Breast Cancer Guide

HOPE RUNS on HEROES

BEATING BREAST CANCER 2011

A GUIDE TO PREVENTION AND TREATMENT Published by

ARKANSAS TIMES Advertising Department

BEATING BREAST CANCER 2011 1

HOPE RUNS ON HEROES The faces of breast cancer Jilletta Jo (Harrell) Winholt 2011 race chair

Jilletta Winholt is this year’s race chair. She is a coordinator in network development at Baptist Health, and has been employed by Baptist Health since May 1989.

She is a 1975 graduate of Sylvan Hills High School and has a bachelor’s degree in business education from the University of Central Arkansas. She was formerly a teacher at Fort Smith Northside.

Winholt became involved with the Arkansas Affiliate of Susan G. Komen for the Cure when she moved into her present position at Baptist in 2000. When her boss, Leila Alston, was in a car accident while serving as teams committee chair in 2001, she, along with her coworker Yanci Grady Gibson, stepped in and led the committee. Winholt continued to work with the teams committee and has gotten to know many of the team captains, survivors and volunteers. It is her love for the people of Arkansas that led her to accept the position of chair for the 2011 Komen Arkansas Race for the Cure.

She resides in Gravel Ridge with her husband, Dave, also an employee of Baptist Health. Her son, Matt Souza, and his wife, April, live in Cabot.

Deena Burnett Bailey honorary chair

Deena Burnett Bailey is a well-known voice for the victims’ families of the Sept. 11, 2001, terrorist attacks. She is the widow of Tom Burnett, the businessman who led passengers and crew to fight back against the terrorists on United flight 93, which crashed into a Pennsylvania field, killing all on board.

Following her husband’s death, Burnett Bailey made aviation history when she successfully spearheaded an effort to have the Flight 93 cockpit voice recorder released in April 2002.

She bravely traveled twice to Europe under the protection of the German government to serve as a witness in the criminal trials of Al-Qaeda members in Hamburg. She is the lead plaintiff in an unprecedented lawsuit to bankrupt terrorist organizations around the world by freezing their assets in the United States, Europe and Asia.

Burnett Bailey has appeared in several national programs on all the major TV networks and has been featured in several publications, including People magazine and USA Today. She has consulted on the writing and producing of 15 documentaries and movies and has spoken to more than 2,000 groups in 40 states about Sept. 11.

She is the author of “Fighting Back: Living Life Among Ourselves.”

In addition to volunteering in her church and community, Burnett Bailey serves

This year’s Komen Arkansas Race for the Cure theme is “Hope Runs on Heroes,” and the three women who serve as the faces of this year’s race prove that heroism comes in various forms, and their stories serve as a beacon of hope.

on the boards of the Twentieth Century Club, St. Joseph’s Center of Arkansas and the advisory committee for Everloop Inc. She is chairman for the Angels of Hope, a teen volunteer program that assists cancer patients.

Burnett Bailey resides in Little Rock with her three daughters, Halley, Madison and Anna Clare; her new husband, Rodney; and his son, Tanner.

Dianne Woods honorary survivor chair

For Dianne Woods, 56, fall is a bittersweet time – it’s both a reminder of her breast cancer diagnosis and an affirmation of another year of being cancer-free.

A credentialing coordinator at Baptist Health, Woods first got involved with Komen Arkansas Race for the Cure when her boss at the time encouraged all of her employees to sign up for the event. But after Woods’ diagnosis, the race took on a whole new meaning.

It was almost a decade ago when Woods found herself putting off getting a mammogram. But then she found a lump in her breast. When she went in for the mammogram, she was told she’d get a call within seven days if there was a problem, and she almost made it – she got the call on the seventh day.

Woods said she didn’t take the lump or the request to come back in for another mammogram seriously.

After her second mammogram, she said the radiologist came in, rubbed her arm and said, “you need to see a surgeon.”

“I was still kind of not taking it seriously,” she said of the visit with the surgeon. “I thought they would cut out the lump and I’ll be fine.”

But it wasn’t that simple – the tumor was malignant and Woods would require a mastectomy and six months of chemotherapy.

“Part of me literally died,” she said. “I felt like I had been hit by a truck.”

She said she decided not to seek any treatment and just enjoy the time she had left with her children, but her surgeon would have none of it.

“She said, ‘you’re too young not to fight,’” Woods said.

On Nov. 18, 2002, Woods had a mastectomy, but it wasn’t until about three weeks later that the grief finally set in.

“I broke down,” she said. “I asked my mother, ‘what did they do with the part of me that died?’”

“I thought I would never laugh or smile again,” Woods said. But through her faith in God and the support of her family, Woods has spent the last nine years cancerfree, although the disease’s dark specter still cast a shadow on her life: her oldest daughter was diagnosed with breast cancer three years ago.

“There is life; there is laughter,” Woods said of her life now. “I wouldn’t have made it if it hadn’t been for the Lord – he carried me.”

Woods will participate in the race this year – just look for “the silly one that does the hand-waving like a queen” over the bridge.

And be sure to wave back.

Go! Running Home of

2 HOPE RUNS ON HEROES

Up to the challenge Go! Running and Mount St. Mary’s partner to get students involved

We make a difference by

“providing the latest technology for detecting breast cancer.”

Several members of Mount St. Mary Academy’s Race for the Cure High School Challenge team with members of Go! Running’s Go Go Girls (front row), who have partnered with the school to help it reach its goal of 90 percent participation in the race.

One aspect of the Komen Arkansas Race for the Cure is the High School Challenge, with five Central Arkansas schools (Mount St. Mary Academy, Central High School, Hall High School, McClellan High School and North Little Rock High School) competing for the title of largest race team. The winner will be the school with the highest percentage of the student body participating. The schools are also competing for the most spirit/volunteerism at Race for the Cure.

Helping Mount St. Mary’s achieve its goal of 90 percent participation, Go! Running has partnered with the school, said Mount St. Mary senior Grace Crifasi, Mount St. Mary Academy coordinator for the Race for the Cure High School Challenge.

“Go! Running has mapped out, and they provide the trainer as well as a practice route, drinks and snacks,” Crifasi said. “It provides new runners an opportunity to run the length of the course and gives them an opportunity before the race to get active, start some healthy habits early, and gain confidence in their abilities.”

“The goal is to have 100 percent participation, whether the girls are running, walking, or if they can’t be there to be virtual runners,” Erin McCarthy Taylor of Go! Running said, adding the store’s patrons, named the Go Go Girls, are paired up with some of the girls to encourage and support them, both during training and at the race.

Crifasi said Mount St. Mary has had teams run the Race for the Cure since the 1990s.

Last year was the first year for the high school challenge, and only counting students, 216 Mount St. Mary students run the race, or about 50 percent.

The goal is to get 436 students, or 90 percent of the student body, to participate.

“At Mount St. Mary, we’re all about sisterhood, so it’s important for us to support our sisters who are facing breast cancer and show them that we care,” she said.

–Karissa Williams Mammography Technologist

Having the most advanced detection tools helps us deliver a new level of accuracy in fighting a disease that affects so many women. We use the latest technology available, including digital mammography, breast MRI and minimally invasive stereotactic breast biopsy. The result is a more comfortable, convenient and precise screening than ever before.

To learn more about breast cancer detection at Conway Regional, visit ConwayRegional.org/WomensImaging.

Making better healthcare a reality.

BEATING BREAST CANCER 2011 3

Knowledge is power Things you need to know about breast cancer

Risk factors for breast cancer include: Age: Half of all women diagnosed are over age 65.

Weight: Being obese or overweight.

Diet & Lifestyle: Lack of physical activity, a diet high in saturated fat, and alcoholic intake of more than two drinks per day.

Menstrual & Reproductive History: Early menstruation or late menopause, having your first child at an older age or not having given birth, or taking birth control pills for more than ten years if you are under 35.

Family & Personal History: A family history of breast cancer — particularly a mother, sister or a personal history of breast cancer of benign (non-cancer) breast disease.

Medical & Other Factors: Dense breast tissue (often identified by a mammogram), past radiation therapy to the breast or chest area. A history of hor-

mone treatments — such as estrogen and progesterone, or gene changes— including BRCA1, BRCA2 and others.

Common signs & symptoms of breast cancer include: A change in how the breast or nipple feels You may experience nipple tenderness or notice a lump or thickening in or near the breast or in the underarm area.

A change in how the breast or nipple looks This could mean a change in the size or shape of the breast or a nipple that is turned slightly inward. In addition, the skin of the breast, areola or nipple may appear scaly, red or swollen or may have ridges or pitting that resembles the skin of an orange.

Nipple discharge Types of Breast Cancer Ductal Carcinoma In-Situ (DCIS) DCIS is a type of early breast cancer con-

fined to the inside of the ductal system.

Infiltrating Ductal Carcinoma (IDC) IDC is the most common type of breast cancer representing 78% of all malignancies.

These lesions appear as stellate (star-like) or well-circumscribed (rounded) areas on mammograms. The stellate lesions generally have a poorer prognosis.

Medullary Carcinoma Medullary carcinoma accounts for 15% of all breast cancer types. It most frequently occurs in women in their late 40s and 50s, presenting with cells that resemble the medulla (gray matter) of the brain.

Infiltrating Lobular Carcinoma (ILC) Infiltrating lobular carcinoma is a type of breast cancer that usually appears as a subtle thickening in the upper-outer quadrant of the breast. This breast cancer type represents 5% of all diagnosis. Often positive for estrogen and progesterone receptors, these tumors respond well to hormone therapy.

Tubular Carcinoma Making up about 2% of all breast cancer

diagnosis, tubular carcinoma cells have a distinctive tubular structure when viewed under a microscope. Typically this type of breast cancer is found in women age 50 and above. It has an excellent 10-year survival rate of 95%.

Mucinous Carcinoma (Colloid) Mucinous carcinoma represents approximately 1% to 2% of all breast carcinoma.

This type of breast cancer’s main differentiating features are mucus production and cells that are poorly defined. It also has a favorable prognosis in most cases.

Inflammatory Breast Cancer (IBC) Inflammatory breast cancer is a rare and very aggressive type of breast cancer that causes the lymph vessels in the skin of the breast to become blocked. This type of breast cancer is called “inflammatory” because the breast often looks swollen and red, or “inflamed”.

IBC accounts for 1% to 5% of all breast cancer cases in the United States.

Stages of breast cancer All breast cancers that have been diagnosed must have other tests performed to determine if the cancer has spread. This process is known as breast cancer staging. Once the stage is known, an appropriate treatment plan can be developed.

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5-YEAR SURVIVAL RATE BY STAGE Stage 0 — 100% Stage I — 98% Stage II — 88% Stage IIIA — 56% Stage IIIB — 49% Stage IV — 16% STAGING Stage 0 — Carcinoma in situ In stage 0 breast cancer, atypical cells have not spread outside of the ducts or lobules, the milk producing organs, into the surrounding breast tissue. Referred to as carcinoma in situ, it is classified in two types: Ductal Carcinoma In Situ (DCIS) — very early cancer that is highly treatable and survivable. If left untreated or undetected, it can spread into the surrounding breast tissue.

Lobular Carcinoma In Situ (LCIS) — not a cancer but an indicator that identifies a woman as having an increased risk of developing breast cancer.

Stage I — Early stage inva­ sive breast cancer In stage 1 breast cancer, the cancer is no larger than two centimeters (approximately an inch) and has not spread to surrounding lymph nodes or outside the breast.

Stage II Stage 2 breast cancer is divided into two categories according to the size of the tumor and whether or not it has spread to the

lymph nodes: Stage II A Breast Can­ cer — the tumor is less than two centimeters(approximately an inch) and has spread up to three auxiliary underarm lymph nodes. Or, the tumor has grown bigger than two centimeters, but no larger than five centimeters (approximately two inches) and has not spread to surrounding lymph nodes.

Stage II B Breast Cancer — the tumor has grown to between two and five centimeters (approximately one to two

inches) and has spread to up to three auxiliary underarm lymph nodes. Or, the tumor is larger than five centimeters, but has not spread to the surrounding lymph nodes.

Stage III Stage 3 breast cancer is also divided in to two categories: Stage III A Breast Cancer — the tumor is larger than two centimeters but smaller than five centimeters (approximately one to two inches) and has spread to up to nine auxiliary underarm lymph nodes.

Stage III B Breast Cancer — the

cancer has spread to tissues near the breast including the skin, chest wall, ribs, muscles, or lymph nodes in the chest wall or above the collarbone.

Stage IV In stage 4 breast cancer, the cancer has spread to other organs or tissues, such as the liver, lungs, brain, skeletal system, or lymph nodes near the collarbone.

All information from the National Breast Cancer Foundation. For more information, visit www.nationalbreastcancer.org.

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BEATING BREAST CANCER 2011 5

Mammograms: The basics something of concern there. She will also get a letter.

A woman’s physician will get a report of the mammogram report and follow up will be decided by him/her.

Q: What happens then?

LL: This leads us into the other type of mammogram — the diagnostic. This does need a doctor’s order unless it is for a callback from a screening mammogram. This mammogram is done if there is either a problem with the breast or something that we want to follow at closer intervals. The radiologist will look at it while the woman is here and order more views or an ultrasound as indicated to determine if her mammogram is normal or if it needs to be biopsied.

These results are given while the woman is here.

For a woman who has never gotten a mammogram, the thought of getting one can be a little overwhelming, which is where Laurie Loyd, RNP, a breast health navigator with Baptist Health Breast Center, comes in. Loyd’s job is to keep the breast cancer patient informed about the process, treatment and variety of resources available in the community.

Part of her responsibilities involves educating patients about some of the procedures they may undergo, but Loyd took some time recently to answer questions about mammograms.

Q: How many types of mammograms are there?

LL: There are two types of mammograms the Baptist Health Breast Center performs: a screening mammogram and a diagnostic mammogram.

Q: What happens in a screening mammogram?

6 HOPE RUNS ON HEROES

LL: A screening mammogram is one where a woman is not having any problems with her breast. It is just the “yearly” screening. That mammogram can be scheduled by the woman herself and is usually covered by the wellness benefit of her insurance. We do two views of each breast and let her go home. The radiologist will read this mammogram within 24-36 hours.

The only person involved in the actual taking of pictures is the radiology technologist. At our facility, they have all been certified in mammography.

If all is normal, she will get the results within 10 working days via the mail. If the results are abnormal (something is different from previous mammograms, or in case of a first mammogram, there are things that are not exactly normal but may be normal for the woman), we will generally call her within three to four days to let her know that we need more pictures to determine if in fact there is

Q: Does a callback always mean there’s a problem?

LL: It can be normal for a woman to get called back for more pictures with a screening mammogram, and it does not necessarily mean there is a problem. This just means that we need to take different views (there are many) to be able to call it normal.

We use digital mammography and that is the newest technology and becoming the standard of care.

Q: When should a mammogram be scheduled?

LL: Mammograms should be scheduled for when a woman’s breasts are the least tender, usually at the end of their period when the hormones are at their lowest. For women who have gone through menopause, it may not make a difference. We do have to apply a certain amount of pressure to be able to

get a good picture. It is uncomfortable and even painful for women who already have tender breasts but each picture only takes 15 seconds, or so.

Q: Can a woman choose where to get the mammogram done?

LL: A woman may chose the breast center, but she needs to check with her insurance company to make sure if one is “in network” or “out-of-network.” That will determine her copay.

Q: Are there any special considerations for women with very large or small breasts?

LL: There are no special considerations for different sized breasts. If a woman has implants, we do two extra pictures per breast.

Mammograms do not hurt implants.

Q: Is there anything else a woman should know about mammograms or breast health?

LL: If there was one thing that I would want to get across to women, it would be that mammograms are only part of taking care of their breasts. They need to have a physician exam of them yearly and a monthly breast self-exam.

Many women feel that if their mammogram is clear, then they are good for another year. Mammograms are only 85 percent effective — 15 percent of breast cancers don’t show up on mammograms and are detected by the women themselves or their physician.

If a woman checks her breast regularly, she is much more apt to find something different, earlier than someone who rarely checks their breast.

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Supplemental testing for high risk patients The

By Jerry Gehl, MD, FACR. St. Vincent Breast Center parent, sibling or offspring. St. Vincent Breast Center uses the most current full-field digital mammogram technology and dedicated breast ultrasound, provided by a caring team of staff, technologists and physicians, to provide state-of-the-art breast imaging.

The goal is to find cancer in its earlier stages, when it is more successfully treated. Regular mammograms and MRIs can help women and their physicians reach that goal. Advanced cancers require more aggressive treatment and a woman’s quality of life is compromised when late-stage cancer is found compared to those found and treated early. On average, women who don’t get annual mammograms have cancers that are larger and more advanced.

Women should have a mammogram every year, beginning at age 40.

If you’re 40 or older and haven’t had your first mammogram, or if you’re due for a mammogram, call the St. Vincent Breast Center call 661-9766 to schedule an appointment.

[

Mammography has been, and remains, the most important test in the diagnosis of breast cancer, and it has a proven record. Women who get regular annual mammograms have a 30 percent lower mortality than women who don’t.

There has been confusion about whether women in their 40s should get mammograms. The resounding answer of those who work in the field, as well as organizations like the American Cancer Society and the American College of Gynecology, is “YES!” One out of five breast cancers develop in women in their forties.

Magnetic Resonance Imaging (MRI) is useful, in addition to mammograms, for those who have a high risk of breast cancer. St. Vincent Breast Center offers free computerized risk assessment to determine if a woman qualifies for a screening breast MRI. The assessment is available, for example, for women with two family members with breast cancer, one of whom is a first degree relative, which includes a

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age 40.

From birth to menopause and the milestones in between.

No one knows women’s health better than Baptist Health.

Baptist Health Women’s Center specializes in all areas of medicine for women. Our approach is high-tech with services like neonatal intensive care unit, women-specific surgery units and our breast centers. We’re also high-touch with trained women’s health specialists, support groups, and education services geared specifically for her.

for all our best, visit baptist-health.com or call 1-888-BAPTIST, ext.329

BEATING BREAST CANCER 2011 7

Starting off right Baseline mammograms a must One in eight women will be diagnosed with breast cancer in their lifetime, and the doctors at Radiology Associates, P.A. (RAPA) say it is necessary for all women to have yearly mammograms, but when to start those mammograms may vary, depending on a woman’s family history of breast cancer.

While the U.S. Preventative Services Task Force recently made a recommendation that women start their annual mammograms at age 50, organizations such as the American College of Obstetricians and Gynecologists, the American Cancer Society and the National Comprehensive Cancer Network have all endorsed the previous recommendation of starting annual mammograms at age 40 if a woman does not have an immediate family member (mother, sister) that has been diagnosed with breast cancer. Physicians like Dr. Shannon Turner of RAPA agree with starting mammograms at age 40, as well.

But if a woman has an immediate family member that has had breast cancer, the woman should start annual mammograms 10 years before the age of the family mem-

ber when they were diagnosed. For example, if a woman is diagnosed with breast cancer at age 35, her sisters and daughters should begin their annual mammograms at age 25.

Starting mammograms at that time will help doctors detect breast cancer earlier, which will lead to better outcomes, Turner said.

The first mammogram a woman receives is generally called a baseline mammogram.

“It’s usually just a typical screening mammogram, although women are sometimes called back for another mammogram if something stands out,” Turner said.

Once a woman starts getting annual mammograms, the current images are compared to all of the previous ones so that changes – even small ones -- can be noted and doctors will have an easier time determining if those changes are significant enough for a diagnostic mammogram or other tests.

Turner said it’s important that if women move, especially out of state, or decide to change breast centers, that they keep track of where they’ve had previous mammograms and to get copies of the images to take to the

“One in eight women will be diagnosed with breast cancer in their lifetime...”

new center if possible. Otherwise, “it’s like starting over again,” she said.

Turner stressed the importance of getting annual mammograms in conjunction with yearly breast exams by a doctor and monthly

self-exams.

“If we can catch it at its earliest stage, then that’s where we can save lives,” she said.

“Early detection makes breast cancer very curable in stage I.”

Dr. Shannon Tuner of Radiology Associates, P.A.

“AT THE ST. VINCENT BREAST CENTER, MY CARE TEAM WAS WITH ME EVERY STEP OF THE WAY.” – Linda Adkins

When Linda was diagnosed with stage 1 breast cancer, it changed her world.

She was worried … and scared. But thanks to early detection at the St. Vincent Breast Center, in partnership with Radiology Associates, P.A., and expert care from the oncology team at St. Vincent, Linda is more than a survivor. She’s thriving, caring for her family and ready to cross the finish line at this year’s Komen Race for the Cure.

We know that cancer presents you with many challenges, but you shouldn’t have to face them alone. From screening and diagnosis to treatment and recovery, St. Vincent provides comprehensive care for all types of cancer.

We’ll be here – to care for you and cheer you on.

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regimen of chemotherapy as an inpatient at St. Vincent in Little Rock with an 80-90 percent chance of remission.

She is experiencing the comprehensive nature of care available to cancer patients at St. Vincent Infirmary.

The medical experts at St. Vincent Infirmary can provide comprehensive oncology services at any point in your cancer journey. Those services include diagnostic procedures, chemotherapy, antibiotics, supportive infusion therapies, and a variety of holistic services. St. Vincent physicians are highly trained and experienced in medical oncology, radiation oncology and surgical oncology for cancer patients.

Mary also found free services at St. Vincent specifically tailored for cancer survivors and their families. She really enjoys the massages that help her relax.

Private counseling, stress management, cosmetic make-overs (that include very stylish wigs) and cancer survivor support groups are available for cancer survivors regardless of where medical services are provided.

Cancer is a life changing event. St. Vincent oncologists, surgeons, oncology nurses and other experts, in the care of cancer survivors, can help cancer survivors maneuver through the changes with more ease, less stress and a comforting environment until they return to a state of wellness and to their families. St. Vincent believes in treating the whole person: body, mind and spirit.

Let St. Vincent help you find the support you need to be a cancer survivor.

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a vacation for Mary ‘Dee Dee’ Scott. It actually happened to her while vacationing in Arkansas. Already a three year breast cancer survivor, Mary learned she has leukemia and would be spending more time than she had planned in Arkansas, because the plane trip back to California was simply too risky.

Her physician, Omer Khalil, M.D., told her that she might have only two weeks to live and without immediate treatment she could die of bleeding.

“Then I cried at the thought of not getting home to see my son, daughter-in-law and grandchildren,” Mary said. But she took her doctors advice.

Between treatments she spends lots of time either on her laptop computer or her cell phone staying in touch with her California family. Like all other patients at St. Vincent, Mary has a private room which gives her the freedom to talk openly with family members by phone or with those who visit her often.

St. Vincent patient Mary “Dee Dee” Scott walking Mary is now underwith a nurse. going a six-month

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From research to outreach Whether it’s groundbreaking surgical techniques, emotional support or appearance-related services, area providers offer a variety of assistance to those battling breast cancer REACHING OUT TO WOMEN EVERYWHERE The Women’s Resource Center at Baptist Health Medical Center-Little Rock is here to foster healing, encourage healthy lifestyles, support informed decision making and promote understanding through education. Its staff guides patients through the wealth of information available to address the ever-changing physical, emotional and intellectual needs a woman experiences in her lifetime. Anyone who seeks a greater understanding of women — including the men who care about

them — are welcome.

Positive Appearance Center For breast cancer patients and survivors, Baptist Health’s positive appearance center is a private area designed to help individuals manage the physical appearance changes brought about by cancer and its treatment. Consultants are available to provide information and assistance with personal appearance concerns. This private environment is a place where women can shop with dignity and purchase hats, tur-

bans, and other items that help women.

For patients who are currently undergoing chemotherapy and radiation, the Susan G. Komen for the Cure of Arkansas grants supports wig services for women with breast cancer. Call (501) 202-7386 for more information.

Look Good, Feel Better Program Baptist Health’s Look Good, Feel Better Program is offered through a partnership with the American Cancer Society. This program uses a specially trained, licensed cosmetologist to help women cope with the side effects of cancer treatment.

Women learn to use make-up, hats and wigs to disguise the physical evidence of cancer treatments and become more self-confident in the process. This program is free of charge. Classes meet from 1:30-3:30 p.m. the third Monday of each month at the Women’s Resource Center in the Hickingbotham Outpatient Center in Little Rock. To register or for more information, call (501) 202-7386.

Bosom Buddies Breast Cancer Support Group Breast Cancer will strike more than 200,000 times this year and claim more than 40,000 lives. It’s often assumed that coping with the shock of a breast cancer diagnosis is the most difficult part of living with breast cancer, but women who have had breast cancer know that life is

often hardest after treatment ends. The Bosom Buddies Support Group, in partnership with the American Cancer Society, meets from 5:30-7 p.m. the second Thursday of each month at the Women’s Resource Center in the Hickingbotham Outpatient Center in Little Rock. This informal group setting allows women with breast cancer to share their personal experience.

NEW SURGICAL TECHNIQUES Led by University of Arkansas for Medical Sciences Winthrop P. Rockefeller Cancer Institute surgeon and Breast Cancer Program director Dr. V. Suzanne Klimberg, the UAMS BreastTeam is implementing groundbreaking surgical techniques for breast cancer patients.

The first technique involves removing only the glandular tissue from the breast during a total mastectomy, which preserves the skin and the nipple and allows a plastic surgeon to reconstruct the breast during the same surgery, Dr. Cristiano Boneti, a surgeon who specializes in breast oncology, said in a recent interview. In the past, a total mastectomy meant removing all of the breast tissue, which could be “very disfiguring” and required a separate reconstructive surgery, Boneti said.

While skin preservation has been done in the past, most surgeons removed the nipple because it connected to the glandular tissue and it was shown that cancer regrowth was possible. However, UAMS

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surgeons have implemented a technique that removes almost all the glandular tissue from the nipple, which allows the nipple to remain, Boneti said.

He said patients who have had the procedure have been happy with the results, although there is a small chance that the nipple tissue may die at a later point and have to be removed.

“It would be the same effect as the regular surgery [where the nipple is removed during the mastectomy],” he said.

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Lymph mapping

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hEroEs!

Another technique currently in use at UAMS involves mapping the lymphatic channels of the breast and arm. Lymph nodes are small bundles of cells covered by connective tissue that filters the lymphatic fluid in the body and protects the body by destroying invaders. Lymph nodes are located in groups, and each group drains a specific area of the body, according to Mayoclinic.com.

Sometimes breast cancer can spread to the lymph nodes, which then have to be removed surgically. During the removal, lymph nodes in the arm can be damaged, which causes the lymphatic fluid to collect in the limb, causing painful and sometimes debilitating swelling, a condition some breast cancer survivors say is worse than the mastectomy.

Boneti said surgeons at UAMS are now using a dye to mark which channels drain from the arm, instead of the breast, to differentiate the lymph nodes affected by breast cancer and which are not.

If the nodes infected with cancer are above where the arm and breast lymph channels cross, the nodes can be removed without damaging the arm’s lymph drainage system, Boneti said.

CONWAY REGIONAL FITNESS CENTER HELPS SURVIVORS The Conway Regional Health & Fitness Center has begun a new program: Living with Breast Cancer.

Emotional and BEhavioral hEalth is important to thEir succEss Signs Of Concern: • Depression • Abrupt Changes In Behavior • Mood Swings • Crying Spells • Recent Grief Or Loss • Changes In School Performance • Giving Away Treasured Belongings • Suicidal Comments • Hopelessness Residential Facility

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continued on Pg. 12 BEATING BREAST CANCER 2011 11

There is hope.

outreach This project will guide individuals with breast cancer regarding nutrition and physical activity. Forty-two qualifying individuals will receive nutrition consultation with Kellie Dye, R.D., L.D., a registered, licensed dietitian, in addition to one-on-one training with Amy Routt, ACE, a certified personal trainer.

“The intent of our program is to bring education to our community on how to live with breast cancer,” said Rance Bryant, director of the fitness center.

Living with Breast Cancer will work in conjunction with the American Cancer Society’s Look Good, Feel Better program currently ongoing at Conway Regional.

The program is funded through a $5,245 grant awarded by the Susan G. Komen for the Cure Arkansas Affiliate.

Hematology Oncology Services of Arkansas Dedicated to bringing patients the best breast cancer care available.

Doctors: Brad P. Baltz, MD • Rhonda W. Gentry, MD Practice limited to adult Hematology and Oncology

9101 Kanis Rd # 200 • Little Rock (501) 907-6444 12 HOPE RUNS ON HEROES

Support Services Conway Regional offers free services to female cancer patients who are undergoing chemotherapy or radiation therapy who need help with certain aesthetic needs, such as make-up and wigs.

The Fabulous You Boutique provides women with wigs, turbans, scarves and hats to complete their ensemble. This free program is funded through the Conway Regional Health Foundation and the Susan G. Komen for a Cure grant program.

The Look Good, Feel Better program offers the assistance of cosmetologists to help cancer patients with make-up application, dry skin and discolored nails to boost self-esteem, and make them look beautiful and feel better about themselves.

Look Good, Feel Better is a free, nonmedical, product-neutral program offered

by Conway Regional in partnership with the American Cancer Society, The Cosmetology Association and The Cosmetic, Toiletry, and Fragrance Association.

To receive a wig, turban and/or register to attend one of the monthly Look Good Feel, Better parties scheduled in 2011, contact Trudy Hightower, outreach coordinator in the Women’s Center, at (501) 513-5230.

Roses Among Thorns is a support group for female cancer patients that meets at 11 a.m. the third Wednesday of the month at Springhill Baptist Church in Greenbrier.

Lunch is provided. For details, call (501) 472-1120.

A PERSONAL APPROACH Unlike most obstetrics and gynecology practices in Central Arkansas, Dr. Jill Kimmer is partnered with one other doctor, Dr. William Harrison, who has been in practice for about 30 years. Their offices

cont.

are located in the Doctors Building, which means they have radiologic resources for mammograms just downstairs.

Kimmer said one of the advantages to a small practice is the physicians really get to know their patients, and the patients get to know the doctors and staff.

“We’re in the meat of it,” she said. “Everything comes across [the doctors’] desks – we say there’s no office manager because we’re the office managers.”

Kimmer said she believes that it’s always a good idea for a person to know their own body, and encourages her patients to do breast self-exams so they can be aware of small changes that may point to cancer.

“Breast cancer is like prostate cancer in that if it’s caught early, it’s curable,” she said.

In regard to mammograms, she recommends her patients get one every other year from ages 40 to 50, then every year after that. She added that it’s important for a woman to know her family’s health history.

“If someone has two or more first-degree relatives that were diagnosed with breast cancer, or the diagnosis came before age 40 or if there has ever been a man in the family with breast cancer, then they may qualify for genetic testing,” she said.

GENETIC TESTING Aside from working with breast cancer surgeons and radiation oncologists at CARTI, Hematology Oncology Services of Arkansas also provides breast cancerrelated genetic testing, including one test that may help patients and doctors determine the best course of treatment for breast cancer.

This test, the tumor gene assay, is only about a couple of years old and is used to help determine a breast cancer patient’s long-term prognosis.

Dr. Brad Baltz of Hematology Oncology Services said the test is an actual DNA test of a breast cancer tumor specimen, which is sent to a lab in California for analysis.

“They look at the genes in the tumor and compare them to a large database of previous patients with a known recurrence risk and survival rate,” he said. Patients are provided a written report that gives their predicated risk of a 5-year recurrence of breast cancer as a percentage.

Baltz stressed that early detection is the key to fighting breast cancer.

“Our job is easier if women get their mammograms,” he said. “There’s less mortality, less chemo, less bad news. We ask all of our female patients when their mammograms are due, no matter what they come in for.”

When is your mammogram due?

Breast Cancer In the United states Women In 2011, it is estimated that among U.S. women: •There will be 230,480 new cases of invasive breast cancer (includes new cases of primary breast cancer among survivors, but not recurrence of original breast cancer among survivors).

•There will be 57,650 new cases of in situ breast cancer (includes ductal carcinoma in situ [DCIS] and lobular carcinoma

in situ [LCIS], of those, about 85 percent were DCIS). DCIS is a non-invasive breast cancer and LCIS is a risk factor that increases the risk of invasive breast cancer •There will be 39,520 breast cancer deaths.

Men Breast cancer in men is rare, but it does happen. In 2011, it is estimated that

be a fundraising hero If everyone who participates in the Annual Komen Arkansas Race for the Cure raised an additional $150 over the registration fee, we would have many MILLIONS of dollars for mammograms, treatment and education of breast cancer in Arkansas!

And, not only would you know that you are a FUNDRAISING HERO by helping women in Arkansas who are underinsured and need assistance, but you will also be earning FABULOUS prizes, too! Prizes will be issued after the conclusion of the Fundraising Program which ends on Nov. 22.

Raise $150 to $300 and we will send you a Fundraising Hero T-Shirt when your donation is confirmed on-line. No waiting!

Raise $301 to $600 and get the second in the series of three original art prints by local artist Jim Johnson and the Hero T-Shirt.

Raise $601 to $1000 and get a $25 Gift Card from USA Drug and the Jim Johnson art print and the Hero T-Shirt.

Raise over $1001 and get a Susan G. Komen Pink Leather Bracelet from Pandora - Park Plaza, the $25 Gift Card from USA Drug, the Jim Johnson art print and the Hero T-Shirt.

The TOP four overall fundraisers will get to choose from four grand prizes!

(Choices made in order of dollar amount raised. Prizes subject to change) •Shopping Spree at Hanks Furniture and More •$1,000 Kroger Gift Card •American Airlines Ticket to anywhere in the contiguous United States •Jewelry Piece from Stanley Jewelers and Gemologists

among U.S. men: • There will be 2,140 new cases of breast cancer.

• There will be 450 breast cancer deaths.

Rates of breast cancer incidence (new cases, including new cases of primary breast cancer among survivors, but not recurrence of original breast cancer among survivors) and mortality (the rate of death) are much lower among men than among women.

Survival rates for men are about the same as for women with the same stage of cancer at the time of diagnosis. However, men are usually diagnosed at a later stage because they are less likely to report symptoms.

Treatment for men is the same as treatment for women and usually includes a combination of surgery, radiation, chemotherapy, hormone therapy and/or targeted therapy.

Race day information and schedule Race day: 8 a.m. Saturday, Oct. 22

6-10:30 a.m. – Recycling and exhibit area open Sponsored by Regional Recycling and Waste Reduction District 6-8 a.m. – Packet pick-up and registration Location: Parking lot between Fourth and Arch streets 6:30 a.m. – Survivor breakfast Location: Metropolitan National Bank plaza (corner of Capitol Avenue and Broadway) 7 a.m. – Race festivities Location: Arkansas Democrat-Gazette stage (Fourth Street and Broadway) 7:15 a.m. – Survivor photo Location: Metropolitan National Bank plaza 7:30 a.m. – Go! Running competitive women’s 5K Location: Starts at Second Street and

Broadway; ends at Capitol Avenue and Gaines Street 7:40 a.m. – Pre-race ceremony Location: Arkansas Democrat-Gazette stage 8 a.m. – McDonald’s and KARK women’s 5K run/walk Location: Starts at Second Street and Broadway; ends at Capitol Avenue and Gaines Street 8:20 a.m. – KATV Channel 7 family fun walk/fun run 2K Location: Starts at Second Street and Broadway; will cross the bridge and end at Second and Spring streets 9:30 a.m. – “Sea of Pink” survivor parade Location: Broadway between Second and Fourth streets Family, friends and participants are encouraged to line the parade route at this location.

Continued on page 14

Jill Kimmer Jennings, M.D. Obstetrics and Gynecology Jill is a graduate of UAMS and did her specialty training in OB/GYN at the University of Oklahoma.

She recently joined Dr. Harrison in practice and is ACCEPTING NEW PATIENTS! The Doctors Building 500 South University, Ste. 815 • Little Rock, AR 72205 501.664.9232 Accept Most Major Insurance Plans Deliveries At St. Vincent And Baptist Hospitals

www.harrison-jenningsobgyn.vpweb.com BEATING BREAST CANCER 2011 13

Race day information and schedule Immediately following the race – Survivor luncheon

Location: Robinson Center This informal luncheon is free for survivors who are registered for the race and $15 for all other guests. Lunch begins immediately following the awards ceremony at Robinson Center. Payment for guests will be taken at the luncheon and is not included in the race registration fee.

Please come as you are. The presenting sponsor for the luncheon is St. Vincent.

Parking

On-street parking is available outside the perimeter of the race course. Carpooling is encouraged. For the safety of all, no parking is allowed along the race route. Survivor parking is located in the parking deck

by Metropolitan National Bank. Please note there will be no CATA bus shuttle.

Three Miles of Men

The Three Miles of Men (3MOM) program encourages fathers, brothers, sons, husbands, friends and co-workers to reg-

ister individually, form their own team or join an existing team to come out and support the fight against breast cancer.

Former NFL and Razorback starts Anthony Lucas and Clint Stoerner are this year’s honorary 3MOM co-chairs.

This year, 3MOM registrants will receive a T-shirt, an invitation to the sixth annual 3MOM tailgate party and breakfast the morning of the race. The easiest way to register is online at KomenArkansas.org.

The registration fee is $26.

cont.

Three Miles of Men is sponsored by Bank of America and Today’s THV Channel 11.

Event information

The 3MOM tent will be at the corner of Capitol and Izard. Parking is adjacent to Capitol Smokehouse and Grill, which will be serving breakfast and coffee to the first 100 men at the tent.

The tailgate party will be from 5-7 p.m.

Friday, Oct. 14 at Diamond Bear Brewery, located at Third and Cross streets. Come enjoy Larry’s Pizza, beverages and music.

Central Arkansas Transit streetcar service The River Rail Streetcar Line provides 3.4 miles of service, crossing the Arkansas River to connect the downtown areas of Little Rock and North Little Rock.

Streetcars are also available for private parties, renting by the hour. Call 501-374-5354 or 501-375-6717 for information on fares, schedules and rental rates or check the CATA website at www.cat.org.

Schedule information for streetcars and CATA buses will also be available soon on Google Transit.

ing you need to know...

LetWe’re The Race Begi n !

Proud Supporters of the

Susan G. Komen Race for the Cure

®

Stop in and check out our wide selection and specials to start your race day!

1701 Main Street 501-376-3473

Visit the following Little Rock locations: 10320 StageCoaCh 501-455-3475

7507 Cantrell rd.

501-614-3477

7525 BaSeline rd.

501-562-6629

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14 HOPE RUNS ON HEROES

Shop Pink The Promenade at Chenal is committed to helping you look, feel and be the best you can be. Count on us to bring you the latest fashions, fabulous new stores and exceptional dining in one beautiful location.

We believe in giving back to the community we serve, providing fun events and entertainment the whole family can enjoy. And we proudly support the Susan G. Komen Foundation in the fight for a cure.

Join our Fall Festival Celebration on Saturday, October 15, from 1 – 5pm.

Kick off the holidays with a toy drive benefitting the Toys for Tots Foundation. Enjoy exclusive event-only sales, offers, giveaways and more.

Visit ChenalShopping.com for details.

Now Open: Apple | J.Crew | Nike Anthropologie | Charming Charlie | DSW Shoes Chenal 9 Theatres with IMAX | LOFT

CheNAl PArKWAy • liTTle rOCK CheNAlShOPPiNG.COm

Supporting Survivors for Over 100 Years At Snell Laboratory, our business has always been to provide outstanding care and support for our patients. Since 1911, the company has provided the highest quality prosthetic, orthotic, and pedorthic devices available. And now we also provide the finest postmastectomy accessories and breast forms available too. Our compassionate all-female staff of certified mastectomy fitters always strives to give patients the latest in technology and the best in care. They offer the most up-to-date, natural appearing breast forms and foundation garments to help you feel your best.

EXPRESS YOUR JOY We are dedicated to the pursuit of excellence and joy in learning in a nurturing community that prepares our students to live principled and fulfilling lives of leadership and service to others.

1-800-342-5541 (501) 664-2624

(Statewide Toll-Free)

625 North University Avenue • Little Rock, AR Offices located in Little Rock, Russellville, Fort Smith, Mountain Home, Fayetteville, Hot Springs, North Little Rock, Jonesboro, and El Dorado

For more information, visit us online at EpiscopalCollegiate.org.

Every Day is an Open House

The Latest In Technology. The Best In Care.

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Jackson T. Stephens Campus | 1701 Cantrell Rd | Little Rock, Arkansas | 501.372.1194 | Pre-K3 through 12 Episcopal Collegiate School welcomes students of any race, color, religion and national or ethnic origin.

PROSTHETICS / ORTHOTICS / PEDORTHICS / POST-MASTECTOMY BEATING BREAST CANCER 2011 15

16 HOPE RUNS ON HEROES