Heather TalbotBreast Cancer - 7 Year

Survivor

Cancer Comparison

Breast Cancer• Common:

2.9M breast cancer survivors in U.S. ~300K women will be diagnosed in 2014 ~ 7K women in NJ diagnosed in 2014 ~ 2K men will be diagnosed in 2014 ~ 40K women will die in 2014 450 men died in 2011

Testicular Cancer• Rare

~8K men diagnosed in 2013

~370 men will die in 2013

Source: American Cancer Society

• 61 is the median age of diagnosis (1 in 8 women = 12%)

50 years ago the rate was 7%

• 5 year survival rate is 89%

• Most common form of cancer in men ages 15 to 40 (1 in 270 men = <1%)

• 5 year survival rate of 95%

2.9M Survivors in U.S.

AGE: 13

Hannah Powell-Auslam

AGE: 10

Elizabeth BrynzdaDouble Mastectomy

AGE: 19

Taylor ThompsonLumpectomy

Preventative Mastectomies

AGE: 24

Angelina JolieMother died of ovarian cancer at 56

Angelina has the BRCA1 gene

AGE: 37

Allyn Rose – Miss D.C.Mother diagnosed at 27

3 relatives died of breast cancer

BRCA Gene:Sharon Osbourne

Mastectomy:Christina Applegate - 36

Carly Simon - 53

Lumpectomy:Sheryl Crow - 47

Maggie Smith - 73

Reality Check

AFTER MASTECTOMY WITH IMPLANTSDRAIN TUBES TATTOOS TO COVER SCARS

1 in 8 WomenRisk of diagnosis increases with age:

From age 0-39 . . . . . 1 out of 202 ( 1%)From age 40-69 . . . . . 1 out of 28 ( 4%)From age 70 and up . . 1 out of 15 ( 7%)

Lifetime risk . . . . . . . . .1 out of 8 (12%)

Source: American Cancer Society296,980

Estimated New Female Breast Cancer by Age, US, 2013Age In Situ Invasive DeathsUnder 40 1,900 10,980 1,02040 - 49 15,650 48,910 4,78050 - 64 26,770 84,210 11,97065 and older 22,220 99.220 22,870All ages 64,640 232,340 39,620

My Story• 3 Mammograms:

– Age 22 – Planned Parenthood would not prescribe birth control without a mammogram because the doctor felt something. Diagnosis: fibrocystic breasts

– Age 35 – baseline– Age 41 – mammogram after noticing a hardness

• 2 Biopsies: regular and surgical– June 2007: 1 lump and 1 in situ cluster were cancerous

• 4 Surgeries:– July 2007: Removed both breasts (bilateral mastectomy)– Aug. 2007: Implanted Mediport for chemo– Sep. 2008: Removed Mediport and inserted expanders– Nov. 2008: Removed expanders and inserted implants

• 13 months of Treatment:– 4 months of chemo plus 9 months of Herceptin injections

True or False?Most lumps found in breasts are cancerous. FALSE - only 20% are

- 4 types of lumps

Most cancerous lumps are painful.

The finger tips should be used to perform breast self-exams.

Larger breasts have a higher risk of developing breast cancer.

Breast cancer patients have to remove their breaststo remove the cancer.

FALSE

FALSE - finger pads are more sensitive

FALSE - lumpectomy

FALSE

If your grandmother had breast cancer, you will get it. FALSE - 40% chance with family history

Anyone can get breast cancer – man, woman, or youth.TRUE - men < 1%

Risk Factors• Female• Age• Genetics – 80% chance• Family History – 40% chance• Menstruation – before 12 or after 55• High breast tissue density

Modifiable Factors:• Pregnancies – none or first full-term after age 30• Breastfeeding decreases risk• Alcohol consumption• Physical activity and diet

Early Detection Saves Lives

Stage5-year Relative

Survival Rate

0 93%

1 88%

2A 81%

2B 74%

3A 67%

3B 41%

4 15%

In Situ (contained)

Invasive, <2cm, no lymph

<2cm + lymph OR>2cm and no lymph

>2cm + lymph OR>5cm and no lymph

Axillary lymphs clumped

In chest wall or skin

Metatstatic(spread to other organs)

1.1cm found in routine mammogram

1.5 cm found in first mammogram

2.1 cm found in regular self- breast exams

3.6 cm found accidentally

Source: American Cancer Society

ScreeningAmerican Cancer Society recommends:

– Clinical breast exams every 3 years starting in their 20s

– Screening mammogram every year after the age of 40 or 10 years before a first-degree relative was diagnosed

– Optional monthly breast self-exams

• Keys to Breast Self-Exams:– Do them at same time each month– Do them the same way each time– Talk to your doctor about any

changes

Breast Self-Exams

Key Takeaways

• Early detection saves lives.• Get to know your breasts thru breast self-

exams.• Be your own advocate and talk to your

doctor about any changes.• Do not panic about a lump.• Talk to other loved ones about getting their

mammograms.

How To Help OthersBe supportive

– Help out with household chores or shopping– Pillows and button-down shirts for mastectomy patients

Participate in walks and fundraisers

Avon 2 Day Walk39 miles

NYC Oct. 18-19, 2014www.avonwalk.org

3-Day for the Cure60 miles

Philly Sep 12-14, 2014www.the3day.org

RELAY FOR LIFE @ WHRHS TrackJune 6-7, 2014 4:00pm to 6:00am