ALL THE TIME ON THIS WEATHER AUTHORITY APP AND ON THE RADIO ON A 7.3 PLANET RADIO. THANK
YOU, DANIEL. WELL, THIS
WEEKEND IS A BIG ONE FOR
BREAST CANCER WITH THE DONNA
MARATHON. APPROXIMATELY ONE IN
8 WOMEN ARE DIAGNOSED WITH
BREAST CANCER, BUT COMPARED TO
YEARS AGO, MORE PEOPLE ARE
LIVING LONGER AND THRIVING
AFTER A CANCER DIAGNOSIS.
THAT’S THANKS TO THAT. THANKS.
IN PART TO NEW TREATMENTS
WHICH INCLUDE BREAST SURGERY
THIS MORNING. DOCTOR JAMES
JACOB, A BREAST CANCER SURGEON
AT MAYO. CLINIC’S TO KOBE
CENTER FOR BREAST HEALTH JOINS
US TO TALK TO US ABOUT THE
LATEST INNOVATIONS IN BREAST
SURGERY. GOOD MORNING, DOCTOR.
JACOB, THANK YOU SO MUCH FOR
JOINING US.
>> MORNING CARLY, THANK YOU.
>>CORLEY PEEL: WELL, LET’S
START WITH A SIMPLE QUESTION.
IS SURGERY TRADITIONALLY A
PART OF EVERY BREAST CANES TO
CANCER PATIENTS CARE REGIMEN?
IF SO, WHY?
>> YES, SURGERY CERTAINLY HAS
A MAJOR ROLE IN THE TREATMENT
OF BREAST CANCER AND REMOVING
THE TUMOR IS FELT TO BE
NECESSARY FOR THE CURE. MOST
BREAST CANCERS. I CAN TELL WE
AND THE BREAST CANCER COMMUTE,
RESEARCH COMMUNITY IS WORKING
VERY HARD TO PUT CERTAIN IS
LIKE ME OUT OF BUSINESS, WHICH
I FULLY SUPPORT. THERE WILL
COME A TIME IN THE FUTURE
WHERE A PATIENT HAS A NEEDLE
BIOPSY OF HER BREAST CANCER.
AND BASED ON THAT, WE IDENTIFY
VERY SPECIFIC TARGETS. AND WE
CAN DELIVER VERY
INDIVIDUALIZED THERAPY TO THAT
PATIENT, WHICH WILL MAKE HER
CANCER GO AWAY WITH ENOUGH
CONFIDENCE THAT WE DON’T HAVE
TO OPERATE. THAT IS ACTIVE
RESEARCH GOING ON RIGHT NOW AT
MANY CENTERS THAT I SEE AS THE
FUTURE, WE’RE NOT QUITE THERE
YET. BUT I DO SEE THAT COMING.
>>CORLEY PEEL: YOU KNOW, THIS
APPROACH HAS CHANGED SURGERY
OVER THE YEARS. CAN YOU
EXPLAIN A LITTLE BIT MORE ON
THAT? JUST HOW YOU’VE SEEN
THIS CHANGE?
>> SURGERY FOR BREAST CANCER
HAS CHANGED DRAMATICALLY OVER
THE YEARS. SO HISTORICALLY,
ALL PATIENTS HAD TO GO UNDERGO
A MASTECTOMY AND SPECIFICALLY
WHAT’S CALLED A RADICAL
MASTECTOMY, WHICH IS VERY
DISFIGURING. WE ALMOST NEVER
PERFORM RADICAL MASTECTOMIES
ANYMORE. MOST PATIENTS TODAY
WHO PRESENT WITH BREAST CANCER
CAN HAVE A LUMPECTOMY, WHICH
MEANS REMOVING THE BREAST
CANCER WITH THE SURROUNDING
ROOM OF NORMAL BREAST TISSUE.
OFTEN THAT’S FOLLOWED BY
RADIATION. AND SOMETIMES WE
COMBINE THAT LUMPECTOMY WITH
OUR PLASTIC SURGERY COLLEAGUES
AND DO THINGS LIKE A BREAST
REDUCTION OR PRECEDENT THAT
THE SAME OPERATION. AND I WANT
WHAT I WANT TO HIGHLIGHT IS A
LUMPECTOMY HAS THE SAME CURE
OR AS A MASTECTOMY FOR
PATIENTS WHO ARE ELIGIBLE. SO
IT’S NOT THAT ONE TREATMENT IS
BETTER. THEN THE OTHER SOME
PATIENTS DO REQUIRE A
MASTECTOMY BECAUSE THEIR
TUMORS EITHER TOO LARGE FOR
SOME PATIENTS PREFER TO HAVE A
MASTECTOMY. NOW MASTECTOMIES
TODAY, THERE ARE 3 MAJOR TYPES
A PATIENT COULD HAVE WHAT WE
CALL A SIMPLE OR TALL
MASTECTOMY IN WHICH THEY GO
FLAT CHESTED OR PATIENTS MAY
ELECT TO HAVE RECONSTRUCTION,
WHICH WE COMBINE UNDER THE
SAME ANESTHESIA WITH THE
PLASTIC SURGEONS WHERE WE SAVE
THE SCAN TO OPTIMIZE THE
APPEARANCE OR IN SOME CASES WE
CAN EVEN SAVE EVERYTHING YOU
SEE ON THE OUTSIDE, WHICH IS
THE SKIN AND IT ALL AND THE
AND THAT’S CALLED A NIPPLE
SPARING MASTECTOMY.
>>CORLEY PEEL: ALL RIGHT. AND,
YOU KNOW, WE OFTEN HEAR ONE OF
THE BIGGEST RISK TO PATIENTS
WHO UNDERGO BREAST SURGERY AND
THE DEVELOPMENT OF A CONDITION
CALLED MEMPHIAN D MATT, CAN
YOU JUST EXPLAIN TO US WHAT
LED THE DEMON IS?
>> LEFT IS THAT A FEAR?
PATIENTS UNDERSTAND WE HAVE TO
GO IN BREAST CANCER TREATMENT.
AND LINKEDIN IS SWELLING OF
THE ARM BECAUSE OF THE LYMPH
NODES UNDER THE ARM TO TREAT
BREAST CANCER THAT CAN MAKE OF
WENT FROM THE ARM SLUGGISH.
FOR IS SWELLING OF THE HAND OR
ARM ON THE SIDE OF BREAST
CANCER TREATMENT,
>>CORLEY PEEL: THAT I’M YOU
KNOW, YOU CAN GO AHEAD AND
EXPAND. YOU KNOW, WE
DEFINITELY WANT TO MAKE SURE
OUR VIEWERS KNOW MORE ABOUT
THAT.
>> YES, SO THERE ARE A NUMBER
OF WAYS WE’RE TRYING TO REDUCE
THE RISK OF SWELLING OF THE
ARM OR LYMPHEDEMA AFTER
SURGERY. ONE IS AVOIDING LYMPH
NODES, HEARD IT ALL TOGETHER
AND THERE ARE PATIENTS WHO
HAVE FAVORABLE TO IN WHICH WE
DON’T HAVE TO CHECK THE LYMPH
NODES, WHICH IS AN IDEAL
SITUATION. THE LYMPH NODES
SURGERY HAS BECOME LESS
AGGRESSIVE FOR MOST PATIENTS.
ONE STUDY THAT WERE INVOLVED
WITH AS WE INJECT BLUE DYE IN
THE ARM AND THAT TRAVELS TO
WENT OUT AND WE CAN IDENTIFY
THAT BLUE DYE WHEN WE’RE
REMOVING THE LYMPH NODES ARE
BREAST CANCER AND TRY TO
PROTECT THEM AND THAT WAY KEEP
THE FLOW OF WIND GOING AND
MINIMIZE THE RISK. OLYMPIC
TEAM UP. WE’RE FORTUNATE TO BE
IN A NATIONAL TRIAL WHERE NOW
PLAYING FOR IS THE SECOND IN
ROLLING SITE FOR THAT STUDY
NATIONALLY.
>> DON’T THINK SORRY. SORRY,
TO CUT YOU OFF BECAUSE THIS IS
ALL WONDERFUL INFORMATION. BUT
WE ARE RUNNING OUT OF TIME.
BUT I JUST WANT TO THANK YOU
SO MUCH FOR JOINING US THIS