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  • Partner with Wellstar Center for Genetics to Reduce Your Risk of Cancer
Article Category: Highlights

Partner with Wellstar Center for Genetics to Reduce Your Risk of Cancer

Published on October 25, 2024

Last updated 05:00 PM November 13, 2024

Clinician speaking with patient

While the cancer care experts at Wellstar are dedicated to providing world-class cancer treatment, our care teams are also committed to preventing disease and helping you evaluate your risk so you can be proactive with your health.

Some patients may have an increased risk of developing cancer if they have a family history or a genetic mutation. For example, a family history of prostate cancer could be indicative of a genetic mutation that increases the family’s risk for breast cancer, and vice versa. The Wellstar Center for Genetics determines if you may develop or carry certain genetic disorders. Using a compassionate approach, Wellstar genetic counselors ensure patients have the information they need to make an educated decision about genetic testing. Our team supports you every step of the way, answering questions and often working through complicated emotions.

At Wellstar, our focus is PeopleCare—personalized healthcare tailored uniquely for you. Your care team will ask you about your family’s history of cancer, including if you have had any relatives with cancer. If you do have a family history, they will ask how old your family members were when they got diagnosed. 

If you have a family history of cancer, your doctor might recommend you start screenings such as mammograms or prostate-specific antigen tests earlier or get screened more frequently. Your care team may also suggest preventative measures like medications or lifestyle changes, and they’ll partner with you to take action against potential cancers.

Some possible signs of hereditary cancer include:

  • Unusually early age of cancer onset
  • Multiple primary cancers in a single patient—primary cancers are an original tumor that forms in the body before the cancer potentially spreads
  • Cancer in paired organs (such as in cancer in both breasts)
  • Multi-generational cancers
  • Rare tumors
  • An unusual presentation, such as male breast cancer
  • Belonging to an ethnic group known to be at high risk for hereditary cancers
  • No environmental explanation for the cancer

Your care team may evaluate your risk of hereditary cancer by looking at your BRCA genes. Mutations in the BRCA1 or BRCA2 genes are most commonly associated with breast cancer, but they are also tied to an increased risk of several other cancers, including ovarian, pancreatic and prostate cancers. A BRCA gene mutation can also make a man more likely to develop breast cancer.

“Since these genetic mutations can affect someone’s risk for several different types of cancer, it’s important that you discuss any family history of cancer with both your relatives and your Wellstar care team,” Wellstar Urologist Dr. Justin Watson said. 

These conversations can be beneficial to both you and your family members.

“Men diagnosed with prostate cancer at an early age may pass along a higher genetic risk for both prostate and breast cancer to their children,” Dr. Scott Miller, Wellstar Urology specialty lead and director of robotic surgical services, explained. “Understanding these risks empowers families to take preventive steps earlier and opens the door to targeted screening programs.”

If you are wondering if you may have a genetic predisposition to certain cancers, the Wellstar Center for Genetics has nine convenient locations, and our genetic counselors can help you learn more about your risk. Your physician can refer you for genetic testing, or you can contact the genetics team directly to make an appointment. In an initial 45-minute appointment, your genetic counselor will meet with you to review your family history and discuss testing options. Most testing can be done with a saliva sample.

Genetic testing is one way that families can work to protect and inform each other so everyone can reduce their cancer risk. “The whole family is in this together,” Kimberly King-Spohn, director of the Wellstar Center for Genetics, said. “Testing helps us manage their risk and know what they're at risk for, and it's an opportunity for prevention.”

To learn more about the Wellstar Center for Genetics or make an appointment, call (470) 793-7472.

Tags

Medical Genetics Justin Michael Watson Scott David Miller
Breast Cancer Cancer Care Primary Care Mens Health Womens Health
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Q&A: Breast Cancer Specialist Answers Mammograms and Self Breast Exams Questions

According to the American Cancer Society, 1 in 8 women will get breast cancer in their lifetime. Breast cancer is the second leading cause of cancer death for women. However, when found in its earliest stages, breast cancer can be stopped from spreading, is more treatable and nearly 100% curable. Screening is the best way to find breast cancer early. Let’s talk about mammograms as well as the right way to perform a self breast exam.

Mammograms

When should I start getting mammograms?

Unless you have a new breast problem or need to start screenings earlier because of risk, most guidelines recommend starting screening mammography at age 40.
How often should I get a mammogram?

Guidelines differ somewhat but are consistent that if you are of average risk, you should have them at least every other year.  If you are at increased risk, including having dense breast tissue or a family history of breast cancer,  it is recommended that you get an annual mammography screening and possibly enhanced screenings with MRI, ultrasound or contrast enhanced mammography.

Is getting a mammogram dangerous to my health?

While there is a small radiation exposure with every mammogram, the benefit of early detection of small, curable cancers almost always outweighs that risk of exposure.

Does it hurt to get a mammogram?

Some women do find mammograms uncomfortable.  This is more common when having imaging just before your menstrual period when breast tissue can be swollen and more sensitive.  If you do have extra sensitivity, scheduling the exam after your cycle starts or taking an over-the-counter NSAID pain reliever* a few hours before the exam may minimize the discomfort.  Because positioning of the breast and taking each mammogram image is typically less than 30 seconds, the extent of discomfort during the exam is short-lived.

*NSAIDs are nonsteroidal anti-inflammatory drugs, like ibuprofen (Advil, Motrin), naproxen sodium (Aleve) and aspirin.

Breast self-exam options

What is the correct technique for a breast self-exam?

Any pattern for feeling all of your breast tissue is acceptable. The goal is to make sure you are feeling with varying pressure from your collar bone to cleavage, to the bottom of the breast out to past where your breast meets your chest wall, including your armpit.

How often should I do a breast self-exam?

Self-exams should not be done too often because it can make it difficult to tell if a lump is evolving over time. Think of how hard it is to tell if your appearance changes gradually as you get older because you see yourself every day, compared to more easily seeing changes in someone’s appearance after not seeing them for a long time. Typically, once a month is enough.

Is there a best time to do a breast self-exam?

 It is important to do your breast self-exam in approximately the same time in your cycle rather than a specific interval—especially since not all menstrual cycles are exactly 28 days apart.  Doing the exam at the same place in your cycle will give you consistency in how the tissue should feel in terms of lumpiness, texture and density. 
I encourage my patients to do their exam the day after their cycle starts as a consistent point in their hormonal cycle fluctuations.

What am I actually looking for during a breast self-exam?

Your breast self-exam should be a tool to familiarize yourself with the general “normal texture” of the tissue in each of your breasts so if you detect something that is different, you will be able to identify it as new or changed. 

Can a breast self-exam replace a mammogram?

Self-breast exams cannot replace mammograms because mammograms can detect subtle changes like densities or calcifications that are too small to feel. The goal with screening mammograms is to detect breast cancer before you can feel it because early detection leads to better overall outcomes.
Learn more about breast cancer screening and treatment at Wellstar. 

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From survival to summit

After David did the hard work of fighting cancer twice and feeling like recovery was truly sailing along, he set a new goal. David and one of his daughters, Madeline Hawkins, completed a hiking and camping trip that included summiting Blood Mountain in North Georgia. They covered 14 miles, camping overnight and making friends along the trail.

Fully loaded with walking sticks, packs on their backs and huge smiles, David and his daughter head out for a multiple day hiking excursion.

The hike wasn't easy.

“I forgot you have to be half mountain goat!” he quipped.

David moved at his own pace and pushed through lingering fatigue. Reaching the summit’s stunning vista at Preacher’s Rock was a reminder of how far he had come since his cancer diagnosis.

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David Butler’s cancer journey began when he underwent treatment for an aggressive head and neck cancer. Supported by his family, faith and a team of head and neck cancer specialists, he had part of his jaw removed and went through radiation therapy and intense rehabilitation.

A major setback

The same year of his jaw surgery and initial radiation course, David’s recovery was beginning to feel like “smooth sailing.” Just as life started to feel manageable again, he faced an unexpected challenge.

David and his wife, Jill, got devastating news: routine follow-up imaging revealed three new tumors on the other side of his neck and tongue. Dr. Fiyin Sokoya, David’s cancer surgeon, removed lymph nodes from David’s neck, had them biopsied and confirmed that it was an aggressive cancer.

At first, David felt so discouraged that he didn’t want to move forward with treatment.

However, seeing that a group of experts were working together to give him the best, evidence-based treatment path for his unique circumstance gave him confidence to renew his fight against cancer.

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