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Breast Cancer

“I had never seen any place like Texas Center for Proton Therapy. At the end, I was actually sad to leave.”
Sharon Carrell
Parotid Gland and Breast Cancer Survivor

Breast cancer is the second-deadliest cancer among American women. Other than adopting a healthier lifestyle, early detection with regular mammograms remains the single most effective way for combating the disease. Steady declines in mortality among women since 1989 have been attributed to a combination of early detection and improvements in treatment.

Benefits of Proton Therapy for Breast Cancer

  • High-energy, precisely-targeted proton beams can deliver high doses of radiation to destroy cancerous cells, reducing recurrence rates for many cancer cases.
  • Proton therapy is non-invasive and may reduce side effects.
  • Patients treated with proton therapy may have increased tolerance for chemotherapy.
  • Patients can maintain their current quality of life during and after treatment.
  • It is sometimes used effectively to treat areas that have already been treated with radiation.

Proton Therapy

Conventional X-Ray Therapy

Red: High Radiation Dose
Green: Intermediate Radiation Dose
Blue: Low Radiation Dose

Breast Cancer Statistics

  • In the U.S., one in eight women will be diagnosed with invasive breast cancer during her lifetime.
  • In the U.S. in 2019, 258,600 women and 2,670 men are expected to be diagnosed with invasive breast cancer.
  • In 2019, breast cancer is expected to claim the lives of 41,760 women and 500 men in the U.S.
  • In Texas in 2019, an estimated 18,102 new cases of female and male breast cancer are expected, with 3,245 deaths.

Breast Cancer Risk Factors

  • Age: Most invasive breast cancers occur in women over age 55.
  • Family History: Women with an immediate family member (mother, sister, daughter) who has had breast cancer are nearly twice as likely to develop the disease. A close male relative with the disease also raises risk. If you have a family history of cancer, genetic testing may help determine risk.
  • Diet and Exercise: Overweight and/or physically inactive women have a higher risk, especially after menopause.
  • Breast Conditions: Women with dense breast tissue and some benign breast conditions are at higher risk.
  • Menstrual Cycles: Starting menstruation early (before age 12) or completing menopause late (after age 55) raises risk.
  • Radiation: Radiation to the chest for another cancer is associated with a higher risk of breast cancer.
  • DES Exposure: Women who were exposed or had mothers exposed to diethylstilbestrol have a slightly higher risk.
You do not need a doctor’s referral to be seen at Texas Center for Proton Therapy.

Breast Cancer Symptoms and Signs

Women are encouraged to consult their physician immediately for evaluation if any of the following signs and symptoms are present. The signs for breast cancer are not the same for all women, and some women show no signs in early stages.

  • A lump in the breast, under the arm or around collarbone
  • Change in breast size or shape
  • Thickening of breast or underarm
  • Nipple retraction or nipple discharge
  • Dimpled skin or skin resembling orange peel
  • Tenderness or pain in breast or nipple
  • Irritation, redness, scaliness, or swelling on the breast, nipple, or skin near the nipple

Breast Cancer Prevention

Dr. Jared Sturgeon Stresses Importance of Mammograms

Dr. Jared Sturgeon, radiation oncologist at Texas Center for Proton Therapy, highlights the important roll of mammograms to detect breast cancer early.

Dr. Jared Sturgeon Discusses Proton Therapy for Breast Cancer

Jared Sturgeon, M.D., Ph.D., sat down with WFAA's 'Good Morning Texas' team to discuss proton therapy as a treatment option for breast cancer.

Breast cancer cannot be completely prevented, but women can take steps to decrease risk and/or improve early detection of the disease. Screening recommendations are for women with average risk. It is important to discuss with a physician your individual risk factors, including age, menopausal status, and family history to determine your screening needs.

  • Screening
    • Women should understand their risk as some women with a family history of breast cancer or known to be of higher risk should start screening early and can take other preventative measures.
    • Women should check their breasts monthly. Report any changes to a physician immediately.
    • Women in their 20s and 30s should have a clinical breast exam every three years.
    • Women in their 30s should discuss their breast cancer risk level with a physician to determine the most appropriate cancer screening options, including mammograms and MRI screenings.
    • Women age 40 and older should discuss individual risk factors with a physician to determine recommended timing and most appropriate screenings, including annual mammogram, annual clinical breast exam, and annual MRI screening.
    • Women age 50 and older should have a mammogram and a clinical breast exam at least every two years after discussion with her physician, and if recommended by a physician, an annual MRI screening.
  • Lifestyle
    • Regular exercise, limiting alcohol intake, and maintaining a healthy body weight may reduce the risk of breast cancer.
  • Higher Risk
    • Women with a family history of breast cancer should discuss genetic testing with their physicians. If genetic tests indicate a woman has a genetic disorder that will increase her risk of breast cancer, like BRCA, there are a number of risk reduction strategies to discuss with her physician.
    • Women with a first degree relative who had breast cancer before age 50 should begin receiving mammograms 10 years before reaching that relative’s age at diagnosis.

Breast Cancer Treatment Options

Anyone with breast cancer should consult with a medical oncologist to determine his or her specific treatment needs. Treatment options can include surgery, radiation therapy, chemotherapy, proton therapy, targeted therapy, bone-modifying therapy, immunotherapy, or hormone therapy. A combination of treatments may provide the best chance of disease control.

Sources: American Cancer Society, American Society of Clinical Oncology, National Cancer Institute, and Texas Cancer Registry

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