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Show Davis County Clipper Fridas, Risk of developing breast cancer depends on age 1,n 27,1(W page C5 Gift Certificates HOBBY & CRAFT SUPERSTORES Columbia Lakeview Hospital Medical Staff 1997 Breast Cancer Forum What are the chances of 1. SUPER, VALUECOUPON SPECIAL developing breast cancer and are all women at equal risk? Dr. Klein, Oncologist The risk of developing breast cancer at any one time depends to a great extent on the age of the woman. For the average Caucasian women, the rate is about per 1,000 persons per year beginning at age 40, or 0.1 percent. This number increases with ANY SINGLE ITEM ,, OF YOUR CHOICE 1 YOU PICK THE ITEM. ..WE'LL GIVE YOU 15 OFF THE PURCHASE PRICE! age, since breast cancer becomes more common as women become older. Not all women are equally at risk. Risk factors is a term referring to identifiable factors that make some people more susceptible than others to a particular disease. Several risk factors are known to influence breast cancer risk. Genetic factors are known to influence breast cancer risk. Genetic factors are related to mutations in genes associated with family history. Additional factors relate to the hereditary, environmen- tal, hormonal, and individual lifestyles. Results of previous biopsies are critical in evaluating tissue changes that will increase ones risk to a major degree. factors I can change to decrease my risks of developing breast cancer? Dr. Klein, Oncologist Genetic factors and the bodys 2. Are there own hormones are things over which you have no control. Equally important are external environmental factors which can create a breast cancer causing mutation or accelerate the growth of breast cancer, or for that matter, prevent the growth of breast cancer. The amount of fat and liquor you consume can increase your sus- ceptibility - to breast cancer. Hormones taken by post menopausal women, as well as birth control pills, are also being studied in relation to breast cancer. Radiation has always been known to increase cancer risk and may or may not be something you can control. The level of radiation in mammograms and diagnostic won't increase your risk of breast cancer. Under investigation is whether or not pesticides can elevate breast cancer risk. I have fibrocystic breast disease; does that change my risk for 3. breast cancer? Dr. Klein, Oncologist Fibrocystic disease is a meaningless term - a wastebasket into which physicians throw every breast prob- lem that isnt cancerous. Dense breast tissue is, in fact, normal, especially in young women. The most popular treatment for fibrocystic disease symptoms is the removal of caffeine from the diet. Studies have shown that this condition will not lead to cancer , and caffeine does not cause the symptoms in the first place. Moreover, fibrocystic disease does not increase the risk of cancer. 4. Does taking hormones increase my risks for breast cancer? Dr. Klein, Oncologist Hormone Replacement Therapy (HRT) has been shown to be effective in relieving conditions usually related to menopause. The use of estrogen has, however, been associated with an increase incidence of uterine cancer. The association between HRT and breast cancer is less clear, but it is overall accepted that prolonged use of estrogens increases the risk of breast cancer as well. It is unclear whether estrogen has an adverse effect on women who are already at high risk for breast cancer. While the relationship between oral contraceptives and breast cancer risk is still under study, women who may be at increased risk of developing cancer, those who have used the began use at an early pill long-teror personal hisa have or family age, tory of benign breast disease, should discuss the risks and benefits of oral contraceptive use with their doctors. Do breast implants increase the incidence of breast cancer? 5. Dr. Klein, Oncologist There is no evidence that women with implants have a vulnerability to breast cancer than other women; there is some incidence it may actually be lower. Applies to Regular priced merchandise in stock Vjv CluD: "'usi occc,y'cor ory oe' so e FiQrot Castor t'pmir-oooi rDg c DR. RUSSELL DR. REGINA KLIEN Dr. Pope, Radiologist No, but early or small cancers may be difficult to see on a mammogram because the implants obstruct the visualization of the breast tissue. 6. How long does it take for a breast cancer to develop, get to a detectable size and eventually spread and become incurable ? Dr. Klein, Oncologist The average doubling time for a cancer cell is 100 days. It takes 100 billion cells to have slightly less than 12 inch size of cancer. This means that most cancers have been around eight years before they can be seen on a mammogram and 10 years before they can felt as lump. This is rule: some cannot a cers grow faster and some slower; it is also possible that cancer grows in spurts. Years ago, it became apparent that survival didnt have much to do with the aggressiveness of surgery hard-and-fa- st but perhaps with how well the immune system handled possible spread from the breast. 7. What are the current recom- mendations I should follow for screening for breast cancer and at m hat age do 1 start screening ? Dr. Klein, Oncologist The methods used for enhancing early detection of breast cancer include monthly breast clinical examination with your physician, and mammography. Mammography can detect breast career that may be missed on a physical examination. The latest recom- mendation from the American Cancer Society is for women to begin having a yearly mammogram at age 40. 3. Are mammograms the best method for detecting breast cancer ana are they undisputed? Dr. Pope, Radiologist Yes, they are the best single test. However, 10 percent of cancers will be missed by mammography. Abnormal mammograms have only a 25 percent chance of being cancerous. So an abnormality on a mammogram in most likely not a cancer, but still should be thoroughly evaluated. Dr. Klein, Oncologist Mammography can detect breast cancer in its earliest stages before it is detectable by a physical exam. They are not absolute in that about 10 percent of breast cancer cases will have a normal mammogram. The pre menopausal breast can have a lower rate of accuracy in mammogram readings. 9. If a lump or problem is found, what is the next step? Dr. Klein, Oncologist You should contact your physician is you find a lump. The physician will examine you and will likely request a mammogram. If the mammogram is suspicious, a diagnostic biopsy will be recommended. If the patient is over 45 years of age and the mammogram is not suspicious, but the lump is unchanged over time, the patient will be watched closely with more frequent evaluations. If the lump is enlarging, a biopsy will be recommended. It is important to remember that 10 percent of breast cancers will not be detected in a mammogram. Dr. Todd, Surgeon If a lump or other problem is found such as a change in appearance of the breast, a nipple discharge, a lump in the arm pit, breast pain or a rash or sore that does not heal, the next step is to see a physician. Depending on the age of the patient and the specific symptoms, the H. TODD physician may order a mammogram or ultrasound. Aspirating the lump with a fine needle is another option or breast tissue biopsy of the suspicious area. In other cases, patients are watched closely and asked to return for another exam in two months. either area. Dr. Todd, Surgeon Surgery is recommended for all .nsoa surgery depends to a large extent on the type of cancer and the desires of the patient. Typically, three surgical options are available. 1) Modified radical mastectomy. This surgery removes the entire breast tissue and a samples of the lymph nodes in the arm pit. This lymph node sampling is important in evaluating the extent of the cancer, guiding further therapy and evaluating prognosis. After this surgery, the majority of patients will not require radiation treatment. 2) Modified radical mastectomy uith reconstruction. This option combines the surgery described above The with breast reconstruction. reconstruction can be done at the same time of the cancer surgery or can be delayed until later. A prosthetic implant can be used in a rather simple procedure or a more elaborate procedure can be done using the patient's own tissue taken from the abdomen of the back to reconstruct ' re useo t an Applies to Regular priced merchandise in stock Vjv oA any other ofter O' SQ0 to ns 3CO'hr 3ni, Da'ChJSe F jp Floral Cusom Framing IV '(?' Sj'cons jn 1 Qea yag Jems Good thru 53197 10 mm SUPER, VALUEtCOUPOfTSPECIAlM'. ANY SINGLE ITEM OF YOUR CHOICE . YOU PICK THE ITEM. ..WELL GIVE YOU 30 OFF THE PURCHASE PRICE! w,r Applies to Regular pneed merchandise in stock Vjv 'toosej' s any ztt o' oe' or sje items Cojl 'n nst nccmi j , purooe So oens anj i?fa l j g 'prr Good thru 53197 fiQrol Cih'crr Fammg txu 3) Lumpectomy with auxiliary node sampling. This option removes only SUPERiVALUE-COUPO- the cancerous breast tissue and allows sampling of the arm pit nodes. The majority of the breast tissue is preserved making this a good option for many patients. However, this option requires post operative radiation treatment involving a significant investment of time and energy; generally, it is well tolerated. It is important to note that for the majority of the patients, chemotherapy will be recommended regardless of the I ct f a . Applies to Regular pneed merchandise in stock Vav np ce useo in av cte c"?' C'SJP f&s Coupon mus4 accompany D'cnase Ex Bahoons ona 'red Jag itens Good thru 53197 Fio'Oi Cus'om Fra' ng II. Have new advancements in diagnosis and treatments changed breast cancer outcomes? Dr. Todd, Surgeon Early detection currently gives the most encouraging results in patients ANY SINGLE ITEM ,i OF YOUR CHOICE ship, screening mammography and appropriate treatment of early breast cancer cancers have led to five-yesurvival rates of over 90 percent with early diagnosis. Advanced breast cancer remain a devastating disease with a high mortality even with advances in surgery, radiation and I YOU PICK THE ITEM...WELL GIVE YOU 40 OFF THE PURCHASE PRICE! ar SUPERyAlQcduYOtfSPEClAL tech- niques and treatment advancements, the death rate from breast cancer has remained the same. However, stable death rates in the face of an apparent true increase in the rate of breast cancer suggest that earlier detection of cases in recent years and possible ANY SINGLE ITEM OF YOUR CHOICE be useo r root Applies to Regular priced merchandise In stock Vav ony cther o9' O' sole Jems Coupon must accompany pu'cnose Exc.aC Custom framing Ware' Baboons oO D&p 'og terns Good thru 53197 8 a.m. 12 noon. Registration fees are $25 per partic- come basis. The first session will ipant that includes eight lessons, begin on Monday, June 16 with the Monday-Thursday- -- s. 451-517- 9 I I 3 YOU PICK THE ITEM. ..WE'LL GIVE YOU 50 OFF THE PURCHASE PRICE! have improved survival rates. Those survival rates offset the rising incidence. For more information call starting June 2. I r Dr. Klein, Oncologist improvements I oounctior' wr Applies to Regulor priced merchandise In stock Wav nc' ce useo any cine cB o' sole ems Coupon mu$' aocompjrv purchase Exocam Cus'om Fic'Qi Cusorr Framing ,v cxer Boiocns c'd ?90 og Jems Goodthm 53197 chemotherapy. treatment I SUPERVAWCOUYONWdAim diagnosed with breast cancer. Education, monthly self examinatrelationions, a good doctor-patie- Despite better screening , YOU PICK THE ITEM...WEU GIVE YOU I I 30 OFF THE PURCHASE PRICE! chosen. option surgical SPECIAL ANY SINGLE ITEM OF YOUR CHOICE lessons at their new pool, 142 S. second session beginning on Monday, June 30. Lessons are I ''es YOU PICK THE ITEM. ..WE'LL GIVE YOU 25 OFF THE PURCHASE PRICE! offered from Registration will be accepted - atarting Monday, June 2 for the first H ANY SINGLE ITEM OF YOUR CHOICE two sessions. Registration will Main. I SUPER.VALUECOUPON SPECIAlU Farmington City Recreation will offer Red Cross certified swim i I Applies to Regular priced merchandise in stock V jy r o ' Ce use i n - n, jn 'on w aOC Du'CfiOSe ony ether cer O' sale terns CCuD'r' muS DJCCn-CJn- ;' Good thru 53197 Fiqij Cjs'cm f'amng Woe 6j j 7og Certified swimming lesson to start June 2 begin at 8 a.m. at the pool on a first 53197 YOU PICK THE ITEM. ..WE'LL GIVE YOU 25 OFF THE PURCHASE PRICE! breast cancers, but the type of the breast. 'es a same the to a- ANY SINGLE ITEM ,! OF YOUR CHOICE lumpectomy or a mastectomy as the , patients best option. Depending on the circumstances, the woman may be able to choose; other patients will have a mastectomy as the only reasonable procedure. If a patient undergoes a lumpectomy, radiation therapy to the affected area will most likely be recommended to decrease the chances of a reoc- currence i.se i ' SUPERMAWE'COUPbN'SPEtiAL 10. If breast cancer is found, are there different treatment options? Dr. Klein, Oncologist The surgeon, after evaluating your case, may recommend re c:hw Good thru . |