Supporting the Valley’s Tetons ♥ Teton Valley News - October 7, 2010 - Page C1
Page C2 - October 7, 2010 - Teton Valley News ♥ Supporting the Valley’s Tetons
Take control of your Breast Cancer risk and diagnosis St. John’s Oncology Department offers information on: Screening & Education
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Supporting the Valley’s Tetons ♥ Teton Valley News - October 7, 2010 - Page C3
5
The number of stages of breast cancer, with 0 being the least progressed and IV being the most severe
910
The estimated number of new breast cancer cases in women for 2010 in Idaho*
1,970
207,090
40,230
The estimated number of new breast cancer cases in men for 2010 in the U.S.*
The estimated number of new breast cancer cases in women for 2010 in the U.S.*
Estimated number of breast cancer related deaths in men and women for 2010*
Breast cancer
by the numbers
$ 50-74
The ages of women who should have a mammogram every two years+
2.5 million The current number of breast cancer survivors in the U.S.=
* Information from Cancer Facts and Figures 2010 – American Cancer Society + Centers for Disease Control and Prevention – Cancer Screening Vital Signs ** Susan G. Komen for the Cure Foundation = Breastcancer.org
$60
1 in 8
Women in the U.S. will develop invasive breast cancer over the course of her life =
Million The amount of money in grants the Susan G. Komen for the Cure foundation has provided for breast cancer research this year**
2
Breast Cancer’s rank among the most commonly diagnosed cancers in women (first is skin cancer).=
5-10 percent the percentage of breast cancers that are caused by inherited gene mutations=
October is National Breast Cancer Awareness Month
Page C4 - October 7, 2010 - Teton Valley News ♥ Supporting the Valley’s Tetons
Teton Valley Hospital offers free, discounted mammograms “So many women have been affected by this recession,” she said. The paperwork for the free mammogram program used to be long Participating in National Breast and arduous, Loyola said, but this year Cancer Awareness Month, Teton Valley women will only have to fill out a oneHospital is offering free and discounted page form, and the hospital will rely on mammograms. “the honor system” and leave it up to The average cost of a mammogram women to determine if they can’t afford is between $145 and $160, including the test otherwise. a radiologists’ read, said TVH This program will spokesperson Ann run “until the funds run Loyola. out,” Loyola said. Discounts are Teton Valley available at TVH Hospital currently for women who operates a film book appointments mammography through the end machine, and of the month. The some women may appointments don’t have gotten digital have to be this mammograms at other month, but the facilities. If that is the appointment has to case, TVH will help be made in October, women get digital she said. mammograms at a Women nearby facility, Loyola with or without Courtesy of Content that Works said. insurance can use TVH’s goal is the discount of $40, if they pay in cash. to acquire a digital mammography This program has been ongoing at the machine, Loyola said. The Rally for the hospital for over a decade. Coupons are available all over the Valley, Loyola said. Cure Foundation gave TVH $12,000 to go toward the purchase of the $325,000 TVH has also received some machine. funding from the regional Susan G. The hospital is now looking into Komen Rally for a Cure Foundation. A portion of the funds raised at the annual private funding to come up with the rest in the future. Teton Valley Rally for a Cure golf Even without the digital machine, tournament go to the Susan G. Komen Teton Valley Hospital has a fairly new Foundation, and the remainder is up mammography suite, funded in part by for the regional foundation to disperse. the Jon Huntsman family in 1999. Two years ago they decided to put that For more information on free and money to use by helping women who discounted mammograms, contact couldn’t afford mammograms. TVH at (208) 354-2383. The free mammogram program is important, especially in these difficult To contact Lisa Nyren e-mail editor@ economic times, Loyola said. tetonvalleynews.net.
Lisa Nyren TVN Staff
TVN Photo/Lisa Nyren
The mammography machine at Teton Valley Hospital. This machine is the second since the beginning of the mammography suite at TVH. The hospital hopes to have a digital mammography machine in the near future.
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Supporting the Valley’s Tetons ♥ Teton Valley News - October 7, 2010 - Page C5
Pauline to sen Elliot and he r d treatm to family a husband, Le ent for e, mad nd frie Photo courte was th e n sy of P at “it s breast cance ds the yea a Christma auline Elliot r s ure cu r. c s ard of he und ts dow Pauline sa t h e is r w id p n on y e h n a o t to g c oo h our sh ower t d thing abo emotherapy ut bein ime.” g bald
Photo by Lisa Nyren
Pauline Elliot stands in her sewing room at her home in Driggs. Elliot is a breast cancer survior.
A sense of humor will help get you through:
Pauline Elliot tells her story local voices Lisa Nyren TVN Staff
For Pauline Elliot, the worst thing about being bald was having to cover her head in the winter. “It’s cold with no hair,” she said, laughing. Now nine years free of breast cancer, Pauline’s cheery personality shines through even when she talks about that period in her life. The seamstress from Australia has lived in Teton Valley for 15 years and has loved every minute of it. She lived in Red Lodge, Mont. for a while but headed south for the same reason so many powder hounds find their ways to the Valley: the snow. She loves skiing so much that she scheduled her chemotherapy treatments late in the afternoon, “just in case there was a good powder day.” Breast cancer runs in Pauline’s family. Her mother had it, her aunt died because of it, and two of her cousins on her father’s side had it; one didn’t survive. Pauline also has symptoms associated with increased risk of breast cancer: she began menstruating early, at 11, and she’s never had children.
“In a way I was expecting it,” she said, sitting in her kitchen at her home in Driggs. Now 53, Pauline was 44 when she discovered a lump in her breast and immediately got a mammogram. She had been getting mammograms annually since she was 35 due to the prevalence of breast cancer in her family. She found the lump in-between checkups. Pauline had estrogen-receptive breast cancer, which means that the cancer relies on estrogen to help it grow. A good thing about hormone-receptive cancers is they can respond to hormone-blocking medications. Opting not to have a mastectomy, Pauline had a lumpectomy as well as a lymphadenectomy (she had the lump and some lymph nodes removed). She also went through chemo and radiation treatment. The lymphadenectomy was especially painful, and she recommends other women who have the option to have their lymph nodes checked without having them removed “do it.” Though she lost her hair, Pauline gained weight during chemo treatment.
“I got fat,” she laughed. She put once, Pauline has let go of the fear on about 20 pounds. associated with it. Pauline’s husband at the time, “I’m not even scared of getting Lee, was extremely supportive breast cancer,” she said. and helpful during her ordeal. He It took Pauline about a year to drove her to Idaho Falls for chemo recover from the lumpectomy, the treatment every day, and he shaved lymphadenectomy, and chemo and his head when she shaved hers. radiation. It’s obvious from the briefest Her best advice to people newly meeting with Pauline that she and diagnosed is to keep moving and Lee kept a sense remain positive. of humor about Annual checkups life throughout her and self breast exams treatments. They sent are also important. friends and family a “Just try and Christmas card of the keep on top of two of them out in things because if you the snow, both bald catch it early it’s not and with broad smiles a death sentence.” on their faces. And the whole Pauline is still losing your hair smiling. thing has its upside, “I’ve got a great too. life,” she said. “I’m “It sure cuts I lived life exactly where I want your shower time in exactly how to be.” half,” she said. I’d been And she never going. The let her cancer or If you would like treatment keep her only thing to share your story from doing the things was having how you or someone she loves. to go to you know has “I lived life Idaho Falls exactly how I’d been dealt with breast every day. going,” she said. cancer, contact Lisa “The only thing was Nyren at editor@ having to go to Idaho Pauline Elliot, tetonvalleynews.net. Falls every day.” breast cancer survivor Having had breast cancer and beaten it
Page C6 - October 7, 2010 - Teton Valley News ♥ Supporting the Valley’s Tetons
After rare breast cancer: Sue Beard survives with a positive outlook Lisa Nyren TVN Staff
S
ue Beard is a doting grandmother and a proud mother of two. She loves photography and enjoys living in Teton Valley. She’s a retired nurse and a loving caregiver for her husband, Leon. Sue is also a breast cancer survivor. Now, with three years of clean checkups under her chest, Sue has an enhanced appreciation for life. Her face lights up when she talks about her granddaughter, Isabelle, and about her son, Kerry, who is majoring in music performance at Brigham Young University – Idaho. She’s also thankful for her Photo courtesy of Sue Beard daughter, Katie. “It’s one of those things Sue with granddaughter Isabelle in July of 2008, just over two months after Sue completed her chemotherapy treatment. that you just couldn’t do without family and friends’ support,” she said. Sue, 59, developed a her doctor told her she had cancer. Sue is a low maintenance kind of rare kind of breast cancer, There is no known link between woman and she’s not generally fussy one that occurs in just .7 the implants and her cancer, about appearances, but loosing her hair percent of people who however. during chemo treatment was difficult. get cancer in the United “I was very, very surprised,” “I was surprised at how tender that States. Of that .7 percent, she said. was for me to be bald,” she said. 25 percent are soft-tissue Being a nurse helped After her first round of chemo, sarcomas, the kind Sue had. her understand her doctor’s Sue’s doctor told her she’d be bald Until her diagnosis, terminology, but it didn’t within two weeks, so instead of waiting, she led a wonderful career necessarily prepare her for this she shaved her head. Her hair has since as a nurse for 37 years, 20 news. grown back and she wears it short, with of them at Teton Valley “Even though you’re a nurse just a little spunk. They come Hospital. there’s a lot of things you don’t Her whole experience with breast as close to After graduating from Ricks College in her early know,” she said. cancer heightened Sue’s appreciation 20s, Sue worked in Utah for a little over a decade killing you By the time her doctor found for the little things in life and increased until her mother was diagnosed with Alzheimer’s and diagnosed the angiosarcoma, her willingness to stop and enjoy the as they can disease. Sue returned to the valley to take care of it had penetrated Sue’s chest beauty of her daily surroundings. without her. wall. Soft-tissue angiosarcoma is The benchmark for being “cured” really While she was here, Sue met her husband, nine a rapidly progressive cancer that of breast cancer is five years, and Sue killing you. years her senior, who also grew up in the Valley. The eventually spreads into the lungs. is well on her way. Still, she says, it’s two of them hadn’t know each other, but it didn’t At first Sue wasn’t sure something that she thinks about often. take them long to realize they were a perfect match. Sue Beard, whether she wanted a mastectomy, “It’s always in the back of your Sue and Leon were married within four months of Breast cancer survivor but her plastic surgeon told her it mind.” meeting. was the best chance for a cure for But a positive, glass-half-full When she was in her late 20s, Sue had breast her type of cancer. attitude is what Sue is all about. She implants put in after she developed fibrocystic Anticipating the surgery and advises others battling breast cancer to disease (also known as fibrocystic changes), which chemotherapy treatment, Sue took leave of absence “Stay positive. Nurture your friendships and family.” actually isn’t a disease at all but a condition where from work. She was 56. She is also a believer in early detection. women get benign cysts or lumps in their breasts, Sue had a radical mastectomy. Her right breast “Early diagnosis is key,” she said. And annual often due to hormonal changes. was removed and her doctor took muscles from mammograms are a must. “The fact of the matter is, When Sue felt a lump in her right breast in her back and moved them to her chest area to they save lives.” 2007, she assumed that her implant had shifted or reconstruct her breast. There are scars on her chest Women of all ages should conduct self breast broken. So did her plastic surgeon. So she went in and back from the procedure. exams, and Sue said people need to realize that for surgery to fix the implant and when she woke up Sue said she’s had some “owy” surgeries in her breast cancer is not just an “old lady” disease; life, including intestinal surgery, which she thought younger women, and men, can develop this cancer. was the worst, but this surgery topped even that. As research and technology improve, Sue hopes Sue is right handed, and she had to rehabilitate that better diagnostic tests will become available that her right arm after the surgery. It’s gotten a lot will make it easier to detect breast cancer. better, but she still can’t throw a softball as well as Sue never returned to work, but that has been a she’d like to. blessing in her life. Chemotherapy came after the surgery. A Within two weeks of her final chemo treatment, common method of treating cancer, chemotherapy Sue’s first granddaughter was born, and Leon uses chemicals to stop the growth of cancer cells. suffered a head injury after an accident with a buzz It is usually accompanied by a cancer-fighting drug saw. regimen. The chemo chemicals, however, cannot Now, she takes care of her husband and spends tell the difference between cancerous cells and as much time as she can with Isabelle. normal cells, so they eliminate healthy ones as well, Sue looks at her diagnosis as something that including hair and blood cells. helped her retire, a move she may not have been “Chemo was pretty hard,” Sue said. “They willing to make otherwise. come as close to killing you as they can without “The good thing is I’m home,” she said. really killing you.” Sue had four months of chemo treatment, and If you would like to share your story how you or she had to go to Rexburg to get it. The treatment Photo courtesy of Sue Beard someone you know has dealt with breast cancer, “is exhausting because of just what it does to the Sue Beard and family enjoying the Fourth of July celebrations contact Lisa Nyren at editor@tetonvalleynews.net. body,” she said. in 2008: Back row from left to right: Deanne Woolstenhulme, Friends and family members accompanied her Adam Wynn, Katie Wynn, Isabelle Wynn, Sue Front row: on her trips Out Below. Royce Woolstenhulme and Leon Beard
local voices
Supporting the Valley’s Tetons ♥ Teton Valley News - October 7, 2010 - Page C7
Stages and types of breast cancer Stages of breast cancer
and under the arm. The cancer has spread to the lymph nodes above or below the collarbone.
Stage 0 is sometimes used to describe abnormal cells that are not invasive cancer. For example, Stage 0 is used for ductal carcinoma in situ (DCIS). DCIS is diagnosed when abnormal cells are in the lining of a breast duct, but the abnormal cells have not invaded nearby breast tissue or spread outside the duct. Although many doctors don’t consider DCIS to be cancer, DCIS sometimes becomes invasive breast cancer if not treated.
Stage IV is distant metastatic cancer. The cancer has spread to other parts of the body, such as the bones or liver.
Stage I is an early stage of invasive breast cancer. Cancer cells have invaded breast tissue beyond where the cancer started, but the cells have not spread beyond the breast. The tumor is no more than 2 centimeters (three-quarters of an inch) across. Stage II is one of the following: The tumor is no more than 2 centimeters (three-quarters of an inch) across. The cancer has spread to the lymph nodes under the arm. The tumor is between 2 and 5 centimeters (three-quarters of an inch to 2 inches). The cancer has not spread to the lymph nodes under the arm. The tumor is between 2 and 5 centimeters (three-quarters of an inch to 2 inches). The cancer has spread to the lymph nodes under the arm. The tumor is larger than 5 centimeters (2 inches). The cancer has not spread to the lymph nodes under the arm. Stage III is locally advanced cancer. It is divided into Stage IIIA, IIIB, and IIIC. Stage IIIA is one of the following: The tumor is no more than 5 centimeters (2 inches) across. The cancer has spread to underarm lymph nodes that are attached to each other or to other structures. Or the cancer may have spread to lymph nodes behind the breastbone. The tumor is more than 5 centimeters across. The cancer has spread to underarm lymph nodes that are either alone or attached to each other or to other structures. Or the cancer may have spread to lymph nodes behind the breastbone. Stage IIIB is a tumor of any size that has grown into the chest wall or the skin of the breast. It may be associated with swelling of the breast or with nodules (lumps) in the breast skin: The cancer may have spread to lymph nodes under the arm. The cancer may have spread to underarm lymph nodes that are attached to each other or other structures. Or the cancer may have spread to lymph nodes behind the breastbone. Inflammatory breast cancer is a rare type of breast cancer. The breast looks red and swollen because cancer cells block the lymph vessels in the skin of the breast. When a doctor diagnoses inflammatory breast cancer, it is at least Stage IIIB, but it could be more advanced. Stage IIIC is a tumor of any size. It has spread in one of the following ways: The cancer has spread to the lymph nodes behind the breastbone
Recurrent cancer is cancer that has come back after a period of time when it could not be detected. Even when the cancer seems to be completely destroyed, the disease sometimes returns because undetected cancer cells remained somewhere in your body after treatment. It may return in the breast or chest wall. Or it may return in any other part of the body, such as the bones, liver, lungs, or brain. * Source: National Cancer Institute, cancer.gov
Types of breast cancers There are several types of breast cancer. In some cases a single breast tumor can have a combination of these types or have a mixture of invasive and in situ cancer. Ductal carcinoma in situ Ductal carcinoma in situ (DCIS; also known as intraductal carcinoma) is the most common type of noninvasive breast cancer. DCIS means that the cancer cells are inside the ducts but have not spread through the walls of the ducts into the surrounding breast tissue. About 1 in 5 new breast cancer cases will be DCIS. Nearly all women diagnosed at this early stage of breast cancer can be cured. A mammogram is often the best way to find DCIS early. Lobular carcinoma in situ Although it is not a true cancer, lobular carcinoma in situ (LCIS; also called lobular neoplasia) is sometimes classified as a type of non-invasive breast cancer. It begins in the milkproducing glands but does not grow through the wall of the lobules. Most breast cancer specialists think that LCIS itself does not become an invasive cancer very often, but women with this condition do have a higher risk of developing an invasive breast cancer in the same breast or in the opposite breast. Invasive (or infiltrating) ductal carcinoma This is the most common type of breast cancer. Invasive (or infiltrating) ductal carcinoma (IDC) starts in a milk passage (duct) of the breast, breaks through the wall of the duct, and grows into the fatty tissue of the breast. At this point, it may be able to spread (metastasize) to other parts of the body through the lymphatic system and bloodstream. About 8 of 10 invasive breast cancers are infiltrating ductal carcinomas. Invasive (or infiltrating) lobular carcinoma Invasive lobular carcinoma (ILC) starts in the milk-producing glands (lobules). Like IDC, it can spread (metastasize) to other parts of the body. About 1 out of 10 invasive breast cancers is an ILC. Invasive lobular carcinoma may be harder to detect by a mammogram than invasive ductal carcinoma.
Less common types of breast cancer
Inflammatory breast cancer: This uncommon type of invasive breast cancer accounts for about 1- to 3 percent of all breast cancers. Usually there is no single lump or tumor. Instead, inflammatory breast cancer (IBC) makes the skin of the breast look red and feel warm. It also gives the breast skin a thick, pitted appearance that looks a lot like an orange peel. Doctors now know that these changes are not caused by inflammation or infection, A computer graphic rendering of a breast cancer cell. but by cancer cells blocking lymph vessels in the skin. Tubular carcinoma: Tubular The affected breast may carcinomas are another special type of become larger or firmer, tender, or invasive ductal breast carcinoma. They itchy. In its early stages, inflammatory are called tubular because of the way breast cancer is often mistaken for an the cells are arranged when seen under infection in the breast (called mastitis). the microscope. Because there is no actual lump, it may not show up on a mammogram, which may make it even harder to find it early. Papillary carcinoma: The cells of these cancers tend to be arranged This type of breast cancer tends to in small, finger-like projections when have a higher chance of spreading and viewed under the microscope. These a worse outlook than typical invasive tumors can be separated into nonductal or lobular cancer. invasive and invasive types. Intraductal Triple-negative breast cancer: papillary carcinoma or papillary This term is used to describe carcinoma in situ is non-invasive. breast cancers (usually invasive It is often considered a subtype of ductal carcinomas) whose cells lack ductal carcinoma in situ (DCIS), and estrogen receptors and progesterone is treated as such. In rare cases, the receptors, and do not have an excess tumor is invasive, in which case it is of the HER2 protein on their treated like invasive ductal carcinoma, surfaces. Breast cancers with these although the outlook is likely to be characteristics tend to occur more better. often in younger women and in African-American women. TripleAdenoid cystic carcinoma negative breast cancers tend to grow (adenocystic carcinoma): These and spread more quickly than most cancers have both glandular (adenoid) other types of breast cancer. Because and cylinder-like (cystic) features when the tumor cells lack these certain seen under the microscope. receptors, neither hormone therapy nor drugs that target HER2 are Phyllodes tumor: This very rare effective against these cancers (but breast tumor develops in the stroma chemotherapy can still be useful if (connective tissue) of the breast, in needed). contrast to carcinomas, which develop in the ducts or lobules. Other names Mixed tumors: Mixed tumors for these tumors include phylloides contain a variety of cell types, such as tumor and cystosarcoma phyllodes. invasive ductal cancer combined with These tumors are usually benign but invasive lobular breast cancer. In this on rare occasions may be malignant. situation, the tumor is treated as if it Benign phyllodes tumors are were an invasive ductal cancer. treated by removing the tumor along with a margin of normal breast Medullary carcinoma: This tissue. A malignant phyllodes tumor special type of infiltrating breast is treated by removing it along with cancer has a rather well-defined a wider margin of normal tissue, boundary between tumor tissue or by mastectomy. Surgery is often and normal tissue. It also has some all that is needed, but these cancers other special features, including the may not respond as well to the other large size of the cancer cells and the treatments used for more common presence of immune system cells at the breast cancers. When a malignant edges of the tumor. phyllodes tumor has spread, it may be treated with the chemotherapy Metaplastic carcinoma: given for soft-tissue sarcomas (this is Metaplastic carcinoma (also known as discussed in detail in our document, carcinoma with metaplasia) is a very Soft-tissue Sarcomas. rare type of invasive ductal cancer. These tumors include cells that are Angiosarcoma: This is a form normally not found in the breast, of cancer that starts from cells that such as cells that look like skin cells line blood vessels or lymph vessels. (squamous cells) or cells that make It rarely occurs in the breasts. When bone. These tumors are treated like it does, it usually develops as a invasive ductal cancer. complication of previous radiation treatments. This is an extremely Mucinous carcinoma: Also known rare complication of breast radiation as colloid carcinoma, this rare type therapy that can develop about of invasive breast cancer is formed by 5 to 10 years after radiation. mucus-producing cancer cells. The Angiosarcoma can also occur in prognosis for mucinous carcinoma the arm of women who develop is usually better than for the more lymphedema as a result of lymph common types of invasive breast node surgery or radiation therapy to cancer. Still, it is treated like invasive treat breast cancer. ductal carcinoma. * Source: American Cancer Society, cancer.org
Page C8 - October 7, 2010 - Teton Valley News ♥ Supporting the Valley’s Tetons
Teton Valley News & Broulim’s have teamed together for National Breast Cancer Awareness Month Go into Broulim’s during October to donate to the Susan G. Komen Foundation.