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HP 330: Komen for the Cure Notes

by: Sydney Brummett

HP 330: Komen for the Cure Notes HP 330

Marketplace > Wichita State University > Health Professions > HP 330 > HP 330 Komen for the Cure Notes
Sydney Brummett

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About this Document

These notes are quoted from the presenters discussing Komen for the Cure. These notes will help you to write your reflection paper.
Cancer: Perspectives and Controversies
Dr. Paul Danner
Class Notes
health, Science, healthsciene, cancer, Perspectives, controversies, breast, breastcancer
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This 4 page Class Notes was uploaded by Sydney Brummett on Tuesday October 11, 2016. The Class Notes belongs to HP 330 at Wichita State University taught by Dr. Paul Danner in Fall 2016. Since its upload, it has received 44 views. For similar materials see Cancer: Perspectives and Controversies in Health Professions at Wichita State University.


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Date Created: 10/11/16
Komen for the Cure **All Notes are quoted from Kirsten Bruce and Peggy Johnson • Every 68 seconds someone is diagnosed with breast cancer • 1 in 8 women will be diagnosed with breast cancer in her lifetime • Susan G Komen Promise: to end breast cancer forever o Founded in 1982 by Nancy G. Brinker in memory of her sister Susan G. Komen o Today, the world’s largest grassroots network of breast cancer survivors and activists o $2.6 billion invested to date in research, education, awareness, screening and treatment • Who is Susan G. Komen for the Cure? o The Vision… A world Without Breast Cancer o The promise.. To save live and end breast cancer • Bold goal: reduce the current number of breast cancer deaths in the U.S. by 50% within the next decade o Focus on research that will advance treatments for aggressive and metastatic breast cancer o Improve access to care for underserved populations § Breast cancer deaths could be recued by as much as 1/3 if every woman and man had access to the current standard of care • Out work: fighting breast cancer on all fronts o Next to the U.S. government, we are the world’s largest source of nonprofit funds dedicated to ending breast cancer. Our “all angles” approach incorporates: § Local communities § Innovative research on a national level § Strong public policy across all levels of government § Global expansion • Worldwide, breast cancer is the number one killer. • 70 million dollars put in across the globe • 110 domestic affiliates and three international • 95 Counties in Kansas are covered by the Kansas Affiliate • Kansas affiliate information th o Race for the Cure celebrated its 27 year o Provided approx. 36,000 no cost mammograms in the state o Invested $4.6 million in screening and educational funds in Kansas • Where their money goes o Community Gants (75%) o Breast Cancer Research (25%) • 246,660 will be diagnosed this year, and 40,450 will die from it • About 80-90% of breast cancers in women without symptoms in the U.S. will be detected by mammography • In men: 2,600 new cases and 440 deaths are expected this year in the U.S. (so 1% of breast cancer diagnosed is in men, and 99% is in women) • In Kansas, 2210 new cases and 360 deaths • Genetics and breast cancer o Gene mutations are spontaneous or inherited o In the U.S. almost breast cancers are spontaneous gene mutations o Several inherited mutations and have been linked to breast cancer BRCA1 and BRCA2 o In the U.S. only 5-10% are due to inherited gene mutations • Early detection o Early detection and effective treatment offer the best chance of survival o Beast cancer mortality rate in the US declined 36 percent between 1989-2012 o There are most than 3 million breast cancer survivors in the US today • Breast self awareness (BSA) o Know your risk § Talk to both sides of family and know your family health history § Talk to your doctor about your personal risk of breast cancer § Risk factors • Do not cause breast cancer • Associated with increased chance of getting breast cancer • Some can be controlled and others can’t be changed • 2 most common: o Female o Getting older • Others include: o Family history, alcohol use, radiation exposure at a young age, first period before twelve, menopausal hormone use o Get screened § Ask doctor which screening tests are right for you if you are at a higher risk § Have a mammogram every year starting at age 40 if you are at average risk § Have a clinical breast exam at least every 3 years starting at 20, and every year starting at 40 § Mammography in the US • Widely available for finding breast cancer early • Screening every year at age 40 for women at average 4isk • If a woman is under 40 and has a family history or other concerns, she should talk to her doctors • Can be used for men and women § Clinical breast examination o Know what is normal for you § Know how your breasts look and feel § Report changes to your health care provider right away § Should be looking for: • Lumps, hard knots or thickening • Itchy, scaly sore or rash on nipple • Sudden nipple discharge • Pain in one spot that does not go away • Dimpling or puckering of the skin • Change in size or shape of breast • Unusual swelling, warmth or redness o Make healthy lifestyle choices § Maintain a healthy weight § Add exercise into your routine § Limit alcohol intake § Limit menopausal hormone use § Breastfeed, if you can • Diagnosis and staging o Not all breast cancer is the same – there are different types o Today a biopsy is needed to make a diagnosis of breast cancer o There are several ways a biopsy can be done – some with a needle and some in the operating room § But it is recommended that all are done by needle for breast cancer o The findings from a biopsy are reported on a pathology report o The pathology report findings will guide treatment • Breast cancer tumors o Ductal carcinoma in situ (DCIS) o Invasive carcinoma § Ductal carcinoma § Lobular carcinoma o Metastasis § When the cancer has left the breast • Other types of invasive breast cancer o Inflammatory breast cancer (IBC) § Hardest to diagnose § On the surface of the breast o Paget disease of the breast o Triple negative breast cancer (TNBC) • Treatment options o Local treatments § Surgery – lumpectomy, mastectomy (with or without reconstruction) § Radiation o Systemic treatments § Chemotherapy § Hormone therapy § Targeted therapy • Discovering the cures: o Every major advance in breast cancer has been touched by a Komen grant o Invested $920 million since 1982 o Nearly $75.5 million earmarked omen’s Promise Grants § Emphasizes quicker delivery of scientific outcomes to patients § Tackling some of the toughest breast cancers § $65 million investment in prevention research began in 2010 • Breast Cancer Research – How has research improved outcomes? o Breast cancer research has provided better treatments and better understanding of the disease o Mastectomy vs. Lumpectomy § Stage 1 or stage 2 they can do a lumpectomy (with radiation) and the outcomes are better than doing a mastectomy o Sentinel Node Biopsy vs. Total Node Removal o Less treatment is as good as/or better more than more treatment o Magic bullet drugs for certain types of breast cancer o Hormonal therapy vs. chemotherapy o Research continues to improve the outcomes of the cancer patient o Where they are today: § Susan G. Komen has invested nearly $1B in breast cancer research over the past 30 years § Komen’s research investment has included: • Better methods of early detection • Understanding one’s genetic makeup • Environmental effects on breast cancer – one’s personal environment and the world around us • Economic Factors – Disparities Research • Financial Toxicity • Basic research in breast cancer • Personalized medicine o Breast cancer won’t have one cure, but many o Treatments are going to depend on what kind of breast cancer you have and what treatments your genetic makeup will respond to o Research has provided us with better understanding


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