CANCER
AWARENESS
OCTOBER 6, 2019
PROVIDED
Margie Porreco
Reflecting on the Healing Work at
MISSION HOPE
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MISSION HOPE CANCER CENTER
esidents in the Santa Maria Valley are blessed in numerous ways. Among these blessings are the supportive nature of the community and the growing amount of medical care found at Marian Regional Medical Center. A longtime local resident, Margie Porreco has seen the area flourish and Marian grow alongside it. As a cancer patient, Margie has also witnessed the cancer care team in action providing high levels of treatment with routine compassionate care. She is one of seven children in her family with no history of cancer, so the development of cancer was unexpected. However, Margie received a diagnosis of breast cancer in
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2005, and she entered into medical treatment nervous and frightened. Thanks to the support of clinicians and loved ones, she was able to confront the disease. She beat cancer once and several years later beat Non-Hodgkin’s Lymphoma with the support of her husband Fred, family, friends, and the cancer care team. In 2012, she was diagnosed with a third cancer, basal cell carcinoma, and was blessed to have it removed. In the halls of radiation oncology at Mission Hope Cancer Center, patients who complete their final treatment are able to ring a bell that signifies the completion of their radiation treatment. Margie was able to ring the bell (not once but twice!) in celebration and victory
after treatment. When asked about her outlook of gratitude, she responded, “People are so quick to complain. You need to share the positive with those who have made a difference. I feel so blessed to have been treated where we have everything in one location. Patients often have to travel great distances but we have Mission Hope Cancer Center in our back yard!” Hearing Margie’s stories of gratitude, her sister, who lives in London, was moved to donate to Mission Hope Cancer Center in Margie’s honor. If you would like to contribute to the healing work found at Mission Hope Cancer Center, please visit supportmarianmedical.org/donate.
Mission Hope Cancer Center BREAST CANCER AWARENESS
A2 | Sunday, October 6, 2019
Mission Hope Cancer Center Mission Hope Cancer Center
1325E.E.Church Church 102, Maria, SantaCalif. Maria, Calif. 1325 St., St., SuiteSuite 102, Santa 1325 E. Church St., Suite 102, Santa Maria, Calif. 805.219.HOPE (4673) 805.219.HOPE (4673)
805.219.HOPE (4673)
Se habla español: 805.346.3406 Sehabla habla español: 805.346.3406 www.missionhopecancercenter.com Se español: 805.346.3406
www.missionhopecancercenter.com www.missionhopecancercenter.com
FIRST FLOOR FIRST FLOOR Marian Cancer Care . . . . . . . . . . . . 805.219.HOPE (4673) FIRSTCancer FLOOR Marian Care . . . . . . . . . . . . 805.219.HOPE (4673) Marian PET/CT Center . . . . . . . . . . . . . . .. ... 805.219.HOPE 805.346.3470 Marian Cancer Care (4673) Marian PET/CT Center . . . . .. .. ... .. .. ... .. .. ... .. 805.346.3470 Radiation Oncology . . . . . . . . . . . . . . . . . . . 805.925.2529 Radiation Oncology . . . . . . . . . . . . . . . . . . . 805.925.2529
Marian PET/CT Center . . . . . . . . . . . . . . . . . 805.346.3470
SECOND FLOOR SECOND FLOOR Radiation Oncology . . . . . . . . . . . . . . . . . . . 805.925.2529 Marian BreastImaging ImagingCenter Center . . . 805.346.3490 Marian Breast . . .. .. .. .. ..... .. .. 805.346.3490 Mission Hope Surgical . . . .. .. ..... .. .. 805.346.3456 Mission Hope SurgicalOncology Oncology . . . 805.346.3456 SECOND FLOOR
Christopher V.V.Lutman, MD, FACOG, Gynecologic Christopher Lutman, MD, FACOG, Gynecologic Marian Breast Imaging Center . . . .Oncologist . . Oncologist . . . . . 805.346.3490 Monica A. Rocco, MD, FACS, Breast Surgeon Monica A. Rocco, MD, FACS, Breast Surgeon Mission Hope Surgical Oncology. . . . . . . . . . 805.346.3456
THIRD FLOOR THIRD FLOOR Gynecologic Oncologist Medical Christopher Oncology . . .V.. .Lutman, . . . . . . .MD, . . . FACOG, . . . . . 805.349.9393 Medical Oncology . . . . . . . . . . . . . . . . . . . . 805.349.9393 MonicaCenter A. Rocco, Breast Surgeon Mission Hope Infusion . . . . MD, . . . .FACS, . . . 805.346.3419 Mission Hope Infusion Center . . . . . . . . . . . 805.346.3419 Mission Hope Lab . . . . . . . . . . . . . . . . . . . . 805.346.3480 Mission Lab . .hours: . . . 7:30 . . . a.m. . . .to. 4:30 . . .p.m.) . . . . . 805.346.3480 THIRDHope FLOOR (Office
(Office hours: Medical Oncology . . . .7:30 . .a.m. . . .to .4:30 . . p.m.) . . . . . . . . 805.349.9393 Mission Hope Infusion Center . . . . . . . . . . . 805.346.3419 Mission Hope Lab . . . . . . . . . . . . . . . . . . . . 805.346.3480
(Office hours: 7:30 a.m. to 4:30 p.m.)
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Mission
Arroyo Grande Arroyo Grande
Arroyo Grande
850 FairOaks Oaks Avenue, Arroyo Grande, California 850 Fair Avenue, Arroyo Grande, California
850 Fair Oaks Avenue, Arroyo Grande, California
805.474.5300 805.474.5300 805.474.5300 www.missionhopecancercenter.com
www.missionhopecancercenter.com www.missionhopecancercenter.com
FIRSTFLOOR FLOOR FIRST FIRST FLOOR ArroyoGrande GrandeLab Lab & Imaging 805.473.7677 Arroyo & Imaging 805.473.7677 Arroyo(Office Grande Lab &a.m. Imaging 805.473.7677 hours: 7:00 a.m. to 5:00 p.m.)p.m.) (Office hours: 7:00 to 5:00
(Office hours: 7:00 a.m. to 5:00 p.m.) THIRD THIRDFLOOR FLOOR Cancer Center . . .. .. 805.474.5300 CancerResource Resource Center . . 805.474.5300 THIRD FLOOR Medical Oncology . . . . . . . . . 805.474.5310 Medical Oncology . . . . . . . . . 805.474.5310 Cancer Resource Center805.474.5325 . . . . 805.474.5300 Mission Hope Infusion Center Mission Hope Infusion Center 805.474.5325
Medical Oncology . . . . . . . . . 805.474.5310 Mission Hope Infusion Center 805.474.5325
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BREAST CANCER AWARENESS
Sunday, October 6, 2019 | A3
OCTOBER IS BREAST CANCER AWARENESS MONTH
Weighing the New Guidelines for Screening Mammography Controversy surrounding screening mammography guidelines has resulted in conflicting recommendations from physicians and uncertainty for women. Because the technology of mammography imaging and has progressed substantially, and we have a deeper understanding of the complexity of the breast tumor biology, there are concerns regarding the balance between “overdiagnosis” versus the outcome benefits of early detection. MONICA ROCCO, MD, FACS
Breast Surgical Oncology
There are various factors that should be considered in creating your cancer screening strategy.
The following guidelines are put forth by the American Society of Breast Surgeons and make clear recommendations regarding breast cancer screenings for both women with average and higher risk as well as make surveillance imaging recommendations for women with a prior history of breast cancer. To determine the appropriate screening approach, the first step is risk assessment. All women should undergo risk assessment at age 25-30 and update at appropriate intervals. Women with average risk of breast cancer should initiate yearly screening 3D mammogram at age 40. There are currentlyno data to support routine screening in women under age 40 who have average risk. If the women with average risk have non-dense breasts (density A/B), no need for additional imaging. If the women with average risk have increased density (density C/D), then supplemental imaging considered. Women should discuss their imaging results with their physicians and decide which supplemental imaging is appropriate, ultrasound versus MRI. Women with higher than average risk of breast cancer risk can be divided into two groups. Women who have increased risk due to
Call today to one of our convenient locations to schedule your 3D mammogram.
a pathogenic mutation or history of prior chest wall radiation age 10-30. These high risk women should have annual bilateral breast MRI at age 25 and annual 3D mammography starting at age 30. The second group of women have a lifetime risk of greater than 20% determined by any risk model (TyrerCusick preferred) or a strong family history. These women should have annual 3D mammography and access to supplemental imaging (MRI preferred) starting at age 35 when recommended by their physician. Women with prior history of breast cancer older than or equal to age 50 with non-dense breasts (density A/B) and have NOT had mastectomy, should have annual 3D mammography. Women with prior history of breast cancer at less than 50 years of age or with dense breasts (density C/D), should have annual 3D mammography and access to annual supplement imaging with breast MRI being the preferred modality when recommended by their physician. Women can stop screening mammography when the life expectancy is less than 10 years. There has always been a debate as to whether there is any true benefit to screening Continued on PAGE 4
Marian Breast Imaging Center
Coastal Diagnostic Center
805-346-3490 1325 East Church Street, Suite 201 Santa Maria, California 93454
805-481-4705 921 Oak Park Boulevard, Suite 100B Pismo Beach, California 93449
Ladies! You are invited to attend our ninth annual
Girls Night Out Meet our newest Mission Hope medical oncologist:
Introducing Erin Chamberlain, MD • Fellowship trained in Hematology and Oncology at Scripps MD Anderson in San Diego.
RROYO GRANDE COMMUNITY A HOSPITAL FOUNDATION OCTOBER IS BREAST CANCER AWARENESS MONTH
BowsUp for Hope Campaign
Clinical and Surgical Specialist of the Breast Care Program:
Monica Rocco, MD, FACS • A leading board certified breast surgeon, Dr. Rocco is up to date with newest surgical techniques such as Hidden ScarTM Breast Cancer Surgery and SAVI SCOUT® that use specialized equipment to effectively treat cancer and achieve optimal cosmetic results. Monica Rocco, MD, FACS, Breast Surgeon
• Dr. Rocco’s expertise includes genetic counseling.
Women have particular concerns and questions related to screenings and timing of recommended preventative tests. Monica Rocco, MD, and Erin Chamberlain, MD, will be here to answer those particular questions and more. This format allows women to be in a relaxed environment where questions are embraced, encouraged and celebrated!
Please call Mission Hope now to register: 805.219.HOPE (4673)
We also welcome Gray Hartley of Hartley Ostini Hitching Post wines. Gray will speak about his winemaking process and discuss food and wine pairings, providing tastings of his handcrafted wines.
FEATURING A Q&A WITH OUR MEDICAL EXPERTS
Call now for reservations— this popular event fills up quickly!
Tuesday, October 29, 2019 • 5:00 p.m. Mission Hope Cancer Center, 1325 East Church Street, Santa Maria
Erin Chamberlain, MD, and Monica Rocco, MD, FACS NEW THIS YEAR!
Winetasting and Food/Wine Pairing Presentation with Gray Hartley
Like us on Facebook: Mission Hope Cancer Center
Hartley Ostini Hitching Post Wines
Light Appetizers provided by The Hitching Post
Mission Hope Cancer Center MAIN ST.
CYPRESS ST.
PALISADE DR.
1325 East Church Street, Santa Maria, California | 805.219.HOPE (4673) www.missionhopecancercenter.com
CHURCH ST. STRATFORD AVE.
NICHOLSON AVE.
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Who knew a little pink bow could do so much good? The annual BowsUp for Hope campaign began in 2010 to call attention to Breast Cancer Awareness Month. All proceeds from the campaign, currently managed by the Trilogy Service Club, benefit Arroyo Grande Community Hospital’s Cancer Care Fund each year. In 2018, the BowsUp campaign raised over $7,500 for the fund, which provides local cancer patients in need with financial and emotional support, counseling, and screenings. During the month of October, community members are invited to purchase pink bows for $10 each to tie around their mailbox, tree, front porch or any other outdoor location. Bows are sold at many local businesses including the gift shop at Arroyo Grande Hospital beginning October 1st. For a complete listing of local businesses selling pink bows, please visit https:// www.supportarroyogrande.org/bows-up-for-hope or call 805-994-5421.
Erin Chamberlain, MD Medical Oncology/ Hematology
• Dr. Chamberlain’s extensive research background has focused on precision oncology: tailoring cancer treatment to each person’s unique disease characteristics while avoiding unnecessary side effects.
This year’s Girls Night Out event continues the tradition of celebrating the women in our community with a fun wine event and education from our fabulous team of female physicians on how to be a healthier you!
CYPRESS WAY
Marian Regional Medical Center
C E L E B R AT I N G O C T O B E R A S B R E A S T C A N C E R AWA R E N E S S M O N T H
A4 | Sunday, October 6, 2019
BREAST CANCER AWARENESS
mammogram for women age 40-49. There is heightened relevance in discussions of breast cancer disparities related to racialethnic identity. A comprehensive review of the multifactorial etiology of this important issue and its impact on the full spectrum of our diverse American population showed a few well-documented differences in the breast cancer burden of African American compared to White American women. The age distribution of breast cancer is younger, and the stage distribution is more advanced in African American women. Population based breast cancer mortality rates are higher among African American
women, and population based incidence rates of triple-negative (estrogen negative, progesterone negative, Her2neu negative) breast cancer are two-fold higher among African American women. Although the extent to which screening mammography can reverse outcome disparities is unclear, the benefits of early detection through screening for all breast tumor phenotypes (improved survival, reduced need for chemotherapy) are compelling arguments in favor of mammography screening as a valuable weapon in achieving health equity.
With early detection, survival is not just a word. It’s an outcome.
Bottom line: consult with your doctor to make an informed decision that is right for you.
Breast Cancer Screening Recommendations by American Society of Breast Surgeons The following chart breaks down the guidelines put forth in this article: When should you start planning? All women age 25-30 should undergo risk assessment with their doctor Mission Hope’s Take: Get an action plan to follow early on to be proactive and decrease anxiety. Knowledge is power. Find out your estimated risk of breast cancer. When should you begin having mammograms and how often? Women with average risk (from your risk assessment) should start annual 3D mammograms at age 40. Women with average risk but high breast density (C/D) should discuss the need for additional imaging like ultrasound or MRI with their doctor. Women with a higher than average risk from a pathogenic mutation such as BRCA or prior chest wall radiation should begin annual breast MRI at age 25, and annual 3D mammogram at age 30. Women with a lifetime risk greater than 20% by a risk model or a strong family history should have annual 3D mammogram and possible MRI at age 35 or as recommended by their physician. Mission Hope’s Take: Regular screening saves
lives but everyone is different in what that means to them. Talk to your doctor about your health history and your concerns. Use this chart to figure out where you fall and what you need. Be your own best advocate. What guidelines should you follow if you have a personal history of breast cancer? Woman 50 or older with a history of breast cancer, non-dense breasts and have not had a mastectomy should have annual 3D mammography. Women younger than age 50 with a history of breast cancer and dense breasts should have annual 3D mammography with possible supplemental imaging as directed by your physician. Mission Hope’s Take: If you have a history of breast cancer, your cancer doctors will discuss and order what is the best imaging for you. Keep that discussion going during your continued survivorship. When should you stop having mammograms? Women can stop mammograms when life expectancy is less than 10 years.
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Mission Hope’s Take: Always discuss this with your doctor.
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When it comes to cancer, knowing the risk makes all the difference. Breast cancer shouldn’t get in the way of living life. One out of eight women will develop breast cancer in her life. While there’s no sure way to prevent breast cancer, our best defense is early detection, which can save your life, or the life of someone you love. Learning about your unique risk factors and having regular breast screenings can identify the earliest signs of disease, when treatment can be most effective. At Dignity Health, we’re here to help you any way we can with exceptional cancer care including prevention, diagnosis, and treatment that’s focused on your well-being. Our free online breast cance risk assessment only takes a few minutes and can help you learn about your unique risk.
Take our free online cancer risk assessment, learn more about our cancer services, or find a specialist at dignityhealth.org/cancercare. Call 805.862.3785 to schedule a mammogram.
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