1. Heather Brewster Breast Cancer - 5 Year Survivor

2. Cancer Comparison Breast Cancer Common: –2.6M women have been diagnosed –290K new cases in 2011 – 40K women died in 2011 –450 men died in 2011 Testicular Cancer Rare −8K men diagnosed in 2011 −350 men die each year Source: American Cancer Society 61 is the median age of diagnosis (1 in 8 women = 12%) 50 years ago the rate was 7% 5 year survival rate is 89% N.J. has the highest death rate among Caucasian women in the country. Most common form of cancer in men ages 15 to 40 (1 in 270 men = <1%) 5 year survival rate of 95%

3. 2.6M women diagnosed

4. 1 in 8 women Risk of diagnosis increases with age: From age 20-29..... 1 out of 1,681 (0.06%) From age 30-39...... 1 out of 232 (0.4%) From age 40-49...... 1 out of 69 ( 1%) From age 50-59...... 1 out of 42 ( 2%) From age 60-85...... 1 out of 28 ( 3%) Lifetime risk..........1 out of 8 (12%) Source: American Cancer Society 288,130 Estimated New Female Breast Cancer by Age, US, 2011 Age In Situ Invasive Deaths Under 40 1,780 11,330 1,160 40 - 49 14,240 50,430 5,240 50 - 64 23,360 81,970 11,620 65 and older 20,050 98,080 22,660 All ages 57,650 230,480 39,520

5. My Story 3 Mammograms: –Age 22 – Planned Parenthood would not prescribe birth control without a mammogram because the Doctor felt something. Diagnosis: fibrocystic breasts –Age 35 – baseline –Age 41 – mammogram after noticing a hardness 2 Biopsies: regular and surgical –June 2007: 1 lump and 1 in situ cluster were cancerous 4 Surgeries: –July 2007: Removed both breasts (bilateral mastectomy) –Aug. 2007: Implanted Mediport for chemo –Sep. 2008: Removed Mediport and inserted expanders –Nov. 2008: Removed expanders and inserted implants 17 months of Treatment: –5 months of chemo plus 9 months of Herceptin injections

6. True or False? Most lumps found in breasts are cancerous.FALSE - only 20% are - 4 types of lumps Most cancerous lumps are painful. The finger tips should be used to perform breast self-exams. Larger breasts have a higher risk of developing breast cancer. Breast cancer patients have to remove their breasts to remove the cancer. FALSE FALSE - finger pads are more sensitive FALSE - lumpectomy If your grandmother had breast cancer, you will get it.FALSE - 40% chance with family history Anyone can get breast cancer – man, woman, or youth.TRUE - men < 1%

7. Risk Factors Female Age Genetics – 80% chance Family History – 40% chance Menstruation – before 12 or after 55 High breast tissue density Modifiable Factors: Pregnancies – none or first full-term after age 30 Alcohol consumption Physical activity and diet Breastfeeding decreases risk

8. Early Detection Saves Lives Stage 5-year Relative Survival Rate 093% 188% 2A81% 2B74% 3A67% 3B41% 415% In Situ (contained) Invasive, <2cm, no lymph <2cm + lymph OR >2cm and no lymph >2cm + lymph OR >5cm and no lymph Axillary lymphs clumped In chest wall or skin Metatstatic (spread to other organs) 1.1cm found in routine mammogram 1.5 cm found in first mammogram 2.1 cm found in regular self- breast exams 3.6 cm found accidentally Source: American Cancer Society

9. Screening American Cancer Society recommends: –Clinical breast exams every 3 years starting in their 20s –Screening mammogram every year after the age of 40 –Optional monthly breast self-exams

10. Keys to Breast Self-Exams: –Do them at same time each month –Do them the same way each time –Talk to your doctor about any changes Breast Self-Exams

11. How To Help Others Be supportive –Help out with household chores or shopping –Pillows, pillows, pillows for mastectomy patients Participate in walks and fundraisers 5K Walks Dozens of New Jersey towns www.makingstrides.acsevents.org 3-Day for the Cure – 60 miles Philadelphia Oct. 14-16, 2011 www.the3day.org Avon 2 Day Walk – 39 mi. NYC Oct. 20-21, 2012 www.avonwalk.org

12. Key Takeaways Get to know your breasts thru breast self- exams. Be your own advocate and talk to your doctor about any changes. Do not panic about a lump. Early detection saves lives. Talk to other loved ones about getting their mammograms.