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Knowledge is power Dennis Citrin MD PHD
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Transcript of Knowledge is power Dennis Citrin MD PHD
We Can Change the Course of Breast Cancer
Scientific advances in breast cancer treatment and ensuring women benefit from them
Dennis L Citrin, MB, ChB, PhD
Medical Oncologist
Cancer Treatment Centers of America® in Illinois
© 2013 Rising Tide
Advances in Breast Cancer Knowledge
• Embrace all Modalities
• Characterization of tumor sub-types
• Identification of specific cellular targets
• Many effective treatment choices available
Breast Cancer: A New Paradigm
The Old
• Surgically remove tumor
• Recommend additional drug/radiation treatment based on: – stage of disease
– (limited) biologic information
The New
• Obtain all relevant information (including genomics) before planning multi-disciplinary treatment
• Surgery is often NOT the first treatment.
An Example: Breast MRI, June 2011
An Example: Breast MRI, September 2011
What Factors Prevent Women from Benefiting from Advances in Breast Cancer Treatment?
• Patient delay
• Patient non-compliance
• Physicians slow to implement new paradigm
Delayed Diagnosis of Breast Cancer: the CTCA Experience
• 12 month period: 591 patients with breast cancer
• Retrospective review of their medical records revealed 66 (11%) patients delayed diagnosis and/or treatment for at least 6 months
• 23 patients tried to “treat” their cancer with alternative therapies only for 18 months, on average
• 43 patients denied alternative therapies, median delay 12 months
Effect of Delay on Stage of Disease
Patient Non-Compliance
• 383 patients over 3 year period with recurrent breast cancer, following treatment elsewhere for early stage disease
• 222 patients (58%) completed primary treatment
• 161 patients (42%) did not complete primary treatment
Why Do Women Delay Seeking Help or Refuse Treatment?
• Fear of cancer • Fear of cancer treatment • Denial • Lack of information • Misinformation
Welcome to Breast Cancer Deception, an eye-opening special report by Mike Adams, the Health Ranger.
This is a shocking, tell-all report that exposes the scam of today's breast cancer industry, revealing how conventional breast cancer detection and treatment programs are actually designed to ensnare women into a very harmful (but highly lucrative) system of toxic treatments that will only cause permanent damage to her health
Learn more: http://www.naturalnews.com/Report_Breast_Cancer_Deception_0.html#ixzz2bTZHe92m
Physicians are Slow to Implement New Paradigm
An Example: Patient History
April 2013:
• 51 year old woman presented with large mass in her left breast
• Negative family history
• BRCA negative
• Biopsy confirmed high grade triple negative cancer
May 2013 :
• Had bilateral mastectomy
• Pathology: 5.4 cm cancer left breast
• One node positive
• Right breast normal
Aug 2013: came to CTCA
Conclusions
• Scientific advances have greatly increased our knowledge about breast cancer
• As a result modern treatment is much more effective and less invasive/toxic for patients
• Many thousands of women are still denying themselves, or are being denied the benefits of modern treatment
• Media can play a vital role in helping doctors communicate with and educate women in this area