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ARKANSAS TIMES PUBLISHED BY ADVERTISING DEPARTMENT BEATING BREAST CANCER 2011 A GUIDE TO PREVENTION AND TREATMENT HOPE RUNS on HEROES

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Page 1: Breast Cancer Guide

BEATING BREAST CANCER 2011 1

ARKANSAS TIMESPublished by

Advertising dePArtment

beAting breAst CAnCer 2011

A guide tO PreventiOn And treAtment

HOPE RUNS on HEROES

Page 2: Breast Cancer Guide

2 HOPE RUNS ON HEROES

HOPE RUNS ON HEROES

JillEtta JO (HaRREll) WiNHOlt 2011 race chair

Jilletta Winholt is this year’s race chair. She is a coor-dinator 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 busi-ness education from the University of Cen-tral 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 acci-dent while serving as teams committee chair in 2001, she, along with her co-worker Yanci Grady Gibson, stepped in and led the committee. Winholt con-tinued 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 Bai-

ley made aviation history when she success-fully spearheaded an effort to have the Flight

93 cockpit voice recorder released in April 2002. She bravely traveled twice to Europe under the pro-

tection 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 net-works and has been featured in several publications, including People magazine and USA Today. She has consulted on the writing and producing of 15 documen-taries 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

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 diagno-

sis and an affirmation of another year of being cancer-free. A credentialing coordinator at Baptist Health, Woods first got involved with Komen Arkan-sas 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 cancer-free, 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.

tHE facES Of BREaSt caNcER

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.

Go! RunningHome o f

Page 3: Breast Cancer Guide

BEATING BREAST CANCER 2011 3

Making better healthcare a reality.

We make a difference by

“providing the latest technology for detecting breast cancer.”

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.

–Karissa Williams Mammography Technologist

Up To ThE ChAllENGEGo! Running and Mount St. Mary’s partner to get students involved

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 stu-dent 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.

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.

Page 4: Breast Cancer Guide

4 HOPE RUNS ON HEROES

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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 satu-rated fat, and alcoholic intake of more than two drinks per day. MENStRUal & REPROdUctivE HiStORy: Early menstruation or late menopause, hav-ing your first child at an older age or not hav-ing 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 fEElSYou 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 lOOkSThis 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 can-cer 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 sub-tle thickening in the upper-outer quadrant of the breast. This breast cancer type repre-sents 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

kNOWlEdgE iS POWER Things you need to know about 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 approxi-mately 1% to 2% of all breast carcinoma. This type of breast cancer’s main differentiat-ing 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 can-cer cases in the United States.

StagES Of bREaSt caNcERAll breast cancers that have been diagnosed must have other tests performed to deter-mine 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.

Page 5: Breast Cancer Guide

BEATING BREAST CANCER 2011 5

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5-YEAR SURVIVAL RATE BY STAGEStage 0 — 100%

Stage I — 98%Stage II — 88%

Stage IIIA — 56%Stage IIIB — 49%Stage IV — 16%

STAGINGSTAGE 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 sur-rounding breast tissue. Referred to as carci-noma in situ, it is classified in two types: Ductal Carcinoma In Situ (DCIS) — very early cancer that is highly treatable and sur-vivable. 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 devel-oping breast cancer. STAGE I — EARLY STAGE InVA­SIVE 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 IIStage 2 breast cancer is divided into two cat-egories according to the size of the tumor and whether or not it has spread to the

lymph nodes: STAGE II A BREAST CAn­CER — 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 big-ger 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 auxil-iary 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 (approxi-mately 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 Can-cer Foundation. For more information, visit www.nationalbreastcancer.org.

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Page 6: Breast Cancer Guide

6 HOPE RUNS ON HEROES

MaMMOgRaMS: THE baSicS

For a woman who has never gotten a mammo-gram, 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 per-forms: a screening mammogram and a diagnostic mammogram.

Q: wHaT HaPPENS iN a ScREENiNg MaMMO-gRaM?

LL: A screening mammogram is one where a woman is not having any prob-lems 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 radiolo-gist will read this mammogram within 24-36 hours. The only person involved in the actual taking of pictures is the radiology tech-nologist. 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

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 mam-mogram. 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 indi-cated to determine if her mammogram is normal or if it needs to be biopsied. These results are given while the woman is here.

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 MaM-MOgRaM bE ScHEDUlED?LL: Mammograms should be sched-uled 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 cer-tain 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 cen-ter, but she needs to check with her insur-ance company to make sure if one is “in network” or “out-of-network.” That will determine her copay.

Q: aRE THERE aNy SPE-cial 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 MaM-MOgRaMS 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 mam-mogram 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 some-thing different, earlier than someone who rarely checks their breast.

Page 7: Breast Cancer Guide

BEATING BREAST CANCER 2011 7

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Mammography has been, and remains, the most important test in the diagno-sis of breast cancer, and it has a proven record. Women who get regular annual mammograms have a 30 percent lower mor-tality than women who don’t. There has been confusion about whether women in their 40s should get mam-mograms. The resound-ing 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 can-cers 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 assess-ment to determine if a woman quali-fies 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

parent, sibling or offspring. St. Vin-cent Breast Center uses the most cur-rent full-field digital mammogram

technology and dedi-cated breast ultrasound, provided by a caring team of staff, technolo-gists 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 mam-mograms 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 compro-

mised 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.

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Page 8: Breast Cancer Guide

8 HOPE RUNS ON HEROES

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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.

One in eight women will be diagnosed with breast cancer in their lifetime, and the doc-tors at Radiology Associates, P.A. (RAPA) say it is necessary for all women to have yearly mammograms, but when to start those mam-mograms 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 Ameri-can College of Obstetricians and Gynecolo-gists, the American Cancer Society and the National Comprehensive Cancer Network have all endorsed the previous recommenda-tion 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 fam-ily 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 mammo-gram, although women are sometimes called back for another mammogram if something stands out,” Turner said. Once a woman starts getting annual mam-mograms, 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 diagnos-tic 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

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.”

StaRtiNg Off RigHt Baseline mammograms a must

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

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

Page 9: Breast Cancer Guide

BEATING BREAST CANCER 2011 9

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Imagine vacationing with your family in another state. You end each day elated that you’re with loved ones and friends, but also a bit more tired than you expect. And just as you are about to say the last good-byes, a relative insists you see a doctor. Then you find yourself face to face with a doctor who tells you that you have cancer. There is no imagining such

a vacation for Mary ‘Dee Dee’ Scott. It actually happened to her while vacation-ing in Arkansas. Already a three year breast cancer survivor, Mary learned she has leukemia and would be spend-ing 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 imme-diate 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 Cal-ifornia 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. Mary is now under-going a six-month

regimen of chemotherapy as an inpa-tient at St. Vincent in Little Rock with an 80-90 percent chance of remission. She is experiencing the comprehen-sive nature of care available to cancer patients at St. Vincent Infirmary.The medical experts at St. Vincent Infir-mary can provide comprehensive oncol-ogy services at any point in your cancer journey. Those services include diagnos-tic procedures, chemotherapy, antibiotics, supportive infusion therapies, and a vari-ety of holistic services. St. Vincent physi-cians 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 sup-port groups are available for cancer sur-vivors regardless of where medical ser-vices are provided.Cancer is a life changing event. St. Vin-cent oncologists, surgeons, oncology nurses and other experts, in the care of cancer survivors, can help cancer sur-vivors maneuver through the changes with more ease, less stress and a com-forting environment until they return to a state of wellness and to their fami-lies. St. Vincent believes in treating the whole person: body, mind and spirit. Let St. Vincent help you find the sup-port you need to be a cancer survivor.

St. Vincent patient Mary “Dee Dee” Scott walking with a nurse.

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Page 10: Breast Cancer Guide

10 HOPE RUNS ON HEROES

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REACHING OUT TO WOMEN EVERYWHERE The Women’s Resource Center at Baptist Health Medical Center-Little Rock is here to foster healing, encour-age healthy lifestyles, support informed decision making and promote under-standing 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 CENTERFor breast cancer patients and survi-vors, Baptist Health’s positive appear-ance 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 appear-ance concerns. This private environ-ment 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 under-going chemotherapy and radiation, the Susan G. Komen for the Cure of Arkan-sas grants supports wig services for women with breast cancer. Call (501) 202-7386 for more information.

LOOk GOOd, FEEL BETTER PROGRAMBaptist 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 pro-gram 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 Cen-ter in Little Rock. To register or for more information, call (501) 202-7386.

BOSOM BUddIES BREAST CANCER SUPPORT GROUPBreast 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 liv-ing 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 part-nership with the American Cancer Society, meets from 5:30-7 p.m. the second Thurs-day 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 Pro-gram 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 oncol-ogy, said in a recent interview. In the past, a total mastectomy meant removing all of the breast tissue, which could be “very dis-figuring” and required a separate recon-structive surgery, Boneti said. While skin preservation has been done in the past, most surgeons removed the nipple because it connected to the glan-dular tissue and it was shown that cancer regrowth was possible. However, UAMS

FROM RESEARCH TO OUTREACHWhether it’s groundbreaking surgical techniques, emotional support or appearance-related services, area providers offer a variety of assistance to those battling breast cancer

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BEATING BREAST CANCER 2011 11

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surgeons have implemented a technique that removes almost all the glandular tis-sue from the nipple, which allows the nipple to remain, Boneti said. He said patients who have had the pro-cedure 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 regu-lar surgery [where the nipple is removed during the mastectomy],” he said.

Lymph mAppING

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 lym-phatic 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 dam-aged, which causes the lymphatic fluid to collect in the limb, causing painful and sometimes debilitating swelling, a condi-tion 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 SURVIVORSThe Conway Regional Health & Fitness Center has begun a new program: Living with Breast Cancer.

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Page 12: Breast Cancer Guide

12 HOPE RUNS ON HEROES

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9101 Kanis Rd # 200 • Little Rock(501) 907-6444

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

Dedicated to bringing patients the best breast cancer care available.

Hematology Oncology Services of Arkansas

This project will guide individuals with breast cancer regarding nutrition and physical activity. Forty-two qualifying individuals will receive nutrition consul-tation with Kellie Dye, R.D., L.D., a reg-istered, 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 edu-cation 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.

SUPPORt SERvicESConway Regional offers free services to female cancer patients who are under-going chemotherapy or radiation ther-apy 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 appli-cation, 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, non-medical, product-neutral program offered by Conway Regional in partnership with the American Cancer Society, The Cos-metology 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 APPROAcHUnlike most obstetrics and gynecology practices in Central Arkansas, Dr. Jill Kim-mer is partnered with one other doctor, Dr. William Harrison, who has been in practice for about 30 years. Their offices

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. “Every-thing 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 recom-mends 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 tEStiNGAside from working with breast cancer surgeons and radiation oncologists at CARTI, Hematology Oncology Services of Arkansas also provides breast cancer-related genetic testing, including one test that may help patients and doctors deter-mine 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 pre-vious 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 recur-rence 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?

OUtREAcH cONt.

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BEATING BREAST CANCER 2011 13

Obstetrics and Gynecology

Jill is a graduate of UAMS and did her specialtytraining in OB/GYN at the University of Oklahoma. She recently joined Dr. Harrison in practice and isACCEPTING NEW PATIENTS!

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BREAST CANCER IN ThE UNITEd STATESWomEN In 2011, it is estimated that among U.S. women: •There will be 230,480 new cases of inva-sive breast cancer (includes new cases of primary breast cancer among survivors, but not recurrence of original breast can-cer 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 per-cent 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

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. How-ever, men are usually diagnosed at a later stage because they are less likely to report symptoms.Treatment for men is the same as treat-ment for women and usually includes a combination of surgery, radiation, che-motherapy, hormone therapy and/or tar-geted therapy.

BE A fUNdRAISING hERoIf 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 dol-lars 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

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 registrationLocation: Parking lot between Fourth and

Arch streets6:30 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 photoLocation: Metropolitan National

Bank plaza7:30 a.m. – Go! Running competitive

women’s 5KLocation: Starts at Second Street and

Broadway; ends at Capitol Avenue and Gaines Street

7:40 a.m. – Pre-race ceremonyLocation:

Arkansas Democrat-Gazette stage 8 a.m. – McDonald’s and KARK women’s

5K run/walkLocation: 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 streets9:30 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.

RACE dAy INfoRmATIoN ANd SChEdUlE

CoNTINUEd oN pAGE 14

Page 14: Breast Cancer Guide

14 HOPE RUNS ON HEROES

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501-562-6629

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Immediately following the race – SURvivOR lUNcHEON

Location: Robinson CenterThis informal luncheon is free for survi-vors who are registered for the race and $15 for all other guests. Lunch begins immediately following the awards cer-

emony 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.

PaRkiNgOn-street parking is available outside the

perimeter of the race course. Carpooling is encouraged. For the safety of all, no park-ing is allowed along the race route. Survi-vor parking is located in the parking deck by Metropolitan National Bank. Please note there will be no CATA bus shuttle.

THREE MilES Of MENThe Three Miles of Men (3MOM) pro-gram 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 sup-

port 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.

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

EvENT iNfORMaTiONThe 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.

RacE day iNfORMaTiON aNd ScHEdUlE cONT.

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.

Page 15: Breast Cancer Guide

BEATING BREAST CANCER 2011 15

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 post-mastectomy 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.

The Latest In Technology. The Best In Care. www.snellpando.com

PROSTHETICS / ORTHOTICS / PEDORTHICS / POST-MASTECTOMY

1-800-342-5541 (Statewide Toll-Free) (501) 664-2624625 North University Avenue • Little Rock, AROffices located in Little Rock, Russellville, Fort Smith, Mountain Home, Fayetteville, Hot Springs, North Little Rock, Jonesboro, and El Dorado

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

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Shop PinkThe 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.

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Page 16: Breast Cancer Guide

16 HOPE RUNS ON HEROES