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Page 6 <strong>Clayton</strong> <strong>Pioneer</strong> • www.claytonpioneer.com October 22, 20<strong>10</strong><br />

More than awareness needed to fight breast cancer<br />

DENISEN HARTLOVE<br />

<strong>Clayton</strong> <strong>Pioneer</strong><br />

Not that long ago, a diagnosis<br />

of breast cancer was hidden<br />

from friends and relatives. And<br />

the word “breast” was never<br />

used in polite company.<br />

Today, a brief survey of<br />

<strong>Clayton</strong> residents found that<br />

every person asked knew at least<br />

someone who had been diag-<br />

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nosed or been diagnosed with<br />

the disease themselves.<br />

Maria Sousa, executive director<br />

for the Susan G. Komen<br />

Race for the Cure’s San<br />

Francisco Bay Area affiliate,<br />

acknowledged that preaching<br />

awareness is no longer a struggle.<br />

“I think part of it is that the<br />

attitude toward breast cancer has<br />

really changed in our society and<br />

in our country,” she said.<br />

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“Women are much more open if<br />

they have been diagnosed or if<br />

they are survivors.”<br />

That’s a considerable change<br />

since National Breast Cancer<br />

Awareness Month was conceived<br />

by drug manufacturer<br />

AstraZeneca 25 years ago.<br />

“I really do think that<br />

National Breast Cancer<br />

Awareness Month was helpful<br />

when it was first established,”<br />

noted breast cancer researcher<br />

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Dr. Susan Love. “But at this<br />

point, I believe it has outlived its<br />

usefulness.”<br />

SIFTING THROUGH<br />

THE STUDIES<br />

The billions of dollars<br />

poured into research and early<br />

detection campaigns have<br />

helped raise five-year survival<br />

rates for early detection from 74<br />

percent to 98 percent of diagnoses.<br />

Yet today some sacred<br />

cows are being sacrificed, and<br />

women are finding that they are<br />

their own best advocates in wading<br />

through the conflicting studies<br />

and recommendations.<br />

Mammograms used to be the<br />

gospel preached by breast cancer<br />

awareness groups throughout<br />

the land for early detection. But<br />

in 2009, the U.S. Preventative<br />

Services Task Force came out<br />

with recommendations that radically<br />

contravened current wisdom.<br />

No longer should women<br />

be taught to do breast selfexams,<br />

said the group, because if<br />

done wrong, they could lead to<br />

anxiety, distress and unnecessary<br />

testing.<br />

Nor were routine mammograms<br />

indicated until age 50, lest<br />

women incur unnecessary radiation.<br />

Soon afterward, a study from<br />

Norway showed that mammograms<br />

accounted for the decline<br />

in only a third of breast cancer<br />

deaths, with the rest attributed<br />

to increased awareness and better<br />

diagnostic skills in physicians.<br />

The American Congress of<br />

Obstetricians and Gynecologists<br />

wasted no time in issuing its own<br />

opinion. “The college continues<br />

to recommend that fellows<br />

advise mammography screening<br />

for their patients aged 40 and<br />

older and that they counsel their<br />

patients that BSE (breast selfexamination)<br />

has the potential to<br />

detect palpable breast cancer<br />

and can be performed,” the<br />

group stated.<br />

The congress further noted<br />

that the task force’s recommendation<br />

would have implications<br />

for insurance coverage of mammograms<br />

for many women.<br />

Tamara Steiner, owner and<br />

editor of the <strong>Clayton</strong> <strong>Pioneer</strong>, is<br />

a breast cancer survivor. She<br />

learned of her diagnosis at age<br />

48, a few months after starting<br />

hormone replacement therapy.<br />

During a mammogram appointment,<br />

a vigilant technician spotted<br />

a dent on her breast. Further<br />

testing found a small but aggressive<br />

tumor.<br />

After more than two years of<br />

treatment that included a mastectomy,<br />

chemotherapy and radiation,<br />

Steiner has been cancerfree<br />

for 13 years. Steiner noted<br />

that if she’d waited until she was<br />

50 to have a mammogram, I’d be<br />

dead.”<br />

‘KNOW YOUR BODY’<br />

The amount of information<br />

on the types of breast cancer,<br />

from ductal carcinoma in situ<br />

(DCIS) to infiltrating and invasive<br />

tumors, as well as the means<br />

of detection and treatment<br />

options, can be dizzying.<br />

Risk factors include some<br />

that can’t be controlled -- such as<br />

age, racial background and family<br />

history – but also factors some<br />

believe can be managed. Alcohol<br />

intake, obesity and lack of exercise<br />

have all been linked to higher<br />

rates of breast cancer. Some<br />

hormone therapies have also<br />

been found to be connected to<br />

increased risk.<br />

“It’s hard to quantify a lot of<br />

that because they’ll (the scientists)<br />

associate a lot of different<br />

lifestyle habits with increased or<br />

decreased risk. But you can’t add<br />

them all together,” said certified<br />

Museum, from <strong>page</strong> 1<br />

for the second annual<br />

“Whispers of the Past” event.<br />

Children from two fourth-grade<br />

classes at Highlands and Mt.<br />

Diablo elementary schools were<br />

invited to join in as a field trip to<br />

the museum.<br />

“October is archaeology<br />

month in California,” Spryer<br />

noted. “Last year was the first<br />

time we had it and we heard<br />

about that through Christine.”<br />

During a demonstration<br />

behind the museum, McCollum<br />

showed off the tools of the<br />

archaeologist’s trade – including<br />

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As low as<br />

brushes, small tools and measuring<br />

devices. Some archaeologists<br />

even use GPS units.<br />

Inside the museum, children<br />

and adults were asked to match<br />

up ancient tools, toys and<br />

devices to their current counterparts.<br />

McCollum, a resident of<br />

Sacramento, has been involved<br />

with archaeology for about <strong>10</strong><br />

years. She was inspired to<br />

become an archaeologist while<br />

reading her grandmother’s<br />

National Geographic magazines.<br />

“It’s very important to study<br />

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physicians assistant Elizabeth<br />

Sivesind.<br />

She noted as an example the<br />

higher number of diagnoses in<br />

women with college educations.<br />

“But you can’t say college causes<br />

breast cancer,” added Sivesind,<br />

who sees female patients every<br />

day in the Walnut Creek office<br />

she shares with ob/gyn Dr.<br />

Margaret Craig.<br />

Julie Durand, manager of the<br />

Muir Cancer Institute Cancer<br />

Program, also suggests taking<br />

many of the studies with a grain<br />

of salt.<br />

“I just don’t think there’s one<br />

set of rules – I think every person<br />

is different. And depending<br />

on their family history, you have<br />

to look at all the components<br />

that are part of your history,”<br />

Durand said. “It’s hard to just<br />

come out with a golden rule<br />

really.”<br />

Both experts counsel women<br />

to get information from more<br />

than one source and suggested<br />

Websites including the American<br />

College of Obstetrics and<br />

Gynecology (acog.org) and the<br />

American Cancer Society (cancer.com).<br />

In the meantime, most<br />

women surveyed plan to continue<br />

having mammograms every<br />

year or two after they turn 40.<br />

“The alternative is, I think,<br />

far worse,” <strong>Clayton</strong> resident<br />

Kelly Tuohey, 42, said of her<br />

decision. “How else are you<br />

going to catch it if they’re saying<br />

don’t even do self tests? I don’t<br />

know what the answer to that<br />

is.”<br />

In addition to regular mammograms,<br />

Duran said the answer<br />

is often self-awareness.<br />

“The bottom line is you just<br />

need to know your body, no<br />

matter what,” she said. “There’s<br />

a danger there when we don’t<br />

know our own bodies.”<br />

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science. Science is a very big<br />

part of what we do, obviously,”<br />

McCollum said. “Being really<br />

strong in the sciences and being<br />

comfortable being outdoors are<br />

important. Those are two things<br />

one needs to focus on.”<br />

According to McCollum,<br />

field work is essential in her profession.<br />

“You need to go out<br />

and learn the field methods and<br />

at least get a bachelor’s degree in<br />

anthropology. If you want to<br />

continue this as a career, you<br />

need to get a master’s degree,”<br />

said McCollum, who has an<br />

undergraduate degree from UC<br />

Davis and a master’s from Cal<br />

State Sacramento.

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