>>JENNIFER WAUGH: WE LEARNED THIS WEEK THAT FLORIDA’S FIRST LADY CASEY DESANTIS HAS BEEN
DIAGNOSED WITH BREAST CANCER.
SHE’S JUST 41 YEARS OLD. SO AS
WE MARK BREAST CANCER
AWARENESS OF THIS MONTH, WE
WANT TO HELP YOU BETTER
UNDERSTAND YOUR OPTIONS WHEN
IT COMES TO CATCHING THE
DISEASE. EARLY ON COLLEGES.
DOCTOR SCOTT ACKERMAN FROM THE
ACKERMAN CANCER CENTER JOINS
US LIVE VIA ZOOM THIS MORNING.
GOOD MORNING, DOCTOR. THANKS
FOR BEING WITH US.
>> THANK YOU, JAMES. GOOD
MORNING SEE IF SO FIRST, WOMEN
MAY BE CONFUSED ABOUT THE
DIFFERENT OPTIONS THAT ARE
PRESENTED TO THEM WHEN IT
COMES TO GETTING THEIR YEARLY
MAMMOGRAM. THERE’S 2 D THERE’S
3 D AND THERE’S SOMETHING NEW
THAT YOU OFFER CALLED CME.
WOULD YOU EXPLAIN THE
DIFFERENCE BETWEEN THE 3 AND
WHO SHOULD GET?
>> SURE. SO WE HAVE NOW ALMOST
EVERY PLACE WHICH WHOLE
DIGITAL MAMMOGRAPHY AND WHAT
THIS ALL DONE DIGITALLY FILM
USE ANYMORE. BUT THERE’S 2
DIMENSIONAL DIGITAL
MAMMOGRAPHY AND THERE’S 3
DIMENSIONAL DECISION SO 2 D
JUST TAKING AN X-RAY OF THE
BREAST. THE REST SPEECH FROM
LEFT TO RIGHT FROM TOP TO
BOTTOM, WE LOOK AT THIS 2
DIMENSIONAL IMAGE OF THE BEST.
THE 3 D IS MORE ADVANCED AND
THAT IT TAKES. IT’S STILL
TAKING PICTURES THIS WAY. BUT
IT TAKES MANY PICTURES WERE
ABLE TO LOOK AT SLICE OF THE
BREAST AS WE GO THROUGH IT. SO
YOU SEE A SPOT. WE KNOW
EXACTLY A DEEP IN THE REST
THAT SPOT. MAYBE. THE THREES
ALMOST LIKE GETTING A CAT SCAN
IMAGE OF THE VERY THIN SLICES
OF THE PRESS AND THE
TECHNOLOGY IS CALLED ENHANCED
C E M CONTRAST ENHANCED MARTY.
AND THAT’S WHERE WE INJECT
INTERVENES. COUNTRIES LIKE WE
DO IN THE CAT SCAN. AT THE
SAME TIME WE’RE DOING THIS 3 D
MAMMOGRAM AND THAT ALLOWS US
TO SEE EVEN MORE TINY OR
LESIONS IN THE BEST USE, THE
MUCH HIGHER RESOLUTION OF THE
IMAGES OF THE BREAST. WE CAN
FIND TUMORS THAT WE WOULD
NORMALLY BE ABLE TO FIND. THAT
WE’RE LOOKING RIGHT NOW TO
KIND OF COMPARE AND CONTRAST
HER SCREEN 3 D MAMMOGRAM
RESULT ON THE LEFT.
>>LENA PRINGLE: AND THE C E M
ON THE RIGHT THAT YOU JUST
MENTIONED. SO THIS AND I’M
THINKING WHAT I WANT TO DOES
EVERYBODY QUALIFY FOR THE C M?
>> GREAT TO SEE THOSE IMAGES
THAT IN THE COUNTRY’S ENHANCED
MONOGRAM. YOU CLEARLY SEE THE
TUMOR THERE, BUT NOT EVERYONE
QUALIFIES FOR WE REALLY LIKE
TO USE IN WOMEN WERE HIGH
WRIST AND ALSO VERY DENSE BEST
BECAUSE A WOMAN YOU SEE ON THE
LEFT THOSE DRESSED VERY DENSE.
THAT’S WHAT IT’S ALL WHITE
THERE. BUT THE RADIAN IMAGE WE
SEE THAT ONE LESION IS DOWN
THERE AS THE COUNTRY’S
ENHANCED WE ABLE TO DO IS IS
WASHOUT OR GET RID OF ALL THAT
ALL THAT NOISE AND ABLE TO SEE
IT MUCH WORK DO. SO ONLY THOSE
WOMEN WHO HAVE HIGH RISK AND
DENSE WERE DOING THIS. WE USED
TO AND RISE OF THESE PATIENTS.
WE CAN DO THIS NOW IN NEED OF
AN MRI WHICH QUICKER, MUCH
MORE COMFORTABLE THE IMAGES
ARE AS GOOD AS IF NOT BETTER
AND WITH AND DOES INSURANCE
TYPICALLY COVER THIS? THEN ALL
3 OF THEM.
>> IN WOMEN ARE HIGH RISK IN A
DENSE BREAST INSURANCE
COVERAGE. WE HAVE ALWAYS
WHATEVER WE DO IN MEDICINE, WE
HAVE TO HAVE THE APPROPRIATE
MEDICAL JUSTIFICATION. AND SO
IF IT’S JUSTIFIED, IF IT’S
NEEDED INSURANCE DOES COVER.
>>JENNIFER WAUGH: SO WE KNOW
THAT 40% OF THE BREAST CANCER
THAT HAS CAUGHT BY WOMEN IS
USUALLY DURING A SELF BREAST
EXAM. WOULD YOU EXPLAIN WHAT
TIME OF MONTH, FOR EXAMPLE,
DOES HE SHOULD BE DONE ONCE A
MONTH? A WOMAN SHOULD A SELF
EXAM.
>> SO PRESS EXAM IS VERY, VERY
IMPORTANT. AS YOU MENTIONED,
40% LOW BREAST CANCER DIAGNOSE
THAT LIKE THIS WOMAN FEELS OF
21 PROGRESS AND WE WANT WE’RE
ENCOURAGING WOMEN TO START TO
10 NATION AT THE AGE OF 20
THAT WAY. THEY GET TO
UNDERSTAND THE BREAST. THEY
KNOW WHAT’S NORMAL AND WHAT’S
NOT NORMAL. AND IF SO MUCH
PREMENOPAUSAL, WE RECOMMEND
THAT THEY DO THE BEST OF
EXAMINATIONS SOMETIME MID
CYCLE. SO SOME IT’S LIKE AND
IF SO, WHAT? HIS POST
MENOPAUSAL JUST TO THE SAME
DATE EVERY MONTH, 15 MARK THE
DEATH OF MY WHATEVER, JUST TO
MAKE SURE THAT WE’RE THAT
SHE’S DOING IT EVERY EVERY
MONTH. IT’S IMPORTANT TO DO IT
EVERY MONTH WITH YOUR PRE AND
POST MENOPAUSAL BECAUSE YOU
REALLY WANT TO UNDERSTAND YOUR
WHEN THE TO 3 TIMES A YEAR
DON’T HAVE THE SAME
UNDERSTANDING AND AREN’T ABLE
TO. I DETECT SOME CHANGE IN
THE BREAST AS WELL AS THE ONE
WHO DOES IT REPRESENT EVERY
MONTH.
>>JENNIFER WAUGH: DOCTOR SCOTT
ACKERMAN, THANK YOU FOR YOUR
TIME THIS MORNING. WE REALLY
APPRECIATE THE EXPLANATION AND
IT’S ALSO REMINDER TO TO MAKE
SURE YOU’RE HAVING
CONVERSATIONS. IS IT NOT WITH
OLDER RELATIVES TO JUST KNOW
EXACTLY WHAT YOUR RISKS ARE.
SO YOU CAN SHARE IT WITH YOUR
DOCTOR.