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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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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.