Breast Cancer Awareness, October 2019

Inside: Full-time oncology services now available on the Palouse, Breast cancer signs and symptoms, Debunking common myths associated with breast cancer, Help your body bounce back after cancer treatment & more!

An advertising supplement of the Lewiston Tribune and Moscow-Pullman Daily News

2 | OCTOBER 1, 2019 | LEWISTON TRIBUNE & MOSCOW-PULLMAN DAILY NEWS

Gritman Medical Center

BREAST CANCER AWARENESS

Full-time oncology services now available on the Palouse

Clinic made possible through regional health care partnership Courtesy of Gritman Medical Center

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disorders.

A new and modern infusion services clinic is conveniently located adjacent to the oncology clinic, providing cancer patients a one-stop location for their care and treatment that keeps them close to home.

OSCOW – Full-time oncology services are now available to residents throughout the region in downtown Moscow at Gritman Medical Center’s new Medical Office Building, The oncology clinic is located at 803 S. Main St., Suite staff ed by Dr. Srijana Rai, 210. oncologist. Dr. Rai specializes The specialty clinic is in the treatment of malignant operated by Palouse Specialty tumors, including those of Physicians and Cancer the breast, lung and organs.

Care Northwest, the Inland Additionally, she treats both Northwest’s premier cancer benign and malignant bloodcenter. Palouse Specialty Physicians is a regional health related conditions, such as chronic lymphocytic leukemia, care partnership between multiple myeloma anemia and Gritman Medical Center, sickle cell disease.

Pullman Regional Hospital and Whitman Hospital and Medical Center in Colfax. The clinic will provide services and treatments for a range of cancer diagnoses and blood

Dr. Rai received her graduate medical education in Houston and completed a fellowship in Hematology/Oncology and Geriatric Medicine at

LEWISTON TRIBUNE & MOSCOW-PULLMAN DAILY NEWS | OCTOBER 1, 2019 | 3

Dr. Srijana Rai, oncologist, staffs the new oncology clinic.

Baylor College of Medicine.

Internal Medicine.

She earned bachelor’s degrees “With state-of-the art in medicine and surgery in infusion center right here Nepal. She is an American Board Certified Oncologist in ONCOLOGY cont. on page 15

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BREAST CANCER AWARENESS

Breast cancer signs and symptoms protecting oneself against breast cancer. While the National Breast Cancer reast cancer is Foundation, Inc.¨ notes a formidable that many breast cancer foe. According symptoms are invisible to the World Health and not noticeable Organization, an estimated without a professional 627,000 women lost their cancer screening, women lives to breast cancer in can keep an eye out for 2018. But women are not certain signs of breast helpless in the fight against cancer they might be able breast cancer, as the WHO to detect on their own. notes early detection Monthly self-exams can is critical and could help women more easily potentially save thousands identify changes in their of lives each year. breasts. During such selfA proactive approach exams, women can look is a key component of

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Courtesy of Metro Editorial

for the following signs and symptoms and are advised to report any abnormalities they discover to their physicians immediately. • Changes in how the breast or nipple feels: The NBCF says nipple tenderness or a lump or thickening in or near the breast or underarm could indicate the presence of breast cancer. Some women may notice changes in the skin texture or an enlargement of SIGNS cont. on page 14

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Debunking common myths associated with breast cancer

Society notes that early studies raised concerns that drinking milk from cows treated with ancer claims the lives of hormones could increase millions of people across a person’s risk for breast the globe every year. cancer. However, ensuing But the fight against cancer is research failed to find a clear anything but hopeless, as the link between the two. In World Health Organization fact, a 2002 study published notes that between 30 and 50 in the International Journal percent of all cancer cases are of Epidemiology found no preventable. significant association between Learning about cancer is one dairy fluid intake and breast of the best ways for people to cancer risk. protect themselves from this • Myth: Lumps indicate deadly disease. Researchers breast cancer. The National continue to learn more about Breast Cancer Foundation, cancer everyday and routinely Inc.¨ says that only a small discover that information once percentage of breast lumps thought to be accurate was turn out to be cancer. However, actually off-base. abnormalities or changes in Despite researchers’ best breast tissue should always be efforts, some myths about brought to the attention of a cancer still prevail. Some of physician. these myths are about cancer • Myth: Mammograms cause in general, while others refer breast cancer to spread. This to specific cancers, including myth is rooted in the incorrect breast cancer. Myths about notion that breast compression breast cancer can be as harmful while getting a mammogram as accurate information is causes the cancer to spread. helpful, so learning the truth However, the NBCF insists that and debunking those myths cannot happen. In fact, the can be an important part of National Cancer Institute touts women’s preventive approach the benefits of mammograms to breast cancer. while the ACS recommends • Myth: Drinking milk women between the ages of 45 increases your risk for breast and 54 get mammograms every cancer. The American Cancer year. For additional breast

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Courtesy of Metro Editorial

cancer screening guidelines, visit the ACS at www.cancer.org.

• Myth: Women with a family history of breast cancer

are likely to develop breast cancer, too. This myth is dangerous because, if taken at face value, it can give women MYTHS cont. on page 15

I am grateful to be living in a time I could choose to “skip” having breast cancer. I will be forever thankful to my family, friends and doctors for seeing me through that time in my life.

Marilyn Jain,

You inspired us to enjoy each minute of our lives no matter what is thrown our way. We love you, you are missed and remembered fondly.

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Her love of life and her courage in fighting breast cancer continues to be an inspiration for us.

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BREAST CANCER AWARENESS

Help your body bounce back after cancer treatment C

post-treatment recovery plan, the following are some helpful tips for survivors to keep in ancer treatments like mind as they get back in the chemotherapy and swing of things. radiation therapy can • Recognize the importance take a toll on patients’ bodies. of exercise. Cancer survivors Though the side effects vary who did not exercise much depending on the type of cancer and the treatment being prior to their diagnosis should recognize the important role administered, cancer patients that exercise can play in their may experience both shortlives going forward. According and long-term consequences to the Mayo Clinic, cancer related to their treatments, leaving many with some work survivors who exercise may benefit from improved mood to do once their treatments and sleep, and many report have proven successful. feeling less anxiety than Fatigue, bruising and they did during or prior to bleeding and skin irritation treatment. And the American are some of the more Cancer Society notes that common short-term side some evidence suggests effects associated with cancer that maintaining a healthy treatments. But cancer patients weight, eating right and being may also experience longphysically active may reduce term side effects. For example, the risk of cancer recurrence Susan G. Komen¨, a tax-exempt and other serious, chronic organization that aims to diseases. address breast cancer through • Take it slow. Cancer various initiatives, notes that early menopause is a potential survivors should approach their post-treatment recovery long-term consequence of slowly at first as they breast cancer treatments. reacclimate their bodies to Helping their bodies recover regular exercise. According after cancer treatment is a to the ACS, cancer survivors primary goal for many cancer should aim for at least 30 survivors. While cancer minutes of exercise five or more survivors should work with days per week. As the body their physicians to devise a grows more accustomed to Courtesy of Metro Editorial

BREAST CANCER AWARENESS exercise, survivors can increase the intensity and duration of that exercise. But some lowintensity yet routine exercise once treatment has ended is a great first step on the path to recovery.

• Don’t downplay feelings of fatigue. While fatigue is generally a short-term side effect of cancer treatment, survivors should not downplay any feelings of fatigue that linger even after treatment has run its course. On days when cancer survivors lack the energy for vigorous physical activity, a walk around the block or something similar can take the place of more strenuous activities. Report prolonged feelings of post-

LEWISTON TRIBUNE & MOSCOW-PULLMAN DAILY NEWS | OCTOBER 1, 2019 | 7 treatment fatigue to your physician.

• Focus on nutrition. The ACS notes that a healthy diet can help cancer survivors regain their strength and rebuild tissue. The ACS recommends that cancer survivors try to eat at least 2 1/2 cups of fruits and vegetables each day and include plenty of high-fiber foods in their diets. In Bouncing back from addition, the ACS successful cancer treatments suggests limiting red meat intake to no more than three to may take survivors some time, but staying committed four servings per week.

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BREAST CANCER AWARENESS

How to improve quality of life during cancer treatment F

Courtesy of Metro Editorial

ighting cancer is the biggest priority for people when they have been diagnosed with the disease.

After the initial shock of diagnosis has worn off, patients can then take their first steps towards recovery.

day, treating cancer can become a full-time job and one that can have a significant impact on the quality of life of the patient and his or her loved ones.

According to the Mayo Clinic, stress, pain and fatigue can severely diminish quality of life during and after cancer treatment. What’s more, family members caring for cancer Powerful chemotherapy patients also may experience drugs and radiation treatments diminished quality of life. can kill cancer cells and Incorporating some strategies prevent them from spreading. during and after treatment can Individuals may also need help cancer patients and their other medications to help caregivers maintain a high mitigate the side effects of these quality of life. treatments. At the end of the

Find out what your risk factors are for breast cancer and schedule a mammogram.

Early detection is key.

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Exercise

Stress reduction

Exercise pays numerous dividends for cancer patients.

Exercise may help keep cancer, particularly breast cancer, in remission. The American Cancer Society says physical activity has been linked to a 24 percent decrease in breast cancer coming back, and a 34 percent decrease in breast cancer deaths.

Cancer patients also can benefit from therapies that promote the reduction of stress and anxiety. The Mayo Clinic studied formal sessions that promoted physical therapy, coping strategies or addressing spiritual concerns, and deep breathing or guided imagery to reduce stress. Those who engaged in these therapies showed marked improvement at a critical time in care.

Exercise also can affect the following: • balance • control weight • self-esteem • strength of bones • lessening risk of blood clots • reduction of nausea and fatigue

Exercise, talking about the cancer and reducing feelings of stress are important to maintaining quality of life during cancer treatment.

BREAST CANCER AWARENESS

LEWISTON TRIBUNE & MOSCOW-PULLMAN DAILY NEWS | OCTOBER 1, 2019 | 9

Foods that may help ght cancer Courtesy of Metro Editorial

what to put on the table come breakfast, lunch and dinner can go a long way toward reducing one’s cancer risk.

Some foods show cancerfighting properties, although it is impossible to currently eople concerned about their cancer risk may find say one food or another can that switching their diets actually stop cancer from can do a world of good. Certain developing. Studies have shown foods may reduce cancer risk, that diets filled with colorful fruits and vegetables can according to various cancer reduce the risk of developing experts, including the MD cancer, heart disease and Anderson Cancer Center. In diabetes. Cancer Research UK addition, some foods might points out that some foods, increase a person’s risk of such as red meat and saltdeveloping cancer. Knowing

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preserved foods, can increase a person’s risk of developing some cancers, while vegetables, fruits and foods high in fiber have the opposite effect.

A comprehensive review of thousands of studies on physical activity, diet and weight conducted for the

World Cancer Research Fund and the American Institute for Cancer Research found that plant-based foods are the best at fighting cancer. Broccoli, berries and garlic showed some of the strongest tendencies to FOODS cont. on page 15

Clarkston Auto Sales supports the fight against breast cancer.

No one is actuall y gone until the rippl es the y cause in the world die awa y.

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Please donate to your preferred Breast Cancer Research center and help bring an end to breast cancer.

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BREAST CANCER AWARENESS involves the administration of special medicines to shrink or kill existing cancer cells. Breastcancer.org notes that chemotherapy is sometimes administered prior to surgery in an attempt to shrink the cancer.

• Radiation therapy: Radiation therapy aims to kill cancer cells using highCourtesy of a host of potential treatment options.

Metro Editorial energy rays that are similar to X-rays.

The Centers for Disease Control and Sometimes referred to as ‘radiotherapy,’ Prevention note that breast cancer is breast cancer diagnosis is something treated in several ways, and the course radiation therapy is overseen by a radiation no one wants to receive. But oncologist who specializes in this type of of treatment a doctor recommends will the burden of breast cancer is treatment. depend on the kind of breast cancer substantial. In fact, the World Health and how far it has spread. In addition, • Hormonal therapy: Estrogen makes Organization notes that breast cancer is according to Breastcancer.org, breast hormone-receptor-positive breast cancers the most commonly occurring cancer in cancer is made up of many different kinds grow, and hormonal therapy, which may women worldwide. of cancer cells, which often necessitates the be referred to as ‘anti-estrogen’ therapy, Thankfully, breast cancer survival rates use of various types of treatments to get rid aims to reduce the amount of estrogen in are high in many parts of the world, of the cancer. the body and block its action on breast particularly in developed countries cancer cells.

The following are some treatment such as the United States, Canada and options doctors may discuss with breast • Targeted therapies: These therapies, Japan. While survival rates are lower in cancer patients. which Breastcancer.org notes are generally developing countries, it is encouraging to less likely than chemotherapy to harm • Surgery: Breastcancer.org notes that know that the average five-year survival normal, healthy cells, target specific surgery is typically the first line of attack rates are as high as 90 percent in some characteristics of the cancer cells. Cancer against breast cancer. The CDC says the nations. That suggests that the strategies cells can have many characteristics, used to successfully fight breast cancer in goal of surgery is to cut out cancer tissue. so there are various types of targeted Some common breast cancer surgeries developed nations may one day prove as therapies. effective in developing nations, potentially include lumpectomy, in which the tumor Breast cancer treatments can be highly leading to a sharp decline in global breast and a small amount of surrounding tissue is removed, and mastectomy, in which all effective in the fight against breast cancer, cancer deaths. of the breast tissue is removed. particularly when the disease is caught in Upon being diagnosed with breast its early stages.

• Chemotherapy: Chemotherapy is cancer, patients will be educated about used to treat various types of cancer and

Potential treatment options after a breast cancer diagnosis

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Why it’s important to discuss cancer screenings with your doctor

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recommend routine prostate cancer screenings because many of these cancers are not deadly and early detection has not been shown to reduce the chances of dying from prostate cancer.

Some people may still ask to be screened for prostate cancer as well as cancers of the ovaries, pancreas, testicles, and thyroid even though screenings have not been shown to reduce

deaths from those cancers.

Some cancer screenings are recommended to help catch cancer early and prevent the disease from progressing.

People are urged to speak with their doctors about which tests are best for them.

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Force. The average person should discuss with their physicians their risk for ancer affects people from certain cancers. By considering all walks of life. The individual medical history, American Cancer Society family health history and/or says that, in 2019, there will be prior screening results, doctors approximately 141,000 cancer can develop a screening plan to cases diagnosed and about reduce patients’ risk of cancer.

103,000 cancer deaths in the • Breast cancer: United States. Breast cancer, lung cancer and prostate cancer Mammograms can help find are some of the most common breast abnormalities early on when they are easier to treat cancers, although just about and can produce a very good any area of the body can be success rate. affected by the cell mutations • Colonoscopy/ that lead to cancer. sigmoidoscopy: These tests There is no cure for cancer, although billions of dollars are help detect colorectal cancer early on and also may help spent each year researching prevent the disease. These the disease and potential tests can find abnormal colon cures. Until a cure has been growths that can be removed found, individuals must rely before they become cancer. on screenings and prevention • Cervical cancer: A Pap methods. test can find abnormal cells Cancer screening tests are in the cervix that may turn designed to find cancers in into cancer. Early detection their earliest stages, when of cervical cancer increases the disease is most treatable. survival rates.

Many cancer screening tests • Lung cancer: Yearly lung have been found to lower the cancer screening with low-dose death rate from particular cancers, according to the health computed tomography for those with a history of smoking, and wellness resource site particularly heavy smoking, is MedicineNet. often recommended.

The Centers for Disease Prostate cancer testing, Control and Prevention including blood tests and a supports various cancer digital rectal exam, used to be screening tests as the norm. However, Cancer.org recommended by the U.S. says expert groups no longer Preventative Services Task Courtesy of Metro Editorial

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Breakthroughs in imaging technologies can help ďƒžght cancer The goal of cancer imaging is to detect the smallest possible number of tumor cells at the earliest possible time. octors and patients have many Traditionally, X-ray, ultrasound, magnetic different tools available in the war resonance imaging, single-photon against cancer. Imaging is one of emission computed tomography, and the essential resources used in such battles. positron emission tomography have been Imaging helps screen and diagnose cancer utilized as key cancer imaging techniques. and can be used to guide treatments and These technologies are being studied and determine the efficacy of various therapies. advancing.

Therefore, advancements in imaging can Imaging probes are one area of imaging have profound effects on the ability to worthy of attention. The Center for Probe manage - and hopefully in the future Development and Commercialization, prevent or cure the disease. a supplier of radiopharmaceuticals,

D

Courtesy of Metro Editorial

Tri-State Hospital

BREAST CANCER AWARENESS is developing the next generation of molecular imaging probes. They are designed to detect responses to chemotherapy in breast cancer patients.

CPDC also has started to manufacture another probe designed to identify hypoxic tumors. These probes work on a molecular level, according to data published in 2013 in the International Journal of Biomedical Imaging. Molecular imaging has the potential to greatly enhance understanding of various cancers.

Another cancer imaging and evaluation tool that is being produced and tested is called the MasSpec Pen, which enables a controlled and automated delivery of a water droplet to a tissue surface during tumor surgery or diagnostic exploration to extract biomolecules. The sample taken can immediately tell if cancer cells are present and distinguish tumors from healthy tissue.

BREAST CANCER AWARENESS Imaging has merged nanotechnology and conventional imaging tools with new developments. These technologies are still in the testing phase. Novel diagnostic probes with nanoparticles can improve imaging results. A 2018 review paper published in the Journal of Controlled Release looked at how nanotechnology could improve the imaging and treatment of lung cancer. For example, gold nanoparticles work better than iodine-based agents for CT imaging. Similarly, superparamagnetic iron-oxide nanoparticles can be utilized with MRI for the ultra-sensitive reactions they produce.

Other imaging technologies

LEWISTON TRIBUNE & MOSCOW-PULLMAN DAILY NEWS | OCTOBER 1, 2019 | 13 in the works involve combining and improving the workflow of various methodologies. Philips Medical Systems’ Ingenia MR-RT Oncology Configuration is a comprehensive solution that allows radiation oncology departments to integrate MRI into their computed tomographybased radiation treatment planning.

In addition to the imaging evolution itself, researchers have realized the limitations of the human eye to discern abnormalities or small changes from images collected.

Therefore, technological advancements are enabling artificial intelligence to look for key signs in images and correlate changes to the aggressiveness of the disease.

This can improve treatment

P1FCU

success rates and reduce the chances for human oversight.

Imaging plays a key role in cancer diagnoses and therapies.

Improving cancer imaging can improve treatment plans now and in the future.

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BREAST CANCER AWARENESS metastatic will refer to it with the cancer and is same name as the primary often referred cancer regardless of where to as ‘stage the metastatic cancer was IV cancer.’ discovered. For example, the According to the National NCI notes that breast cancer that has spread to the lungs Cancer Institute, when will not be referred to as lung observed under a microscope, metastatic cancer cells feature cancer, but metastatic breast traits like that of the primary cancer. In addition, when cancer and do not mimic the treating the disease in this cells in the part of the body example, doctors will treat where the cancer is found. That the cancer as stage IV breast is how doctors can tell that the cancer, not as lung cancer. cancer is metastatic cancer and Understanding metastatic has spread from another part of cancer can help recently the body. diagnosed men and women

Explaining metastatic cancer Courtesy of Metro Editorial

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ancer survival rates are on the rise, and that rise can be credited to a host of factors. Advancements in cancer research and treatment have played a big role in rising survival rates, as have the efforts of various organizations to promote cancer prevention and raise awareness about the disease.

The World Health Organization notes that between 30 and 50 percent of cancers can currently be

prevented by avoiding certain risk factors and implementing evidence-based prevention strategies. However, people can be vulnerable to cancer if they do not pay attention to their bodies or make an effort to protect themselves against certain risk factors for cancer.

In such instances, cancer may already have spread to other parts of their bodies, or metastasized, before they are even diagnosed, greatly reducing their likelihood of surviving the disease.

SIGNS cont. from page 4 Cancer that spreads to distant parts of the body is known as the pores in the skin of their breast. In many instances, skin texture has been described as being similar to the texture of an orange peel. Lumps in the breast also may indicate breast cancer, though not all lumps are cancerous.

• Change in appearance of the breast or nipple: Unexplained changes in the size or shape of the dimpling anywhere We believe that every life breast; on the breast; unexplained is worth celebrating! swelling or shrinking of the breast, particularly when Traditional Services • Cremation Services the shrinking or swelling is exclusive to one side only; • Pre-Arrangements and a nipple that is turned 1225 E. 6th Street, Moscow slightly inward or inverted (208) 882-4534 are some signs and symptoms www.shortsfuneralchapel.net of breast cancer that can affect the appearance of the

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When doctors diagnose metastatic cancer, they

better comprehend their disease and their prognosis. breast or nipple. It is common for women’s breasts to be asymmetrical, but sudden asymmetry should be brought to the attention of a physician.

• Discharge from the nipple: The NBCF notes that any discharge from the nipple, but particularly a clear or bloody discharge, could be a sign of breast cancer. The NBCF also advises women that a milky discharge when they are not breastfeeding is not linked to breast cancer but should be discussed with a physician.

Learning to recognize the signs and symptoms of breast cancer can increase the likelihood of early diagnosis, which greatly improves women’s chances of surviving this disease.

BREAST CANCER AWARENESS FOODS cont. from page 9

of stomach cancer by attacking bacteria associated with some prevent cancer. According to ulcers and belly cancers. Sulfur research associates at Johns compounds in the food may Hopkins University School stimulate the immune system’s of Medicine, a variety of natural defenses against cancer chemicals from plants known and could reduce inflammation as phytochemicals protect cells and tumor growth. from harmful compounds in • Broccoli: Broccoli and food and in the environment. other cruciferous vegetables Phytochemicals prevent cell like cauliflower, cabbage and damage and mutations. kale contain glucosinolates.

When making their grocery These are phytochemicals that lists, people who want to eat produce protective enzymes healthy and lower their cancer that activate in the intestines. risk can include as many of One particular compound, these foods as possible. sulforaphane, is strongest and • Garlic: Studies suggest that found in broccoli. Protective garlic can reduce the incidence properties are highest in raw or steamed broccoli.

ONCOLOGY cont. from page 3 at Moscow, patients can get comprehensive yet personalized treatment in the comfort of their community,” Dr. Rai said. “By offering chemotherapy locally, we hope to lessen the burden of the patients in their fight against cancer.”

Treatments at the infusion services clinic can be as brief as a quick injection or require a full-day infusion. Infusion therapy is used to treat acute and chronic diseases like cancer, gastrointestinal diseases, immune deficiencies, multiple sclerosis and rheumatoid arthritis that require intravenous medications.

Regardless of the length of the stay, staff in the clinic make every effort to ensure the comfort of patients. The center features an open layout with large windows that provide plenty of natural light and great views of Moscow. Curtains are available for patients wanting additional privacy during their stay. Patients are offered snacks and beverages, and meals can be ordered from the Pearl Bistro, which is located on the same floor as the center. iPads are also available for viewing.

LEWISTON TRIBUNE & MOSCOW-PULLMAN DAILY NEWS | OCTOBER 1, 2019 | 15 • Blueberries: Blueberries from lycopene. In laboratory are loaded with antioxidants. tests, lycopene has stopped Antioxidants neutralize the cancer cells, including breast, unstable compounds, called lung, and endometrial cancers, free radicals, that can damage from growing. Researchers cells and lead to cancer. speculate that lycopene protects cells from damage that could • Tomatoes: The red, rich lead to cancer by boosting the coloring of tomatoes comes immune system. degree relative, including a mother, sister, daughter, or with no family history of breast even a male family member, cancer a false sense of security. who have had the disease.

However, the NBCF notes But breast cancer can affect that only about 10 percent of anyone, regardless of their individuals diagnosed with family history. breast cancer have a family Information is a valuable history of the disease. The asset in the fight against breast Centers for Disease Control cancer. Learning to decipher and Prevention note that a between accurate and false woman’s risk for breast cancer information can be especially is higher if she has a firstvaluable.

MYTHS cont. from page 5

The Power and Promise of 3D Mammography.

Schedule your annual mammogram today.

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