American Cancer Society. The risk for a woman over 70 developing the disease in the next year is almost double that for a 50-yearold. Some risk factors are out of your control, but there are some changes you can make to lower your risk of breast cancer, including maintaining a healthy weight, getting regular exercise and avoiding or limiting alcohol intake. Not using hormone therapy after
menopause may also help lower your risk. Regardless of risk factors, early detection is important! All women, starting in their 20’s, should perform a monthly breast self exam to help detect changes in the tissue of the breast that may indicate cancer. For instructions on a thorough method for self
examination, a woman can ask her doctor or go to the American Cancer Society’s website at Cancer.org. Any changes should be reported promptly to your physician. Also, for younger women ages 20-39, a breast exam should be done every three years as part of the well-woman medical
check-up. For women 40 years old and older, this exam by a doctor or nurse should be completed at least annually. After age 40, women should also have a yearly mammogram. “These should continue for as long as they are in good health,” recommends the American Cancer Society.
If a tumor is detected when it is just under one inch in size, there is a 94 percent 5-year survival rate. For a tumor larger than two inches, the rate goes down to 66 percent. Breast cancer doesn’t have to be fatal, and early detection can mean avoiding an extremely difficult medical situation.
Mammography: Benefits, risks, what you need to know PROVIDED BY MADISON MEDICAL CENTER (AND THE AMERICAN CANCER SOCIETY)
Ladies please remember to get your annual mammogram... IN THE UNITED STATES One women is diagnosed with breast cancer every three minutes.
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M ammograms don’t prevent breast cancer, but they can save lives by finding breast cancer as early as possible. The value of screening mammograms was questioned in November 2009 when the U.S. Preventative Services Task Force recommended that routine screening mammograms for women with an average risk of breast cancer should start at age 50 instead of age 40. The recommended changes were very controversial and were not universally adopted. Since that time, the American Medical Association, the American College of Obstetricians and Gynecologists, the American College of Radiology, the American Cancer Society, the National Cancer Institute, and the National Comprehensive Cancer Network all have issued guidelines saying that all women should be eligible for screening mammograms starting at age 40. Finding breast cancers early with mammography has also meant that many more women being treated for breast cancer are able to keep their breasts. When caught early, localized cancers can be removed without resorting to breast removal (mastectomy). The main risk of mammograms is that they aren’t perfect. Normal breast tissue can hide a breast cancer so that it doesn’t show up on the mammogram. This is called a false negative. And mammography can identify an abnormally that looks like a cancer, but turns out to be normal. This “false alarm” is
called a false positive. Besides worrying about being diagnosed with breast cancer, a false positive means more tests and follow up visits, which can be stressful. To make up for these limitations, more than mammography is often needed. Women also need to practice breast self-examination, get regular breast examinations by an experienced health care professional, and, in some cases, also get another form of breast imaging, such as breast MRI or ultrasound. Some women wonder about the risks of radiation exposure due to mammography. Modern-day mammography only involves a tiny amount of radiation, even less than a standard chest x-ray. Important things to know about mammograms: They can save your life. Finding breast cancer early reduces your risk of dying from the disease by 25-30% or more. Women should begin having mammograms years at age 40, or earlier if they’re at high risk. Don’t be afraid. Mammography is a fast procedure (about 20 minutes), and discomfort is minimal for most women. The procedure is safe: there’s only a very tiny amount of radiation exposure from a mammogram. To relieve the anxiety of waiting for results, go to a center that will give you results before you leave. Get the best quality you can. If you have dense breasts or under the age 50, try to get a digital mammogram. A digital mammogram is recorded onto a computer so that doctors can enlarge certain sections to look at them more closely.
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BREAST CANCER AWARENESS
Democrat News
Wednesday, October 26, 2016 | B3
Community supports breast cancer awareness everal local businesses and organizations showed their S support for Breast Cancer Awareness this month. Local high school athletic teams also hosted “Pink Out” days/nights to show their support. Some of those supporters are pictured here. There are many more throughout this community.
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Fredericktown High School Football Cheer Squad shows its support.
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KNOW THE FACTS. BEAT THE ODDS.
Breast cancer takes the lives of thousands of loved ones every year. Don’t let it happen to you. Early detection is the most effective means of defeating breast cancer and improving treatment.
Knowing it exists is not enough. Get informed. Pass it on.
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BREAST CANCER AWARENESS
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Frequently asked breast cancer questions NEWSPAPER TOOLBOX
he Pink Ribbon campaign has T made breast cancer a somewhat familiar topic for most of us, and yet there are still many false beliefs about the disease that persist. In honor of National Breast Cancer Awareness Month, sponsored by the National Breast Cancer Foundation (NBCF), here are some answers to the most-asked questions. IF MY DOCTORS DETECT BREAST CANCER, WILL I HAVE TO GET A MASTECTOMY? These days, if the cancer was
detected early on, there’s a very good chance you won’t need one. There’s evidence that lumpectomies with radiation are highly effective in treating early-stage breast cancer. IF I FIND A LUMP IN MY BREAST, WHAT ARE THE CHANCES IT’S CANCER? The NBCF says only a small percentage of lumps turn out to be cancerous. However, it’s better to be safe
than sorry, so talk to your doctor, and keep in mind the survival rate for early-detected, localized breast cancer is 100 percent over five years. IF MY MOTHER HAD BREAST CANCER, WILL I GET IT? According to the NBCF, only ten percent of women who are diagnosed have
a family history of breast cancer. Nevertheless, if there has been breast cancer in your immediate family, or if an aunt or grandmother was diagnosed, talk to your doctor about diagnostic image screening. DOES USING ANTIPERSPIRANT INCREASE MY CHANCES OF GETTING BREAST CANCER? To date, researchers at the National Cancer Institute (NCI) have not found any conclusive links between aluminum-based antiperspirants and incidences of breast cancer.
Breast cancer in the workplace NEWSPAPER TOOLBOX
T alking about your breast cancer with your employer, human resources department and/ or co-workers is a personal decision, and one that is entirely up to you. However, you might want to consider discussing it with at least some key colleagues, especially if you’ll be requiring time off to receive treatment
or if you’re having difficulties carrying out your daily tasks. When it comes to breast cancer in the workplace, each individual and their particular situation is different. Certain women prefer informing their employer the moment they’re diagnosed, while others choose to start treatment first. And depending on their treatment protocol,
some women prefer not to talk about it at all. You can always ask your doctor for advice if you’re having trouble deciding what to do. Should you opt to discuss your cancer, you’ll likely encounter a variety of responses. Some will offer you their support and words of encouragement, while others might have upsetting or hurtful
reactions. It’s quite possible that certain colleagues might begin avoiding you or questioning your ability to perform your work. Others might ask if your cancer is contagious or even inquire as to how long you have to live. Keep in mind that people’s reactions are more about them than about you. Never feel pressured to share information. You’re the one
that gets to decide what you share and what you keep private. Always be honest and vocal about what you really want. Tell your colleagues if you prefer not discussing your cancer at work or if you want to keep in touch while you’re undergoing treatment. Be sincere and remember that other people’s emotions can differ from your own.
Getting fit, having fun and feeling great NEWSPAPER TOOLBOX
tudies show that exerS cise reduces the risk of developing breast cancer and can also contribute to a successful remission from the disease. By regularly engaging in physical activities of moderate to high intensity, you’ll be combating adipocytes — or fat cells—that can play a role in the development and progression of
this disease. What’s even more encouraging is that every woman, even those diagnosed with cancer, can begin an exercise program almost overnight. Ideally, you want to choose an activity you can do five times a week for 20 to 30 minutes. It could be walking, running, biking, swimming, yoga, tennis or
tai chi, it doesn’t matter; the important thing to remember is to choose an activity that you enjoy and that gets your heart rate going. You’ll start to feel better after the very first day. As you progress, you’ll have more energy during the day and deeper, more restful sleep at night. In addition, physical activity helps to combat fatigue and anxiety, which
are commonly associated with cancer treatment. It can also reduce the risk of lymphedema, a condition that affects nearly 20 percent of breast cancer survivors. You should make a point of finding entertaining ways to improve your physical fitness. This might involve group training, dancing, using a pedometer or play-
ing with the kids or pets. Making your workout fun and enjoyable will be a big source of motivation and will help you stick to your goals. If you don’t know where to begin, a professional such as a doctor, kinesiologist or physical therapist can recommend a workout that’s safe and suited to your current physical health.
ACR recommends annual screening PROVIDED BY MADISON MEDICAL CENTER
The American College of Radiology recommends annual screening mammography for women starting at age 40. This affords the maximum benefits of reduced breast cancer deaths, less extensive treatments for cancers that are found, decreased chance of advanced disease at diagnosis, and discovery and treatment of high risk lesions. Breast cancer incidence increases substantially around age 40 and even earlier for high risk women and women of color. All health insurers, including the Centers for Medicare & Medicaid Services (CMS), should cover women ages 40 and older for annual mammograms as a preventative service, without additional cost sharing or co-payments. Extensive scientific research shows a 40 percent reduction of breast cancer deaths with regular mammographic screening. The greatest mortality reduction, the most lives saved and the most life years gained occur with yearly mammography starting at age 40. There is no established age for women to stop screening. Women should continue breast cancer mammography screening as long as they are healthy and desire to remain so. Therefore, health care coverage for screening should not have an upper age limit.
American Cancer Society releases new breast cancer guidelines PROVIDED BY MADISON MEDICAL CENTER (AND THE AMERICAN CANCER SOCIETY)
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Women with an aver age risk of breast cancer, most women, should begin yearly mammograms at age 45. Women should be able to start the screening as early as age 40, if they want to. It’s a good idea to start talking to your health care provider at age 40 about when you should begin screening. At age 55, women should have mammograms every other year, though women who want to keep having mammograms should be able to do so. Regular mammograms should continue for as long as a woman is in good health. Breast exams, either from a medical provider or self-exams, are no longer recommended.
The guidelines are for women at average risk for breast cancer. Women at high risk-because of family history, a breast condition,
or another reason-need to begin screening earlier and/or more often. Talk to your medical provider to be sure.
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Breast and cervical cancer control project Are you eligible for FREE cancer screenings? You may qualify for Show Me Healthy Women if: you are age 35-64, you are uninsured or under insured and you meet income guidelines.
Contact the Madison County Health Department to find out if you qualify.
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BREAST CANCER AWARENESS
Democrat News
Wednesday, October 26, 2016 | B5
What to know about Inflammatory Breast Cancer GAIL CARLSON, MPH PH.D., STATE HEALTH EDUCATION SPECIALIST, UNIVERSITY OF MISSOURI EXTENSION
friend recently told me about A Inflammatory Breast Cancer. It sounded terrible, is it something I should be concerned about? Breast cancer of any kind should be of concern to women. It is the most common form of cancer in women followed by lung cancer. However, the chances of any one women having Inflammatory Breast Cancer (IBC) are slight. IBC is not common. Let’s look at a few numbers. There are about 2,268,000 women age 18 and older in Missouri. The American Cancer Society estimates that there will be 3,730 new cases of breast cancer among Missouri women in 2007. IBC accounts for 1 to 5 percent of all breast cancers. In other words about 40 to 200 women in Missouri could develop IBC each year. Remember, men can also develop breast cancer. However, IBC in men is rare. Your friend may have seen a recent television program or received a copy of a chain e-mail that has been circulating among women. Both are well-meaning efforts to raise awareness about IBC. However, it led some women to believe that IBC was a new condition or that the number of cases had increased dramatically. In fact, IBC is not new condition. The American Cancer Society has been providing information about IBC since 1996. The National Cancer Institute also provides information and keeps track of the number of reported IBC cases. It is true that the number of reported cases of IBC did increase throughout the 1990s. However, the increases were not dramatic and it is too early to tell why the rates are increasing. The increase could be
References 1) National Comprehensive Cancer Network (2005) Types of Breast Cancer. http://www.nccn.org/ 2) American Cancer Society (2006) Estimated New Cancer Cases for Selected Cancer Sites by State, US, 2006. http://www. cancer.org/docroot/stt/stt_0.asp 3) American Cancer Society (2005) Detailed Guide: Breast Cancer. http://www.cancer.org/ docroot/CRI/CRI_2_3x.asp?dt=5
the result of increased awareness and reporting or it could be due to the fact that more women are being exposed to suspected risk factors. All of this continues to be studied. Following are some things you should know about IBC.
Skin changes in the breast area – skin may develop pink, red or purple areas; it may appear ridged, pitted and thick like the skin of an orange. A bruise on the breast that doesn’t go away Sudden swelling of the breast Itching of the breast IBC is not caused by Nipple discharge or retraction an infection; it is not (the nipple turns inward) contagious. Swollen lymph nodes under It occurs when the lymph ves- the arm, above the collarbone or in sels in the breast become blocked both places. by breast cancer cells. This blockage may cause the breast to become IBC can be difficult to red, swollen, and warm. detect.
Other symptoms may include: Pain in the breast.
There is no lump or tumor as there is with other more common forms of breast cancer. IBC may not show up on a mammogram.
The disease grows in nests or sheets that clog the lymph system under the skin. Often inflammatory breast cancer is mistaken for other breast conditions or a breast infection and treated with antibiotics. If the redness and swelling does not clear up after a week on antibiotics request a breast biopsy or referral to a breast specialist. IBC is diagnosed based on the results of a biopsy and the judgment of the health care provider.
IBC is an aggressive form of cancer. It strikes women at an earlier age than other forms of breast cancer. African-American women are also at greater risk. The cancer can spread quickly over a matter
of weeks. Treatment usually begins within days of diagnosis. IBC like other forms of breast cancer are usually treated with multiple approaches including radiation, chemotherapy, and surgery. IBC is considered an advanced form of cancer. Nevertheless, progress is being made in treatment and survival rates are improving. The American Cancer Society urges women to know how their breasts normally feel so they can easily detect any change. If any change occurs, see a health care provider as soon as possible and request immediate follow-up if symptoms do not improve after initial treatment. More information about breast cancer and IBC is available from the American Cancer Society and the National Cancer Institute For more information about breast and cervical cancer check out Team Up Missouri’s webpage at: http://agrability.missouri.edu/ mbccp/ This information is being provided for educational purposes. Your health provider can make recommendations specific to your situation, follow his or her advice.
Madison County breast, cervical cancer control project can help PROVIDED BY MCHD
re you eligible for FREE cancer A screenings? You may qualify for Show Me Healthy Women if: you are age 35-64, you are uninsured or under insured and you meet income guidelines. Contact the Madison County Health Department to find
out if you qualify, call 573-7832747 and ask for Patty or Teresa A personal action plan will help you find breast cancer early. Breast cancer is the most common cancer that you may have to face in your lifetime. It can occur at any age, but it is much more likely to occur after age 40 and as you
get older. If you are a woman and you are getting older, you should know about breast cancer and how to find it early. When found and treated in early stage, the chance for successful treatment is greatest. A mammogram can find cancer when it’s very small, often several years before a woman or
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her doctor would be able to feel it. The ABC’s of breast health: A- Annual mammogram start at age 40 and continue as long as you are in good health. B- Breast Awareness, be familiar with your breasts so that you will notice any changes and report them to your doctor with-
out delay. Breast self-exams are an option for increasing breast awareness. C- Clinical breast exam, have one every year by your doctor or nurse if you are 40 or older, every three years if you are in your 20s and 30s. (American Cancer Society)
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BREAST CANCER AWARENESS
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Madison Medical Center enhances Imaging Department PROVIDED BY MMC
Fredericktown– Madison Medical Center announces the installation of upgraded nuclear medicine imaging devices: a Millennium MGTM , and an Xeleris 3.1TM workstation both manufactured by GE Healthcare. The Xeleris 3.1TM workstation features advanced tools for all types of nuclear medicine procedures and meets all new rules and regulations to comply with Health Insurance Portability and Accountability Act (HIPAA). The system provides exceptional image quality and fast image acquisition. Nuclear medicine imaging is unique in that it documents organ function and structure, in contrast to diagnostic radiology, which is based upon anatomy. A nuclear medicine procedure involves the use of small amounts of radioactive material for the purpose of imaging, evaluating organ function or localizing disease. The radioactive material is introduced into the body by injection, ingestion or inhalation. The radioactive materials used
ALAN KOPITSKY, DEMOCRAT NEWS
Madison Medical Center announces the installation of upgraded nuclear medicine imaging devices. emit gamma rays, which are detected externally by the Millennium MGTM then the images are recorded on the Xeleris 3.1™ workstation for review and processing.
Some capabilities of nuclear medicine imaging are: Visualizing heart blood flow and function; evaluating for blockage in nodes associated with breast tumors and mela-
nomas that need to be removed Determining the size and shape of the liver/ spleen and evaluate for tumors Calculating the
strength of the heart muscle before/during/after surgery or chemotherapy MMC’s Nuclear Medicine Technologist, Ted Hansen, stated, “We want to reach the next generation
of accuracy with the unique capabilities of the imaging system. This installment is in keeping with Madison Medical Center’s dedication to excellence in patient care.”
‘Together We Can Make a Difference’ We would like to enourage the ladies to learn more about the cure.
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Breast cancer will affect an average of one in eight women sometime in their lifetime. It is the second most common cause of cancer-related deaths in women. Numerous studies prove that early detection is a vital component in the successful treatment of breast cancer. Mammograms play a central part in the early detection of breast cancer because they can detect changes in the breast that are too small or subtle to be felt. The use of mammography has greatly enhanced the ability to detect breast cancers at earlier stages. Today, digital mammography - and the latest advancement in this area, breast tomosynthesis- shows great promise in the fight against breast cancer.
What Is Digital Mammography? Digital mammography uses computers and specially designed digital detectors to produce an image that can be displayed on a high-resolution computer monitor, and transmitted and stored just like computer files. From a patient’s point of view, having a digital mammogram is very much like having a conventional screen-film mammogram. All forms of mammography use compression and X-rays to create clear images of the inside of the breast. During all mammography exams, the technologist positions the patient to image the breast from different angles and compresses the breast with a paddle to obtain optimal image quality. Digital mammograms produce images that appear on the technologist’s monitor in a matter of seconds, which means shorter time spent in the breast-imaging suite compared to conventional screen-film mammograms.
An annual mammogram is one of your best defenses against breast cancer. 00 1