2010 Mary Bird Perkins at Terrebonne General Medical Center Annual Report

Cancer Care

close to me.

AT

2010 A N N U A L R E P O R T

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he Cancer Committee of Mary Bird Perkins at TGMC is a multidisciplinary group of healthcare professionals who meet on a quarterly basis to ensure that the Cancer Program is meeting all criteria and guidelines established by the American College of Surgeons Commission on Cancer as well as the goals and objectives set forth by the committee to improve cancer care for the citizens in our region.

OUR MISSION

To improve survivorship and lessen the burden of cancer

The Cancer Committee also discusses ideas, issues and stays current on the latest recommendations and guidelines established concerning prevention, early detection, treatment modalities and meeting the needs of the people who are affected by cancer in the community that we serve.

Physicians Raul Doria, M.D., Medical Oncologist Cancer Committee Chairman, Tumor Conference Coordinator Robert Gamble, M.D., Medical Oncologist Cancer Quality Control of Registry Coordinator Charles Ledoux, M.D., General Surgeon Cancer Liaison Physician Willard Dalton, M.D., Pathologist David Gyer, M.D., Pathologist Jeffrey Long, M.D., Radiation Oncologist Ashley Prejean, M.D., Radiologist

H e a lt h c a r e Professionals Liz Adams, BS Cancer Registry, TGMC Rhonda Alfred Community Outreach Coordinator, TGMC Toni Armstrong, RN Director of 3N Oncology, TGMC Cynthia Boudreaux, LPN Cancer Registry, TGMC Donna Bryant, RN, OCN, MSN, ANP-C, CCRC Executive Director Clinical Research, MBP Donna Buxton, RN Performance Improvement and Regulatory Coordinator, TGMC Clarke Currie Director of Cancer Services, MBP at TGMC Renea Duffin, MPA VP Cancer Programs, MBP

Vickie Hall, LPN, RT (T) VP Patient Care, MBP Sid Hutchinson VP Clinical Ancillary Services, TGMC Nichol Ledet, RN Rehabilitation Coordinator, TGMC Julia Light, RN Patient Navigator, TGMC Nicole Magee, CTR Director of Cancer Registry, MBP Joy Martinez Director of Case Management and Social Services, TGMC Mary Miller VP of Physician Services, TGMC Beverly Molter Director of Strategic Business and Quality, TGMC Salli Phillips, LCSW, OSW-C Director of Social Services, MBP Jada Songy Director of Health Information, TGMC Linda Songy, RN Assistant VP Nursing Services, TGMC Ann Toups Clinical Research Coordinator, TGMC Dan Vincent, Program Manager/Dosimetrist, MBP at TGMC Diane Yeates, Chief Operating Officer, TGMC

Karen Schilling

As a director and volunteer at the Little Theater in Houma, Karen Schilling knows that there are no small parts. Treated for breast cancer at Mary Bird Perkins Cancer Center at TGMC, Karen feels that every doctor involved played a huge role in her treatment and recovery and deserves a standing ovation.

The cancer survivors featured in this annual report have generously agreed to share their stories. We appreciate their willingness to allow us to spread their message of hope.

oncology team

Cancer is not a one-person battle. And Donnie Bergeron believes that the support and trust of his family and doctors was a tremendous advantage in his battle with cancer. Donnie’s treatment included chemotherapy and radiation at Mary Bird Perkins Cancer Center at TGMC in Houma.

With treatment close to home, Donnie was able to count on his doctors and team of medical specialists to care for him with ease, convenience and thoroughness. As a former patient, he believes that, “Terrebonne Parish is very lucky to have Mary Bird Perkins Cancer Center at TGMC.”

Raul Doria, M.D. - Medical Oncologist 8120 Main Street, Suite 103, Houma, LA 70360 Phone: (985) 857-8093 Board Certifications: American Board of Internal Medicine (Subspecialty: Medical Oncology) Medical School: University of Asuncion Residency: University of Miami/Jackson Memorial Hospital Internship: University of Miami/Jackson Memorial Hospital Fellowship: Yale University School of Medicine Robert Gamble, M.D. - Medical Oncologist/Hematologist 8120 Main Street, Suite 103, Houma, LA 70360 Phone: (985) 857-8093 Board Certifications: American Board of Internal Medicine (Subspecialties: Medical Oncology and Hematology) Medical School: Universidad Nordestana Residency: Jamaica Hospital - New York Internship: Jamaica Hospital - New York Fellowship: St. Luke’s Hospital - New York and St. Michael’s Medical Center Charles Ledoux, M.D. - General Surgeon 502 Barrow Street, Houma, LA 70360 Phone: (985) 868-4890 Board Certifications: American Board of Surgery Medical School: Louisiana State University Residency: Louisiana State University Internship: Louisiana State University Jeffrey Long, M.D. - Radiation Oncologist 8120 Main Street, Suite 102-A, Houma, LA 70360 Phone: (985) 876-9045 Board Certifications: American Board of Radiology (Subspecialty: Therapeutic Radiology) Medical School: University of Iowa Residency for Diagnostic Radiology: University of Arkansas for Health Sciences, Humana Hospital-University

Residency in Radiation Oncology: University of Iowa Hospital

Donnie Bergeron

Harry McGaw, M.D. - Medical Oncologist 8120 Main Street, Suite 103, Houma, LA 70360 Phone: (985) 857-8093 Board Certifications: American Board of Internal Medicine (Subspecialty: Medical Oncology) Medical School: Louisiana State University Residency: Ochsner Clinic and Charity Hospital of New Orleans Internship: Charity Hospital of New Orleans Fellowship: Ochsner Foundation Hospital

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C hairman ’ s L etter

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am pleased to present the 2010 Annual Report of Mary Bird Perkins Cancer Center at Terrebonne General Medical Center, or MBP at TGMC. On the pages that follow you will read about the significant accomplishments our cancer program achieved over the last year, led by our mission which is to improve survivorship and lessen the burden of cancer through expert treatment, compassionate care, early detection, research and education. Our program proves daily that area residents do not have to leave family and friends behind to find innovative, world-class treatment.

In November 2009, ground was broken for our new comprehensive cancer center to serve residents of Houma and its surrounding communities. According to the U.S. Green Building Council, the new cancer center will be the first hospital construction project in Louisiana to earn a Leadership in Energy and Environmental Design (LEED) Silver certification. Mary Bird Perkins at TGMC would qualify based on its sustainable components incorporated into the structure’s design and construction. It tells the community that we are truly committed to environmentally-friendly operations. The new space will offer patients the same professional and compassionate care they have been receiving but now in a more convenient, modern facility where all the services needed for cancer care will be located in a single comprehensive center. The innovative and environmentally-friendly building, which is over 49,000 square feet, is scheduled to open in late summer of 2011.

During 2010, Mary Bird Perkins at TGMC received a three-year accreditation in radiation oncology from the American College of Radiology (ACR). Image quality and procedure evaluations were conducted by board-certified radiologists and medical physicists who are experts in the field. The ACR awards accreditation to facilities for the achievement of high practice standards after a peer-review evaluation of its practice.

“It’s been a blessing to me,”says Monsignor Frederic

Brunet about Mary Bird Perkins Cancer Center at TGMC. A leader and trusted voice in the

Our Cancer Program is dedicated to increasing access to leading-edge clinical research trials, particularly among minority and underserved populations, and to expanding the types of trials available. We added a professional patient navigator to our team to help cancer patients overcome any barriers they might encounter which would keep them from getting their treatments. In addition, Mary Bird Perkins Cancer Center at TGMC continued to increase public awareness for prevention and early detection in our service area by providing free cancer screenings to the medically underserved in conjunction with the Early Bird mobile medical clinic. Over 750 people were screened at 14 free cancer screenings.

community, Father Brunet has passed on

With your continued help and support, the cancer center will continue to flourish and strive to provide the most advanced radiation treatment technology, vital patient services and effective community outreach programs.

his parishioners and friends in the community.

The Cancer Committee proudly presents our 2010 Annual Report reflecting the dedicated efforts of the Cancer Committee, Cancer Registry, Administration, Physicians and Cancer Team Members.

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Monsignor Frederic Brunet

Raul Doria, M.D. Medical Oncologist, Cancer Committee Chairman

M ary B ird P er k ins C ancer C enter at T G M C

his message of reliability and consistency of Mary Bird Perkins. Father Brunet schedules his annual check up at Mary Bird Perkins like clockwork. As a survivor, his experience has led him to recommend Mary Bird Perkins to

C ancer L iaison P hysician ’ s R eport

As a professional in the media, Tina DeSalvo Callais knows how important it is to stay informed. And after being diagnosed with Stage 3 breast cancer, her research led her to Mary Bird Perkins Cancer Center at TGMC for up-to-date technology in the area.

Seeing that Mary Bird patients were happy with their treatment, Tina chose Mary Bird Perkins at TGMC and considers it an excellent leader in the fight against cancer.

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uring the past year our Cancer Committee has made tremendous strides to continue to provide exceptional cancer care to all of our patients. With our comprehensive cancer care program located close to home, we strive to continue to provide high quality, compassionate, cancer care to the citizens of our area.

This past year our Mary Bird Perkins Cancer Center at TGMC was awarded a three-year term of accreditation on radiation oncology services by the American College of Radiology (ACR). The ACR, headquartered in Reston, Virginia, awards accreditations to facilities for the achievement of high practice standards after peer-review evaluation of the practice. This accreditation is assurance that we are committed to making quality patient care our utmost priority.

Currently underway is the construction for the new Mary Bird Perkins Cancer Center at TGMC. This facility is being built by The McDonnel Group with the intention to achieve the Leadership in Energy and Environmental Design (LEED) Silver certification upon completion. The LEED Silver rating is based on the sustainable components incorporated into the structure’s design and construction. Not only will the facility be patient friendly but environmentally friendly as well. The 49,000 square feet, state-ofthe-art comprehensive cancer center will bring all services needed for cancer care under one roof for area residents. The new facility will allow our physicians to perform leading edge treatments and the patients will have the convenience of seeing their oncologists as well as having diagnostic testing and treatment all at one location. The project is scheduled for completion in the late summer of 2011.

We continue to provide educational conferences for our physicians with a multidisciplinary focus to enhance the entire continuum of cancer care. Community outreach is an ongoing goal. This year over 750 residents of our area were screened for breast, prostate, colorectal and skin cancers − all at no cost to the patient.

The Cancer Committee proudly presents the 2010 Annual Report. I hope you find this report both informative and educational. On behalf of the Cancer Committee, we would like to thank everyone for their contributions during the last year to help ensure that our cancer program is a success. We look forward to continuing to provide excellent cancer care in our new state-of-the-art facility in the coming year.

Tina DeSalvo Callais

Charles Ledoux, M.D., F.A.C.S. General Surgeon, Cancer Liaison Physician

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C ancer S ervices

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ary Bird Perkins Cancer Center at TGMC provides a comprehensive cancer program offering long-term solutions for battling cancer in the bayou region. Our team of compassionate and experienced healthcare professionals is committed to making our cancer program one that is highly recognized and respected in the region. This multidisciplinary cancer program provides the entire continuum of cancer care, from prevention and early detection to diagnosis, treatment, recovery and survivorship.

D i a g n o s t i c Im a g i n g E q u i pm e n t Mary Bird Perkins Cancer Center at TGMC offers a full arsenal of diagnostic imaging equipment used in the fight against cancer.

Diagnostic imaging equipment includes: �

MRI

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CT Scan

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Digital Mammography (also accredited through the FDA & Mammography Quality Standards Act)

R a d i at i o n T h e r a p y Mary Bird Perkins Cancer Center at TGMC’s expert physicians, in conjunction with our expert medical physics team and highly skilled staff, are using cutting-edge technology to continue our commitment to providing excellent care for our cancer patients. In 2010, Mary Bird Perkins Cancer Center at TGMC was awarded a three-year term of accreditation in radiation oncology services by the American College of Radiology (ACR). Based on a peer review evaluation, the ACR awards accreditation to facilities for their achievements in high practice standards. Achieving ACR accreditation assures that Mary Bird Perkins Cancer Center at TGMC is committed to making quality patient care our utmost priority.

Services include: �

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Ultrasound PET CT

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Breast biopsy ultrasound and image guided biopsy

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Breast Specific Gamma Imaging (BSGI)

Medical Oncology Services The Mary Bird Perkins Cancer Center at TGMC medical oncology team has more than 46 years of combined chemotherapy experience in treating cancer patients. These dedicated physicians have a proven track record and are known, trusted and involved in our community.

They are dedicated to offering their patients participation in the advancement of evidence-

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based medicine by providing opportunities to enroll in cancer-related clinical research trials.

They also take a collaborative approach to cancer care by attending cancer conferences with other physician specialists.

Individualized, comprehensive radiation therapy services High-energy linear accelerator Advanced intensity modulated radiation therapy (IMRT) treatment capability

Surgery Surgery plays an important role in the diagnosing and staging of cancer. Our surgery department is a team of highly trained healthcare professionals, comprised of specialty trained physicians, registered nurses, certified registered nurse anesthetists and other healthcare support personnel with one primary concern – our patients.

Our surgeons provide the latest in breast cancer care by providing sentinel lymph node biopsy, a

M ary B ird P er k ins C ancer C enter at T G M C

diagnostic procedure used to determine whether breast cancer has spread to the lymph nodes under the arm. This procedure, performed by our surgeons, may eliminate the need for further lymph node removal and in turn reduce postoperative complications.

I n pat i e n t C a n c e r U n i t Mary Bird Perkins Cancer Center at TGMC‘s comprehensive cancer program provides access to a highly trained and specialized clinical staff.

There are 12 chemotherapy certified nurses and 4 with ONC credentialing on the unit. Each nurse has completed provider courses and is specially trained and qualified to administer chemotherapy to cancer inpatients.

Infusion Center Mary Bird Perkins Cancer Center at TGMC‘s comprehensive cancer program provides access to a highly trained and specialized clinical staff.

There are four chemotherapy provider nurses on the unit. Each nurse is specially trained and has attended special provider courses to administer chemotherapy to patients in the Infusion Center.

S o c i a l S e r v i c e s S u pp o r t Oncology social workers are vital members of the healthcare team and perform various duties depending on patient and family needs.

Mary Bird Perkins Cancer Center at TGMC oncology social workers provide: �

Counseling

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Education

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Information

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Referrals to community resources and national organizations

Oncology social workers are advocates for patients and families, helping them get the services they need. They also understand the special factors such as ethnicity, spirituality and

our facility. Eligible candidates can enroll and be treated right here. The trials provide advantages for our patients such as: �

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Group photo of the 2010 Camp Bluebird attendees at Bluebird Goes to the Superbowl.

family issues that may influence how patients are dealing with their cancer diagnosis and treatment.

Dietician and Nutritional S u pp o r t

Mary Bird Perkins Cancer Center at TGMC provides support groups, supplies such as wigs and turbans, chemotherapy classes, educational community events and an adult camp for cancer survivors.

Good nutrition and healthy eating are essential for patients to have the necessary energy to fight cancer. Clinical dieticians on the Mary Bird Perkins Cancer Center at TGMC staff help patients maintain their nutrition and strength while undergoing treatment. Recommendations are made regarding the most appropriate and easily tolerated foods, keeping in mind the side effects of cancer treatment and the importance of maximizing nutrition.

Pat i e n t N av i g at o r In 2010, Mary Bird Perkins Cancer Center at TGMC expanded the scope of its cancer services by adding a Patient Navigator to help patients and their families handle the many facets of the journey to recovery. The Patient Navigator, a registered nurse, assists each patient to ensure seamless care throughout treatment, recovery and survivorship.

Clinical Research Trials The Mary Bird Perkins Cancer Center at TGMC cancer care program focuses on a comprehensive array of services available to our patients. An important component of our oncology service line, cancer-related clinical research trials, are offered to patients seen at

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Participants have access to promising new approaches that are often not available outside the clinical research trial setting.

The approach being studied may be more effective than the standard approach.

Participants receive regular and careful medical attention from a research team that includes doctors and other health professionals.

Participants may be the first to benefit from the new method under study.

Results from the study may help others in the future.

Treatment trials test experimental treatments, new combinations of drugs, or new approaches to surgery or radiation therapy.

Prevention trials look for better ways to prevent disease in people who have never had the disease or to prevent a disease from returning.

The approaches may include medicines, vaccines, minerals and lifestyle changes.

Diagnostic trials are conducted to find better tests or procedures for diagnosing a particular disease or condition.

Screening trials test the best way to detect certain diseases or health conditions.

Quality of Life trials (or Supportive Care trials) explore ways to improve comfort and the quality of life for individuals with a chronic illness.

Specifically, clinical research trials offer our patients the opportunity to participate in the advancement of evidence-based medicine close to home.

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Open trials currently available to our patients include: � � � � � � � �

Breast Gastrointestinal Genitourinary Gynecological Head and Neck Lung Melanoma Myeloma

C o mm u n i t y O u t r e a c h Mary Bird Perkins Cancer Center at TGMC demonstrates a strong commitment to community outreach, evidenced by multiple cancer screenings and a vast array of community education and support opportunities offered throughout the year.

In 2010, over 750 people were screened for breast, prostate, colorectal and skin cancers. This was a 33% increase in the number of people screened from 2009. In addition, approximately 2,000 people were reached at educational events where cancer information was shared. These wellness and prevention effort help save hundreds of lives annually.

Early Bird Mobile Medical Unit Screenings Types of screenings offered: � � � �

Colorectal Breast Prostate Skin

Some screenings are offered in multiple locations to reach as many people as possible.

In 2010, Mary Bird Perkins Cancer Center at TGMC’s outreach efforts through the Early Bird Mobile Medical Unit were expanded to include Lafourche and St. Mary Parishes, in addition to Terrebonne Parish. In 2011, oral cancer screenings will be added to the types of screening that are offered.

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M ary B ird P er k ins C ancer C enter at T G M C

Early Bird Mobile Medical Unit providing free screenings to the community.

C o mm u n i t y Ed u c a t i o n through: Education Some Educational Events Include: �

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Cancer Survivor’s Day luncheon was held in June to celebrate survivorship.

Ladies Night Out (approximately 600 women attended) Susan G. Komen Race for the Cure (approximately 2,500 in attendance). We had a strong team presence supporting the breast cancer awareness event. We distributed hundreds of pink backpacks along with other educational materials.

Camp Bluebird (47 participants) American Cancer Society’s Relay for Life (approximately 2,000 in attendance). This is one of the largest Relay for Lifes in the state of Louisiana.

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Physicians Speakers Bureau

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To Your Health with TGMC HTV Broadcast

Events �

Camp Bluebird: The annual Camp Bluebird is held at Lumen Christi Retreat Center in Schriever, Louisiana. The two-day, one-night camp for adults offers a “camp” experience designed for cancer survivors. Campers are offered an opportunity to focus on the art of living rather than their diagnosis of cancer.

Activities are planned to assist participants in meeting their social, recreational and spiritual needs. The camp provides a time for being with friends, participating in wellness groups and enjoying a variety of structured and spontaneous activities. Through Camp Bluebird, campers have a forum for sharing their common experiences.

Mary Bird Perkins Cancer Center at TGMC volunteers handed out educational information as well as pink backpacks to those in attendance at the Susan G. Komen Race for the Cure in October held in Thibodaux.

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Ladies Night Out - Funds raised benefit Mary Bird Perkins Cancer Center at TGMC by providing specialty services, and products for patients undergoing treatment and recovering from cancer. TGMC’s 4th Annual Ladies Night Out delivered a powerful message of hope, encouragement, strength and vision to get through difficult times in life. The sold out crowd of women took part in an evening of inspiration and fun through the help of guest Peggy Kline, professional Speaker/ Humorist and author of “Treating Yourself Like Royalty.” Mrs. Kline has a passion for nurturing the needs of women with humor and hope. Funds raised benefit Mary Bird Perkins Cancer Center at TGMC by providing specialty services, products and care bags for patients undergoing treatment and recovering from cancer.

Support At Mary Bird Perkins at TGMC, we believe support groups are a strong part of the emotional and physiological healing process. That’s why various cancer support groups are offered along with cancer recognition events throughout the year: � �

Bosom Buddies Support Group Nosotros – 10 Steps to Recovery Support Group, and Reach to Recovery: Led by Dr. Raul Doria.

Cancer Survivors Day - Held in June, this program celebrates survivorship and provides support and recognition of cancer patients and their caregivers.

Love Lights a Tree - A special Christmas ceremony to honor cancer survivors and remember those who have lost their battle to cancer. Ornaments are purchased and lovingly placed on the tree during the event.

Drs. Doria and Long hang their special ornaments at “Love Lights a Tree” in December.

Look Good, Feel Better - By offering skin, nail and hair care tips, this program aims to enhance the appearance and improve the self-image of patients undergoing cancer treatment. Professional present a 12-step make-up guide and information about choosing and caring for a wig and dealing with skin changes.

Members of the Ladies Night Out planning committee and volunteers gathered together for a group photo before the event began.

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Lung cancer overview

age of diagnosis

According to the American Cancer Society, lung cancer is the leading cause of cancer deaths in both men and women in the United States. Tobacco use accounts for at least 30% of all cancer deaths and 87% of lung cancer deaths.

Non-small cell lung cancer is the most common type of lung cancer making up nearly 80% of all cases. Small cell lung cancer makes up nearly 20% of all lung cancer cases.

Increasing age is a risk factor for lung cancer.

It is less common in people under age 40.

More diagnoses occur after age 45 and a larger number over age 65 as is reflected in the age at diagnosis graph.

40-49 yrs

4%

50-59 yrs

17%

60-69 yrs

27%

70-79 yrs

35%

80-89 yrs

17%

Once a patient receives a positive diagnosis, the physician will categorize the lung cancer in stages. The stage describes the progression or extent of the lung cancer, and will help determine which treatment is best for the patient. Keep in mind that staging does not necessarily indicate the likely course and outcome (prognosis) of the lung cancer. The prognosis depends on the overall health, strength, co-morbidities, and response to treatment of each individual patient.

0

5

10

15

20

25

30

35

race-ethnicity

There are three main types of treatment for lung cancer.

1. Curative Surgery A lung cancer surgeon (thoracic surgeon) will perform surgery in the early stages of lung cancer to remove a tumor, surrounding lymph nodes, and tissue. This is called wedge resection. If the surrounding tissue is found to be cancerous, more of the lung may need to be removed (segmental resection). If the cancer is extensive, a lobe of your lung may be removed (lobectomy), or an entire lung (pneumonectomy) may be removed. This procedure greatly increases the chance of survival for some cancer types.

White

82%

Black

14%

American Indian

1%

Unknown

3%

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10

20

30

40

50

60

70

80

90

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2. Chemotherapy Chemotherapy is referred to as a systemic therapy, because it uses strong drugs to slow or kill cancer cells throughout the whole body. The drugs can be taken orally, in pill or liquid form, but are usually administered intravenously. The dosage and length of treatment varies, depending on the type of lung cancer and the response to the treatment.

Stage 0

1%

Stage I

29%

Stage II

7%

3. Radiation

Stage III

29%

Stage IV

31%

Radiation therapy uses high-energy rays to reduce or kill cancer cells. Radiation can be focused to specific areas, decreasing the possibility of damaging healthy cells. The doses are administered over a period of weeks or months. This can be the main treatment for some patients, while others will receive it to kill cancer cells that remain after surgery.

3%

Unknown

0

5

10

15

20

25

30

35

The statistics involving lung cancer incidence and deaths are alarming. The American Cancer Society national estimates on 2010 lung cancer incidence are as follows: •

All new lung cancer diagnosis - 222,520

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Males - 116,750

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Females - 105,770

The American Cancer Society national estimates on 2010 deaths from lung cancer are as follows: •

All deaths - 157,300

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Male - 86,220

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Female - 71, 080

The American Cancer Society estimated 2010 incidence on all cancer sites in Louisiana – 20,050.

The American Cancer Society estimated 2010 deaths on all cancer sites in Louisiana – 8,480.

The American Cancer Society estimated 2010 new lung cancers in Louisiana – 3,320.

The American Cancer Society estimated 2010 lung cancer deaths in Louisiana – 2,550.

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M ary B ird P er k ins C ancer C enter at T G M C

o b s e rv e d 5 - y e a r l u n g c a n c e r s u rv i va l r at e at M B P at t g m c 100% 95% 90% 85% 80% 75% 70% 65% 60% 55% 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0%

0

1

2

3

4

5

Stage III

Stage IV

All Stages

o b s e rv e d 5 - y e a r l u n g c a n c e r s u rv i va l r at e n at i o n w i d e 100% 95% 90% 85% 80% 75% 70% 65% 60% 55% 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0%

0

1

2

Stage 0

Stage 1

Stage II

3

4

5

Stage III

Stage IV

All Stages

Years

Years

Stage 0

Stage 1

Stage II

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2 0 0 9 S i t e Ta b l e Group Code 400 410 440 450 461 500 510 520 530 541 550 570 581 600 610 621 622 691 692 699 731 740 820 830 841 850 880 891 892 930 961 962 999

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Site Group All Sites Lip Tongue Floor Of Mouth Mouth, Other & Nos Tonsil Esophagus Stomach Small Intestine Colon Rectum & Rectosigmoid Liver Pancreas Retroperitoneum Nasal Cavity,Sinus,Ear Larynx Lung/Bronchus-Small Cell Lung/Bronchus-Non Sm Cell Leukemia Myeloma Other Hematopoietic Melanoma Of Skin Breast Corpus Uteri Ovary Vagina Prostate Bladder Kidney And Renal Pelvis Ureter Thyroid Hodgkin’s Disease Non-Hodgkin’s Lymphoma Unknown Or Ill-Defined

Total Cases 259 1 2 1 1 2 6 11 1 28 7 3 6 1 1 1 14 56 9 2 1 1 14 3 1 1 24 11 24 1 2 1 8 14

Class Analytic Nonan Other 259 0 0 1 0 0 2 0 0 1 0 0 1 0 0 2 0 0 6 0 0 11 0 0 1 0 0 28 0 0 7 0 0 3 0 0 6 0 0 1 0 0 1 0 0 1 0 0 14 0 0 56 0 0 9 0 0 2 0 0 1 0 0 1 0 0 14 0 0 3 0 0 1 0 0 1 0 0 24 0 0 11 0 0 24 0 0 1 0 0 2 0 0 1 0 0 8 0 0 14 0 0

M ary B ird P er k ins C ancer C enter at T G M C

Sex M F 159 100 1 0 1 1 0 1 0 1 2 0 6 0 8 3 0 1 18 10 4 3 3 0 4 2 0 1 0 1 1 0 8 6 33 23 5 4 2 0 0 1 1 0 0 14 0 3 0 1 0 1 24 0 8 3 18 6 1 0 0 2 1 0 4 4 6 8

Stage Not Applicable Unknown Other Stage 0 Stage I Stage Ii Stage Iii Stage Iv 25 0 12 62 44 48 41 27 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 4 0 0 1 0 0 1 0 3 0 0 4 0 2 1 1 1 0 0 0 0 0 0 0 2 0 0 5 9 10 2 0 0 0 0 1 1 3 2 0 0 0 0 1 0 0 2 0 2 0 0 1 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 6 7 0 2 0 1 18 5 17 13 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 2 6 2 2 2 0 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 22 0 1 0 0 0 8 0 3 0 0 0 2 0 0 18 1 1 2 0 0 0 1 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 2 0 4 0 0 0 0 0 0 0 0 0 14

C ancer registry summary

Cancer Registry

Tumor Conference

The Cancer Registry at Terrebonne General Medical Center continues to be a significant element in the evaluation of cancer care.

The Cancer Committee ensures that a certain percentage of diagnosed cancer cases are presented every year at Tumor Conference.

These cases are discussed for the purpose of education and appropriate treatment modalities.

The conferences are evaluated annually based on multidisciplinary attendance, frequency and total case presentation. The majority of cancer cases are presented in a prospective fashion. In 2010, the TGMC Tumor Conferences consisted 10 conferences with 28 prospective cancer cases presented.

Recently, the registry participated in the facility’s accreditation process under the Commission on Cancer of the American College of Surgeons, and received commendation for its high level of abstraction.

Under the guidance of the Cancer Committee, the registry collects newly diagnosed cancers for the purpose of research under the National Cancer Data Base (NCDB), as well as on the local and regional level. TGMC reported 259 newly diagnosed cancers in 2009.

The top five primary sites reported were: �

Lung (70)

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Prostate (24)

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Breast (14)

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Colorectal (35)

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Kidney (24)

The Cancer Registry of TGMC is a member of the Louisiana Cancer Registrars Association and the National Cancer Registrars Association.

For additional oncology resources available, you may contact: �

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Cancer Research department (985) 850-6300 Rehabilitation department (985) 873-4721 Social Service department (985) 873-4080

Physicians Presenting at Tumor Conference: Raul Doria, M.D. Maurice King, Jr., M.D. Willard Dalton, M.D. Charles Ledoux, M.D. Harry McGaw, M.D. Jeffrey Long, M.D. Robert Gamble, M.D. Ashley Prejean, M.D. David Gyer, M.D. John Steigner, M.D. Frederick Green, M.D.

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8120 Main Street Houma, LA 70360 www.marybird.org

TGMC-106 (2/11) BRP