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Article Category: Highlights

What to Expect When You or a Loved One Are Diagnosed with Breast Cancer

Published on October 18, 2023

Last updated 03:01 PM October 18, 2023

Woman providers and breast cancer patient talking

Breasts play an important role when it comes to a woman’s health, yes, but often they’re an important part of a woman’s identity, sexuality and function too. With 1 in 8 American women developing breast cancer in their lifetime, the disease affects many people physically and emotionally.

In this article, a patient and a group of breast experts discuss the best ways to prevent and fight breast cancer, as well as how to support family members, friends, colleagues or neighbors who may be diagnosed.  

 Photos of a breast cancer survivor and physicians for the round table discussion


What do women struggle with the most during treatment, and what helps?

Tameka Pearson, breast cancer survivor: When I was diagnosed, I just went to pieces. I cried for about two weeks straight. There were tears in my eyes when I’d wake up. I didn’t want to eat or go outside. I had to process the information. I was getting phone calls—updates and making appointments. But I was still a mom and a wife and had to go to work. That was a lot. 

When I was a child, my mom would say, ‘Pick yourself up and dust yourself off and get moving.’ I gave myself permission to mourn for two weeks—permission to loathe, to cry, to get it out of my system. Once those two weeks were over, I was done crying—done feeling sorry for me. I picked myself up and persevered. I realized I have a lot to live for! I couldn’t give up.

Before breast cancer, I did everything for my family—cooking cleaning, washing clothes. When I was diagnosed, they immediately took over. They became more independent, especially my children. My husband became more of the provider and caretaker. My children were like, ‘Mom, we need you to sit down; we need you to rest.’

One of my coworkers from the past is also a survivor and started a group called Lean On Me. When I logged onto a Lean On Me Breast Cancer Network Zoom meeting, I loved it. They were uplifting, prayerful and gave me great information if I had questions. 

Margie Apacible-Mancao, MSN, RN, CBCN, nurse navigator: After the initial shock of diagnosis, it’s not uncommon to get depressed or anxious. There can be the stress of transportation, childcare if they have young children at home or financial concerns. Sometimes patients experience anxiety for the first time, sometimes they’ve had it in the past and being diagnosed brings it to the front. We can connect them to counselors, financial counselors and social workers, or they can join a support group. Meeting with other patients and survivors helps them know they are not alone, get through treatment with hope and form great friendships. We live in a society where we’re trained to be independent, but when I meet with patients, I say, ‘Allow yourself to receive help.’

Dr. Karen Xu, MD, radiation oncologist: In general, radiation treatment for breast cancer is very well tolerated and most women go through the treatment without much difficulty. The most common side effects are fatigue and skin irritation appearing as a sunburn-like reaction from radiation treatment. We see patients at least once a week during radiation treatment and we recommend different creams depending on how severe the skin radiation reaction is. Mild physical activity usually helps with fatigue.

Dr. Sujatha Hariharan, MD, medical oncologist: One of the initial concerns patients have when they start chemotherapy is potential hair loss. This can be devastating and disheartening. We are excited to now offer cool caps as a means to reduce hair loss from chemotherapy. Cool caps work by cooling the scalp, leading to constriction of blood vessels in the scalp. This might reduce the amount of chemotherapy that reaches the hair follicles leading to reduced hair loss from the head. The success rate of the cool cap can vary from person to person.

There is a vast cancer support network available through Wellstar. Aside from the doctors, patients have support from social workers, chaplains, dietitians, nurses and nurse navigators. A whole team of people is here to help patients through the process. Patients often meet other patients during treatment where they bond and support one another. This can be such a meaningful and valuable relationship.  

The main thing is you’re not going to be alone. Many people will be here to help you with all aspects of your care.

A whole team of people is here to help patients through the process. Patients often meet other patients during treatment where they bond and support one another. This can be such a meaningful and valuable relationship. The main thing is you’re not going to be alone. Many people will be here to help you with all aspects of your care.

- Dr. Sujatha Hariharan, MD

Medical Oncologist

What are the treatment options?

Dr. Hariharan: When someone is diagnosed with breast cancer, I tell them there are four treatments that are available that include breast surgery, chemotherapy, radiation therapy and hormone therapy. The sequencing of these treatments varies between patients. Decisions on these treatments, including sequencing, will be determined by the treatment team as well as pathology results.

If a person is diagnosed with triple negative breast cancer, there are some newer treatment options. Immune therapy is used in conjunction with chemotherapy. Recent studies have shown that this combination can lead to better outcomes with a higher likelihood of having no residual cancer at the time of surgery. This is called pathologic complete response.

Certain treatments such as chemotherapy and immune therapy are used before surgery to help achieve the goal of no residual cancer at the time of surgery.

Dr. Xu:
In radiation oncology, we offer external beam radiation treatment and SAVI (brachytherapy) for breast cancer. In brachytherapy, we administer radiation from the inside or near the cancer with implanted devices such as wires, balloons, needles or seeds, which can be as small as the size of a grain of rice. For locally advanced breast cancer with lymph node involvement, we offer intensity modulated radiation treatment to reduce radiation dose to the lungs, heart and the other breast. Traditionally, breast radiation treatment will take 5 to 6 weeks, but we have been offering hypofractionation, which only takes three to four weeks for early stage breast cancer, based on more recent trial results. SAVI is only five days, twice a day for a total of 10 treatments.

How can I help my friend, neighbor or family member if they let me know that they have breast cancer? 

Tameka: The first thing you can do is give them time. Sometimes people are so quick to want to help. People would ask, ‘What do you need help with?’ I didn’t know how to answer that question. Give that person time to process what they just heard. It takes a large chunk of your energy. 

If they don’t need you now, it doesn’t mean they don’t love you. Just give them a minute. Be there and be understanding. There were times I didn’t want to talk to anybody. I wasn’t mad at them. I just didn’t feel like talking. 

Once they’ve processed their diagnosis, check in with them. It doesn’t have to be anything monetary or tangible. Visits can be limited because of sickness and white blood cell counts. For me, it was the quick phone calls, the cards, the messages. Those really impacted me more than anything else. 

Margie:
It can be hard for a person with breast cancer to answer if you say, ‘How can I help?’ But if you say, ‘What can I do for you?’ it can empower them to ask for specific things, like getting a child from school, babysitting, walking the dog or bringing them food.

You have to respect where someone is. If they’re not ready to talk, allow them that space. People who are diagnosed need time to grieve and go through acceptance. Just offer to be available even if they don’t want to talk—it can help keep their spirits up knowing someone is there to help them get through this rough patch.

 


Get plugged in

Talk to your nurse navigator about the different types of support available to you. Or find a support group at Wellstar.

If you’re looking for a cancer expert at Wellstar or a second opinion, call 1 (877) 366-6032 or find a cancer specialist near you.

 

Tags

Karen Mann Xu Sujatha Hariharan Cancer Care
Womens Health
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Prostate Cancer Screening in Black Men

Screening for prostate cancer is crucial for early detection and to help provide the best possible outcome. It is especially important for Black men to be vigilant about screening, as they are disproportionately impacted by this cancer.

About 1 in 6 Black men will be diagnosed with prostate cancer in their lifetime, compared to 1 in 8 white men, according to a report from the American Cancer Society. Prostate cancer is the second leading cause of cancer death in Black men.

The American Cancer Society recommends that men at an average risk of developing prostate cancer begin screening when they are 50, but Black men should start earlier—at age 45 if they have no family history of prostate cancer, and at age 40 if any of their male relatives have had prostate cancer. Wellstar takes a personalized approach to cancer screenings, with clinicians discussing benefits versus risks of screening and helping patients evaluate their risk.

“Despite many physicians being aware of this and following this practice, Black men continue to be diagnosed with and die from metastatic prostate cancer. This is a trend that desperately needs to be reversed,” said Wellstar Primary Care Physician Dr. Earl Stewart. “We have adequate screening tools that do not even require a digital rectal examination.”

The Prostate-Specific Antigen (PSA) blood test is more accurate than the digital rectal examination in helping to detect prostate cancer, according to Dr. Stewart. Patients should also discuss family history with their relatives. “Patients knowing their family history is so crucial in having those discussions with primary care physicians to determine the best age at which to start screening,” Dr. Stewart said.

Screening for prostate cancer is as simple as making a preventive appointment with your primary care physician, discussing your family history with him or her, and having a PSA blood test. This test may be performed during an annual physical or wellness visit. Shared decision making between physician and patient is important to discuss your risk, your need for testing and next steps to take if your PSA level is elevated and concerning. Knowing your risk can save your life.

“I know many personally who are near and dear to me who had the disease and who unfortunately died from complications of metastatic prostate cancer,” Dr. Stewart said. “I know many more who lived because they had the conversation and dared to move forward with appropriate screening at the appropriate age.”

Learn more about prostate cancer care at Wellstar.

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4 Common Questions About Gynecologic Cancer—Answered

The gynecologic oncologists at Wellstar care for women at all stages of life, treating a variety of conditions with compassion and offering advanced care options. Our team are experts in treating cancers such as uterine, ovarian, cervical, vaginal and vulvar cancers. Here, we answer common questions about gynecologic cancer care with the help of Dr. Rosa Miller Polan, a gynecologic oncologist at Wellstar Cobb Medical Center. 

What is a gynecologic oncologist?

Gynecologic oncologists are specialists trained in the multidisciplinary management of patients with cancers of the female reproductive tract. Trained originally in obstetrics and gynecology, gynecologic oncologists treat patients with complex benign gynecologic issues, as well as gynecologic cancer patients who may need surgery, chemotherapy, immunotherapy or a combination of different treatments. 

When should you seek care?

Gynecologic cancers have different warning signs. When a person experiences concerning symptoms, a physical exam, including a pelvic exam, should be performed. Cervical and vaginal cancer symptoms include abnormal vaginal discharge, vaginal bleeding and pain. The most common warning sign for uterine cancer is abnormal vaginal bleeding. In postmenopausal women, any bleeding or spotting is abnormal and should prompt an evaluation. 

Ovarian or fallopian tube cancer symptoms include bloating, constipation, pelvic or abdominal pain and difficulty eating or feeling full quickly. Vulvar cancer symptoms include itching, burning, discoloration, and new bumps or lumps on the skin outside of the vagina. 

Who is at risk for developing gynecologic cancer?

Women who smoke cigarettes are at elevated risk for cervical, vaginal and vulvar cancer development. People who are immunosuppressed and those who have tested positive for the human papillomavirus (HPV) are also at increased risk. Genetics can contribute to the development of uterine, ovarian or fallopian tube cancers and these types of cancers can run in families. Obesity and use of hormone replacement therapy can put women at risk for the development of uterine, ovarian and fallopian tube cancers. A history of infertility, endometriosis and pelvic radiation are also risk factors for developing gynecologic cancer. 

What services are available at Wellstar?

At Wellstar, gynecologic oncologists provide comprehensive care for patients with gynecologic cancers, including administering chemotherapy and performing surgeries when needed. As high-volume pelvic surgeons, gynecologic oncologists also care for patients who need elective and emergent complex benign gynecologic surgery.

For many patients, robotic-assisted surgery offers a minimally invasive approach with less associated blood loss, shorter hospital stays and fewer post-operative complications. Gynecologic oncologists are some of the top users of the innovative DaVinci 5 robotic surgery platform. Performing complex gynecologic cancer surgeries, minimally invasive or otherwise, requires the type of highly specialized and multidisciplinary teams that work at Wellstar—and an infrastructure of resources to ensure patients have access to best-in-class care in their own backyard.

Learn more about gynecologic oncology at Wellstar at wellstar.org/gyncancer. 

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Dr. Nasarachi Onyeuku, a radiation oncologist at Wellstar, standing with one of the two TrueBeam linear accelerators in use for cancer care at Wellstar Cobb Cancer Center

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Wellstar Cobb Cancer Center Expands Treatment Services

New radiation technology and refreshed waiting and treatment areas are expanding world-class cancer treatment at Wellstar Cobb Cancer Center.

Cancer care in forward motion

Wellstar Cobb Cancer Center recently installed its second TrueBeam linear accelerator, which treats various cancers, including brain, head and neck, prostate, breast, lung, skin and gastrointestinal tumors. With the linear accelerator, clinicians can adjust the size and shape of beams to a tumor’s shape and spare healthy tissue.

With the second linear accelerator, Wellstar Cobb can offer patients more flexible and convenient scheduling. “An additional linear accelerator can lead to timely treatment starts and shorter wait times,” said Dr. Nasarachi Onyeuku, a radiation oncologist at Wellstar. “It expands our ability to treat more patients with cutting-edge care, continuing our commitment to bringing world-class cancer treatment closer to home.”

In addition to state-of-the-art external beam radiotherapy, TrueBeam delivers precise, high-dose stereotactic body radiotherapy (SBRT) targeting tumors in the body. It also provides stereotactic radiosurgery (SRS) for brain or spine cancer treatment. Patients will typically receive one to five treatments.

Patient-centered care at Wellstar Cobb

Wellstar Cobb Cancer Center recently renovated its treatment areas, front desk and waiting room, making it more welcoming and comforting for patients and their families. Within the treatment areas, the suite where patients receive high-dose radiation brachytherapy, a targeted treatment that involves placing radioactive material directly into tumors or near them, also underwent renovations.

“The beautifully designed space enhances patient comfort, offering a calm, supportive environment,” Dr. Onyeuku said. “We’re currently treating breast, cervical, uterine and skin cancers, with plans to expand to other cancer types. It’s advanced, efficient care—delivered close to home and with compassion.”

Early detection and support services

Cancer care begins with prevention and early detection. Wellstar Cobb is home to a lung cancer STAT Clinic, where specialists collaborate to diagnose and begin treatment within as little as 14 days. According to research by the Cleveland Clinic, patients can spend up to eight weeks on average visiting different specialists before starting a treatment plan. Earlier treatment can lead to the best possible outcomes.

Patients at Wellstar Cobb receive support at every stage of their treatment. These services include:

  • Emotional support from a social worker
  • Lymphedema therapy for patients with excess fluid and swelling
  • Meal planning with a dietitian
  • Monthly support group
  • Pain management
  • Physical therapy
  • Transportation assistance

“We have a superb team and state-of-the-art treatment here at Wellstar Cobb Cancer Center. And we’re backed by the resources of a nationally recognized health system,” Dr. Onyeuku said. “We are thrilled that our technology enhancements allow us to serve more people with exceptional cancer treatment.”

Learn more about cancer care in Cobb.

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