>>JENNIFER WAUGH: SO APPROXIMATELY 30% OF ALL NEW CANCER CASES DIAGNOSED IN
WOMEN THIS YEAR WILL BE BREAST
CANCER. THAT’S ACCORDING TO
THE NATIONAL BREAST CANCER
FOUNDATION WHICH ESTIMATES
THERE IS A NEW DIAGNOSIS EVERY
2 MINUTES. WOW. DOCTOR SCOTT
ACKERMAN WITH THE ACKERMAN
CANCER CENTER IS JOINING US
HERE THIS MORNING. GOOD
MORNING. THANKS FOR BEING WITH
SO LAST WEEK WE FOCUSED A LOT
ON SELF EXAMINATION AND SOME
ON MAMMOGRAMS IN TERMS OF
CATCHING BREAST CANCER EARLY.
I’D LIKE TO FOCUS A LITTLE BIT
ON FAMILY HISTORY I THINK THAT
SOMETIMES PEOPLE THINK, WELL,
I DON’T HAVE BREAST CANCER IN
MY FAMILY HISTORY. SO I MUST
BE OK, BUT THE REALITY IS
THERE’S A REAL CONNECTION
BETWEEN CANCERS BECAUSE, FOR
EXAMPLE, IF YOU’VE HAD A
FAMILY MEMBER WITH OVARIAN
CANCER, YOU COULD STILL BE AT
RISK OF DEVELOPING BREAST
CANCER. SO FAMILY HISTORY IS
VERY IMPORTANT, ALL CANCERS,
ESPECIALLY BREAST CANCERS.
>> WE’VE ALWAYS KNOWN OF
SOMETHING CALLED THE
HEREDITARY BREAST AND OVARIAN
CANCER SYNDROME, HBO C AND WE
KNEW THAT THAT BEFORE WE WERE
ABLE TO IDENTIFY THE GENETIC
MALFORMATIONS, THAT WOULD MAKE
ONE PREDISPOSED TO BREAST
CANCER AND THAT BREAST OVARIAN
CANCER SYNDROME WAS IDENTIFIED
IN THAT IT DEFINED PATIENTS
FOR FAMILIES WHERE THERE WAS
INCREASED INCIDENCE OF OVARIAN
AND BREAST CANCER IN
GENERATIONS. SO WE KNOW WOMEN
WHO HAVE A MOTHER OR AN AUNT
WHO’S HAD A HISTORY OF BREAST
CANCER OR OVARIAN CANCER
SISTER AGAINST ARE AT HIGHER
RISK OF BREAST CANCER. THAT
BEING SAID, HOWEVER, WE’VE
ONLY IDENTIFIED IN ALL BREAST
CANCER PATIENTS DIE KNOWS,
LEAVE IT TO 15% HAVE AN
IDENTIFIABLE GENETIC MUTATION
THAT PREDISPOSE THEM TO BREAST
CANCER. BUT THE KEY WAS
IDENTIFIABLE. THERE’S A LOT OF
WE DON’T KNOW. A LOT OF
MUTATION SHIPMENT HAITIANS
THAT ARE OUT THERE THAT WE
HAVEN’T FULLY IDENTIFIED YET
THAT WE THINK ALSO MIGHT MAKE
A WOMAN MORE SUSCEPTIBLE TO
BREAST CANCER, WHICH IS WHY
IT’S SO IMPORTANT TO ASK
QUESTIONS AND MAKE SURE YOU
KNOW WHAT YOUR FAMILY
HISTORIES AND THEN SHARE THAT
INFORMATION WITH YOUR DOCTOR.
SO IF YOU NEED TO BE REFERRED
TO AN EXPERT THAT THAT HAPPENS
ONCE IT’S IDENTIFIED THAT
PERHAPS THAT YOU DO HAVE
FAMILY HISTORY, WHAT SHOULD
THAT PERSON? I MEAN, THEY MAY
NEED TO BE SCREENED EARLY
RIGHT?
>> RIGHT. SO IF YOU HAVE THE
GENETIC NOW FROM ATION, THAT’S
WHEN TEMPERATURES SEE IT IN
THE HIGH RISK. BUT JUST HAVING
A FAMILY HISTORY PUT YOU AT
HIGH RISK. SO IF YOU’RE IN
THOSE HIGH-RISK CATEGORIES,
WANT TO BE A LITTLE MORE YOU
WANT TO STAY ON TOP OF YOUR
BREAST CANCER SCREENING A
LITTLE MORE THAN AND SOMEONE
HAVE NO RISK. SO WE NORMALLY
RECOMMEND THAT WOMEN GET YOUR
FIRST MEMORY THE AGE OF 40 SO
IT WAS HIGH RISK. WE RECOMMEND
TO GET THESE 35 OR EVEN
YOUNGER IN SOME SITUATIONS
THAT ARE VERY HIGH RISK. WE
SHOULDN’T RECOMMEND THAT WOMEN
WHO ARE HIGH RISK WITH A
FAMILY HISTORY OR GENETIC
PREDISPOSITION TO BREAST
CANCER. BE SURE THEY DO THEIR
BEST SELF EXAMINATION ON A
REGULAR BASIS, READ A BASES
EVERY MONTH AND SEE A
PHYSICIAN ONCE A YEAR TO GET
PROFESSIONAL BUS EXAMINATION.
SO THOSE WITH A HIGH RISK TO
BE AWARE OF IT AND MAKE SURE
THEY DO THIS ONE IS PROPERLY
NOT JUST FOR BREAST BUT ALSO
FOR OVARIAN CANCER. THEY
BROUGHT UP MAMMOGRAMS, WHICH
THINK SUCH AN IMPORTANT POINT.
I YOU KNOW IT FOR FOR WOMEN
WHO’S MAYBE NOT HAD ONE YET
BECAUSE THEY’RE JUST REACHING
THAT AGE.
>>JENNIFER WAUGH: THERE ARE
THERE ARE DIFFERENT KINDS OF
MAMMOGRAMS WHICH ONES ARE BEST
FOR UCAS IT. THEY’RE NOT.
THEY’RE NOT ONE SIZE FITS. ALL
RIGHT. SO
>> FOR YEARS WE’VE BEEN DOING
WHAT’S CALLED A TO D
MAMMOGRAM. THAT’S JUST A
PICTURE OF THE BEST TAKEN LIKE
THIS. AND TAKE A LOOK AT THIS
X-RAY PICTURE FOR A LOW DOSE
X-RAY AND OVER THE YEARS WITH
VALDEZ THAT WE’RE ABLE TO DO
MUCH LOWER DOSE OF RADIATION
AND THOSE SO THAT WE DON’T
GIVE TOO MUCH RADIATION OVER
THE YEARS BECAUSE BREAST
CANCER AND THEN A FEW YEARS
BACK, WE DEVELOP SOMETHING
CALLED 3 D ART HOME OF
THERAPY. A A BRISK MAMMOGRAM
AND THAT WITH THAT IS READING
IT, ABLE TO SEE SLICES OF THE
BREAST LIKE A CAT SCAN DOES.
SO YOU TAKE A PICTURE. AND BUT
BUT IMAGE IS ABLE TO GET TO
FROM DEPP’S WITHIN THE BREAST
AND WE CAN IDENTIFY CANCER IS
MUCH MORE EASILY WITH THAT.
AND THAT’S A 3 D AND THAT’S
PRETTY MUCH WHAT’S DONE ALMOST
EVERYWHERE. NOW. AND THE
LATEST THAT’S REALLY I THINK
IT’S REALLY COOL IS SOMETHING
IS A CONTRAST. ENHANCED
MAMMOGRAPHY. AND THAT’S WHERE
WE DO. THE 3 D MAMMOGRAM WILL
ALSO INJECT CONTRAST JUST LIKE
WE WOULD IN IN. SO WE’RE
GETTING A CAT SCAN. THIS IMAGE
OF SOME OF THE SCREEN RIGHT
NOW SHOWS THAT RAIN, ICE THAT
YOU CAN SEE EASILY ON THIS
COUNTRY’S ENHANCED MAMMOGRAM
THAT ON THE PATIENT’S RIGHT
PRESS IS THE ONE ON ON ON THE
LOOKERS LEFT. THAT’S YOU CAN
SEE THE AREA THAT HAD TAKES UP
THAT EXTRA ENHANCEMENT. THERE.
>> AND IS A IS A BREAST CANCER
IN THAT BREAST. AND IS
EVERYONE A CANDIDATE THEN FOR
THE CONTRAST, ENHANCED
MAMMOGRAM KNOW, YOU KNOW, IT’S
CERTAINLY WOMEN THAT HAVE A
CONTRAST. ALLERGY WOULD BE
APPROPRIATE FOR IT. ALSO TAKES
LONGER TO DO. AND SO I THINK
THAT WOULD RECOMMEND RIGHT NOW
AS A DIAGNOSTIC TOOL IN THOSE
WOMEN THAT ARE HIGHER RISK.
DOCTOR ACKERMAN, THANKS FOR
TIME THIS MORNING. WE