Breast Cancer Awareness Month

Breast Cancer Facts: 5 Common Myths Debunked

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One of the toughest parts about researching breast cancer online is trying to sort fact from fiction. The internet is full of half-truths, conflicting reports and flat-out myths about the disease. Provision CARES Proton Therapy is committed to our Culture of CARE, putting the patient experience first. So, for Breast Cancer Awareness Month, we’re debunking five of our most commonly heard myths. All of these breast cancer facts have been verified for quality and accuracy by our cancer care experts to help you make an informed decision about your healthcare.


MYTH: I found a lump in my breast, so I have cancer.

TRUTH: Lumps don’t always indicate cancer. Likewise, the absence of lumps doesn’t always mean you don’t have breast cancer.

While the most common symptom of breast cancer is a lump, most breast lumps are caused by conditions other than cancer. According to the Centers for Disease Control and Prevention (CDC), the two most common causes are fibrocystic breast condition and cysts. Fibrocystic condition causes noncancerous changes in the breast that can make them lumpy, while cysts are small fluid-filled sacs that develop in the breast.

The American Cancer Society (ACS) says lumps are more likely to be cancerous if they are painless, hard and have irregular edges. However, some breast cancers can be painful, soft or round. That’s why you should always check with your doctor if you notice any changes in your breasts.

There are many other symptoms of breast cancer, even if a lump is not detected. These can include swelling of the breast, skin dimpling, breast or nipple pain, nipples turning inward, red or flaking breast skin, nipples discharging fluids other than breast milk, and swollen lymph nodes under your arm or around your collar bone. The ACS recommends contacting your doctor if you experience any of these symptoms.


MYTH: Breast cancer only happens to older women.

TRUTH: Breast cancer can develop in younger women, too, as well as men.

While your risk does increase with age, the NCI reports women in their 30s have a 1 in 208 chance of developing breast cancer. By the time a woman reaches her 40s, that risk has increased to 1 in 65. Overall, it’s estimated that 1 out of every 8 women in the United States will develop breast cancer at some point in her life.7

Breast cancer in men accounts for less than 1% of cases in the United States. However, the ACS says male breast cancer is on the rise.1 Unfortunately, a higher percentage of men are diagnosed with advanced-stage breast cancer, likely a result of less awareness and fewer early-detection screenings.

If you’ve been diagnosed with breast cancer and would like to learn more about proton therapy as a possible treatment, please visit our Proton Benefits page or contact a Care Coordinator.


MYTH: My family has no history of breast cancer, so I am not at risk.

TRUTH: While a family history of breast cancer does put you at greater risk, most women who develop breast cancer do not have a family history of the disease.1

According to the CDC, a family history of breast cancer may put you at higher risk for the disease, but is not indicative of whether you’ll actually develop cancer.2 In fact, the ACS says most women with one or more affected first-degree relatives (parents, siblings, children) will still never be diagnosed.

The CDC provides a table with examples of average, moderate and strong family health histories, along with suggestions for preventative measures each group can take. Regardless of your family history, the CDC recommends you get mammograms and other breast exams as recommended by your doctor, maintain a healthy weight and exercise regularly. As family history of breast cancer increases, genetic counseling becomes an option to test for hereditary breast cancer. Be sure to talk to your doctor about what screenings are best for you and when you should get them.


MYTH: A double mastectomy will eliminate my risk of breast cancer.

TRUTH: If the cancer is detected early enough, other treatment options can eliminate the cancer without removing the entire breast.

A mastectomy involves removing the entire breast and is typically performed when breast-conserving surgery (lumpectomy) is not an option. However, women with early-stage cancers can typically choose between the two types of surgeries. The ACS notes that while it’s normal for your gut reaction to be to “take out all the cancer as quickly as possible” with a mastectomy, the fact is that, most of the time, a lumpectomy combined with radiation therapy results in the same outcome.

Many patients at Provision CARES Proton Therapy choose to combine a lumpectomy with proton radiation therapy. Proton therapy for breast cancer treatment is non-invasive and painless, causing less cosmetic damage than conventional x-ray radiation. It is extremely precise and therefore more effective at targeting cancerous cells without causing damage to surrounding breast tissue. Because proton radiation has little to no impact on a patient’s energy level, quality of life during treatment is improved.

For women who do opt for a mastectomy, it’s important to remember that post-surgery treatment is still necessary. Even after removing the breast, there’s a small chance the cancer could recur on residual breast tissue or the chest wall. You should continue to perform self-breast exams and see your doctor on a regular basis.


MYTH: Antiperspirants and wire bras can cause breast cancer.

TRUTH: There has been no conclusive evidence linking antiperspirants or bras to breast cancer.

Rumors have swirled across the internet claiming underarm antiperspirants cause breast cancer. The National Cancer Institute (NCI) says the basis of these claims is the aluminum-based active ingredient in antiperspirants. Some scientists have suggested that absorbing these aluminum compounds into your skin could increase your risk factor for breast cancer.4 Still, no clear link has ever been established between antiperspirants and breast cancer. In fact, the NCI even cites a study from 2002 that concluded there is no increase in risk for breast cancer among women who reported using an underarm antiperspirant.3

Another rumor making its rounds across cyberspace is that wearing a wire bra can increase your risk of breast cancer. This myth was debunked by a 2014 study published by the American Association for Cancer Research. According to the authors, it had been suggested in the media that bras impede lymph circulation and drainage, interfering with the process of waste and toxin removal.6 However, the study concluded that wearing a bra had no effect on your risk of breast cancer.


Sources:

  1. Breast Cancer Facts & Figures 2017-2018. American Cancer Society. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/breast-cancer-facts-and-figures/breast-cancer-facts-and-figures-2017-2018.pdf
  2. Breast and Ovarian Cancer and Family History Risk Categories. Centers for Disease Control and Prevention. https://www.cdc.gov/genomics/disease/breast_ovarian_cancer/risk_categories.htm
  3. National Cancer Institute. Antiperspirants/Deodorants and Breast Cancer. https://www.cancer.org/cancer/cancer-causes/antiperspirants-and-breast-cancer-risk.html
  4. Darbre PD. Aluminium, antiperspirants and breast cancer.Journal of Inorganic Biochemistry 2005; 99(9):1912–1919. [PubMed Abstract]
  5. Mirick DK, Davis S, Thomas DB. Antiperspirant use and the risk of breast cancer.Journal of the National Cancer Institute 2002; 94(20):1578–1580. [PubMed Abstract]
  6. RayCC. Q and A – Bras and Cancer [Internet]. NY times; 2010 [cited 2013 Dec. 16]. Available from: http://www.nytimes.com/2010/02/16/science/16qna.html?ref=science.
  7. Howlader N, Noone AM, Krapcho M, et al. (eds). SEER Cancer Statistics Review, 1975-2016, National Cancer Institute. Bethesda, MD,https://seer.cancer.gov/csr/1975_2016/, based on November 2018 SEER data submission, posted to the SEER web site, April 2019.

 

Pediatric Art Therapy at Provision

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Provision CARES Proton Therapy Knoxville has been treating a growing number of pediatric patients over the past few months. To help children feel more comfortable while they are here for treatments, the pediatric team hosted Provision’s first Pediatric Art Therapy session on July 24th.

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Fight Cancer with Your Fork

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Content and information provided by Casey Coffey, MS, RD, LDN at Provision CARES Proton Therapy.

A nutritionally balanced diet is very important anytime, especially during and after cancer treatment. Consider planning your meals using a balanced plate approach. Eating meals with a balanced plate is a valuable tool to control your portion intake of the different food groups. While each section of a balanced plate is important, your body needs more of some and less of others.

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Breast Cancer Fighting Nutrients and Where to Find Them

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Each year, thousands of people are diagnosed with breast cancer. In fact, one in eight women will be diagnosed with cancer in their lifetime. However, with today’s knowledge and resources, cancer diagnoses are gradually becoming fewer and fewer.

While cancer is not preventable, today’s nutritional science shows that a strategic diet can be one of the biggest factors in minimizing the risk of breast cancer. That’s right — research has repeatedly shown that certain foods can act as preventative medicines. In fact, changing what you eat and how you exercise can prevent up to 30% of breast cancer diagnoses.

No food item can prohibit cancerous cells from developing, but there are a few that can significantly lower the risks of developing cancer. Foods high in fiber, like beans, nuts, and whole wheat bread can help lower amounts of estrogen, reducing the risk of breast cancer. Additionally, foods like salmon, walnuts, and oysters can help produce Omega-3s, essential fatty acids that aren’t produced naturally in the body. These fatty acids help with inflammation, which can easily damage healthy tissue. Sulforaphane, found in arugula, cabbage, and broccoli, and carotenoids, found in carrots, tomatoes, and sweet potatoes, have both been found to reduce the risk of breast cancer in increased levels.

While no one cancer case is the same, those who have increased intakes of these types of foods and nutrients have been shown to have an overall lower risk of developing breast cancer. A well-balanced diet and exercise routine is important for a lot of things: physical strength, heart and organ health, and mental health.

This goes to show that the food you choose to eat and how you treat your body has more of an impact than people may originally think. Continue reading to learn more about what specific foods and nutrients can help thwart a breast cancer diagnosis.

breast cancer fighting nutrients

National “Eat Your Veggies” Day – June 17th

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Content and information provided by Casey Coffey, MS, RD, LDN at Provision CARES Proton Therapy.

With National “Eat Your Veggies” Day just around the corner, we wanted to give some advice when trying to incorporate more vegetables into your meals!

Most people do not realize that they’re not including nearly enough vegetables in their diet. On top of including vegetables in your diet, it’s important to realize that all vegetables aren’t created equal.

We like to encourage everyone to fill ½ of their plate with nutrient rich non-starchy vegetables in a range of color. Non-starchy vegetables contain very little naturally occurring sugar and are rich in fiber making them slow to digest. These nutrient dense colorful delights are packed with vitamins and minerals that are necessary for growth, restoration/repair, metabolic processes that occur at the cellular level. They also have magnificent cancer fighting properties! Some of our favorite non-starchy vegetables are below: (more…)

Summer Camp Round Up for Kids (& Kids at Heart)

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Content and information provided by Marriah Mabe, LCSW at Provision CARES Proton Therapy.

For many kids (and kids at heart), summer camps are one of the best parts of summer and are often a normal part of childhood.  As most families who have experienced cancer can attest, normalcy during cancer treatment is extremely important. However, when a cancer diagnosis affects a child or parent in the family, summer camp might not be an option due to a child’s medical needs or the lack of extra finances to pay for traditional summer camps. Fortunately, there are many camps specifically designed for children with cancer, siblings, or even the whole family. The camp experience can provide positive benefits that will last long after summer ends. Camp attendance may help lessen feelings of anxiety, depression, or loneliness and increase self-esteem, body positivity or coping abilities.

Camps and retreats such as the resources listed here are specially curated to provide a fun week of activities away from the hospital and appointments, while allowing those in attendance to meet other patients, survivors, or family members, and learn that they are not alone. Camps will often have full time care for campers, with most of the overnight camps offering on-site medical facilities staffed with oncology providers who can administer chemo or other medical care if necessary. However, if you are on active treatment for cancer, you will need to discuss your desire to attend a camp or retreat with your oncologist. (more…)

Healthy Memorial Day Weekend Recipe: Layered Chicken Taco Salad

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Looking for a healthy dish to take to your Memorial Day cookout? Look no further than Casey’s Layered Chicken Taco Salad!

Recipe provided by Casey Coffey MS, RD, LDN Registered Dietician for Provision CARES Proton Therapy Knoxville.

Layered Chicken Taco Salad

Prep time:  20 minutes       Total time:  20 minutes

Serves:  8-10 people

Ingredients:

  • 4 cups chopped romaine lettuce
  • 1 cup riced cauliflower
  • 1 (15 ounce) can black, drained and rinsed
  • 1 (11 ounce) can Mexican corn, drained
  • 1 large avocado, diced
  • 1 ½ cups prepared pico de gallo (or diced tomato)
  • 1 rotisserie chicken, shredded (about 4 cups shredded meat) – can use canned chicken if preferred
  • 1 ½ cups shredded Monterey jack and cheddar chceese
  • 1 (14 ounce) bottle cilantro avocado yogurt dressing (about 1.75 cups dressing) (Bolthouse brand is good) – could also use ranch dressing of choice and add ¼ cup chopped cilantro
  • 1 (3.5 ounce) package tortilla strips (about 1 ½ cups) – tri-color is a great option for Memorial Day

Instructions:

  1. Layer half of each ingredient into a large salad bowl in the order listed above. Repeat layers with remaining half of the ingredients.
  2. Serve immediately or cover with plastic and store in the refrigerator until ready to serve. Leftovers can be stored in refrigerator for 2-3 days.

Maintaining a Healthy Nutritional Status When Diagnosed with Head & Neck Cancers

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Content and information provided by Casey Coffey MS, RD, LDN Registered Dietician for Provision CARES Proton Therapy Knoxville

As we raise awareness of head & neck cancers during the month of April, it is important to be aware of the unique challenges that are at risk when diagnosed with head and neck cancer. Studies for patients who choose proton therapy treatment for head and neck cancers have shown less side effects during first 3 months after treatment and quicker return to normal function. The potential side effects for head and neck cancer patients make swallowing food and fluids difficult and sometimes painful. Malnutrition affects an estimated 40 – 80% of cancer patients – particularly those with gastrointestinal or head and neck cancers.

The four main nutritional goals for cancer patients include:

  • Strive to maintain a healthy weight
  • Consume foods and beverages for managing cancer and treatment-related side effects
  • Select and eat healthy foods that supply the body with fuel and nutrients for repair and healing
  • Reduce risk of cancer recurrence and the development of a second malignancy

Many patients do not realize the importance of nutrition while under treatment. Primary goals of nutrition therapy are to prevent or reverse nutrient deficiencies, preserve lean body mass, support the immune system, and minimize and manage the impact of nutrition related symptoms and side effects to maximize quality of life. Adequate nutrition is more than just maintaining body weight. The foods we eat contain nutrients necessary to support healing and restoration but also to support our healthy cells as well. Adequate nutrition has been shown to improve outcomes in cancer patients, improve strength and energy, avoid dose reduction or treatment breaks.

Make Every Bite Count.

Initially, it is recommended patients eat what they can tolerate while focusing on protein with each meal and including whole foods (minimizing the processed nature of foods). Why? Well, quality counts. High quality foods, which are those that are less processed, are more nutritious due to their higher nutritional value. As treatment progresses and possible side effects begin, the ability to swallow can become difficult. If difficulty to swallow becomes a problem for head and neck cancers, here are three ideas on how to maintain nutritional value through your diet:

  • Graze throughout the day on nutrient dense foods: Nutrient dense foods that have been fortified with protein and additional calories without adding volume and lots of sugar or highly processed foods. Some examples are olive oil, butter, coconut oil, coconut butter, peanut butter, heavy cream, half & half, or any nut butter.
  • Alter texture of foods to improve tolerance: focus on soft or smooth foods such as, bananas, watermelon, canned fruits, peach, pear, and apricot nectars, pureed or mashed vegetables, oatmeal, cooked cereal, cottage cheese, yogurt, milkshakes, custards, puddings, gelatin, macaroni and cheese, scrambled eggs, and ground meats.
  • Avoid irritating foods, such as, citrus fruits or juices, spicy or salty foods, pickled or vinegary foods, tomato-based foods (salsa, spaghetti sauce, and pizza), rough or dry foods, hot spices (pepper, chili powder, nutmeg, cloves, and curry).

For more information about how to overcome nutritional challenges when diagnosed with head & neck cancers or to learn about proton therapy, contact our CARE Team at 865-229-4689.

 

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Fighting Cancer with Your Fork Recipe of the Month: Cauliflower Rice with Vegetable Stir-Fry

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Content and information provided by Casey Coffey MS, RD, LDN Registered Dietician for Provision CARES Proton Therapy Knoxville

Yield:  4 servings

Ingredients:

  • 1 package riced cauliflower (you can find this at Trader Joe’s or Kroger in the produce section)
  • 2 carrots, chopped
  • 1 clove garlic, thinly sliced
  • 1 medium red bell pepper, cored, seeded and chopped
  • 1 vidalia onion, chopped or thinly sliced
  • ¼ teaspoon black pepper
  • 2 cups snow peas, trimmed
  • ½ teaspoon sea salt, divided
  • 2 Tablespoon olive oil
  • 1 teaspoon sesame oil
  • 2 eggs, beaten
  • 1 Tablespoon soy sauce (or Bragg liquid aminos)

Instructions:

  1. Heat olive oil in pan and sauté carrots, stirring occasionally, until softened, about 1 minute.
  2. Add bell pepper and onion, ¼ teaspoon salt, and garlic; cook, stirring frequently, about 2 minutes.
  3. Add peas, sprinkle with remaining ¼ teaspoon salt and pepper and cook, stirring frequently, 1 minute.
  4. Place cooked vegetables in bowl and set aside while preparing cauliflower.
  5. Return skillet to head; add sesame oil, cauliflower and beaten eggs.
  6. Cook, stirring constantly, until eggs are evenly cooked and cauliflower has softened, about 2-4 minutes.
  7. Add cooked vegetables and soy sauce to cauliflower / egg mixture; cook 1 minute more or until warm through.
  8. Divide stir-fry among 4 bowls.
  9. Enjoy!!

Note: Stir fry chicken, shrimp or tofu with above to complete your meal.