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Breast Cancer Awareness From the Innovative Cancer Institute 2019

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Breast Cancer Awareness From the Innovative Cancer Institute 2019

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Educate yourself on Breast Cancer ! From myths and misconceptions to cancer prevention, detection, and treatment. All you need to know about this cancer that affects 1 out every 8 women. Includes recent statistics and info about radiation therapy, mastectomy, lumpectomy, chemotherapy and much much more. Brought to you by Dr. Beatriz Amendola of the Innovative Cancer Institute.

Educate yourself on Breast Cancer ! From myths and misconceptions to cancer prevention, detection, and treatment. All you need to know about this cancer that affects 1 out every 8 women. Includes recent statistics and info about radiation therapy, mastectomy, lumpectomy, chemotherapy and much much more. Brought to you by Dr. Beatriz Amendola of the Innovative Cancer Institute.


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Breast Cancer Awareness From the Innovative Cancer Institute 2019

  2. 2. Together, they built ICI to be a cancer center where doctors and patients could find state-of-the-art technologies and minimally invasive treatments maintaining a small practice environment while treating patients like family. Innovative Cancer Institute (ICI) was founded in July of 2008 by Doctors Beatriz and Marco Amendola, two Board Certified Doctors, each with over 35 years of experience. Dr. Beatriz is a highly respected Radiation Oncologist and an honored member of the leading medical societies across the globe. Dr. Marco is a board certified Radiologist with more than 30 years of experience in Oncologic Imaging. www.innovativecancer.com 2 Who and What is The Innovative Cancer Institute?
  3. 3. 3
  4. 4. What We’re Going to Cover 1. Cancer Prevention 2. Cancer Detection 3. Cancer Treatment 4
  5. 5. Let’s Start With Some Myth Busting. 5
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  14. 14. 14 Prevalence of BRCA 1 & 2 mutations among U.S. women with breast cancer by ethnic group . (In alphabetical order) Source: Adapted from National Cancer Institute materials and Malone et al. As you can see, the numbers are very low for most.
  15. 15. Good News & Bad News 15
  16. 16. Breast Cancer Is VERY COMMON www.innovativecancer.com U.S. women (about 12%) will develop invasive breast cancer over the course of her lifetime The Bad News... 1 in 8 Source: https://www.breastcancer.org 16
  17. 17. In Fact, in 2019... www.innovativecancer.com of all newly diagnosed cancers in women, will be breast cancers.30% Source: https://www.breastcancer.org 17
  18. 18. Breast Cancer Is VERY CURABLE And the decades-long DROP in breast cancer death rate continues. In the most recent 5-year period (2013-2017), the breast cancer death rate declined by 2.1% per year in Hispanics/Latinas, 1.5% per year in blacks, 1.0% per year in whites, and 0.8% per year in Asians/Pacific Islanders, and was stable in American Indians/Alaska Natives. www.innovativecancer.com The Good News... 18
  19. 19. Some groups are still at higher risk www.innovativecancer.com 19
  20. 20. Black Women Are at Higher Risk www.innovativecancer.com Black women are still more likely to die from the condition than white women — the survival rate for Black women is about 10% less than it is for white women. Source: Breast Cancer Research Foundation 20
  21. 21. For Hispanic Women, Breast Cancer is the Most Fatal Cancer www.innovativecancer.com Lung cancer is the most fatal cancer for women in the U.S. overall, but it's the leading cause of cancer death for Hispanic women, even though they are diagnosed with breast cancer at lower rates. Source: American Cancer Society, 21
  22. 22. Men Can Get Breast Cancer Too, But it’s NOT Common. www.innovativecancer.com Less than 1% of all breast cancers and less than 1% of all carcinomas in men are Breast Cancer. 22 Men with higher risk include: ● Old Age ● Liver disease ● Obesity ● Family history ● Exposure to estrogen ● Klinefelter's syndrome
  23. 23. www.innovativecancer.comSource: BreastCancer.ORG of breast cancers occur in women who have NO family history of breast cancer.85% Understanding Family History However, a woman’s risk of breast cancer nearly doubles if she has a 1st-degree relative who has been diagnosed with breast cancer. 2X 23
  24. 24. If It’s Not Passed Down, Then What Causes Breast Cancer? 24 And What Can We Do To Prevent It? www.innovativecancer.com
  26. 26. WHAT IS BREAST CANCER Every day, cells in your body dividing, growing or dying in an orderly manner. That’s how our bodies work. Breast Cancer happens when cells in the breast tissue grow and divide without normal control. These cells can grow to form a lump or mass, and that’s called a tumor. Tumors can be either Benign (Not Cancerous) or Malignant (Cancerous). By them time a malignant tumor is large enough to feel, it may have been growing for a long time. 26 www.innovativecancer.com
  27. 27. HOW BREAST CANCER CAN GET COMPLICATED Non-invasive breast cancer - Ductal carcinoma in situ Invasive breast cancer Metastatic breast cancer Proximity to the lymph nodes allows breast cancer to spread faster. And that’s what makes it so dangerous. 27 www.innovativecancer.com
  28. 28. 28 www.innovativecancer.com
  29. 29. HOW BREAST CANCER HAPPENS It starts with changes or mutations in DNA that can cause normal breast cells to become cancerous cells. We don’t always know the causes of cancer, but research has shown there are ways to increase or decrease your likelihood of getting cancer. Those are called RISK FACTORS. 29 www.innovativecancer.com
  30. 30. The 2 Most Significant Risk Factors are simply: 30
  31. 31. The 2 Most Significant Risk Factors are simply: 1. Being Female 2. Growing Older 31 www.innovativecancer.com
  32. 32. Other Risk Factors ● Alcohol Use ● Ashkenazi Jewish Heritage ● Lack of exercise ● Being overweight (or weight gain after menopause) ● Not having children, or having them post 35 ● Not Breastfeeding ● Younger age at first period ● Current/recent use of Birth Control Pills ● Older age at menopause ● Current/recent use of menopausal hormones Source: American Cancer Society ● High breast density on a mammogram ● Multiple prior biopsies ● Family History and inherited BRCA 1 or BRCA 2 gene mutation ● Pre-Cancers ○ Ductal Carcinoma in Situ ○ Hyperplasia or lobular carcinoma in situ 32 www.innovativecancer.com
  33. 33. www.innovativecancer.com Healthy Lifestyle…. How to improve your odds Source: American Cancer Society ● Be physically active (get regular exercise). ● Achieve and maintain a healthy weight. ● Eat at least 2 ½ cups of fruits and vegetables daily ● Choose 100% whole grain foods ● Limit red meat and processed meat. ● Choose chicken, fish or beans more often. ● Limit "bad" fats and eat "good" fats ● Limit alcohol to no more than 1 drink per day 33
  34. 34. Most controllable risk factors only have a small effect on risk. This means no one behavior will prevent Breast Cancer. It also means there is no one thing that will cause it. 34
  36. 36. www.innovativecancer.com of breast cancer patients are diagnosed before the disease spreads Early Detection Is the BEST means to beat Breast Cancer 62% Source: American Cancer Society And the 5-year survival rate for localized breast cancer is 99% 36
  37. 37. Here’s How You Can Start Today 37
  38. 38. Self - Examination Clinical Mammogram Ultrasound Ways To Get Tested 38
  39. 39. Self - Examination Self-Examine Regularly Clinical Mammogram Ultrasound 39
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  41. 41. Clinical Test With Your PCP Clinical Mammogram Ultrasound 41
  42. 42. Mammogram once every year! Mammogram Ultrasound 42
  43. 43. Ultrasound in Higher Risk Cases Ultrasound 43
  45. 45. Treatment options vary depending medical conditions, like how early it’s detected / how large it is and personal choices, like duration of treatment and recovery or pain tolerance. Overall the 3 most common options are For Breast Cancer Patients, Surgery is where it starts. And some use a combination. ChemotherapyRadiation Therapy 45 www.innovativecancer.com Surgery
  46. 46. Surgery will be required to remove the cancer. BUT that does not mean you have to remove the WHOLE breast. 46
  47. 47. What we’ve witnessed time and again, is the automatic knee-jerk reaction most women have. A strong feeling of “GET IT OFF ME NOW!” without investigating all their options. 47 Fight the Knee-Jerk Reaction.
  48. 48. Mastectomy Lumpectomy + Radiation Both Have Same Exact Success Rate CONSERVES BREASTSREMOVES BREASTS 48 Women Should Know Mastectomy is Not the Only Option
  49. 49. www.innovativecancer.com The Two types of Surgery: Mastectomy 49 Lumpectomy
  50. 50. www.innovativecancer.com Surgery is highly targeted, but also has risk of complications, and often are followed by reconstruction surgery, many times requiring more surgeries. They are NOT to be confused with a simple breast augmentation procedure. Source: https://www.verywellhealth.com 50
  51. 51. www.innovativecancer.com Prone Breast Radiation Therapy 51 Supine Radiation - Breath Hold Radiation Therapy
  52. 52. Why Radiation? www.innovativecancer.com 52 + With Radiation, you can preserve your natural breast
  53. 53. www.innovativecancer.com Chemotherapy Chemo is when Medical Oncologists use drugs to kill cancer cells. This is a systemic way to treat the whole body and all the cells, and not localized. Chemotherapy can cause severe side effects including nausea, vomiting, diarrhea to name a few. Patients with large tumors or cancers that reach the lymph node, may benefit from chemotherapy and hormonal therapy to stop the cancer from spreading and/or coming back. 53
  54. 54. www.innovativecancer.com New * Immunotherapy Source: Susan G. Komen Foundation Drugs that help the body’s immune system attack cancer cells are now used to treat many cancers (including melanoma, lung cancer, bladder cancer and kidney cancer). Overall, immunotherapy drugs (including vaccines) are not as promising for breast cancer compared to other cancers at this time. However, they may be effective in treating some breast cancers. 54
  55. 55. 55 If You Only Remember 3 Things:
  56. 56. 1. Know your risk factors 2. Get tested often - Yearly Mammograms! 3. Explore ALL your options before treatment 56
  57. 57. APPENDIX www.innovativecancer.com 57
  58. 58. Learn more about the Innovative Cancer Institute and our team! 58
  59. 59. A Brief History of ICI Open doors with the new Varian Trilogy System, ICI was the first center in FL to offer RapidArc for Radiation Therapy JULY 2008 SEPT 2014 We installed a Varian EDGE system, only the second one in all of the US, and first in FL, allowing for more specialized Radiosurgery treatments OCT 2014 We updated our tech with a newer version of the Brachy HDR system to expand Breast, GYN and Skin Cancer treatments JULY 2015 Miami Mayor Carlos Gimenez honored Dr. Amendola by proclaiming that July 24, 2015 as Dr. Beatriz E Amendola Day. As of November 1st, we will be the first in Florida to have the new Varian Halcyon 2.0 NOV 2018 www.innovativecancer.com 59
  60. 60. Our Core Medical Team www.innovativecancer.com DOCTORS PHYSICISTS AND DOSIMETRY Dr. Beatriz Amendola MD FACR FASTRO FACRO Dr. Allie Garcia-Serra MD Dr. Marco Amendola MD FACR Alejandro Iglesias RTT, CMD Naipy C. Perez MSc, DABR Xiaodong Wu PhD 60
  61. 61. What do we treat? From Benign Tumors to Carcinomas, Melanomas and Lymphomas, our technology is expansive enough to treat a wide range of cancers: Lung cancer Gynecological cancer Prostate cancer Gastrointestinal cancer Breast cancer Colorectal cancer Skin cancer Kidney cancer Spinal tumors Brain tumors Bladder cancer Ocular melanomas Pancreatic cancer Benign tumors (Meningioma; Pituitary Adenoma) Head/Neck cancer www.innovativecancer.com 61
  62. 62. What Makes ICI Different? www.innovativecancer.com 62
  63. 63. COME VISIT US ANYTIME! www.innovativecancer.com 5995 SW 71St South Miami, FL 33143 info@innovativecancer.com Tel: +1 305-669-6833 63