Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
A forty five if you have CARECD talk station. I
always love having the cancer specialists from OHC and studio
talk about the amazing developments they have in treating cancer.
And but for having doctor Ftel, my cancer doctor in
the other a couple of weeks ago, I wouldn't have
gotten appointment with her because I have some symptoms which
led me to find out that yeah, my cancer came back.
(00:20):
So this is a wonderful segment. Pay attention because you
get some symptoms and some information it might save your life.
It is Breast Cancer Awareness Month. Breast cancer impacts one
out of every eight women, accounts for thirty percent of
female cancer cases each year, second leading cause of cancer
deaths and women surpassed only by lung cancer. In studio,
AC breast surgical oncologist doctor Abbe Trembling's here today to
(00:42):
share the latest treatment news and success oh is having
in treating breast cancer. She's a fellowship train breast surgeon
who treats both benign and malignant breast disease. It's wonderful
having me in studio, doctor Trembling.
Speaker 2 (00:54):
Thank you for having me.
Speaker 1 (00:55):
My pleasure. Let's talk about it. What should women be doing?
To prevent breast cancer and who is the group that's
most at risk.
Speaker 2 (01:02):
Unfortunately, you can't always prevent cancer. However, by not smoking,
limiting alcohol intake, and maintaining a healthy body weight through
diet and exercise, you can reduce your risks somewhat. Additionally,
knowing your family history, making sure you're doing routine screening exams,
and being knowledgeable about your own body can help catch
a cancer early.
Speaker 1 (01:21):
All right, in terms of screening, what is the state
of the mammograms? I mean, how when do women get
This is like a moving target all the time.
Speaker 2 (01:32):
It is a moving target. There's so many different guidelines
out there, but the most recent updated guidelines are more
in line of what we've been recommending as cancer doctors
for the last several years. And that's for average risk
women to start at age forty. They say every other year,
but I still recommend every year. But as long as
you get in at age forty, we can help guide
(01:53):
you after that.
Speaker 1 (01:54):
Okay. Well, some segments of the female population are more
inclined to get breast cancer, understand and for example, African
Americans a higher risk of developing breast cancer.
Speaker 2 (02:04):
Yes, and unfortunately they're more commonly diagnosed at a later
stage and are more likely to die from breast cancer
because they have more aggressive breast cancers often seen, and
they're often actually diagnosed at a younger age compared to
white women.
Speaker 1 (02:18):
Really, any specific reason for that pull a little closer
to that micro We.
Speaker 2 (02:22):
Don't quite know all the reasons, but that's why we're
certainly wanting to increase awareness about screening and then being
aware of your body to do self exams, because if
you're diagnosed before forty, it's normally not because of a mammogram.
Speaker 1 (02:35):
All right, Well, now, in terms of self exam, is
there a best practice for how to do that?
Speaker 2 (02:40):
Typically women do it in the shower, which is a
great option. To do it with the water, your fingers
can just glide over the breast more easily, and then
of course you're looking for a mass, but you also
on to look for changes to the breast itself, which
you could notice maybe in the mirror. So if the
breast is swollen red, if there's changes to the skin,
if there's changes to the nipple, retraction or crusting of
(03:02):
the skin of the nipple, or if there's clear or
brown red drainage from the nipple. Those could be clues, all.
Speaker 1 (03:07):
Right, those are the things that people need to be
looking for. And again I went over a list of
symptoms for you know, lymphomo with doctor Vittel, and I
had some of those so swelling skin, nimpling, breast or
nipple pain, nipple retraction, nipple or breast skin that is flaky,
dry or thickened, nipple discharge, swollen lymphnones under the arms
or near the collarbone. Check the list see if you
(03:29):
have any and if any women notice that any of
those conditions are present.
Speaker 2 (03:33):
Call your doctor, get evaluated. We'd rather see you and
it be nothing, then put something off and have a
later diagnosis.
Speaker 1 (03:40):
Amen. You don't know how happy I would have been
if I saw doctor petellin she said, no, it's.
Speaker 2 (03:43):
Okay, right, we love those visits.
Speaker 1 (03:45):
I lost an hour and a half of my time, okay,
and I got a prognosis that would have put a
smile on my face. But then again, it didn't go
that way. But I'm glad I found out when I did.
How about treatment options? Every time the OHC folks come
in here, there's always some exciting new treatment options. Really
an injection of hope for people who get a diagnosis.
Speaker 2 (04:04):
We really try to tailor the care to each individual
person based on what type of cancer they have and
what specific scenario they're in. But for breast cancer, you
typically meet with a breast surgeon first, and then we
work with a multidisciplinary team of other doctors to help
coordinate the best plan for each person. Often it includes surgery,
some form of radiation at times, or chemotherapy, some other
(04:26):
targeted treatments like hormone therapy or immunotherapy too.
Speaker 1 (04:29):
Okay, you know I'm looking at say, for example, nipple
retraction or discharge. Is there going to be a lump
or something in all cases that would be biop seed
for example. I mean, is there always some you know,
literal cancer right there that's causing that out that visual
(04:50):
thing that's going on outside the breast?
Speaker 2 (04:51):
Correct? Normally, if you see some visual change to the
breast and then we get imaging, we find something deeper
on a mammogram or ultrasound. Sometimes if it's not we
might get a breast MRI and that helps figure out
something that might not be as clear as a mass,
but some other change in the breast that could be
causing that outward physical change.
Speaker 1 (05:09):
Okay, and I guess absent outside physical change. If there's
not a true lump there, then there's nothing that you're
going to be able to detect by way of self.
Speaker 2 (05:18):
Exam, right, unless there's like a dimple in you know,
it could just be because there is a deeper mass
that you can't feel. But maybe it's either hidden by
dense tissue or deeper in the breast so you can't
feel it, but something's causing that physical change the dimpling. Correct.
Speaker 1 (05:31):
Okay, that makes perfect sense. Now, women younger than forty
still need to do this self exam, even though there
isn't an annual Mammogran recommendation that begins at forty, but
the self exam at what age should that begin? I mean,
can this cancer kind of go after young people? In
certain cases?
Speaker 2 (05:50):
It can. It's of course, very rare in our twenties.
It's getting more frequent unfortunately in our thirties. So sometime
in our mid twenties is probably a good time to
at least be aware of a woman's breast so that
we can notice changes from month to month. We typically
say to do an exam once a month, so that
you're not checking every day. And kind of spending too
too much time on it, but that you will notice
(06:10):
a change more frequently if something were to happen.
Speaker 1 (06:12):
Well, I imagine moms out there might want to start
their daughters on a protocol at a younger age, just
to get them used to the idea and get it
embedded in them that they need to check at least
every once in a while, be aware of the fact
that that something could happen exactly all right. Now, onto
the treatment options. What are the treatment options which you
know quite often include And I've learned over the years
(06:33):
clinical trials may be the best way to the best
place to be, but I've also heard about car tee
therapy and other different therapies that are emerging and are
often unbelievably successful.
Speaker 2 (06:44):
Yes, there's so much going on in cancer treatment right now.
For breast cancer, there's many clinical trials. We have several
at our offices. One of the more exciting ones is
about a vaccine that can be used for people who
have already been treated for breast cancer but might be
high risk for or recurrence for certain types of breast cancers.
But there's always new new trials that we get every
(07:05):
few months, so it's important to you know, just talk
to your doctor about the options for that, and you know,
we'll bring it up for those that qualify well.
Speaker 1 (07:12):
I suppose getting on it earlier is critically important because
breast cancer is one of those cancers that can metastasize.
Speaker 2 (07:18):
Absolutely, that's always the goal to catch it early, when
it's most easily treated and cured.
Speaker 1 (07:25):
Well, how about you said that the number of younger women,
women in their thirties that are being diagnosed with breast
cancer is increasing. Are they are people doing research into
why that may be? Environmental factors? I mean I read
a lot about plastics and carcinogens and the packaging materials.
I mean, there's a multitude of potentials, But any any
insight right now.
Speaker 2 (07:45):
I think we're all just thinking the exact same thing
you just said. We don't have an exact reason, but
it has to be some environmental exposure. Whether it's certain
you know, chemicals that we use that change the hormones
in women's body change their menstrual cycle, or it's earlier
you know that is a risk factor to have an
earlier menstrual cycle on set, Really younger age for menstrual
(08:06):
cycle beginning or later eight of age of menopause because
it's a higher exposure to hormones during your lifetime.
Speaker 1 (08:13):
Now, is there hormone therapy that it can be done
in terms of your breast cancer treatments?
Speaker 2 (08:17):
Yes, we call it hormone therapy. Sometimes we call it
anti hormone therapy, but it's directed for hormone positive breast
cancers to help treat those, which is the most common
type of breast cancer that we see.
Speaker 1 (08:27):
Well, I'm glad I asked that question. On to clinical trials,
OHC is well known for having clinical trials going on
all times for all different types of cancer. Do you
have any clinical trials right now for breast cancer?
Speaker 2 (08:38):
We always do. We probably have several at the moment
right now. Some are for earlier detected cancers, many are
for metastatic breast cancer. It just depends on the type
and what other treatments you've already had. But yes, there's
always many options.
Speaker 1 (08:53):
That's where you need to be OHC, and to be there,
get an opinion, a second opinion, get in touch with
them right out of the gate. That's eight eight eight
six eight hundred eight eight eight six forty eight hundred.
You can learn more online and check out the website.
It's ohcare dot com my cancer doctors. I feel like
I'm in wonderful hands and I am very confident with
(09:14):
my treatment protocol that's coming up, even though I don't
know what it is yet. But you did well my
beam before, well by me before, and I'm certain that
that everything can be okay. So, ladies, if you're struggling
with this, and it's actually guys too, but it's a rare,
rare occasion with guys.
Speaker 2 (09:28):
Right, more rare, but can still happen in men.
Speaker 1 (09:30):
So maybe occasion old breast exam for men.
Speaker 2 (09:32):
Yeah, certainly. If you feel something, let your doctor know,
all right.
Speaker 1 (09:34):
Check down below and then check out top guys, make
sure you're staying out of trouble. Eighty eight sixty eight
hundred ohcare dot com. Doctor, it has been a pleasure
to have you in the studio. Thanks for what you're
doing for all of your patients and everything that OHC
does for all of its patients. It's been a pleasure
talking with you today.
Speaker 2 (09:50):
You as well.
Speaker 1 (09:50):
Thank you. Spread the word folks Breast Cancer Awareness month.
You can save a life by passing along that information.
A forty five if you have CARECD talk station. I
always love having the cancer specialists from OHC and studio
talk about the amazing developments they have in treating cancer.
And but for having doctor Ftel, my cancer doctor in
the other a couple of weeks ago, I wouldn't have
gotten appointment with her because I have some symptoms which
led me to find out that yeah, my cancer came back.
(00:20):
So this is a wonderful segment. Pay attention because you
get some symptoms and some information it might save your life.
It is Breast Cancer Awareness Month. Breast cancer impacts one
out of every eight women, accounts for thirty percent of
female cancer cases each year, second leading cause of cancer
deaths and women surpassed only by lung cancer. In studio,
AC breast surgical oncologist doctor Abbe Trembling's here today to
(00:42):
share the latest treatment news and success oh is having
in treating breast cancer. She's a fellowship train breast surgeon
who treats both benign and malignant breast disease. It's wonderful
having me in studio, doctor Trembling.
Speaker 2 (00:54):
Thank you for having me.
Speaker 1 (00:55):
My pleasure. Let's talk about it. What should women be doing?
To prevent breast cancer and who is the group that's
most at risk.
Speaker 2 (01:02):
Unfortunately, you can't always prevent cancer. However, by not smoking,
limiting alcohol intake, and maintaining a healthy body weight through
diet and exercise, you can reduce your risks somewhat. Additionally,
knowing your family history, making sure you're doing routine screening exams,
and being knowledgeable about your own body can help catch
a cancer early.
Speaker 1 (01:21):
All right, in terms of screening, what is the state
of the mammograms? I mean, how when do women get
This is like a moving target all the time.
Speaker 2 (01:32):
It is a moving target. There's so many different guidelines
out there, but the most recent updated guidelines are more
in line of what we've been recommending as cancer doctors
for the last several years. And that's for average risk
women to start at age forty. They say every other year,
but I still recommend every year. But as long as
you get in at age forty, we can help guide
(01:53):
you after that.
Speaker 1 (01:54):
Okay. Well, some segments of the female population are more
inclined to get breast cancer, understand and for example, African
Americans a higher risk of developing breast cancer.
Speaker 2 (02:04):
Yes, and unfortunately they're more commonly diagnosed at a later
stage and are more likely to die from breast cancer
because they have more aggressive breast cancers often seen, and
they're often actually diagnosed at a younger age compared to
white women.
Speaker 1 (02:18):
Really, any specific reason for that pull a little closer
to that micro We.
Speaker 2 (02:22):
Don't quite know all the reasons, but that's why we're
certainly wanting to increase awareness about screening and then being
aware of your body to do self exams, because if
you're diagnosed before forty, it's normally not because of a mammogram.
Speaker 1 (02:35):
All right, Well, now, in terms of self exam, is
there a best practice for how to do that?
Speaker 2 (02:40):
Typically women do it in the shower, which is a
great option. To do it with the water, your fingers
can just glide over the breast more easily, and then
of course you're looking for a mass, but you also
on to look for changes to the breast itself, which
you could notice maybe in the mirror. So if the
breast is swollen red, if there's changes to the skin,
if there's changes to the nipple, retraction or crusting of
(03:02):
the skin of the nipple, or if there's clear or
brown red drainage from the nipple. Those could be clues, all.
Speaker 1 (03:07):
Right, those are the things that people need to be
looking for. And again I went over a list of
symptoms for you know, lymphomo with doctor Vittel, and I
had some of those so swelling skin, nimpling, breast or
nipple pain, nipple retraction, nipple or breast skin that is flaky,
dry or thickened, nipple discharge, swollen lymphnones under the arms
or near the collarbone. Check the list see if you
(03:29):
have any and if any women notice that any of
those conditions are present.
Speaker 2 (03:33):
Call your doctor, get evaluated. We'd rather see you and
it be nothing, then put something off and have a
later diagnosis.
Speaker 1 (03:40):
Amen. You don't know how happy I would have been
if I saw doctor petellin she said, no, it's.
Speaker 2 (03:43):
Okay, right, we love those visits.
Speaker 1 (03:45):
I lost an hour and a half of my time, okay,
and I got a prognosis that would have put a
smile on my face. But then again, it didn't go
that way. But I'm glad I found out when I did.
How about treatment options? Every time the OHC folks come
in here, there's always some exciting new treatment options. Really
an injection of hope for people who get a diagnosis.
Speaker 2 (04:04):
We really try to tailor the care to each individual
person based on what type of cancer they have and
what specific scenario they're in. But for breast cancer, you
typically meet with a breast surgeon first, and then we
work with a multidisciplinary team of other doctors to help
coordinate the best plan for each person. Often it includes surgery,
some form of radiation at times, or chemotherapy, some other
(04:26):
targeted treatments like hormone therapy or immunotherapy too.
Speaker 1 (04:29):
Okay, you know I'm looking at say, for example, nipple
retraction or discharge. Is there going to be a lump
or something in all cases that would be biop seed
for example. I mean, is there always some you know,
literal cancer right there that's causing that out that visual
(04:50):
thing that's going on outside the breast?
Speaker 2 (04:51):
Correct? Normally, if you see some visual change to the
breast and then we get imaging, we find something deeper
on a mammogram or ultrasound. Sometimes if it's not we
might get a breast MRI and that helps figure out
something that might not be as clear as a mass,
but some other change in the breast that could be
causing that outward physical change.
Speaker 1 (05:09):
Okay, and I guess absent outside physical change. If there's
not a true lump there, then there's nothing that you're
going to be able to detect by way of self.
Speaker 2 (05:18):
Exam, right, unless there's like a dimple in you know,
it could just be because there is a deeper mass
that you can't feel. But maybe it's either hidden by
dense tissue or deeper in the breast so you can't
feel it, but something's causing that physical change the dimpling. Correct.
Speaker 1 (05:31):
Okay, that makes perfect sense. Now, women younger than forty
still need to do this self exam, even though there
isn't an annual Mammogran recommendation that begins at forty, but
the self exam at what age should that begin? I mean,
can this cancer kind of go after young people? In
certain cases?
Speaker 2 (05:50):
It can. It's of course, very rare in our twenties.
It's getting more frequent unfortunately in our thirties. So sometime
in our mid twenties is probably a good time to
at least be aware of a woman's breast so that
we can notice changes from month to month. We typically
say to do an exam once a month, so that
you're not checking every day. And kind of spending too
too much time on it, but that you will notice
(06:10):
a change more frequently if something were to happen.
Speaker 1 (06:12):
Well, I imagine moms out there might want to start
their daughters on a protocol at a younger age, just
to get them used to the idea and get it
embedded in them that they need to check at least
every once in a while, be aware of the fact
that that something could happen exactly all right. Now, onto
the treatment options. What are the treatment options which you
know quite often include And I've learned over the years
(06:33):
clinical trials may be the best way to the best
place to be, but I've also heard about car tee
therapy and other different therapies that are emerging and are
often unbelievably successful.
Speaker 2 (06:44):
Yes, there's so much going on in cancer treatment right now.
For breast cancer, there's many clinical trials. We have several
at our offices. One of the more exciting ones is
about a vaccine that can be used for people who
have already been treated for breast cancer but might be
high risk for or recurrence for certain types of breast cancers.
But there's always new new trials that we get every
(07:05):
few months, so it's important to you know, just talk
to your doctor about the options for that, and you know,
we'll bring it up for those that qualify well.
Speaker 1 (07:12):
I suppose getting on it earlier is critically important because
breast cancer is one of those cancers that can metastasize.
Speaker 2 (07:18):
Absolutely, that's always the goal to catch it early, when
it's most easily treated and cured.
Speaker 1 (07:25):
Well, how about you said that the number of younger women,
women in their thirties that are being diagnosed with breast
cancer is increasing. Are they are people doing research into
why that may be? Environmental factors? I mean I read
a lot about plastics and carcinogens and the packaging materials.
I mean, there's a multitude of potentials, But any any
insight right now.
Speaker 2 (07:45):
I think we're all just thinking the exact same thing
you just said. We don't have an exact reason, but
it has to be some environmental exposure. Whether it's certain
you know, chemicals that we use that change the hormones
in women's body change their menstrual cycle, or it's earlier
you know that is a risk factor to have an
earlier menstrual cycle on set, Really younger age for menstrual
(08:06):
cycle beginning or later eight of age of menopause because
it's a higher exposure to hormones during your lifetime.
Speaker 1 (08:13):
Now, is there hormone therapy that it can be done
in terms of your breast cancer treatments?
Speaker 2 (08:17):
Yes, we call it hormone therapy. Sometimes we call it
anti hormone therapy, but it's directed for hormone positive breast
cancers to help treat those, which is the most common
type of breast cancer that we see.
Speaker 1 (08:27):
Well, I'm glad I asked that question. On to clinical trials,
OHC is well known for having clinical trials going on
all times for all different types of cancer. Do you
have any clinical trials right now for breast cancer?
Speaker 2 (08:38):
We always do. We probably have several at the moment
right now. Some are for earlier detected cancers, many are
for metastatic breast cancer. It just depends on the type
and what other treatments you've already had. But yes, there's
always many options.
Speaker 1 (08:53):
That's where you need to be OHC, and to be there,
get an opinion, a second opinion, get in touch with
them right out of the gate. That's eight eight eight
six eight hundred eight eight eight six forty eight hundred.
You can learn more online and check out the website.
It's ohcare dot com my cancer doctors. I feel like
I'm in wonderful hands and I am very confident with
(09:14):
my treatment protocol that's coming up, even though I don't
know what it is yet. But you did well my
beam before, well by me before, and I'm certain that
that everything can be okay. So, ladies, if you're struggling
with this, and it's actually guys too, but it's a rare,
rare occasion with guys.
Speaker 2 (09:28):
Right, more rare, but can still happen in men.
Speaker 1 (09:30):
So maybe occasion old breast exam for men.
Speaker 2 (09:32):
Yeah, certainly. If you feel something, let your doctor know,
all right.
Speaker 1 (09:34):
Check down below and then check out top guys, make
sure you're staying out of trouble. Eighty eight sixty eight
hundred ohcare dot com. Doctor, it has been a pleasure
to have you in the studio. Thanks for what you're
doing for all of your patients and everything that OHC
does for all of its patients. It's been a pleasure
talking with you today.
Speaker 2 (09:50):
You as well.
Speaker 1 (09:50):
Thank you. Spread the word folks Breast Cancer Awareness month.
You can save a life by passing along that information.
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