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Breast Health: Three-Step Plan for Preventive Care
Provided by the staff from the Breast Care Center at Thomasville Medical Center The thought of having breast cancer is frightening to everyone, and especially devastating to women. However, ignoring the possibility that you may develop breast cancer or avoiding the processes to detect cancer can be dangerous. Although there are some women who are at higher risk, the fact is that all women are at risk for breast cancer. That is why it is so important to follow this three-step plan for preventive care. Although breast cancer cannot be prevented at the present time, early detection of problems provides the greatest possibility of successful treatment.
What is the three-step plan? Routine care is the best way to keep you and your breasts healthy. Although detecting breast cancer at its earliest stages is the main goal of routine breast care, other benign conditions, such as fibrocystic breasts, are often discovered through routine care.
Step 1. Breast Self-Examination (BSE)
The American Cancer Society (ACS) says that breast self-exams are an option for women 20 and older as a means of familiarizing themselves with their breasts so they can notice changes more easily. BSE should be done regularly at the same time every month. Regular BSE teaches you to know how your breasts normally feel so that you can more readily detect any change. Changes may include: development of a lump a discharge other than breast milk swelling of the breast skin irritation or dimpling nipple abnormalities (i.e., pain, redness, scaliness, turning inward) If you notice any of these changes, see your healthcare provider as soon as possible for evaluation.
Step 2. Clinical Examination
A breast examination by a physician or nurse trained to evaluate breast problems should be part of a woman’s physical examination. The ACS recommends: Between the ages of 20 and 39, women should have a clinical breast examination by a health professional every three years. After age 40, women should have a breast examination by a health professional every year. A physical breast examination by a physician or nurse is very similar to the procedures used for breast self-examination. Women who routinely practice BSE will be prepared to ask questions and have their concerns addressed during this time.
Step 3. Mammography
Mammography is a low-dose x-ray of the breasts to find changes that may occur. It is the most common imaging technique. Mammography can detect cancer or other problems before a lump becomes large enough to be felt, as well as assist in the diagnosis of other breast problems. However, a biopsy is required to confirm the presence of cancer. The ACS recommends yearly screening for all women ages 40 and older. A diagnostic mammogram may be required when a questionable area is found during a screening mammogram. Both the National Cancer Institute and the ACS suggest that women who may be at increased risk for breast cancer should talk with their physicians about whether to begin having mammograms at an earlier age.
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World-class care right here. Dr. Nathan Streer is an oncologist specializing in the diagnosis and treatment of cancer. He is also an expert in the treatment of blood disorders. Dr. Laura Allen is a board-certified radiation oncologist who specializes in precise treatment of cancer with radiation. As Wake Forest Baptist Health physicians, both Dr. Streer and Dr. Allen bring passion, dedication and expertise to Lexington.
Together, they’re helping Wake Forest Baptist Health strengthen Lexington’s legacy of caring with the most advanced treatment available. Our patients have access to nationally renowned specialists and cutting-edge therapies, all without leaving Lexington. It’s world-class care, close to home.
DR. LAURA ALLEN, Radiation Oncology DR. NATHAN STREER, Hematology and Oncology
To make an appointment with Dr. Allen or Dr. Streer, call 888-716-WAKE. 107 West Medical Park Drive | On the campus of Lexington Medical Center
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Breast Cancer Q&A with Dr. Susan Williford
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ELLEN WINNETT (LEFT) BREAST CANCER SURVIVOR & 2011 PATIENT ADVOCATE AWARD WINNER OR HER TIRELESS VOLUNTEERING AND SUPPORT FOR CANCER PATIENTS; DR. SUSAN WILLIFORD (R)
ou will be seeing a lot of pink in October which is breast cancer awareness month. There will be an estimated 232,620 new cases of breast cancer in the United States in 2011, but the great news is that many of these are curable and the age adjusted death rate for breast cancer continues to decline. Because of early detection and better treatments, we have made a major dent in fighting this disease. Listed below are answers to many of the common questions that we women often have.
Q: When should I get my mammogram? A:There has been a lot of controversy over the past year due to different published reports and now it has become confusing about the role of mammograms and self breast exams. Last year, The U.S. Preventative Services Task Force recommended that mammograms should be optional for women <50 because there was no clear survival advantage, and the report suggested the older women could get mammograms every other year. Then several other studies showed that mammograms actually due help women in their 40’s decrease their risk of dying from breast cancer. Currently both the American Cancer Society and The American College of Obstetricians and Gynecologists recommend annual mammography for women 40 years and older. Also self breast exams are useful and a woman should report any breast changes to her physician.
will have no family history. So only 20% of women actually have a family history of breast cancer and of those, 5% or less will have one of the known breast cancer genes, called BRCA 1 and 2. If you do have a strong family history of breast cancer, you may be a candidate for BRCA testing. A woman who tests positive for one of these genes would be a candidate for more aggressive preventative strategies, including MRI scans. Q: Will I need chemotherapy for my cancer and if so how can I get through it? A: We do still use chemotherapy for breast cancer, but great strides have been made. In 2011, 95% of patients receive chemotherapy as an outpatient, meaning they can get their treatment over a few hours and then go back home. Advances in nausea medicines and injections to help blood counts have allowed us to treat patients in an outpatient setting. We also use hormones treatments that block estrogens in a woman’s body to inhibit growth of cancer cells. We have great support groups, nutritionists, exercise and yoga programs, and in High Point we have just launched Guide Posts of Strength or GPS. This new program is a patientled mentor partnership to help each patient have a contact person to guide them through their cancer journey.
Q: Do I need screening since I have no family history A:This is one of the most common misconceptions about breast cancer that I have encountered in my practice. If we look at 100 women with breast cancer, 80 of them HIGH POINT REGIONAL HEALTH SYSTEM’S PINK HEALS TOUR 2011
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Q: Are there any new treatments? A: Treatments for breast cancer have changed dramatically from radical mastectomies, to modified radical mastectomies that spare the pectoral muscles, to lumpectomies. Surgeons now routinely do sentinel lymph node analysis which can spare total axillary node removal in many cases. We also use data from Oncotype DX and Adjuvant Online that can tell us a woman’s prognosis, and may allow her to avoid chemotherapy. Radiation can be used to decrease chest wall recurrence and in some studies it also helped lessen distant disease. A new radiation technique called partial breast radiation is being studied, which delivers radiation in much shorter treatment courses. As far as systemic therapies, we have had new chemotherapy drugs, Halaven and Ixempra, and also a medication to prevent bone problems called XGeva. Regardless of where you are in your breast cancer journey, please know that there are plenty of qualified people to help you along.
Dr. Susan Williford, MD, Hematologist/Oncologist at Emerywood Hematology/Oncology, a partner in Cornerstone Health Care, at The Hayworth Cancer Center at High Point Regional Health Systems.
DR. SUSAN WILLIFORD (LEFT), DEBBIE JOHNSON BREAST CANCER SURVIVOR (CENTER) AND DEBBIE’S SISTER NURSE GINGER GILLEY (RIGHT)
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31 Days to make a Difference
Susan G. Komen founder and CEO, Ambassador Nancy G. Brinker, kicks off Breast Cancer Awareness Month with a special video message encouraging you to take action.
Looking for a way to be involved and help support Susan G. Komen for the Cure® during Breast Cancer Awareness month? You’re in luck! We have something happening nearly every day in October. Take a look at how you can take action and participate! The Dallas Cowboys will be honoring breast cancer survivors at Cowboys Stadium as Amb. Nancy G. Brinker does the coin toss in the game against Detroit.
Talk to your employer about participating in the Susan G. Komen Promise Action Campaign. Major corporations can pledge what they’ll do to encourage employees to get screened. Learn more. Ambassador Nancy G. Brinker will be interviewed on the Delilah talk show.
Take a moment today to tell us what you would have missed if you (or someone you loved) didn’t get screened for breast cancer in time. Your story could help urge other women to get screened. Start sharing.
Feeling hungry? Learn more about “Mike’s Way to a Cure Day” at Jersey Mike’s.
Ellen DeGeneres is taking action in the fight to end breast cancer. Donate to Ellen for the Cure today. Tribute to breast cancer survivors from leading cartoon artists—check www.komen. org/facebook to find out where to look
Country singer Martina McBride joins with General Mills and Amtrak for the “Pink Together” CrossCountry Tour. Learn more about Pink Together. “Five,” a groundbreaking original movie on Lifetime that explores the impact of breast cancer on people’s lives. Directed by Jennifer Aniston, Alicia Keys, Demi Moore, Independent Spirit Award winner Patty Jenkins
Ford’s Warriors in Pink t-shirt designed by Jennifer Anniston goes on sale with all proceeds going to support our work at Susan G. Komen for the Cure. Learn more about Ford Warriors in Pink.
We are launching Lazos Que Perduran, our initiative to encourage Latinas to get screened and urge the women they love to do the same. Viva! Learn more at LazosQuePerduran.org.
Ever thought of traveling to participate in a Komen Race for the Cure? Well how about in Rio de Janeiro, Brazil! Check out other international Race destinations.
ABC.com’s “A Better Community” spotlights Susan G. Komen for the Cure during Breast Cancer Awareness Month and encourages women to get screened.
We’re taking our Susan G. Komen Race for the Cure® Series to Dar es Salaam, Tanzania! If you can’t make it to that Race find a race near you.
Join us for one final Twitter rally encouraging friends and family to make an appointment for their annual mammogram. Use hashtag #GetScreenedYet Help us spread the word about the importance of getting screened.
Action Out Loud Day. Call or email your Senators, Governors, Assembly members and Council members to let them know how important it is to protect access to screenings and care for all and fund the best scientific research. Become an Advocate.
Keep the movement going well beyond Breast Cancer Awareness Month— because our work definitely doesn’t stop here.
Take a moment to learn more about the Susan G. Komen 3-Day for the Cure®. You can join others in walking 60 miles to help end breast cancer forever. You’ll build the strength, be given the support and discover you’ve become part of something bigger than yourself. Experience the 3-Day.
Touch Your Girls! Learn more about our African American initiative, Circle of Promise, to encourage women to get screened and educate themselves about breast cancer.
Have you been saving your lids? For each pink lid redeemed by customers, Yoplait donates 10 cents to Komen for the Cure, up to $2 million.
Do you know someone with breast cancer? Show them support today. The support of family, friends and others can be helpful in many ways as you go through diagnosis, treatment and beyond.
Check out a new public service announcement debuting with Vanna White, co-host of Wheel of Fortune.
Coordinate a Passionately Pink for the Cure® day in your office, school or social club. Learn how at passionatelypink.org.
Be bold and help make in impact in your local community by participating in a Susan G. Komen Race for the Cure®. Take a moment to find a Race near you.
The Education of Dee Dee Ricks debuts on HBO. The Susan G. Komen Cynthia Fund was established in honor of one documentary’s subjects, Cynthia Dodson, who lost her battle to cancer. The fund will assist patients who lack financial resources.
On this edition of JEOPARDY!, America’s Favorite Quiz Show®, there will be a “pink ribbon” clue. Will you have the correct response?
Customers of eBay can donate $1 or more directly to Susan G. Komen for the Cure through the Donate Now feature—no purchase necessary.
The Charlotte Motor Speedway and The Dollar General 300 Miles of Courage events are designed to spread awareness about breast health and breast cancer through special “pink” ticket packages for the NASCAR fan where $5 from the sale of the select tickets benefit Susan G. Komen for the Cure.
Are you on Twitter? Take a moment today to add a Susan G. Komen for the Cure Twibbon to our Twitter avatar. Show your support during Breast Cancer Awareness Month
Do you stay informed via text message? Text KOMEN to 69866 to stay informed on updates and ways to get involved. Message and data rates may apply; you can reply STOP to quit.
Know your normal! Six of the eight breast cancer warning signs are visual. Do you know what’s normal for you? Find out at komen.org
Follow the live Twitter coverage of the 2nd Annual Honoring the Promise event from the Kennedy Center in Washington, DC. Join the conversation by following #HTP2011.
Can’t leave your desk? Carpooling schedule out of control? Confused about whether you need to get a mammogram? Tell us what your obstacles to getting screened are in the “Why I Don’t” poll at www.komen.org/facebook or on Twitter at #GetScreened.
YOU HAVE THE POWER! SUPPORT. PREVENT. SURVIVE. NEVER GIVE UP HOPE.
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Making Strides The American Cancer Society Cancer touches more than just the people diagnosed. It has an impact on everyone around them. That’s why the American Cancer Society Making Strides Against Breast Cancer walk unites communities to celebrate people who have battled breast cancer, educate people about ways to reduce their risk, and empower communities to join the fight. Every dollar you raise and every step you take will save lives by helping people stay well and get well, by finding cures, and by fighting back against breast cancer. Since 1993, nearly 7 million walkers have raised more than $400 million to help fight breast cancer through participating in the noncompetitive, 3- to 5-mile events. In 2010 alone, nearly 800,000 walkers across the country collected more than $60 million to save lives from breast cancer. Below are a few of the ways you can join us!
Join a Team When you sign up to join a Making Strides Against Breast Cancer team, you are committing to share your passion to raise funds to help save lives from breast cancer. Your team leader will guide you through the process, and together you’ll ask friends and family to support your effort with a donation to help create a world with more birthdays. Find an event and join a team today. Walk as an Individual You may sign up as an individual, but you will not be alone. Individual walkers are part of our nationwide community of Making Strides participants and fundraisers. We’ll be here with you every step of the way as you ask friends and family to support your effort to save lives with a donation. And on the day of the walk, you’ll stand side by side with others who share your passion. Find an event and sign up as an individual walker.
Here’s How You Can Help Save Lives
Donate to a Walker Making Strides is more than a walk it’s a fundraising event to help save lives from breast cancer. The dollars raised through the Making Strides events help the American Cancer Society continue to save lives by helping people stay well, helping people get well, by finding cures, and by fighting back against breast cancer - and we can’t do it without your donations. Search for a Making Strides participant by name to make a donation in support of their fundraising effort. Donate to a walker.
Start a Team Team leaders are the heart and soul of Making Strides Against Breast Cancer. Sign up online to start your team and invite your friends to join you. Then, using the tools in your Personal Participant Center, ask friends and family to support your effort with a donation to help save lives from breast cancer. Find an event and start your team today.
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North Carolina Making Strides Events Asheville
Event Details Date: Saturday, October 15, 2011 Time: 10:00 AM Location: Pack Square Park Contact Us: Peggy Crowe peggy.crowe@cancer.org 828-254-6931
Wilimington
Event Details Date: Saturday, October 22, 2011 Time: 9:00am Location: Cape Fear Community College Contact Us: Wendy Perdue Email: wendy.perdue@cancer.org 910-254-4870
Charlotte Donate to a Team Do you have several friends all walking on the same team? No problem. You can support the whole team with a donation and know that youâ&#x20AC;&#x2122;re helping create a world with less breast cancer and more birthdays. Search for a Making Strides team by name to make a donation to support their fundraising efforts. Donate to a team. Make a General Donation Last year
Making Strides events raised more than $60 million to help people stay well, get well, find cures, and fight back against breast cancer - and it happened one $10, $25, and $50 donation at a time. Find an event and make a general donation. Become a Volunteer Making Strides volunteers are the driving force
behind our incredible event. Share your passion to help create a world with less breast cancer and more birthdays by sharing your time as a volunteer. Find an event and become a volunteer today. For detailed information on how Making Strides Against Breast Cancer donations support the American Cancer Societyâ&#x20AC;&#x2122;s fight against breast cancer, visit WWW.CANCER.ORG
Event Details Saturday, October 29, 2011 8:00 AM at Nascar Hall of Fame EVENT SCHEDULE
5:30 a.m.:Volunteer Check-In 6:45 - 7:45 a.m.: Registration 7:15 a.m.:Pre-event ceremonies 8:00 a.m.:5K Run 8:05 a.m.:5K Walk /1 Mile Fun Walk 9:30 a.m.:5K Run Awards Presentation ENTRY FEES 5K RUN
By October 15th: $30.00 By October 27th: $35.00 Race Day: $40.00 5K Walk / 1 Mile Fun Walk
Registration:$25.00 REGISTRATION INFORMATION
Race Day (cash or checks) Registration and chip pick-up begins at 6:45 a.m.
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