Breast Cancer Awareness 2010

Page 1

BREAST CANCER AWARENESS

2F Sunday, October 10, 2010

The Daily Nonpareil

Understanding breast cancer What is cancer and what are the risk factors? But breast cancer is an issue that extends beyond the month of October, and many people might be surprised to learn of breast cancer’s prevalence. In the United States alone, breast cancer incidence in women is 1 in 8, or roughly 13 percent. In fact, among women in the U.S., breast cancer rates are higher than those of any cancer besides lung cancer. With such staggering figures, it’s important for both women and men (who can also suffer from breast cancer) to gain a greater understanding of this disease. What Is Breast Cancer? Breast cancer is an uncontrolled growth of breast cells. Any type of cancer is the result of mutations in genes responsible for regulating the growth of cells and keeping them healthy. In a healthy body, the cells replace themselves in an orderly fashion, as healthy new cells take over as old ones die out. When mutations occur, changed cells gain the ability to keep dividing without control or order, producing more similar cells and forming a tumor. In the case of breast cancer, cancerous cells gradually invade nearby healthy breast tissue and make their way into

the underarm lymph nodes, which are small organs that filter out foreign substances in the body. If the cancer reaches the lymph nodes, it then has a pathway into other parts of the body. Upon diagnosis, a patient will be told what stage of breast cancer they are in, which tells how far the cancer has spread beyond the original tumor. Is Breast Cancer Hereditary? According to Breast-

Cancer.org, a nonprofit organization dedicated to providing reliable, complete and current information about breast cancer, only 5 to 10 percent of cancers are because of an abnormality inherited from a parent. While all breast cancers are caused by a genetic abnormality, roughly 90 percent of breast cancer cases are the result of genetic abnormalities that are a result of the aging process and the wear and tear of everyday life.

Can Breast Cancer Be Prevented? Maintaining a healthy lifestyle is always an ideal approach, but breast cancer is never the fault of the individual. A balanced diet, a lifestyle that includes abstaining from smoking and drinking alcohol in excess and regular exercise are all ways to stay healthy, but none will guarantee a woman or man will not get breast cancer.

Breast Health Center helps patients with journey MIKE BROWNLEE Staff Writer mike.brownlee@nonpareilonline.com (712) 325-5732

The Breast Health Center at Jennie Edmundson Hospital sees patients with any problems involving their breasts, male or female. According to Michelle Kaufman, the director of oncology services for the center, they treat benign and malignant problems. “Every person that comes through the door doesn’t have cancer,” she said. “We treat all kinds of problems.” Kaufman listed swollen milk ducts, general pain and cysts as non-cancerous breast problems the center sees. The Breast Health Center opened in 2000 and recently received a three-year accreditation, which involves meeting standards and procedures laid out by the National Accreditation Program for Breast Centers, a part of the American College of Surgeons’ Commission on Cancer. Kaufman said the center helps with continuity of care for patients. She explained that the center’s certified breast patient navigator, Tammy Johnson, leads patients through the journey. “She is there for the patient for the first day they’re seen through their treatments and she follows up even after they’re done,” Kaufman said. “Like her title says, she’s their navigator.” The center also features a staff of surgeons dedicated to breast health. Jennie Edmundson tests for breast cancer through mammograms and ultrasounds, and has recently added a Breast Specific Gamma Imaging (BSGI) machine. According to Pam Wright, a mammogram technician with Jennie Ed, mammogram and ultrasound breast imaging looks for structural differences in the pictures of the breasts to detect cancer. The BSGI machine, Wright said, looks for cellular differences. She said patients are injected with a radionucleid, which is picked up by all tissue in the body. Doctors look for cells in the breast that are changing and dividing faster than normal to detect possible

Submitted photo

Dr. Annabel Galva, radiologist and head of breast imaging at Jennie Edmundson, looks at gammagram images on a computer screen. cancer. “We find that patients who mailed directly to the patient Wright said the machine is attend support groups tend to and their doctor. most useful when used in con- do better,” Kaufman said. Last year’s screening junction with mammograms Why is that? included 75 local women, 18 of and ultrasounds to find “The support. They get to whom received results neces“answers when you have more visit with women who have sary for follow up, according to questions” about the patient. been through it or are going the release. When the terrible news of through the same things they “The single greatest advanbreast cancer is given, the cen- are,” Kaufman said. “It helps tage you have when treating ter teams with Wings of Hope heal the mind along with the any form of cancer is early to help patients through the body.” detection,” Kaufman said. ordeal. The hospital will provide its “Early detection makes many “If a patient is diagnosed, annual free Breast and Cervi- cancer cases very treatable we’ll have someone from cal Cancer Screening on and has saved countless lives.” Wings of Hope come visit them Wednesday, Oct. 20, from 5 American Cancer Society in the hospital,” Kaufman until 7 p.m. at Methodist statistics state that 1 in 8 said. “And we partner with Physicians Clinic, One American women will develop them on education events, Edmundson Place, Suite 200. breast cancer in her lifetime. have speakers in town and According to a release, the The release said that a limmore.” free screening includes both a ited number of spaces are Kaufman said they have breast examination by a physi- available for the screening. To breast cancer support groups, cian as well as a Pap test and register, call Jennie Edmundincluding one for younger educational materials. Results son’s patient scheduling at patients who have the disease. from the screening will be (712) 396-7600. *No Referral Necessary **Board Certified in Foot Surgery

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Are There Risk Factors for Breast Cancer? BreastCancer.org notes that there are factors a woman or man can control that might lessen their risk for breast cancer. Those risks include: ■ Weight. Post-menopausal women in particular can reduce their risk of breast cancer by maintaining a healthy weight. Fat tissue is the body’s main source of estrogen after menopause, and having more fat tissue means higher estro-

gen levels, which increases breast cancer risk. ■ Diet. Many cancers are linked to diet, but studies have yet to show for certain which types of foods increase the risk for breast cancer. In general, it’s good to restrict sources of red meat and other animal fats, such as fats from dairy products. Some studies have shown that eating a lot of red and/or processed meats is associated with a higher risk of breast cancer. Eating a diet low in fat and rich in fruits and vegetables is often recommended to reduce cancer risk. ■ Exercise. The American Cancer Society recommends engaging in 45 to 60 minutes of physical exercise five or more days per week, as evidence continues to mount that exercise can reduce breast cancer risk. ■ Alcohol and smoking. Alcohol limits the liver’s ability to control blood levels of estrogen, which can increase risk of breast cancer. Similarly, smoking has been associated with a small increase in breast cancer risk. BreastCancer.org also notes additional risk factors for breast cancer can include recent oral contraceptive use, stress and anxiety and exposure to estrogen. While all of the mentioned risk factors are within an individual’s control, there are a host of additional factors beyond a person’s control that can increase risk of breast cancer. These factors include age, family history, personal history, and race among others. For more information on breast cancer, visit www.breastcancer.org. – Metro Creative Connections

Mediterranean diet may lower cancer risk Postmenopausal women who consume a traditional Mediterranean diet may have a lower risk for breast cancer, according to a study published in the American Journal of Clinical Nutrition. A traditional Mediterranean diet – one that is rich in fish, olive oil, vegetables, whole grains, nuts, and legumes and lower in red meat and dairy – has been associated with a lower rate of heart disease and cancer, including breast cancer. This recent study was the first to evaluate the purported benefits of the Mediterranean diet within a Mediterranean country – in this case, Greece. Researchers followed about 15,000 women in Greece for almost 10 years. Participants’ diets were assessed by questionnaire, and a score ranging from 0 to 9 was given based on the extent to which the women followed a traditional

Mediterranean diet. A higher score indicated greater adherence to the diet. During this time, 240 women were diagnosed with breast cancer. Postmenopausal women with greater adherence to the diet (a score between 6 and 9) had a reduced risk of breast cancer of 22 percent. Among premenopausal women, greater adherence to the diet was not associated with a lower risk for breast cancer. The researchers concluded postmenopausal women who follow a traditional Mediterranean diet may have a decreased risk of breast cancer. There is a lower incidence of breast cancer in Mediterranean countries, which may be partially explained by the traditional diet.

– Susan G. Komen for the Cure website reference: Trichopoulou A, Bamia C, Lagiou P, et al. Conformity to traditional Mediterranean diet and breast cancer risk in the Greek EPIC (European Prospective Investigation into Cancer and nutrition) cohort. American Journal of Clinical Nutrition. doi:10.3945/ajcn.2010.29619.

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October 10, 2010

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Early detection of breast cancer is the single-most effective way to beat the disease. That is why it is essential for women to conduct their own breast exams to discover any potential anomalies early on. While doctors stress the importance of self-examination, many women still show up for routine wellness visits admitting they don't do examinations because they simply don't know how. Perhaps because the practice was given the formal name breast self-exam. Today, however, doctors tell women to have breast self-awareness. That means women don't have to follow a set protocol regarding checking for breast changes, and simply being aware of how the breasts look and feel is key. Why the change in the formalities?

Doctors have determined that most women notice a lump in their breasts while doing routine activities, such as bathing or dressing. They also figured out that a formal method of examining the breasts was not necessary. Lumps can be found simply by touching the breasts in any pattern, as long as the entire breast is checked. To demystify the process even further, follow these guidelines. Breasts are best checked for changes directly after a menstrual period. At this time the breast tissue will be softer and less tender due to diminishing hormone levels. Look at the breasts every day and notice their appearance and shape. Recognizing subtle differences can help alert a doctor if something is amiss.

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Famous Breast Cancer Survivors Celebrity may bring a person riches and fame, but it cannot protect against cancer. There are many famous women who have experienced breast cancer and beat the disease. Here's a look at some of them. 1. Suzanne Somers. The famous infomercial guru and former star of Three's Company battled breast cancer, facing controversy when she opted for holistic treatment over standard treatment. 2. Olivia Newton John. The Australian singer and star of the wildly popular movie, Grease, was diagnosed in 1992. Newton John had a mastectomy and breast reconstruction. 3. Rue McClanahan. The late star of Golden Girls found a lump in 1997. 4. Linda Ellerbee. A journalist and 1991 survivor, Ellerbee had a bilateral

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mastectomy. 5. Lynn Redgrave. The late Ms. Redgrave hailed from a family of actors. She was also a breast cancer survivor. 6. Anastacia. The pop singer was diagnosed in 2003 and now does her part for raising awareness. 7. Christina Applegate. The child and adult star underwent surgery to have both her breasts removed in an operation known as a prophylactic double mastectomy after experiencing cancer and discovering she carries the gene for it. She's learned from the experiences of her mother, a double breast-cancer survivor. 8. Melissa Etheridge. The singer is doing quite well after a 2004 diagnosis. She is well known for singing bald at a Janis Joplin tribute concert while undergoing treatment.

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9. Kate Jackson and Jaclyn Smith. These two Charlie's Angels both survived breast cancer. 10. Edie Falco. The actress discovered the cancer in 2003 and secretly battled it. 11. Cynthia Nixon. The Sex and the City star was diagnosed in 2006 and first kept the news a secret for fear of being hounded by the paparazzi. 12. Sheryl Crow. The singer caught her breast cancer early in 2006 with a routine mammogram. 13. Kylie Minogue. The Australian singer almost missed the diagnosis until her intuition told her to be tested again. A partial mastectomy, chemotherapy, and radiation followed. 14. Robin Roberts. The news anchor discovered a lump in 2007 after a self-examination.

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Breastt Selff Examination

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Use a mirror to inspect your

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Step p 2 Look for any changes in contour, swelling, dimpling of skin, or appearance of the nipple. It is normal if your right and left breasts do not match exactly.

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Step p 3 Use the pads of your fingers to press firmly on your breast, checking the entire breast and armpit area. Move around your breast in a circular, up-and-down, or wedge pattern. Step p 4 There are three patterns you can use to examine your breast. Use the pattern that is easiest for you: G the circular G the up-and-down G the wedge patterns Step p 5 Gently squeeze the nipple of each breast and report any discharge to your doctor immediately. Step p 6 Examine both breasts lying down. To examine the right breast, place a pillow under your right shoulder and place your right hand behind your head. Use the pads of your finger to press firmly, checking the entire breast and armpit area. Use the same pattern you used while standing. Repeat for your left breast.

4F Sunday, October 10, 2010

BREAST CANCER AWARENESS

Shopping for a mastectomy bra

Carolyn Ettinger (left), Patient Program Coordinator of Wings of Hope Cancer Support Center, sits with a breast cancer survivors support group as Judi Thallas (right) shows off a hat she will give a woman who is about to go through chemo-therapy. File photo

Wings gives a lift to cancer patients TIM JOHNSON Staff Writer tjohnson@nonpareilonline.com (712) 325-5750

Wings of Hope Cancer Support Center is a source of strength for many breast cancer patients. The nonprofit organization, located at 427 E. Kanesville Blvd., Suite 202, offers two kinds of support groups for breast cancer patients, an exercise group for women, counseling and other resources. “The biggest support groups we have are breast cancer groups, and I think it’s because women look to each other for support,� said Carolyn Ettinger, program administrator. “The other thing we have is a young women’s breast cancer support group. I think it is the only one in Omaha or Council Bluffs. The younger women have a different perspective than (older patients).� The group was formed at the recommendation of Tammy Johnson, director of the Breast Health Center at Jennie Edmundson Hospital, she said. Ettinger, Johnson and Marchell Benef, a social worker at Alegent Health, work together on the group.

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Wings of Hope also offers a women’s exercise group that might be of interest to some breast cancer patients, Ettinger said. “They do more stretching and movement exercise that’s designed for people that have had surgeries for cancer,� she said. As a personal touch, the organization gives all of its clients with breast cancer heart-shaped pillows made by members of the West Pottawattamie County Garner Blue Jays 4-H Club, Ettinger said. “They actually cut out the pillows, sew them, then they take them to a nursing home in town and have the elderly residents help stuff them,� she said. Wings of Hope opened a Hope Chest Renewal Room in 2007 that offers cancer literature, wigs, hats, recordings, survivor bags and other resources to cancer patients. In the past several years, Wings of Hope has expanded their support services to better meet the changing face of cancer. Some of its newer programs include: Counseling services for individuals and families, the Hope Chest Renewal Room and the HOPE Program, a financial assistance program that can

assist patients with prescription and over-the-counter medications, as well as gas vouchers. Most clients are referred to Wings by a physician, friend, Breast Health Center official or brochure placed in a local health care facility. In 2009, Wings of Hope made 1,239 contacts with patients, survivors, family members and the community, according to information on the organization’s website, and provided the following to people with more than 25 types of cancer: ■50 gas cards and bus passes ■161 counseling sessions ■Prescription drug assistance to 28 patients ■123 contacts through support groups ■Provision of wigs, hats, blankets, relaxation CDs and/or survivor bags to 320 patients undergoing chemotherapy, surgery or radiation ■22 patients at relaxing Spa Day experience ■Education of 310 community members with cancer information ■117 contacts through after-cancer-treatment educa-

tion programs like “A Time to Heal� and “The Healthy Survivor.� The concept of Wings of Hope began in October 1987 as a monthly cancer support group. A group of people who had been affected by cancer met to discuss issues concerning living with cancer. They began to learn from each other, and discuss ways to improve their quality of life. It became apparent that many people shared this need to express their emotions in a group or individual setting. In 1994, a steering committee was formed to explore expansion of the Wings of Hope concept, to provide more comprehensive services for people with cancer as well as their family members. Wings of Hope Cancer Support Center was independently established as a nonprofit organization in September 1994. The organization’s goal is to provide emotional support and guidance for people, family members and health professionals as they move forward in their cancer experience. All Wings of Hope services are provided free of charge to cancer survivors and their families.

Many women find that mastectomy offers the best option of ridding the body of breast cancer and preventing recurrence. Mastectomies can be done in different forms, from partial to total, where a portion or the entire breast is removed. Women who have undergone a mastectomy procedure are often left with some deformity and scarring. Their breasts may be uneven or even totally removed. While there are some people who embrace their new breastless bodies, the large majority of women who have had a mastectomy prefer a method of camouflage that offers the appearance of natural breasts. Reconstructive surgery is certainly an option. However, a less expensive and invasive consideration is the use of mastectomy bras and prosthetics. Mastectomy bras can be used alone or in conjunction with a breast form, also called a breast prosthesis. These bras are either padded or have a pocket inside of the cup that allows the insertion of the form. Prosthetics can be made of silicone, microfiber or another material that is comfortable. Because no breast surgery is completely the same, mastectomy products can typically be customized depending on the amount of breast tissue removed. Bras and forms can be purchased whether there is partial or total removal of the breast or both breasts. Individuals can experiment with different shaped forms to recreate the natural look they desire. As if surviving breast cancer and mastectomy aren’t enough, the process of shopping for mastectomy bras and other wardrobe essentials can be challenging. However, there are sup-

Submitted photo

Look for a store that provides custom fittings and personalized service when shopping for a mastectomy bra. port systems in place and ways to make the process a little easier. ■Check with the breast surgeon’s staff for recommendations on where to shop for items. Chances are there is a list of retailers that can provide help. ■Ask friends or family members who have undergone a mastectomy for suggestions. ■Look for establishments that specialize in the medical needs of women. They will have experienced staff that can provide proper measurements and fittings of special products. ■Consider online shopping if self-consciousness is an issue. Just be sure to confirm return policies in the chance that a product doesn’t fit correctly. ■Having a support system of friends and family, particularly others who have shared the same experiences, can provide the laughter, hugs and other help that’s needed. ■Realize that roughly 50,000 mastectomies are performed each year in the U.S. alone. This equates to plenty of women in the same situation. No one is alone in their fight against breast cancer. – Metro Creative Connections

D;Å?D ;?=>JÅMEC;DÅ M?BBÅ:;L;BEFÅ8H;7IJ 97D9;H Komen for the Cure keeps going strong When Susan Goodman Komen passed away from breast cancer in 1980, her younger sister, Nancy Goodman Brinker, felt that perhaps breast cancer patients might live longer if patients were more informed about breast cancer and its treatment. Komen was diagnosed with breast cancer at the age of 33 and died three years later, motivating Brinker to help speed up research aimed at finding a cure for breast cancer. Within two years of her sister’s death, Brinker had founded the Susan G. Komen Breast Cancer Foundation, fulfilling a promise made to her sister that she would do everything she could to end breast cancer forever. Since its inception, the foundation, renamed Susan G. Komen for the Cure in 2007, has invested nearly $1.5 billion toward finding a cure for breast cancer and raising awareness about a disease that, aside from non-melanoma skin cancer, is the most common form of cancer among women. In addition to raising money for breast cancer research, Susan G. Komen for Cure continues to raise awareness of the disease as well. The founda-

tion’s efforts continue to garner it accolades among the thousands of charities in existence today. Charity Navigator, the nation’s largest independent evaluator of charities, has awarded Komen for the Cure its coveted four-star rating more than once, placing the foundation in a select group among charitable organizations. A closer look at breast cancer facts and figures since Komen for the Cure’s inception sheds perhaps the most impressive light on why the charity continues to be among the most successful and noteworthy in the world. In 1982, less than 30 percent of women over age 40 received regular mammograms. That figure now stands at 75 percent. Similarly impressive is the marked improvement in the five-year survival rate, which stood at 74 percent at the foundation’s inception. That figure has now risen to 98 percent – a big change. To learn more about Susan G. Komen for the Cure, visit their Web site at www.komen.org. – Metro Creative Connections

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BREAST CANCER AWARENESS

Sunday, October 10, 2010

5F

Newer treatments, improved early detection are keys to fewer deaths

AP

In this image released by Hard Rock International, Melissa Etheridge smiles for photographers before performing at the Hard Rock Cafe Hollywood on Hollywood Boulevard to launch its 2010 PINKTOBER breast cancer awareness campaign on Sept. 28 in Los Angeles. The singer is doing quite well after a 2004 diagnosis.

Famous breast cancer survivors Celebrity may bring a person riches and fame, but it cannot protect against cancer. There are many famous women who have experienced breast cancer and beat the disease. Here’s a look at some of them. 1. Suzanne Somers. The famous infomercial guru and former star of “Three’s Company” battled breast cancer, facing controversy when she opted for holistic treatment over standard treatment. 2. Olivia Newton John. The Australian singer and star of the wildly popular movie, “Grease,” was diagnosed in 1992. Newton John had a mastectomy and breast reconstruction. 3. Linda Ellerbee. A journalist and 1991 survivor, Ellerbee had a bilateral mastectomy. 4. Lynn Redgrave. The late Ms. Redgrave hailed from a family of actors. She was also a breast cancer survivor. 5. Anastacia. The pop singer was diagnosed in 2003 and now does her part for raising awareness. 6. Christina Applegate. The child and adult star underwent surgery to have both her breasts removed in an operation known as a prophylactic double mastectomy after experiencing cancer and discovering she carries the gene for it. She’s learned from the experiences of her mother, a double breast-cancer survivor. 7. Melissa Etheridge. The singer is doing quite well after a 2004 diagnosis. She is well known for singing bald at a Janis Joplin tribute concert while undergoing treatment. 8. Kate Jackson and Jaclyn Smith. These two “Charlie’s Angels” both survived breast cancer. 9. Edie Falco. The actress discovered the cancer in 2003

tality during the period of the study, but a majority of the decline in mortality appears to be because of factors other than screening (such as improvements in treatment). Screening is thought to account for roughly one-third of the reduction in breast cancer deaths. An editorial that accompanies the article provides perspective by applying these results to the U.S. population. Currently, the 10-year risk of breast cancer death for a 50year-old woman in the United States is 4 per 1,000 women. Applying the Norwegian results, the risk without screening would be about 4.4 per 1,000 women. To look at it another way, 2,500 women would need to be screened over a 10-year period to avoid one death from breast cancer. These results suggest that screening mammography may provide less of a benefit than previously reported. Susan G. Komen for the Cure responded to the study on its website. “This study suggests that mammography is not as effective a tool as we would like it to be. That message has been put forward repeatedly in the past year,” said Ambassador Nancy G. Brinker, Komen’s founder and CEO. “Let’s stop focusing on what mammography is not, and instead work toward developing new detection tools. I challenge the community to commit, as Komen has, to invest in the development of better early detection tools while we drive for cures and prevention, and educate women about this disease.” Brinker did praise the Norwegian study, published in the

MCC

A new study conducted in Norway suggests women between the ages of 50 and 69 receive mammography screenings. This process reduces the risk of death from breast cancer by 10 percent, and accounts for roughly one-third of the decline in breast cancer mortality. New England Journal of Medicine Sept. 23, for concluding awareness and better treatments, rather than mammography alone, have been effective factors in reducing mortality from breast cancer. Death rates from breast cancer in the U.S. have declined during the past two decades due to many advances. “For 30 years, Komen has not just endorsed just such an integrated approach, we have invested in it, we have led grassroots efforts in it so that that women, policy makers, and regulators understand its importance, and we continue to lead around the globe in these areas. As this study shows, that approach is clearly effective,” Brinker said.

Komen’s current portfolio in this area is diverse – spanning research tools that include biomarkers, ultrasound technology and other more portable, specific and sensitive early detection methods. However, until there is a breakthrough, Brinker warned women not to become complacent about early detection in their own lives. “We know that early detection is critically important for women with the earliest stages of breast cancer in this country,” she said. “Five-year survival rates of 98 percent are a clear improvement from when we started our work thirty years ago. Women must remain vigilant and proactive about their health.” – Susan G. Komen for the Cure

Making the choice for breast reconstruction

AP

Australian singer Kylie Minogue performs during the 40th anniversary of Roberto Cavalli’s brand in Paris Sept. 29. Minogue has a partial mastectomy, chemotherapy, and radiation followed. and secretly battled it. 10. Cynthia Nixon. The “Sex and the City” star was diagnosed in 2006 and first kept the news a secret for fear of being hounded by the paparazzi. 11. Sheryl Crow. The singer caught her breast cancer early in 2006 with a routine mammogram. 12. Kylie Minogue. The Australian singer almost missed the diagnosis until her intuition told her to be tested again. A partial mastectomy, chemotherapy, and radiation followed. 13. Robin Roberts. The news anchor discovered a lump in 2007 after a self-examination. – Metro Creative Connections

Symptoms of breast cancer not always easy to discover With respect to cancer, survival almost always depends on detection. In general, the earlier cancer is detected, the more likely a person is to survive. Such is the case with breast cancer. When breast cancer is detected in its earliest stage (stage 0), the rate of recovery is 100 percent. However, when breast cancer is not detected until its later stages, the survival rate is less than 20 percent. Such a reality underlies the importance of early detection. While an abnormality in the breast often shows up on a mammogram, women can also look and feel for additional symptoms as well. According to the American Cancer Society, the following unusual changes in the breast could be indicative

A study conducted in Norway suggests that for women between the ages of 50 and 69, a mammography screening program reduced the risk of death from breast cancer by 10 percent, and accounted for roughly one-third of the decline in breast cancer mortality during that time period. These results were published recently in the New England Journal of Medicine. A mammogram is an X-ray of the breast. A screening mammogram is a mammogram that is performed in a woman without breast symptoms. The goal of screening mammography is to detect breast cancer at an early stage when it is most easily treated. Although there has been debate about how well screening mammography performs in young women, most studies have reported that screening mammography reduces breast cancer mortality among women over the age of 50. The extent of the benefit, however, may change over time as improvements are made in breast cancer treatment and breast cancer awareness. To further explore the impact of screening mammography among women between the ages of 50 and 69, researchers in Norway evaluated trends in breast cancer mortality as a screening program was gradually implemented in the country. Between 1986 and 2005, information was available for more than 40,000 women with breast cancer. Women in the screening group had a 10 percent reduction in breast cancer mortality. Norway experienced a decline in breast cancer mor-

of breast cancer, and women who notice any of these symptoms should report them to their physician immediately and schedule a screening. ■ A lump in the underarm area ■ Nipple discharge other than breast milk ■ Persistent pains in the breast ■ Skin irritation or dimpling ■ Swelling of the breast, be it all or part of the breast ■ Redness of the nipple or breast skin ■ Scaliness of the nipple or breast skin ■ Thickening of the nipple or breast skin For more information on breast cancer, visit the American Cancer Society Web site at www.cancer.org.

A person who is experiencing breast cancer has many choices to make. If a mastectomy will be part of the treatment, one of the decisions may be whether or not to have reconstructive surgery. Individuals who will have a partial or complete breast removal are likely candidates for breast reconstruction. Because this procedure is a reconstruction procedure, most health insurance plans will cover the expenses associated with the surgery. Breast reconstruction is done by a qualified plastic surgeon. He or she will talk over the different options available with the surgery. Thanks to advancements in modern medicine and more information known about breast cancer, most cases of reconstruction are able to rebuild the breasts so they are about the same size and shape as before cancer treatment. There are several reasons to undergo a reconstruction, not the least of which is selfesteem. Rebuilding the breast enables a woman to feel more like herself before cancer struck. Only surgery can help a woman permanently regain breast shape. Breast reconstruction also can help bras and other clothing fit better after a mastectomy. It also eliminates the reliance on

MCC

Finding a reputable plastic surgeon who specializes in breast reconstruction is part of the decision-making process. mastectomy bras and external prosthetics. For those who have chosen breast reconstruction, the next choice is whether to have it as an “immediate” surgery or “delayed.” Immediate means that it will be done directly after the actual mastectomy. Delayed reconstruction will occur at a later date after the mastectomy. Although many reconstructive surgeries do a fine job of restoring the breasts’ natural look with minimal scarring, there are some that won’t provide the results that one ultimately desires. Some surger-

ies result in complications, such as tissue necrosis, which will have to be fixed with further surgeries. In other cases, individuals find the breasts do not look or feel as natural as they may have hoped. It’s best to discuss hopes and desires about reconstruction with the surgeon before beginning. Some women choose to decline reconstructive surgery primarily because they want to limit the amount of unnecessary surgery. Others may not be physically able to handle more surgery. Thin women may not have enough skin to produce skin flaps needed for

reconstruction. Reconstruction generally involves implants or tissue flap procedures. Implants will be silicone or saline and are similar to the type used in breast enhancements. Tissue flap procedures involve taking tissue from other areas of the body, such as the stomach, buttocks or back areas, to rebuild the breast. A competent doctor is a woman’s best friend in a reconstructive procedure. One should carefully research plastic surgeons who specialize in breast reconstruction. – Metro Creative Connections

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One Edmundson Place, Suite 100 Council Bluffs, IA 51503 (712) 322-4136 www.heartlandoncology.com • John Okerbloom, M.D. • Robert Warner, M.D. • Mohammad Razaq, M.D. • Sakeer Hussain, M.D. • Joseph Stilwill, M.D.

The Very Best Care and Respect Close to Home

BREAST CANCER AWARENESS

6F Sunday, October 10, 2010

Self-awareness is vital Early detection of breast cancer is the single-most effective way to beat the disease. That is why it is essential for women to conduct their own breast exams to discover any potential anomalies early on. While doctors stress the importance of self-examination, many women still show up for routine wellness visits admitting they don’t do examinations because they simply don’t know how. Perhaps because the practice was given the formal name “breast self-exam.” Today, however, doctors

tell women to have “breast self-awareness.” That means women don’t have to follow a set protocol regarding checking for breast changes, and simply being aware of how the breasts look and feel is key. Why the change in the formalities? Doctors have determined that most women notice a lump in their breasts while doing routine activities, such as bathing or dressing. They also figured out that a formal method of examining the breasts was not necessary. Lumps can be found simply by touching the

breasts in any pattern, as long as the entire breast is checked. To demystify the process even further, follow these guidelines. ■ Breasts are best checked for changes directly after a menstrual period. At this time the breast tissue will be softer and less tender due to diminishing hormone levels. ■ Look at the breasts every day and notice their appearance and shape. Recognizing subtle differences can help alert a doctor if something is amiss.

CHANGES TO LOOK FOR Changes in breast size, shape, skin texture or color ■ dimpling or puckering of the breast ■ Discharge from the nipples ■ Scaliness of the skin ■ Nipple pulling to one side ■ Lump or mass in the breast ■ Enlarged lymph node under the arm ■ Any changes or questions about breast condition should be promptly brought up with a doctor. ■

■ Be conscious of these changes: – changes in breast size, shape, skin texture, or color – dimpling or puckering of the breast – discharge from the nipples – scaliness of the skin – nipple pulling to one side – lump or mass in the breast – enlarged lymph node under the arm Any changes or questions about breast condition should be promptly brought up with a doctor. ■ Women should know their risk for breast cancer. While there isn’t a definitive genetic correlation, the high rate of breast cancer in one family may mean a particular woman is more at risk. ■ Get routine screenings at a doctor’s office. Women over the age of 40 should get a mammogram every year. – Metro Creative Connections

The Daily Nonpareil

Know the stages of breast cancer Breast cancer comes in many stages. The rate of survival improves the earlier the cancer is detected. Stage 0: Cancerous cells have not spread outside of the ducts or lobules into surrounding breast tissue. This stage is classified in two types, ductual carcinoma in situ and lobular carcinoma in situ. This is a very early cancer, which, if caught promptly, can be successfully treated. Stage I: The cancer is no larger than 2 centimeters and has not spread beyond the breast to lymph nodes. Stage IIA: The tumor can be larger than 2 centimeters but no larger than 5. Or, the cancer is not larger than 2 centimeters, but has spread to up to three auxiliary underarm lymph nodes. Stage IIB: The tumor has grown between 2 and 5

She’s your sister, your mother, your friend, or maybe just the neighbor down the street. This person is not just a statistic, but someone you know. It doesn’t always happen to someone else. It could even happen to you.

centimeters and has spread to up to three auxiliary underarm lymph nodes. Or, the cancer is larger than 5 centimeters but has not spread. Stage IIIA: The tumor is between 2 and 5 centimeters in size and has spread to at least 9 auxiliary underarm lymph nodes. Stage IIIB: The tumor has spread beyond the breast to tissues nearby, such as the skin, chest wall, ribs, muscles, or lymph nodes in the chest wall. Stage IV: The cancer has spread to other organs or tissues. In terms of five-year survival rate, individuals with Stage 0 can expect 100 percent recovery. Individuals with Stage IV, however, have a 16 percent survival rate.

Angela Fritz

490-2088 A friendlyy reminderr from m yourr homee townn agentt too gett yourr yearlyy mammogram.

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Digital Mammography A Breakthrough In Early Detection

Methodist Methodist Health Health System System offers offers this this technology, technology, along along with with comprehensive comprehensive breast breast care care services, services, at at five five locations locations from from Council Council Bluffs Bluffs to to West West Omaha. Omaha.

YOUR MAMMOGRAM. It’s the test you hope to pass with flying colors, but no one looks forward to the process. At Methodist Health System, we’ve made every effort to ensure that your experience with us is warm and caring. Our staff has one primary goal—to personalize your care. Our personal approach relies, in part, on our ability to provide you with the latest developments in breast care technology. It’s why we offer Digital Mammography. You no longer have to rely on the limits of film. What once appeared as a cloudy outline, now appears with a clarity that allows us to target the smallest abnormality. A digital mammogram is more accurate for dense breasts, which means you may not have to return weeks later for retesting. Digital images are helping capture indications of cancer at the earliest stages. Our interest in you and our devotion to your care is what sets us apart. Early detection is still the best weapon in the fight against cancer. Call for an appointment today. Jennie Jennie Edmundson Edmundson Hospital Hospital 933 933 E. E. Pierce Pierce St. St. Council Council Bluffs Bluffs (712) (712) 396-7600 396-7600

Methodist Methodist Hospital Hospital Breast Breast Care Care Center Center 8303 8303 Dodge Dodge St. St. Omaha Omaha (402) (402) 354-8335 354-8335

Methodist Methodist Physicians Physicians Clinic Clinic Women’s Women’s Center Center 8901 8901 W. W. Dodge Dodge Road Road Omaha Omaha (402) (402) 354-0950 354-0950

Methodist Methodist Physicians Physicians Clinic Clinic Regency Regency 10060 10060 Regency Regency Circle Circle Omaha Omaha (402) (402) 354-0950 354-0950

Methodist Methodist Physicians Physicians Clinic Clinic HealthWest HealthWest 16120 16120 W. W. Dodge Dodge Road Road Omaha Omaha (402) (402) 354-0950 354-0950

Free Annual Breast Cancer Screening on October 20thth.

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DDEEVVO OTTEEDD TTO O HHEELLPPIIN NG GW WO OM MEEN N LLEEAADD HHEEAALT LTHHIIEERR LLIIVVEESS..

www.bestcare.org www.bestcare.org ©2008 ©2008Jennie JennieEdmundson EdmundsonHospital, Hospital,an anaffiliate affiliateof ofMethodist MethodistHealth HealthSystem System

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