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The Pink Ribbon Story A pink ribbon symbolizes breast cancer awareness. The merging of ribbon and symbolism in the United States came about in two huge leaps. The first occurred in 1979 when a wife of a hostage who had been taken in Iran was inspired to tie yellow ribbons around the trees in her front yard, signaling her desire to see her husband come home again. Step two occurred 11 years ears later, when AIDS activists looked at the yellow ribbons that at had been resurrected for soldiers fighting the Gulf War and nd turned the ribbon bright red, looped it, spruced it up and nd sent it onto the national stage during the Tony awards to represent those affected by AIDS. The stage was set for the evolution of the breast cancer ncer awareness ribbon. Susan G. Komen for the Cure® has used ed the color pink since its inception in 1982. The first Komen Race for the Cure® logo design was an abstract female runner outlined with a pink ribbon and was used during the mid 1980s through early 1990s. In 1990, the first breast cancer survivor program was launched at the Komen National Race for the Cure® in n Washington, D.C. The survivors wore buttons that were printed in black and white. Later that year, the survivor program developed, and pink was used as the designated color for Komen to promote

awareness and its programs. Pink visors were launched for survivor recognition. In 1991, pink ribbons were distributed to all breast cancer survivors and a participants of the Komen New York City Race for the Cure®. Then in 1992, Alexandra Penney, editor-in-chief of Cu Self magazine, wanted to put the magazine’s second annual Breast Bre Cancer Awareness Month issue over the top. She did this thi by creating a ribbon and enlisting the cosmetics giants to distribute them in New York City stores. And thus, the birth of the pink ribbon! In 2007, twenty-five years after its inception, the Susan G. Komen Breast Cancer Foundation changed its name to SuKom san G. Komen for the Cure. The name change was accompanied by a new brand image. The new logo included a p pink “running ribbon” designed specifically for Komen for the Cure. This ribbon signifies the promise Komen Founder Nancy G. Brinker made to her dying sister, Sussan G. Komen, to do what she could to end breast cancer. Today, any generic pink ribbon can be used to represent breast cancer awareness while the Komen “running ribbon” is reserved solely for use by Susan G. Komen for the Cure®. Information provided by Susan G. Komen

a blank slate media / litmor publications special health section • september 29, 2017

36 THINK PINK • Blank Slate Media Newspapers, Friday, September 29, 2017

Did you know? The breast is made up of glands called lobules that can make milk and thin tubes called ducts that carry the milk from the lobules to the nipple. Breast tissue also contains fat and connective tissue, lymph nodes, and blood vessels. The most common type of breast cancer is ductal carcinoma, which begins in the cells of the ducts. Breast cancer can also begin in the cells of the lobules and in other tissues in the breast. Ductal carcinoma in situ is a condition in which abnormal cells are found in the lining of the ducts but they haven’t spread outside the duct. Breast cancer that has spread from

Look Good Feel Better: A Makeover for the Spirit Cancer can rob a woman of her energy, appetite, and strength. But it doesn’t have to take away her self-confidence. During Look Good Feel Better group workshops, volunteer beauty professionals teach simple techniques to women in active treatment to help them cope with skin and nail changes and hair loss. Workshop participants receive a free cosmetic kit and style tips. For more information, visit lookgoodfeelbetter.org, call 1-800-395-LOOK (5665), or contact your local American Cancer Society office.

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where it began in the ducts or lobules to surrounding tissue is called invasive breast cancer. In inﬂammatory breast cancer, the breast looks red and swollen and feels warm because the cancer cells block the lymph vessels in the skin. In the U.S., breast cancer is the second most common cancer in women after skin cancer. It can occur in both men and women, but it is rare in men. Each year there are about 100 times more new cases of breast cancer in women than in men. Information provided by the National Cancer Institute

Nutrition seen key in cancer prevention “Fat tissue is a significant producer of estrogen,” Sachs said, noting that exercise About one in 8 women – or 12 percent can also lower estrogen levels. Among some of the recommended – will develop an invasive breast cancer over the course of their lifetime, according items are mushrooms to improve the imto breastcancer.org, a non-profit organiza- mune system, pomegranites to raise antiaromatise activity, green tea, cruciferous tion focused on fighting breast cancer. About 252,710 new cases of invasive vegetables like broccoli and cauliflower, breast cancer will be diagnosed in women and fiber rich foods. Beans, fish, and whole grains would this year, according to the American Cancer Society, a voluntary health organiza- also help. Frozen fruits and vegetables, beans, tion involved in cancer research, public canned salmon, buckweed and kenowa policy and education. The organization also predicts that are fairly cheap options that carry the same benefits too, Sachs added. But as a about 40,610 will die from breast cancer. general rule, Sachs said, But one out of three it helps to go with what diagnoses could possibly looks good and add it be prevented, one expert where you can. said. “Focusing on color“Diet is very imporful foods and what you tant,” Hillary Sachs, a can include might be a nutrition management better approach,” Sachs specialist at the Monter said. Cancer Center, said in Sachs said that an interview. “There’s there’s currently debate so many factors that about the benefits of are unknown that could soy, but noted they can lead to the development be protective in moderaof breast cancer, but nution. Low calorie diets trition and lifestyle can could also help since make a big difference.” they slow down cell The kind of diet that Sachs recommends is PHOTO FROM HILLARY SACHS’ WEBSITE growth, Sachs noted, but plans like that should be one high on plants and individualized. physical activity, and Hillary Sachs, a nutrition manSachs said to also low on meat, fat and agement specialist at Northwell processed food. Sachs Health’s Monter Cancer Center. not underestimate the power of one’s environsaid there’s considerment. Everyday prodable research showing that a plant-based diet or Mediterranean ucts ranging from beauty products with diet can help reduce the risk, as well as chemicals that can mimic estrogen in the body to the plastic in water bottles can improve the immune system. “A lot of plant-based foods inherently increase risks, as can cortisol – a stress have cancer-fighting properties,” Sachs hormone. But ultimately, Sachs said, a combinasaid. But this is also, in part, because exces- tion of diet and lifestyle can make a world sive estrogen production has been linked of difference for some. “Thirty-three percent can be preventto two thirds of cancers, according to the ed,” Sachs said. American Cancer Society.

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Helping hand offered to cancer survivors BY JA N E LL E C L AUS E N When facing something as daunting as a breast or gynecologic cancer, the little things can add up — and very often, women don’t reach for outside help. “In Great Neck, we don’t have too many people that step forward and require that,” said Laura Weinberg, president of the Great Neck Breast Cancer Coalition. But for those that do need help, the Great Neck-based group — like many other breast cancer coalitions across Long Island — has a “lend a helping hand” program. The goal is to “alleviate some of the stresses and demands associated with post breast cancer surgery and subsequent treatment,” according to their website. They do this by assisting with day-today things like house cleaning, home care, food shopping and buying post-mastectomy accessory items like bras and wigs. “The ones that call us are really desperate and really need help,” Weinberg said. The Manhasset Women’s Coalition Against Breast Cancer, which Weinberg

said likely assists over 100 people, provides similar services. This is done through their outreach program, according to their website, which offers meal deliveries, house cleaning, wellness services, financial assistance, transportation and a host of other services. “The goal of our Outreach Program is to provide each woman with information and support, as well as relief from some of the day-to-day stresses and pressures of taking care of a family, including herself,” the website says. These programs mirror the original Lend a Helping Hand program, which was forged by the Babylon Breast Cancer Coalition in 1996. Beverly Flaherty, a full-time worker with the Babylon Breast Cancer Coalition, said programs like these arose from necessity. Traveling between treatments can be hard, especially if the person diagnosed has family working or none at all, she said. “The program can really be tailored to what the person needs,” Flaherty said. “It’s definitely needed,” Flaherty added. “We’ve tried to call the program the same thing on Long Island so everyone knows what it is.”

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Event to explain surgery options Whether you’re considering a mastectomy or lumpectomy after breast cancer or as a preventative measure, making a decision can be difficult. As part of Breast Cancer Awareness Month, a free community event will address these issues on Monday, Oct. 23 from 5:30 to 8:30 p.m. at Rust Auditoriam at North Shore University Hospital in Manhasset. The evening includes a panel of Northwell reconstructive and plastic surgeons who will discuss the latest procedures available as well as private meetings with women who had breast reconstruction surgery. Sponsored by Northwell Health Cancer Institute and the Division of Plastic Surgery, the event, Baring it all: everything you need to know about breast reconstruction, includes an opportunity to talk with top plastic surgeons, connect with women considering breast reconstruction, as well as offer a safe and supportive environment to meet former breast reconstruction patients who are willing to share their stories and allow women to see the results of their procedures first-hand. At the event, attendees will: Speak with Northwell Health’s expert panel of plastic and reconstructive surgeons; Get information about breast surgery

options and what to consider when making a decision; Learn about the types of breast reconstruction and tips on deciding which procedure is right for you; Find out about the importance of aftercare and having a support system. The following physicians will participate in the awareness event: • Dr. Mark Smith, moderator and director, reconstructive oncology, Northwell Health Cancer Institute. • Dr. Armen Kasabian, system chief of plastic surgery, Northwell Health • Dr. Lyle Leipziger, chief of plastic surgery at North Shore University Hospital and Long Island Jewish Medical Center • Dr. Victor Moon, plastic surgeon, Northwell Health • Dr. Adam Perry, chief of plastic surgery, Southside Hospital • Dr. Neil Tanna, associate program director, plastic surgery, Northwell Health The panel session will be followed by a question and answer period. Light refreshments will be served. Preregistration is encouraged, but walk-ins are welcome. Ample parking. To register, please visit: Northwell.edu/BreastSurgeryEvent. For questions, please call 516-9411280.

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40 THINK PINK • Blank Slate Media Newspapers, Friday, September 29, 2017 ADVERTORIAL

Ailments of The Foot and Ankle If you’re one of the thousands of people on Long Island who suffer from pain or discomfort in your feet, ankles and legs – you are not alone. If you’re experiencing pain in the heel during standing, walking or running – you may be experiencing symptoms of Plantar Fasciitis. Perhaps you have a swollen or red toe near the nail bed that is tender to the touch, painful, and maybe infected…this may be an ingrown toenail. If your large toe is crossing over your other toes and has a bony hump underneath that is painful or causes discomfort when walking or standing on it - you may have a bunion. Do you have a bent toe that is irritated on top from rubbing? You may be suffering from Hammertoes. Dr. Mary Carlson in Williston Park offers treatment options for all of these ailments, and many of them are pain free and have no side effects. From laser therapy treatments that rid you of fungal nails, to custom orthotics that alleviate painful fallen arches she offers a solution for your foot and ankle ailments. Using the latest state-of-the-art treatments, Dr. Carlson has helped thousands of Long Islanders live healthy and active lives pain free.

Dr. Mary Carlson is a graduate of the New York College of Podiatric Medicine and has spent her entire career providing superior care to every single one of her patients. Dr. Carlson and her office have created an environment that preserves the dignity of each patient, providing them not only with medical treatment, but respect. With FDA approved laser technology, x-ray and ultrasound imaging devices located on-site, Dr. Carlson is able to diagnose and treat most conditions right in office. For all inquiries and scheduling with Dr. Mary Carlson, please contact her office at 516-248-8188 or online www.drmarycarlsondpm.com Combining state-of-the-art technology with compassionate care, Dr. Mary Carlson offers the absolute highest quality of care and service. Every patient is the highest priority and treatment plans are created based on each patients’ individual needs. Call the office of Dr. Mary Carlson today at 516-248-8188 and schedule your appointment today, or you can visit her website at www.drmarycarlsondpm.com and book your appointment any time of day. Online booking is fast and easy

3D mammograms a detection boost: doc BY N O A H M A N S K A R Mammograms are one of the best ways to protect against breast cancer, said Dr. Nina Vincoff, the chief of Northwell Health’s breast imaging division. Research has shown that routine tests, which people should get annually starting at age 40, have decreased the breast cancer mortality rate by about 40 percent since they became commonplace about three decades ago, Vincoff said. Technological advances have led to the development of 3D mammograms, which Vincoff said improve the chance of detecting cancer by about 40 percent. The 3D mammogram is the same for the patient as a standard test — a machine takes just two photos of each breast to create a three-dimensional image that shows many images from different angles, Vincoff said. “We are able to see things that we were not able to see before without taking extra pictures,” Vincoff said. Since March, every mammogram given at a Northwell facility has been a 3D test, Vincoff said. Nearly 50,000 mammograms were performed across the health system last year, she said. The technology has been available for seven to eight years, Vincoff said. Very few women turned them down after Northwell started offering them between 2011 and 2012, she said. Early detection “really remains critical” to fighting breast cancer, which is the second-deadliest cancer among women in the U.S., Vincoff said. More than 200,000 American women are diagnosed with the disease each

year, and one in eight is diagnosed with it in her lifetime. “To me, there’s no question that this examination is beneficial to women,” Vincoff said. About two thirds of the mammograms Northwell performs are routine tests to screen for cancer, Vincoff said. The rest are performed when a patient has a lump or other problem that needs to be evaluated, she said. No matter the reason for getting a mammogram, Vincoff said, the tests are “easy to tolerate” and “inexpensive to perform.” Most insurance policies cover screening mammograms as part of annual health checkups, so there’s usually no out-of-pocket cost to get one, Vincoff said. “By not having your mammogram, you increase your odds of dying from breast cancer,” she said. “It’s as simple as that.” Other tests are also available to help find breast cancer early, Vincoff said. People with dense breast tissue often get a breast ultrasound with a mammogram, Vincoff said. The dense tissue, which about 45 percent of the population has, is harder for the mammogram equipment to see through on its own, she said. A breast MRI can also help people who have a family history of breast cancer or who carry the gene linked to the disease, Vincoff said. “It’s not a test we can offer to everyone, but it’s a test for high-risk patients that, again, can really make a difference and be life-saving,” she said.

PHOTO PROVIDED BY MONTER CANCER CENTER AT NORTHWELL HEALTH CANCER INSTITUTE

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42 THINK PINK • Blank Slate Media Newspapers, Friday, September 29, 2017

Early detection seen as crucial 5-year survival rate nearly 99 percent when spotted early, treated properly BY DR. IL AN SILBERMAN “You have breast cancer.” These are four of the most frightening words a woman can hear. Breast cancer is, of course, a very serious matter. The reality, however, is that, when caught early, the ﬁve-year-survival rate is approximately 99 percent! By and large, when diagnosed in a timely fashion and properly treated, these women do well. Clearly, then, this suggests diligent radiological testing (mammography, ultrasound, MRI), professional and personal clinical examination, and aggressive investigatory procedures (biopsy, etc.). In many cases, when the diagnosis is made, a very appropriate treatment option is “lumpectomy with radiation treatment.” Essentially, this requires a relatively minimal surgical procedure involving the removal of the cancerous portion of the breast only, sometimes accompanied by axillary lymph node

dissection (sampling). Most often, this is usually followed by a course of radiation treatment to the rest of the involved breast, axillary area (armpit), and chest. This has been shown to be an effective treatment option in many cases. Although the surgical “insult” of a “lumpectomy” may be relatively minor, at times, a significant aesthetic issue may result. This is compounded by the side effect of the radiation treatment, which may cause contraction (shrinkage) of the rest of the effected breast. A variety of corrective (reconstructive) procedures are available, most of which are, again, relatively simple, often done on an ambulatory basis. Most often, they involve autologous fat grafting, the harvesting of fatty tissue from another part of the body (commonly the lower abdomen or thighs) via liposuction technique, and, after processing on the operative field, injecting it

into any possible surgical defect in the eﬀected breast. Just as frequently, symmetrizing breast reduction, lift, and/or augmentation may be done to the contralateral (opposite) breast to complete the reconstructive eﬀort. Other corrective procedures also exist, but are essentially variations on this theme. In other breast cancer situations, however, the best therapeutic option is a mastectomy. Mastectomy involves the removal of all the breast gland tissue on the cancerous side, sometimes including removal of the nipple-areola complex, sometimes not. Axillary lymph node dissection may be involved as well. Routinely, as much of the skin envelope as possible is spared, as it has essentially little-ornothing to do with the disease process. This is a more involved procedure than “lumpectomy,” and results in a more profound cosmetic deformity. It should be mentioned that it also, most of-

ten, results in loss of sensation in the skin of the involved chest, sometimes permanently. Very commonly, when the situation calls for mastectomy, the opposite breast is removed as well on a prophylactic basis. This is particularly true in cases of genetic predisposition for breast cancer (BRCA, and other gene mutations). A decision is also made (on a case by case basis) regarding the sparing or removal of the nipple-areola complex, sometimes for oncological (cancer related) reasons, sometimes for reconstructive and aesthetic ones. Post-mastectomy breast reconstruction, then, essentially involves the replacement of the breast tissue that was removed, in order to restore a feminine aesthetic form. Fundamentally, there are two diﬀerent ways to accomplish this task — either signiﬁcant sections of tissue are mobilized from one part of the body and utilized to make a breast(s) shape(s), or it may involve the use of prosthetics (breast im-

plants). The surgical procedures which move tissue (autologous breast reconstruction) most often use the tissue from the lower abdomen, sometimes from the inner thighs, and even more remote locations. This procedure is performed at the same operative setting as the mastectomy(s) themselves. Rather than a “liposuction” process, this most often involves a more massive undertaking of moving signiﬁcant volumes of tissues, either preserving continuous blood supply or detaching and reattaching that blood supply. This is a major surgical procedure, much more involved, lengthy, and possibly debilitating than the mastectomy(s) itself. It often takes several (seven to 10 hours), and does not routinely restore sensation. But it will produce, without exception, the softest, most natural looking, most natural feeling breast mounds than can be made. Continued on Page 43

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Artistry, science change people’s lives BY S U E TA B A K I N While practicing optometry, Olga Lucia became interested in permanent eye makeup to beneﬁt her patients that desired to look good, but were unable to apply make-up. Her innate artistic ability motivated her to study the ﬁeld of permanent cosmetics. She began her new career in 1993 and since then she has been changing the lives of many people not just with permanent makeup, but also with Micropigmentation for breast cancer survivors. “I started to see that there was a need for this type of procedure. Women who are diagnosed with breast cancer go on a physical and emotional journey and I wanted to help them get through it”, Lucia said. “Years ago, not that many people were having this type of procedure. After the radiation, chemotherapy, and surgeries, women were unaware of the options available to them. They didn’t understand. I wanted to let them know that they could change their appearance.” “For a breast cancer survivor, there is a disruption of body image,” she added. “She wants to look and feel normal again, feminine again, and after the surgery there is a renewed spirit.” Now a popular option, Nipple Tattooing, also known as micropigmentation, derma pigmentation or paramedical tattooing, is when the technician implants pigment into the derma layer of the skin. Diseased tissue inside the breast is

removed and often so are the nipples and areolas. By using before and after photos and working with the plastic surgeons and other breast cancer specialists, Lucia is able to create the illusion of a full breast with shading and highlighting. “I create a three dimensional breast. I camouflage the scars so that when a client looks in the mirror she is no longer reminded of cancer,” she said. Many clients schedule appointments with Lucia right after their surgeries while others have the procedure done years after their diagnosis. “It is an individual experience and everyone goes at their own pace,” she said. Using topical anesthetic, the procedure time can range from 30 to 90 minutes. There is no maintenance once the initial procedure is done. Both women and men undergo this procedure. “Men are happy that they can once again take off their shirt on a hot day and not be self-conscious about their appearance,” Lucia said. Over the years she has perfected her technique and is a certified instructor with apprentices of her own. “I have so much compassion for these survivors,” Lucia said. “I am completing their transition and it is a rewarding experience for me bring a smile to their face after such a long journey.” Lucia’s compassion, matched with her talent and skills in art, is making a difference one survivor at a time.

Early detection seen as crucial Continued from Page 42 The other option, then, is prosthetic breast reconstruction, and it is, essentially, the opposite end of the spectrum. Comparatively, it’s quick, simple, direct, and does not involve any other part of the body. It typically adds only 45 minutes or so to the end of the mastectomy procedure. But….it’s not always perfect. It also frequently requires the use of other prosthetic products simultaneously, specifically acellular dermal matrix (processed prosthetic skin material). In a significant percentage of cases, this reconstruction may actually include two surgical procedures. In the first one, which is done at the time of mastectomy, a temporary tissue expander (space-creator) is placed, to be ultimately replaced by a permanent implant. The second procedure typically occurs approximately three months after the mastectomy and expander placement, and

is routinely a minor, ambulatory procedure. In as many cases as possible, of course, every attempt is made to place the permanent implant in one setting (at the same time as the mastectomy). This is particularly common in cases where the nipple-areola complex has been spared and the entire skin envelope of the breast is available. Regardless, this is another excellent option. Every case, every individual woman, is evaluated independently. There is no one right solution. Multiple oncological and reconstructive factors are carefully considered in order to oﬀer the best alternative in each speciﬁc case. The ultimate decision is made in conjunction with the breast cancer surgeon, the plastic reconstructive surgeon, and, of course, the woman herself. In almost all cases, the treatment outcome results in a cancer-free patient, living a long and productive life, well-restored to an aesthetic feminine form.

ACUPUNCTURE

Dr. Chen is a credentialed acupuncturist at North Shore Hospital, Dr. Chen has specialized in Chinese Medicine for 20+ years. He successfully treats pain, diabetes, weight control, depression, fatigue, infertility and cancer prevention. Patients suffering with obesity and/or diabetes may see results within Best of the one to two weeks after starting North Shore treatment. 2016 Blank Slate Media’s

Blank Slate Media BSMBestoftheNorthShore.com

Dr. Dazhi Chen, Ph.D., LAC 277 Northern Blvd., Suite 306 Great Neck, NY 11021 (516)562-9221 • altmedny@gmail.com

ACUPUNCTURE Traditional Chinese Medicine Dr. Dazhi Chen, Ph.D N.Y.S. Lic. Acupuncturist. NCCAOM Chinese Herbology Credentialed Acupuncturist North Shore Hospital

• PAIN MANAGEMENT Pain may be relieved 50% after 3 treatments

• SEASONAL ALLERGIES Allergy symptoms relieved in 1-3 treatments

• DIABETES Blood sugar levels down after 1.5 hour treatment

• WEIGHT LOSS Lose weight without gaining it back Blank Slate Media’s

• CANCER PREVENTION General well being

Best of the North Shore Blank Slate Media BSMBestoftheNorthShore.com

2016

277 Northern Blvd., Suite 306 Great Neck, NY 11021 (516)562-9221 • altmedny@gmail.com

44 THINK PINK • Blank Slate Media Newspapers, Friday, September 29, 2017

A lingerie store that caters to survivors BY JA N E LL E CL AUSEN Yvette Lingerie, on 40-13 Bell Blvd. in Bayside, is essentially a mini-department store. They carry everything from bras, bustier, corsets and bathing suits to clothing,

coats, jewelry and handbags – both brand name and custommade — and do the fitting on site too. But when Diana Someck began running the store, she also had an old family friend in mind— one who had developed breast cancer.

“Between my mother and my sisters and I, we nursed her and I saw the whole progress of how the disease took over and it left a very strong connection that I had to it. That whole feeling of breast cancer and how it just takes over,” Someck said. “So when

I started this business it was like, ‘okay, I don’t just want to do lingerie.” Since then, Someck’s experience of witnessing someone suffer from breast cancer inspired her to offer more services. Someck said it doesn’t

PHOTO FROM GOOGLE MAPS

An interior view of Yvette Lingerie

matter whether a woman has needed mastectomies, surgery for their cancer or not— she and her co-worker will tailor to her needs. “Basically, we take care of women who have had or hadn’t had surgery.” Someck said. “We’re a full corsetiere shop.” She said that while rates of breast cancer have overall gone down and it’s gratifying to see 30-year survivors come into her store, it remains “rampant” on Long Island and that getting any type of cancer-related surgery can be shocking. So being able to help a woman feel confident truly makes her happy, Someck said. “To me, it brings every type of gratification possible,” Someck said. “So, in that sense, I think this store has a lot to offer because a woman is not abandoned.” Someck noted that what they typically do is that they try to gauge how the woman is and then try to help her for what she needs. Whether it’s “30 minutes or three hours,” Someck said she tries to address everyone’s needs. “There is no formula,” Someck said. Yvette Lingerie, on 40-13 Bell Blvd. in Bayside, is open from 10 a.m. to 5 p.m., Tuesday through Saturday, with off-hour appointments available. For more information on the store and what it offers, go to www.yvette-lingerie.com or call Diana Someck at (718) 229-5724.

Manhasset coalition offers more than outreach BY S U E TA B A K I N For the hundreds of women and men diagnosed with breast cancer, the Manhasset Women’s Coalition Against Breast Cancer has been an invaluable resource. “We were a group of women that were on the board of the Munsey Park Women’s Club,” founder and Vice-President of Outreach Dorothy Forte said. “Every year we chose a charity that needed funding and the ﬁrst Saturday night of every December we held a fundraiser. At one point, a member said ‘We are all women, why are we not doing something to help sup-

port breast cancer research?’ We reached out to all of the other women’s clubs in Manhasset to see who else would be interested, and that is really how we came to be.” The initial mission was to raise funds for research, and to date they have raised more than $4 million, helping fund grants as well as local programming. Recognizing a need to go beyond fundraising, the coalition started their Outreach Program in 2004. Volunteers help the organization run smoothly. There are “care coaches” who help navigate the recipients of all the coalition has to oﬀer. “Most of our care coaches

are survivors themselves,” Forte said. “They help to connect newly diagnosed individuals with those who have gone through the experience and they are constantly checking in even when the recipient is well.” There are assistants that help with driving, shopping and running errands and fundraisers who research grant opportunities. Education is important, Forte said, and the programming volunteers coordinate seminars and lectures. The Junior Coalition has high school students piggyback on the group’s initiatives. Its purpose is to provide education and awareness about breast

cancer at a teenage appropriate level without fear, to generate compassion and understanding for those aﬄicted with the disease and the family and friends aﬀected by it, and to join together to raise funds for breast cancer research and patient support programs. “Our Outreach Program also helps those who are undocumented and/or uninsured to make sure that they get the care they need,” Forte said. “It’s been incredibly varied what we have done.” There are always occasions to be celebrated at the coalition. “We send special gifts when it is the last day of radiation or

chemotherapy or when a woman has the strength to share she is shaving her head,” she said. “We send gift certiﬁcates for a favorite restaurant for special date nights.” The Coalition is there every step of the way, from initial diagnosis, to how to help family members cope. “At any given time we have just about 100 cases, but in a year we service so many more women than that. We are 21 years strong and we will keep on going,” Forte said. To learn more about how to volunteer, visit www.manhassetbreastcancer.org.

Blank Slate Media Newspapers, Friday, September 29, 2017 • THINK PINK

Winthrop grant to aid women’s screening BY A M E L I A C A M U R AT I During Dr. Karen Kostroff ’s 32 years at Northwell Health, she has seen many innovations in breast cancer care and surgery. Originally from Great Neck, Kostroff said as chief of breast surgery, she is responsible for all issues relating to breast surgery in the Northwell system, and she runs a breast tumor board, a system-wide teleconference with doctors from a slew of disciplines to get many medical opinions on one case without having the patient book multiple appointments. “Breast is a field where it involves a radiologist to a pathologist to a surgeon to a medical oncologist to a radiation oncologist to a plastic surgeon to a geneticist,” Kostroff said. “We present topics that are what’s new and innovative every time we meet, but we also discuss complex breast cases. That allows us to have all the specialties give their opinion not only at individual hospitals, but discuss it systemwide. “It would be very hard for all these smaller hospitals to have that level of expertise everywhere. This way, a patient really benefits and can have a really high level of analysis of their individual situation.” This year, Northwell introduced a technique called seed localization, Kostroff said, allowing new options when a lesion needs to be removed but can’t be felt. Previously, patients would have a guide wire placed on the day of the surgery, but Kostroff said her team now has the ability to place prior to the surgery date a clip that emits a radio frequency picked up in the operating room. “It’s nicer for the patient because they don’t have a wire, which adds anxiety to the day of the surgery, and they don’t have to have a wire sticking out of them until we take them to surgery,” Kostroff said. Kostroff said one of the greatest recent advancements in the breast surgical field is a nipple sparing mastectomy, or hidden scar surgery. Instead of incisions on the front of the breast that often leave scarring and make many survivors self-conscious,

Kostroff said the incision can be hidden under the fold of the breast. During the procedure, Kostroff said the surgeon removes all the breast tissue through the incision, and a plastic surgeon replaces the tissue with an expander or implant the same day. While the surgery is more challenging and lengthy, Kostroff said it achieves the same result as previous techniques. “It’s almost a cry of joy for the patient that we can progressively make people whole again,” Kostroff said. “It’s nice to get to that level of innovation and expertise. It makes all of what we do a faded memory.” After surgery, Kostroff said an abdominal block is used for pain management, allowing many patients to leave about 48 hours after surgery compared to the typical four days later. Northwell also offers the cold cap program, allowing patients in chemotherapy to wear a cold cap with ice water running through it to reduce the chance of hair loss. Though Kostroff said it does not work for every patient, they have seen some women have success with the program. After the tumor is removed, Kostroff said the tissue is typically discarded, but Northwell has developed in the last year the Tumor Donation Program, which delivers fresh tissue to the Feinstein Institute the same day as the surgery for research. “The scientists can study fresh tissue rather than an animal model, which allows them to look for more effective drugs, less toxic treatments,” Kostroff said. The most important step for catching breast cancer early on is self-exams and regular mammograms, Kostroff said. Northwell offers 3D mammograms, which Kostroff said is 30 percent better than 2D imaging. “Most of the time, there’s one of two ways a woman would determine she has breast cancer, either going for routine imaging or feeling something,” Kostroff said. “On Long Island, we’re fortunate that people are pretty good about going [for regular mammogram appointments], therefore a lot is found by screening.”

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PHOTO COURTESY OF MONTER CANCER CENTER AT NORTHWELL HEALTH CANCER INSTITUTE

Northwell Health Chief of Breast Surgery Dr. Karen Kostroff, left, said the health system has a number of innovations to offer breast cancer patients.

400'

Great Neck • 107 Northern Blvd, Ste 309 gbaudiology.com

46 THINK PINK • Blank Slate Media Newspapers, Friday, September 29, 2017

Go With Courage 516-987-6156 www.gowithcourage.org

Strength for Life www.strengthforlifeny.org 631-675-6513

Great Neck Breast Cancer Coalition Greatneckbcc.org

Stony Brook Cancer Center 631-638-1000 www.cancer.stonyrbookmedicine.edu

Kat’s Ribbon of Hope 917-292-3472 www.katsribbonofhope.com Lean On Me Breast Cancer Network 516-987-6099 www.leanonme.org Living Beyond Breast Cancer Survivor’s Hotline 888-753-LBBC (5222) www.lbbc.org

SUPPORT ORGANIZATIONS/ NETWORKS/HOTLINES/SERVICES ABCD After Breast Cancer Diagnosis 800-977-4121 www.abcdbreastcancersupport.org Adelphi NY Statewide Breast Cancer Hotline 800-877-8077 www.breast-cancer.adelphi.edu American Cancer Society 800-227-2345 www.cancer.org American Society of Plastic and Reconstructive Surgeons 800-635-0635 Breast Cancer Freebies www.breastcancerfreebies.com Breast Cancer.Org 610-642-6550 www.breastcancer.org Breast Cancer Research Foundation 866-FIND-A-CURE www.bcrf.org Breast Health Center – NYU Winthrop Hospital 516-663-3887 www.nyuwinthrop.org Breast Imaging Center Mercy Medical Center 516-62MERCY www.mercymedicalcenter.chsli.org/ molecular-breast-imaging Breast Imaging Center – NYU Winthrop Hospital 516-663-2400 www.nyuwinthrop.org Breast Reconstruction.org www.breastreconstruction.org Bright Pink www.brightpink.org Cancer and Careers 646-929-8032 www.cancerandcareers.org CancerCare 800-813-HOPE www.cancercare.org Cancer Support Community Hotline 888-793-9355 www.cancersupportcommunity.org

Susan G. Komen 877-GO-KOMEN ww5.komen.org The Women’s Health Center at St. Francis Hospital 516-629-2066 www.stfrancisheartcenter.com Triple Negative Breast Cancer Foundation 646-942-0242 www.tnbcfoundation.org

Look Good Feel Better 800-395-LOOK www.lookgoodfeelbetter.org

Weill Cornell Medicine Breast Center www.weillcornell.org/breastcenter

Manhasset Coalition Against Breast Cancer 516-627-2410 www.manhassetbreastcancer.org

West Islip Breast Cancer Coalition 631-669-7770 www.wibcc.org

Memorial Sloan Kettering Cancer Center 631-623.4000 www.mskcc.org

Young Survival Coalition 877-TSC-1011 www.youngsurvival.org

Mercy Medical Center Breast Health Services 516-62-MERCY www.mercymedicalcenter.chsli.org Nancy Marx Cancer Wellness Center 516-484-1545 ext. 123 www.sjjcc.org National Breast Cancer Foundation, Inc. 972-248-9200 www.nationalbreastcancer.org National Cancer Center 516-349-0610 www.nationalcancercenter.org National Cancer Institute 1-800-4-CANCER www.cancer.gov National Lymphedema Network 800-541-3259 www.lymphnet.org Northwell Health Breast Imaging Center 516-734-8600 www.northwell.edu Northwell Health Cancer Institute Monter Cancer Center 888-316-7015 www.northwell.edu Pink Link www.pinklink.org Reach to Recovery 800-227-2345 www.cancer.org Real Men Wear Pink 631- 300.3455 www.makingstrideswalk.org/realmennassauny SHARE 866-891-2392 www.sharecancersupport.org Sharsheret 201-833-2341 www.sharsheret.org

CALENDAR OF EVENTS Call for dates and times Look Good…Feel better Monter Cancer Center, Conference Room 450 Lakeville Road, Lake Success 800-227-2345 Call for dates and times Bridge to Survivorship —Breast Cancer Monter Cancer Center, Conference Room 450 Lakeville Road, Lake Success 516-734-8744 Now through October 15 Road 2 Wellness Tour – Motorcycling from Los Angeles to Long Island www.road2wellnesstour.com Now through Wednesday, October 31 Shop, Support and Save – Roosevelt Field Donate on-line to Susan G. Komen and receive discount card for 15% - 25% Susan G. Komen foundation. www.customercare@simon.com Mondays, 12:15 p.m. – 1:00 p.m. Discussion Group For Breast Cancer Survivors Nancy Marx Cancer Wellness Center 516-484-1545 ext. 123 www.sjjcc.org Mondays, 5:00 p.m. -6:00 p.m. Zumba Fitness Classes for Breast Patients and Survivors NYU Winthrop Hospital 259 First Street, Mineola Space limited; registration required; FREE 716-429-6398 or tinazumbaLi@gmail.com www.nyuwinthrop.org Mondays, 6:00 p.m. – 7:30 p.m. General Support Group Sponsored by The Adelphi NY Statewide Breast Cancer Hotline & Support Program Adelphi School of Social Work 1 South Avenue, Garden City FREE Register: 516-877-4314 or 800-877-8077 www.breast-cancer.adelphi.edu

Mondays, 6:00 p.m. – 7:30p.m. Support Group for Caregivers of People with Breast Cancer Sponsored by The Adelphi NY Statewide Breast Cancer Hotline & Support Program Adelphi School of Social Work 1 South Avenue, Garden City FREE Register: 516-877-4314 or 800-877-8077 www.breast-cancer.adelphi.edu Mondays, 6:00 p.m.-7:00 p.m. Strength for Life Training NYU Winthrop Research and Academic Center, 101 Mineola Blvd., Mineola Registration required 631-675-6513 www.strengthforlifeny.org Last Monday of the Month, 6:00 p.m. – 7:30 p.m. Touchstone Group for women who received the last treatment more than 18 months ago Sponsored by The Adelphi NY Statewide Breast Cancer Hotline & Support Program Adelphi School of Social Work 1 South Avenue, Garden City FREE Register: 516-877-4314 or 800-877-8077 www.breast-cancer.adelphi.edu Second Tuesday of every month Path to Wellness after Cancer 5:30pm to 7:00pm Monter Cancer Center, Conference Room 450 Lakeville Road, Lake Success 516-734-8203 Tuesdays, 11:45 a.m. Aquatic Exercise for Cancer Survivors Sid Jacobson JCC @ Kroll Family Aquatic Center Advanced registration required 516-484-1545 ext 213 rhight@sjjcc.org Tuesdays, 6:00 p.m. Young Women’s Support Group, Under 40 Sponsored by The Adelphi NY Statewide Breast Cancer Hotline & Support Program Adelphi School of Social Work 1 South Avenue, Garden City FREE Register 516-877-4314 or 800-877-8077 www.breast-cancer.adelphi.edu Fourth Tuesday of the month People Living with Cancer (Lake Success) 5:30pm to 7:00pm Monter Cancer Center Conference Room 450 Lakeville Road, Lake Success 516-734-8816 Fourth Tuesday of the month Caregivers Support Group (Lake Success) 5:30pm to 7:00pm Monter Cancer Center Conference Room 450 Lakeville Road, Lake Success 516-734-8744 Thursdays, 7:00 p.m. Support Group for Newly Diagnosed Stage 4 Breast Cancer Sponsored by The Adelphi NY Statewide Breast Cancer Hotline & Support Program Adelphi School of Social Work 1 South Avenue, Garden City FREE Register 516-877-4314 or 800-877-8077 www.breast-cancer.adelphi.edu

Blank Slate Media Newspapers, Friday, September 29, 2017 â€¢ THINK PINK

OCTOBER

18 2017

October 18, Olga Lucia

48 THINK PINK • Blank Slate Media Newspapers, Friday, September 29, 2017

Breast Cancer Awareness Thursdays 11:30 a.m Yoga For Breast Health NYU Winthrop Hospital, 173 Mineola Blvd., 1st floor conference room Registration required; FREE 516-384-5276 ww.w.nuywinthrop.org Every Third Thursday of the Month, 7:00 p.m. Lean on Me Breast Cancer Network Inc. Monthly Support Group 1010 Northern Blvd., 2nd Floor #208 Great Neck Register at leanonmeny@gmail.com FREE 516-829-6609 Fridays, 1:30 p.m Discussion Group For All Nancy Marx Cancer Wellness Center 516-484-1545 ext. 123 www.sjjcc.org Saturdays with Sabba Advice for Breast Cancer Patients www.facebook.com/adelphibreastcancerhotline 800-877-8077 Friday, September 29 through Wednesday, October 31 Pinkstyle – Shop & Save 25% at Tanger Outlets (restrictions apply) www.tangeroutlet.com Sunday, October 1, 8:30 a.m. 9th Annual Tanger 5K Run/Walk Tanger Outlets, Deer Park www.tangeroutlet.com Sunday, October 1, 12:00 p.m. Pink Flags of October Good Samaritan Hospital, West Islip www.wibcc.org Wednesday, October, 6:00 p.m. Pink Diamond Gala Crest Hollow Country Club www.maurerfoundation.org Thursday, October 5, 4:00 p.m. Breast Cancer Support Group South Nassau Community Hospital 516-374-3190 www.southnassau.org Thursday, October 5 and 26; November 9 and 30, 9:30am Cafecito: Support Group for Spanish Speaking Women with Breast Cancer Sponsored by The Adelphi NY Statewide Breast Cancer Hotline & Support Program United Health Care, 209 Post Avenue Westbury 516-877-4329 Sponsored by Adelphi Breast Cancer Program 1 South Avenue, Garden City FREE 800-877-8077 www.breast-cancer.adelphi.edu Friday, October 6, 9:30 a.m. Breast Health Symposium NYU Winthrop Hospital Research and Academic Center 101 Mineola Blvd., Mineola Registration required; Fee information at winthropCME.org 516-663-8459 *This is for health care professionals Saturday, October 7, 3:30 p.m. CeleBRAtory Bra Burning Fundraising Event Bayport Fire Department

Thursday, October 8, 9:30 a.m. Sid Jacobson JCC’s Stronger Than Cancer 5K Benefiting the Nancy Marx Cancer Wellness Center 516-484-1545 ext. 123 www.sjjcc.org/15k Thursday, October 12, 10:30 a.m. The Fifth Annual Kat’s Ribbon of Hope Golf and Tennis Outing/Benefit Dinner and Auction Nassau Country Club, Glen Cove www.katsribbonofhope.com Saturday, October 14, 12:00 p.m. More than Pink Health/Wellness Expo Smith Haven Mall – Center Court 516-621-1446 www.specialtyconnections.com Saturday, October 14, 9:00 a.m. Girls Gone Rx, Team Bright Pink Crossfit Sanctuary, New Hyde Park www.teambrightpink.org Sunday, October 15, 7:00 a.m. Making Strides Against Breast Cancer Jones Beach State Park, Field 5 www.makingstrides.acsevents.org Tuesday, October 17, 6:00 p.m. Celebration of Survivorship 2017: Faces of Breast Cancer – Stories of Survival Ruth S. Harley University Center Ballroom, Garden City Register: 516.877.4325 www.breast-cancer.adelphi.edu Wednesday, October 18, 6:30 p.m. Manhasset Women’s Coalition Against Breast Ladies Night Out Leonards Palazzo www.manhassetbreastcancer.org Wednesday, October 18, 6:30 p.m. Annual Women’s Wellness Seminar presented by St. Francis Women’s Center The DeMatteis Center for Cardiac Research and Education in Greenvale www.stfrancisheartcenter.com Call to Register 516-629-2140 FREE Friday, October 20 – Thursday October 26, 11:00 a.m. – 3:00 p.m. Pink Pinwheel Sales and Breast Cancer Awareness Table Sponsored by Adelphi University Adelphi University Center Lobby, 1 South Avenue, Garden City 800-877-8077 www.breast-cancer.adelphi.edu Saturday, October 21, 9:00 a.m. Breast/Ovarian Cancer Awareness Day LI Marriott, Uniondale www.sassfoundation.org Sunday, October 22, 7:30 a.m. Making Strides Against Breast Cancer Suffolk Community College Eastern Campus www.makingstrides.acsevents.org Monday, October 23, 5:30 p.m. Free Breast Reconstruction Education North Shore University Hospital Rust Auditorium 300 Community Drive Manhasset www.northwell.edu/breastsurgeryevent Free event

Friday, October 27, 12:00 p.m. Annual Human Ribbon Sponsored Adelphi University Adelphi University, 1 South Avenue, Garden City 800-877-8077 www.breast-cancer.adelphi.edu Friday, October 27, 7:00 p.m. Bowling for Boobs AMF Sayville Lanes, Sayville www.wbab.com Thursday, November 2, 7:00 p.m. Learning About Breast Cancer presented by Lean on Me Breast Cancer Network Inc. 3 Delaware Drive, Lake Success Register at leanonmeny@gmail.com FREE 516-829-6609 Saturday, November 4, 1:00 p.m. Rockin’ Roll Bowl 2017 Garden City Bowl, Garden City Sponsored by The Adelphi NY Statewide Breast Cancer Hotline & Support Program Pre-Registration Required; 516.877.4325 Thursday, November 9, 7:00 p.m. Understanding Breast Cancer Treatment presented by Lean on Me Breast Cancer Network Inc. 3 Delaware Drive, Lake Success Register at leanonmeny@gmail.com FREE 516-829-6609 Thursday, November 9, 6:00 p.m. Breast Health Fair: An Integrative Approach – Risk Reduction, Prevention & Maintaining Wellness NYU Winthrop Hospital Research and Academic Center 101 Mineola Blvd., Mineola Registration is required; FREE inspiringwomen@nyuwinthrop.org 516-663-3131 Thursday, November 16, 7:00 p.m. Remaining Breast Cancer Free presented by Lean on Me Breast Cancer Network Inc. 3 Delaware Drive, Lake Success Register at leanonmeny@gmail.com FREE 516-987-6609

BREAST CANCER Q&A Information provided by the Adelphi NY Statewide Breast Cancer Hotline & Support Program. 800-877-8077. www.adelphi.edu/nysbreastcancer For 37 years, the Adelphi NY Statewide Breast Cancer Hotline & Support Program (800-877-8077) has been answering questions from people concerned about breast cancer. Here are some frequently asked questions. If my doctor tells me I have breast cancer, does that mean I’m going to die? A diagnosis of breast cancer is not a death sentence. When breast cancer is found early, the survival rate is high. That is why it is so important to practice early detection methods like annual mammograms, age 40 and over. How many women develop breast cancer each year? About 1 in 8 U.S. women (about 12%) will develop invasive breast cancer over the course of her lifetime. In 2017, an estimated 252,710 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 63,410 new cases of non-invasive (in situ) breast cancer. What are the factors that put a woman at higher risk for breast cancer? The two most significant risk factors are being female and getting older. The majority of women diagnosed with breast cancer have no other known risk factors. As a Hispanic woman, should I be concerned about breast cancer? More Hispanic women are diagnosed at a later stage than Caucasian, when cancer is harder to treat. Am I at risk for Breast Cancer? All women are at risk of developing breast cancer. Speak to your health care provider who will talk with you about your family history and your own individual risk factors. Do men get breast cancer? Yes, male breast cancer makes up about one percent of all cases of breast cancer. As an African-American woman, should I be concerned about breast cancer? Yes, although the incidence of breast cancer is lower in African –American women than white women, the mortality or death rate is higher.

Thursday, November 16, 6:00 p.m. Sexuality and Breast Cancer Adelphi Alumni House 154 Cambridge Avenue, Garden City Register: breastcancerhotline@adelphi.edu Sponsored by Adelphi Breast Cancer Program 1 South Avenue, Garden City FREE 800-877-8077 www.breast-cancer.adelphi.edu

Am I more at risk of developing breast cancer as I age? Age is the number one risk factor for breast cancer. Older women are much more likely to get breast cancer than younger women. Most breast cancers (about 80%) occur in women ages 50 and older. About 5% of all breast cancer cases occur in women under the age of 40. It is recommended that women start annual mammography at age 40.

Sundays, Mondays, Tuesdays and Fridays Various Exercise Classes Nancy Marx Cancer Wellness Center Check website for class descriptions 516.484.1545 ext. 123 www.sjjcc.org/cwc

Can exercise reduce my risk for breast cancer? Several studies indicate that women who exercise at moderate to vigorous levels (3-4 hours per week) may reduce their risk level.

Friday, October 20. 1:30 p.m. – 2:15 p.m. 4 Your Health – 4 part series Nancy Marx Cancer Wellness Center 516.484.1545 ext. 123 www.sjjcc.org/cwc

Does what I eat affect my risk of getting breast cancer? What we eat affects our health and well-being. Research is suggesting that a diet rich in fruits, vegetables and grains may play a role in reducing the risk of breast cancer. Moderation is the key.

Blank Slate Media Newspapers, Friday, September 29, 2017 • THINK PINK

Breast Cancer Awareness Is obesity a breast cancer risk factor? Being overweight is linked to elevated risk, especially in older women. Does drinking alcohol increase my risk of breast cancer? Some studies suggest that drinking one or more alcoholic drinks a day may increase your risk. I have family members who have had breast cancer. Should I have genetic testing? Researchers have identified specific genes linked to breast cancer. Tests are available for those who choose to find out if they have inherited the genetic changes that increase risk. A doctor or genetics counselor can provide more information on the risks, benefits and consequences of genetic testing.

some respect (in terms of age, for example) and counting the number of individuals in this group who develop the disease over the specified time period. For instance, if we were to observe 100,000 women between the ages of 20 and 29 for one year, approximately 4 would develop breast cancer during this period. Therefore, the one-year absolute risk of breast cancer for a 20- to 29-year-old woman is 4 per 100,000 women, or 1 per 25,000 women. Adjuvant Systemic Therapy Treatment given in addition to surgery and radiation to eliminate tumors that may have spread to other sites. There are two types, chemotherapy and hormone therapy.

Bilateral Prophylactic See Prophylactic Mastectomy Biological Therapy A therapy that targets something specific to the biology of the cancer cell, as opposed to chemotherapy, which attacks all rapidly dividing cells. Often used to describe therapies that use the immune system to fight cancer (immunotherapy). Trastuzumab (Herceptin) is an example of a biological therapy agent. Biopsy Removal of tissue to be examined for cancer cells.

Aneuploid (DNA Ploidy) The presence of an abnormal number of chromosomes in cancer cells.

Bone Scan A test done to determine whether or not there are any signs of cancer in the bones. A small amount of radioactive material is injected into the bloodstream. It collects in the bones, especially abnormal areas, and is detected by a scanner. Collections on bone scan may result from cancer as well as from benign bone diseases like arthritis.

Angiogenesis Blood vessel formation, which usually accompanies the growth of malignant tissue.

Breast Cancer An uncontrolled growth of abnormal breast cells.

Antibody therapy A specially made antibody that targets cancer cells.

Breast Conserving Surgery Surgery that removes only part of the breastthe part containing and closely surrounding the cancerous tumor.

Anti-carcinogen Referring to an agent that counteracts carcinogens (cancer causing agents).

Breast Prosthesis An artificial breast form that can be worn under clothing after a mastectomy.

What is a screening mammogram? A screening mammogram is an x-ray of the breast used to detect breast changes in women who have no signs or symptoms of breast cancer. With a mammogram it is possible to detect micro-calcifications (tiny deposits of calcium which sometimes are a clue to the presence of breast cancer) or a tumor that cannot be felt.

Apoptosis A normal cellular process involving a genetically programmed series of events leading to the death of a cell.

Breast Self-Examination (BSE) A method used by women to become familiar with the normal appearance and feel of their breast tissue, so that if a change occurs it will be detected early.

What if I’m uninsured and cannot afford a mammogram? There are Cancer Services Partnership Programs across New York State that provide free or low cost mammography. Call the Adelphi Statewide Hotline (800-877-8077) for information about this and other government and local assistance programs.

Aspirate To remove fluid and a small number of cells.

How often should I get a mammogram? If you are 40 or older you should get a mammogram every year. If you are under 40 and have a family history of breast cancer or have other concerns about your personal risk, you should consult a trained medical professional about when to begin getting a mammogram. Why aren’t routine mammograms done on women under age 40? Pre-menopausal women have dense breast tissue that can make the evaluation of mammograms less sensitive. If a breast abnormality is found during a self-exam or regular physical, an evaluation may include the use of an ultrasound and a mammogram even in women under the age of 40.

I know someone who has breast cancer. How can I help? Be there to listen, let them express their feelings. Offer specific help with household chores, meals, transportation, childcare, etc. Take your cues from them; let them tell you what they need. Let feelings be expressed. Be there. Don’t tell them what to do. Don’t avoid them. Don’t share horror stories. Don’t treat them like an invalid. Above all, don’t avoid them and don’t be surprised if they have mood swings, or seem sad – it’s normal.

GLOSSARY OF TERMS from the Adelphi NY Statewide Breast Cancer Hotline & Support Program 899-877-8077

A Absolute Risk A person’s chance of developing a specific disease over a specified time period. The absolute risk of disease is estimated by examining a large number of persons similar in

Alopecia Hair loss.

Areola The darkly shaded circle of skin surrounding the nipple.

Atypical Hyperplasia Overgrowth of mildly abnormal but noncancerous (benign) cells within the breast milk ducts. Axilla The underarm region. Axillary Dissection Surgical procedure to remove lymph nodes from under the arm. Axillary Lymph Nodes The lymph nodes under the arm. Axillary Sampling (axillary dissection) Removal of some or all of the lymph nodes in the armpit.

B Benign Not cancerous. Does not invade nearby tissue or spread to other parts of the body. Benign Breast Disease Noncancerous conditions of the breast that can result in lumps or abnormalities on a mammogram. Examples include fluid filled cysts and fibroadenomas.

C Calcifications Deposits of calcium in the breast that appear on a mammogram. Microcalcifications sometimes can indicate precancerous or cancerous cell growth. Carcinoma In Situ Cancers contained in the milk ducts and lobules of the breast that have not left their original location and spread to the surrounding breast tissue. In situ means “in place.” Centigray One centigray describes the amount of radiation absorbed by the tissues and is equivalent to 1 RAD. Clinical Breast Examination (CBE) The inspection and palpation of the breasts by a trained medical professional. Complementary Therapies (CAM) Forms of treatment that are used in addition to standard treatments. These practices are not considered standard medical approaches. Computerized Axial Tomography (CAT) Scan See CT Scan. Core Needle Biopsy A needle biopsy that removes pieces of tissue rather than just cells from an abnormal area in the breast. CT Scan Computed tomography scan. A series of

pictures created by a computer linked to an X-ray machine. The scan provides detailed internal images of the body. Also called computerized tomography and computerized axial tomography (CAT) scan. Cumulative Risk Summing of a person’s risk for a disease up to a specified age. For example, if the lifetime risk of breast cancer for an American woman born in 1990 is 1 in 8 (about 12%), if she lives to be 95. This means that for every 8 women who live to be age 95, one (about 12%) will be diagnosed with breast cancer during her lifetime. Cyst A fluid-filled sac. Cytopathologist A pathologist who specializes in looking at individual cells. A cytopathologist is needed to interpret the results of fine needle aspiration. Cytotoxic Toxic, or deadly, to cells (cell killing). Often used synonymously with chemotherapy.

D Diagnostic Mammogram A diagnostic mammogram is used to further evaluate a breast problem/symptom or an abnormal finding on a screening mammogram. This procedure involves two or more X-ray views per breast. Diagnostic Radiologist (Radiologist) A physician who specializes in the diagnosis of diseases by the use of X-rays. Diploid (DNA Ploidy) The presence of a normal number of chromosomes in cancer cells. Dose-dense therapy Chemotherapy given over a more condensed time period compared to standard therapy, such that the frequency of treatment sessions is increased, but the duration of the treatment period is shortened. Doxorubicin A chemotherapy drug that damages a cancer cell’s ability to repair DNA. Duct A pathway in the breast through which milk passes from the lobules to the nipple. Ductal Carcinoma In Situ (DCIS) Type of in situ (non-invasive) breast cancer that originates mainly in the milk ducts of the breast. Ductal Papilloma A noncancerous breast tumor, arising in the breast duct, which usually cannot be felt. It generally appears as either a bloody or clear nipple discharge.

E Early Breast Cancer Cancer that is contained in the breast or has only spread to lymph nodes under the arm. The term is commonly associated with stage I and II cancer. Endocrine Manipulation (Hormonal Therapy) Treating breast cancer by changing the hormonal balance of the body instead of using cell-killing drugs.

50 THINK PINK • Blank Slate Media Newspapers, Friday, September 29, 2017

Breast Cancer Awareness Estradiol The most active naturally occurring estrogen in women. Estrogen A female hormone produced by the ovaries and adrenal glands. It is important to reproduction and may stimulate some cancers to grow. Excisional Biopsy Surgical procedure that removes the entire suspicious area (plus some surrounding normal tissue) from the breast. External Beam Radiation Therapy See Radiation Therapy.

F False Negative A test result that incorrectly reports that a person is disease-free when she/he actually has the disease. False Positive A test result that incorrectly reports that a person has a disease when she/he does not have the disease. Fat Necrosis A noncancerous breast change in which the breast responds to trauma with a firm, irregular mass, often years after the event. The mass is the result of fatty tissue dying, following either surgery or blunt trauma to the breast. This is not associated with an increased risk of breast cancer. Fibroadenoma A benign fibrous tumor that may occur at any age but is more common in young adulthood. Fibrocystic Condition (Fibrocystic Changes) A general term used to describe a noncancerous breast condition, sometimes resulting in painful cysts or lumpy breasts. Also referred to as benign breast disease. Fine Needle Aspiration (FNA) Biopsy procedure that uses a very thin, hollow needle to remove a sample of cells from the abnormal area of the breast. Also called a fine needle biopsy. Flow Cytometry A laboratory test performed on malignant breast tissue to determine the growth rate of malignant cells and the presence of abnormal chromosomes. Frozen Section Process where a portion of tissue from a surgical biopsy is frozen so that a thin slice can be quickly cut and analyzed to see if it is cancerous or not. Results are only preliminary and always need to be confirmed by other methods.

G Galactocele Milk filled cyst. Gene Mutation A ‘mistake’ or ‘alteration’ of the information contained in a gene. General Practitioner/Internist (Physician) A personal or family physician who may first detect a suspicious area through a clinical breast exam or abnormal mammogram.

H HER2/neu (erbB2) Protein that appears in high numbers on the outside of the breast cancer cells of about 20 to 25 percent of breast cancer patients. Tumors with high levels of HER2/neu are effective targets for the biological therapy drug, trastuzumab (Herceptin).

Lobules Spherical-shaped sacs in the breast that produce milk. Local Treatment Treatment that focuses on getting rid of the cancer from a limited (local) area. In breast cancer, this would be the breast, the chest wall and lymph nodes in the armpit (axillary nodes).

Mastectomy Surgical removal of the breast. The exact procedure depends on the patient’s diagnosis. See Total Mastectomy and Modified Radical Mastectomy. Mastitis An inflammation of the breast usually occurring during lactation. Symptoms include pain, nipple discharge, fever and redness and/or hardness over an area of the breast.

Hormone Receptors Specific proteins on breast cells that hormones attach to. A high number of hormone receptors often indicates that a cancer cell needs the hormone to grow.

Localized Breast Cancer Cancer that is contained in the breast and has not spread to surrounding tissue, lymph nodes or other organs.

Metastasis Spread of the cancer to other organs through the lymphatic and/or circulatory system.

Hormone-Receptor Status Indicator of a breast cancer’s need for hormones to grow. A hormone-receptor positive cancer needs hormones to grow. A hormonereceptor negative cancer does not need hormones to grow. See Hormone Receptors.

Locally Advanced Breast Cancer Cancer that has spread beyond the breast to the skin or chest wall, but not to distant organs like the lungs and liver. The term is commonly associated with stage III cancer. It also refers to a tumor that is > 5 cm (about 2”).

Microcalcifications Small, clustered deposits of calcium in the breast, which may be seen on a mammogram. These may or may not be associated with a breast lump. Approximately 20 to 25 percent represent breast cancer.

Hormonal Therapy Treatment that works by keeping cancer cells from getting the hormones they need to grow.

Lump Any kind of mass in the breast or elsewhere in the body.

Lumpectomy Surgery that removes only part of the breastthe part containing and closely surrounding the cancerous tumor.

Modified Radical Mastectomy Surgical removal of the breast, the lining of the chest muscles and some of the lymph nodes in the armpit. Used to treat early and locally advanced breast cancer.

Immunohistochemistry (IHC) A laboratory test performed on tumor tissue to detect the amount of a specific genetic protein in the cancer calls. Implant, Breast An “envelope” containing silicone, saline or both, used to restore breast form. Incisional Biopsy Surgical biopsy that removes only part of the tumor, usually done on advanced or large tumors. Induction Chemotherapy (Primary Chemotherapy, Preoperative Chemotherapy or Neoadjuvant Therapy) Chemotherapy used as a first treatment, often used for large or advanced cancers to shrink tumors before surgery. In Situ Cancer See Carcinoma In Situ. Integrated Therapy See Complementary Therapy. Intraductal Within the milk duct. Intraductal can describe a benign or malignant process. Intraductal Hyperplasia An excess of cells growing within the breast’s milk ducts.

L Lactation The process of producing milk and breastfeeding a child. Lactic Acid Substance produced as waste by cancer cell metabolism. Lesions Area of abnormal tissue. Lobular Carcinoma In Situ (LCIS) A type of carcinoma in situ where the cells originate mainly in the lobules of the breast. Lobular Neoplasia In Situ See Lobular Carcinoma In Situ.

Lymphatic System The network of lymph nodes and vessels throughout the body. Lymphedema The swelling of the arm due to poor draining of lymph fluid that can occur after surgery to remove lymph nodes or after radiation therapy to the area. Lymph Nodes (Lymph Glands) Small clumps of immune cells that act as filters for the lymphatic system. Clusters of lymph nodes are found in the underarms, groin, neck, chest and abdomen.

M Malignant Cancerous. Mammary Duct Ectasia A noncancerous breast condition resulting from the inflammation and enlargement of the ducts behind the nipple. Generally women do not experience any symptoms, however, calcifications seen on a mammogram may indicate its presence. No treatment is necessary if the woman is not experiencing any symptoms (burning, pain or itching of the nipple area). Mammary Glands The breast glands that produce and carry milk, by way of ducts, to the nipples during pregnancy. Mammogram An X-ray of the breast. Margins The area of normal tissue surrounding the cancerous tumor after it has been removed during surgery. A margin is clean (also known as uninvolved or negative) if there is only normal tissue (and no cancer cells) at the edges of the tissue removed. Clean margins indicate that the entire tumor was removed. With involved (also known as positive) margins, normal tissue does not completely surround the tumor, and therefore the entire tumor was not removed.

Multifocal Tumors Multiple tumors. Multimodality Therapy Use of two or more treatment methods (i.e., surgery, radiation therapy, chemotherapy, immunotherapy) in combination or sequentially to achieve optimal results.

N Needle Localization Insertion of a very thin wire into an abnormal area of the breast, used to highlight the location of a nonpalpable lesion so that it can be removed during open biopsy or breast conserving surgery. Neoplasia Abnormal growth. Neoplasm Excessive number of cells in a mass that can be either benign or malignant. Nonpalpable Lesion Breast lump or abnormality that cannot be felt but that can be detected on a mammogram.

O Oncologist The doctor who is responsible for planning and overseeing treatment of cancer. • Medical Oncologist: A physician specializing in the treatment of cancer using chemotherapy and hormonal therapy. • Radiation Oncologist: A physician specializing in the treatment of cancer using high energy X-rays. • Surgical Oncologist: A physician specializing in the treatment of cancer using surgical procedures. One-step Procedure A method for diagnosis and treatment of breast cancer. The biopsy is performed under general anesthesia. If cancer is confirmed by frozen section examination, a surgeon will then proceed with definitive surgical treatment. It should be noted that this is no longer the standard procedure unless the woman is informed and consents in advance to a onestep procedure.

Blank Slate Media Newspapers, Friday, September 29, 2017 â€¢ THINK PINK

52 THINK PINK • Blank Slate Media Newspapers, Friday, September 29, 2017

Breast Cancer Awareness Oophorectomy Surgical removal of the ovaries.

P Palpable Mass Breast lumps or abnormalities that can be felt during a clinical breast examination. Palpation To examine, using the hands and fingers. Partial Mastectomy (Breast Conserving Therapy, Lumpectomy, Wide Excision, or Excisional Biopsy) Surgery that removes only the part of the breast containing and closely surrounding the cancer tumor. Pathologist The doctor who microscopically evaluates the breast tissue and lymph nodes removed during biopsy or surgery. Permanent Section A method used for final tissue diagnosis. After overnight tissue processing, thin slices of tissue are mounted on a slide and examined microscopically by a pathologist. These sections are of better quality than the frozen section, and are used for final pathological diagnosis. It generally takes three working days to receive this final report. Predispose To make more susceptible to a disease. Primary Tumor The original cancer in the breast. Progesterone An antiestrogenic steroid. Prophylactic Mastectomy Preventive surgery where one breast or both breasts are removed in order to keep cancer from developing. When both breasts are removed, the procedure is called bilateral prophylactic mastectomy. Prosthetic, Breast An artificial breast form that can be worn under clothing after a mastectomy.

Q Quadrantectomy Surgery where one quadrant or 25% of the breast is removed. See Breast Conserving Surgery.

R RAD (dose of radiation) Abbreviation for “radiation absorbed dose.” This term describes the amount of radiation absorbed by the tissues. One RAD is equal to one centigray. Radiation Therapy (Radiotherapy) Treatment given by a radiation oncologist using moderate-dose radiation to kill or damage cancer cells in the area exposed. Radical Mastectomy (Halsted Radical) Surgical removal of the breast, chest muscles and underarm lymph nodes. Procedure has been replaced by less extensive mastectomy procedures. Radiologist The radiologist oversees and reads any Xrays, mammograms or other scans related to diagnosis or follow-up. In general, radiologists specialize in creating and interpreting pictures of areas inside the body. Radiologists also perform needle biopsy and wire localization procedures.

Reconstruction A way to recreate the breast’s shape after a natural breast has been removed. Various procedures are available, some of which involve the use of implants. May also be referred to as reconstruction mammoplasty. Recurrence Return of cancer. Local recurrence is the return of cancer to the same breast or chest wall. Distant recurrence is the return of cancer to another location, such as lungs or liver.

Sentinel Node Biopsy The surgical removal and examination of the sentinel node (first node filtering lymph fluid from the tumor site) to see if the node contains cancer cells.

Total Mastectomy (Simple Mastectomy) Surgical removal of the breast but no other tissue or nodes. Used for the treatment of ductal carcinoma in situ and, in some instances, recurrent breast cancer. Also the procedure used in prophylactic mastectomy.

Silicone Gel Medical-grade silicone rubber gel, which can be used in breast implants and is similar to the consistency of the normal breast.

Tumor An abnormal growth or mass of tissue that may be benign (noncancerous) or malignant (cancerous).

Staging Performing exams and tests to learn the extent of the cancer within the body. Knowing a cancer’s stage helps determine what treatment is necessary and how effective this treatment may be in getting rid of the disease and prolonging life..

Tumor Grade Describes how closely a cancer resembles normal tissue. The higher the grade, the less it resembles normal tissue, and the faster the cancer’s rate of growth is likely to be.

Stereotactic Needle Biopsy Core needle biopsy performed with the use of stereotactic mammography.

Two-step Procedure Biopsy and further surgical treatment performed at two separate times.

Screening A test or procedure used to detect cancer or a pre-cancerous condition in an apparently healthy person without symptoms.

Stereotactic Mammography Three-dimensional mammography used when taking a needle biopsy of a breast abnormality that can’t be felt.

Screening Mammogram Screening mammography is used to identify early signs of breast cancer in a woman who is not currently having any breast problems or symptoms. This procedure involves two X-ray views of each breast.

Systemic Treatment Treats the whole body with substances that travel through the bloodstream and affect cancer cells all over the body.

Regression The shrinking of a tumor. Remission A temporary or permanent disappearance of the signs and symptoms of cancer.

Second Primary Tumor A second breast cancer that arises in a different location from the first. Different from a local recurrence, which is the return of the first breast cancer.

T Tamoxifen (Nolvadex) Drug that is used to treat both early and advanced stage breast cancer. Taken in pill form, tamoxifen blocks the hormone estrogen from cancer cells that are estrogen receptorpositive, therefore preventing their growth.

Ultrasound Diagnostic test that uses sound waves to create images of tissues and organs. Tissues of different densities reflect sound waves differently.

W Wedge Excision This surgical procedure involves the removal of a portion of the breast tissue, however, the amount is not specified. It is important that the woman clarify with her surgeon the extent of breast tissue removal. See Breast Conserving Surgery.

Facts about Men’s Breast Cancer • Male breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast. • Radiation exposure, high levels of estrogen, and a family history of breast cancer can increase a man’s risk of breast cancer. • Male breast cancer is sometimes caused by inherited gene mutations (changes). • Men with breast cancer usually have lumps that can be felt. • Men can undergo diﬀerent tests and procedures to detect and diagnose breast cancer including physical exam and history, clinical breast exam, ultrasound exam, MRI, blood chemistry studies, biopsies. • Survival for men with breast cancer is similar to survival for women with breast cancer. • Men at any age may develop breast cancer but it is usually detected in men between 60 and 70 years of age. • Male breast cancer makes up less than 1% of all cases of breast cancer Information provided by the National Cancer Institute

SUPPORT GROUPS American Cancer Society www.cancer.org/cancer/breast-cancer-in-men/causes-risksprevention/risk-factors.html www.cancer.org/cancer/breast-cancer-in-men/about/key-statistics.html https://www.cancer.org/cancer/breast-cancer-in-men/about/whatis-breast-cancer-in-men.html https://www.cancer.org/cancer/breast-cancer-inmen/about/new-research.html Breastcancer.org http://www.breastcancer.org/researchnews/brca-mutations-up-cancer-riskin-men Cancer.gov https://www.cancer.gov/types/ breast/patient/male-breast-treatment-pdq His Breast Cancer https://www.hisbreastcancer.org/ Male Breast Cancer Coalition http://malebreastcancercoalition.org/ Living Beyond Breast Cancer http://www.lbbc.org/infocusmen Men Against Breast Cancer http://www.menagainstbreastcancer.org/informationfor-male-breast-cancer/

Blank Slate Media Newspapers, Friday, September 29, 2017 • THINK PINK

Grant to help women navigate screenings NYU Winthrop Hospital received funding to expand services for underserved women, regardless of their insurance status, to navigate the healthcare system to complete breast cancer screening. The $75,000 grant is part of the National Accreditation Program for Breast Centers Patient Navigation Project – one of a number of programs that are a part of New York State Governor Cuomo’s statewide initiative to increase breast cancer screening by 10 percent over the next ﬁve years. NYU Winthrop Hospital is one of the sites in Nassau County that was awarded the grant, which seeks to increase the number of these women who are up-todate on guideline-concordant breast cancer screenings and increase participation in timely follow-up for women who have positive cancer screenings. Through the eﬀorts of a dedicated Patient Screening Navigator at NYU Winthrop Hospital, women ages 40 to 64 with average risk, or under 40 and at high risk for breast cancer, will continue to be supported along a continuum of medical care – from patient outreach through screening, diagnosis, and then referral for treatment, if necessary. Those patients in need of further medical care can access all the services they need at the Breast Health Center at NYU Winthrop Hospital, through completion of treatment and survivorship. At no cost to patients, NYU Winthrop Hospital’s Patient Screening Navigator will help patients, regardless of income or in-

surance status, secure convenient screening appointments either at NYU Winthrop Hospital’s state-of-the-art Breast Center or another designated facility; by assisting them with overcoming barriers to care such as insurance and transportation issues, and assisting with the coordination of any follow up appointments and/or support services that may be needed. “NYU Winthrop Hospital has long been committed to providing all of the members of our community with the most current breast health care. Therefore, we are pleased to partner with New York State and the NAPBC on this grant,” Chief of Breast Surgery Dr. Virginia Maurer said. “This project will help even more women have access to all of the resources they need when it comes to their breast health – screening/diagnostics, treatment, and support.” The project began in October last year and is being implemented with support from Health Research, Inc. and the New York State Department of Health with the goal of increasing the number of women who are screened for breast cancer over the course of the three-year endeavor and improving the quality of breast cancer screening and diagnostic follow-up by enhancing existing patient navigation services. For more information or to speak with the Patient Screening Navigator, call (516) 375-5991. Additional languages spoken include Spanish, French, Creole, and Portuguese.

Virginia Maurer, MD, Chief of Breast Surgery and Director of the Breast Health Program at Winthrop, consults with a patient.

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