Knowledge is power Dennis Citrin MD PHD


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Knowledge is power Dennis Citrin MD PHD

  1. 1. 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
  2. 2. Advances in Breast Cancer Knowledge • Embrace all Modalities • Characterization of tumor sub-types • Identification of specific cellular targets • Many effective treatment choices available
  3. 3. 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.
  4. 4. An Example: Breast MRI, June 2011
  5. 5. An Example: Breast MRI, September 2011
  6. 6. What Factors Prevent Women from Benefiting from Advances in Breast Cancer Treatment? • Patient delay • Patient non-compliance • Physicians slow to implement new paradigm
  7. 7. 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
  8. 8. Effect of Delay on Stage of Disease
  9. 9. 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
  10. 10. Why Do Women Delay Seeking Help or Refuse Treatment? • Fear of cancer • Fear of cancer treatment • Denial • Lack of information • Misinformation
  11. 11. 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: st_Cancer_Deception_0.html#ixzz2bTZHe9 2m
  12. 12. Physicians are Slow to Implement New Paradigm
  13. 13. 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
  14. 14. 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