Educate yourself on Breast Cancer ! From myths and misconceptions to cancer prevention, detection, and treatment. All you need to know about this cancer that affects 1 out every 8 women. Includes recent statistics and info about radiation therapy, mastectomy, lumpectomy, chemotherapy and much much more. Brought to you by Dr. Beatriz Amendola of the Innovative Cancer Institute.

1. TO STOP CANCER
WE MUST FIRST
UNDERSTAND
CANCER
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2. Together, they built ICI to be a cancer center where doctors and patients could find
state-of-the-art technologies and minimally invasive treatments maintaining a small
practice environment while treating patients like family.
Innovative Cancer Institute (ICI) was founded in July of 2008 by Doctors Beatriz and
Marco Amendola, two Board Certified Doctors, each with over 35 years of experience.
Dr. Beatriz is a highly respected
Radiation Oncologist and an honored
member of the leading medical
societies across the globe.
Dr. Marco is a board certified
Radiologist with more than 30
years of experience in
Oncologic Imaging.
www.innovativecancer.com 2
Who and What is
The Innovative Cancer Institute?

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4. What We’re Going to Cover
1. Cancer Prevention
2. Cancer Detection
3. Cancer Treatment
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5. Let’s Start With
Some
Myth Busting.
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Prevalence of BRCA 1 & 2 mutations among U.S.
women with breast cancer by ethnic group .
(In alphabetical order)
Source: Adapted from National Cancer Institute materials and Malone et al.
As you can see,
the numbers
are very low
for most.

15. Good News
&
Bad News
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16. Breast Cancer Is VERY COMMON
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U.S. women (about 12%) will
develop invasive breast cancer
over the course of her lifetime
The Bad News...
1 in 8
Source: https://www.breastcancer.org
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17. In Fact, in 2019...
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of all newly diagnosed cancers
in women, will be breast
cancers.30%
Source: https://www.breastcancer.org
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18. Breast Cancer Is VERY CURABLE
And the decades-long DROP in
breast cancer death rate continues.
In the most recent 5-year period (2013-2017), the breast cancer death rate
declined by 2.1% per year in Hispanics/Latinas, 1.5% per year in blacks, 1.0% per
year in whites, and 0.8% per year in Asians/Pacific Islanders, and was stable in
American Indians/Alaska Natives.
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The Good News...
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19. Some groups are
still at higher risk
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20. Black Women Are at Higher Risk
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Black women are still more likely to
die from the condition than white
women — the survival rate for Black
women is about 10% less than it is for
white women.
Source: Breast Cancer Research Foundation 20

21. For Hispanic Women, Breast Cancer
is the Most Fatal Cancer
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Lung cancer is the most fatal cancer
for women in the U.S. overall, but it's
the leading cause of cancer death
for Hispanic women, even though
they are diagnosed with breast
cancer at lower rates.
Source: American Cancer Society, 21

22. Men Can Get Breast Cancer Too,
But it’s NOT Common.
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Less than 1% of all breast cancers
and less than 1% of all carcinomas in
men are Breast Cancer.
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Men with higher risk include:
● Old Age
● Liver disease
● Obesity
● Family history
● Exposure to estrogen
● Klinefelter's syndrome

23. www.innovativecancer.comSource: BreastCancer.ORG
of breast cancers occur in
women who have NO family
history of breast cancer.85%
Understanding Family History
However, a woman’s risk of breast
cancer nearly doubles if she has a
1st-degree relative who has been
diagnosed with breast cancer.
2X
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24. If It’s Not Passed Down, Then
What Causes Breast Cancer?
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And What Can We Do To Prevent It?
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25. BREAST
CANCER
PREVENTION
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26. WHAT IS
BREAST
CANCER
Every day, cells in your body dividing, growing or dying in an
orderly manner. That’s how our bodies work.
Breast Cancer happens when cells in the breast tissue grow and
divide without normal control.
These cells can grow to form a lump or mass, and that’s called a
tumor.
Tumors can be either Benign (Not Cancerous) or Malignant
(Cancerous).
By them time a malignant tumor is large enough to feel, it may
have been growing for a long time.
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27. HOW BREAST CANCER CAN GET COMPLICATED
Non-invasive breast cancer -
Ductal carcinoma in situ
Invasive breast cancer
Metastatic breast cancer
Proximity to the lymph nodes allows breast cancer to spread faster.
And that’s what makes it so dangerous.
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29. HOW
BREAST
CANCER
HAPPENS
It starts with changes or mutations in
DNA that can cause normal breast cells
to become cancerous cells.
We don’t always know the causes of
cancer, but research has shown there
are ways to increase or decrease your
likelihood of getting cancer.
Those are called RISK FACTORS.
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30. The 2 Most
Significant Risk
Factors are
simply:
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31. The 2 Most
Significant Risk
Factors are
simply:
1. Being
Female
2. Growing
Older
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www.innovativecancer.com

32. Other Risk Factors
● Alcohol Use
● Ashkenazi Jewish Heritage
● Lack of exercise
● Being overweight (or weight gain after
menopause)
● Not having children, or having them post 35
● Not Breastfeeding
● Younger age at first period
● Current/recent use of Birth Control Pills
● Older age at menopause
● Current/recent use of menopausal hormones
Source: American Cancer Society
● High breast density on a
mammogram
● Multiple prior biopsies
● Family History and inherited
BRCA 1 or BRCA 2 gene mutation
● Pre-Cancers
○ Ductal Carcinoma in Situ
○ Hyperplasia or lobular
carcinoma in situ
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33. www.innovativecancer.com
Healthy Lifestyle….
How to improve your odds
Source: American Cancer Society
● Be physically active (get regular exercise).
● Achieve and maintain a healthy weight.
● Eat at least 2 ½ cups of fruits and vegetables daily
● Choose 100% whole grain foods
● Limit red meat and processed meat.
● Choose chicken, fish or beans more often.
● Limit "bad" fats and eat "good" fats
● Limit alcohol to no more than 1 drink per day
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34. Most controllable risk factors only have a small effect on risk.
This means no one behavior will prevent Breast Cancer.
It also means there is no one thing that will cause it.
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35. BREAST
CANCER
DETECTION
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GET
NOW
tested

36. www.innovativecancer.com
of breast cancer patients are
diagnosed before the disease
spreads
Early Detection Is the BEST means
to beat Breast Cancer
62%
Source: American Cancer Society
And the 5-year survival rate for
localized breast cancer is
99%
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37. Here’s How You Can Start Today
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38. Self - Examination
Clinical
Mammogram
Ultrasound
Ways To Get Tested
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39. Self - Examination
Self-Examine Regularly
Clinical
Mammogram
Ultrasound
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41. Clinical Test With Your PCP
Clinical
Mammogram
Ultrasound
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42. Mammogram once every year!
Mammogram
Ultrasound
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43. Ultrasound in Higher Risk Cases
Ultrasound
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44. BREAST
CANCER
TREATMENT
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45. Treatment options vary depending medical conditions, like how
early it’s detected / how large it is and personal choices, like
duration of treatment and recovery or pain tolerance.
Overall the 3 most common options are
For Breast Cancer Patients, Surgery is where it starts.
And some use a combination.
ChemotherapyRadiation Therapy
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Surgery

46. Surgery will be required to remove the
cancer.
BUT that does not mean you have to
remove the WHOLE breast.
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47. What we’ve witnessed time and again, is the automatic knee-jerk
reaction most women have. A strong feeling of “GET IT OFF ME NOW!”
without investigating all their options.
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Fight the Knee-Jerk Reaction.

48. Mastectomy Lumpectomy
+
Radiation
Both Have
Same
Exact
Success
Rate CONSERVES BREASTSREMOVES BREASTS
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Women Should Know Mastectomy
is Not the Only Option

49. www.innovativecancer.com
The Two types of Surgery:
Mastectomy
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Lumpectomy

50. www.innovativecancer.com
Surgery is highly targeted, but
also has risk of complications,
and often are followed by
reconstruction surgery, many
times requiring more surgeries.
They are NOT to be
confused with a simple
breast augmentation
procedure.
Source: https://www.verywellhealth.com
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51. www.innovativecancer.com
Prone Breast Radiation Therapy
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Supine Radiation - Breath Hold
Radiation Therapy

52. Why Radiation?
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+
With Radiation,
you can preserve
your natural
breast

53. www.innovativecancer.com
Chemotherapy
Chemo is when Medical Oncologists use drugs to kill
cancer cells. This is a systemic way to treat the whole
body and all the cells, and not localized.
Chemotherapy can cause severe side effects including
nausea, vomiting, diarrhea to name a few.
Patients with large tumors or cancers that reach the
lymph node, may benefit from chemotherapy and
hormonal therapy to stop the cancer from spreading
and/or coming back.
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54. www.innovativecancer.com
New * Immunotherapy
Source: Susan G. Komen Foundation
Drugs that help the body’s immune system
attack cancer cells are now used to treat many
cancers (including melanoma, lung cancer,
bladder cancer and kidney cancer).
Overall, immunotherapy drugs (including
vaccines) are not as promising for breast cancer
compared to other cancers at this time.
However, they may be effective in treating some
breast cancers.
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If You Only
Remember
3 Things:

56. 1. Know your risk factors
2. Get tested often - Yearly
Mammograms!
3. Explore ALL your options
before treatment
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57. APPENDIX
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58. Learn more about the
Innovative Cancer
Institute and our
team!
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59. A Brief History of ICI
Open doors with the new
Varian Trilogy System, ICI was
the first center in FL to offer
RapidArc for Radiation
Therapy
JULY
2008
SEPT
2014
We installed a Varian EDGE
system, only the second
one in all of the US, and
first in FL, allowing for more
specialized Radiosurgery
treatments
OCT
2014
We updated our tech
with a newer version of
the Brachy HDR system
to expand Breast, GYN
and Skin Cancer
treatments
JULY
2015
Miami Mayor Carlos
Gimenez honored Dr.
Amendola by proclaiming
that July 24, 2015 as Dr.
Beatriz E Amendola Day.
As of November 1st, we
will be the first in Florida
to have the new Varian
Halcyon 2.0
NOV
2018
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60. Our Core Medical Team
www.innovativecancer.com
DOCTORS PHYSICISTS AND DOSIMETRY
Dr. Beatriz
Amendola
MD FACR FASTRO
FACRO
Dr. Allie
Garcia-Serra
MD
Dr. Marco
Amendola
MD FACR
Alejandro
Iglesias
RTT, CMD
Naipy C. Perez
MSc, DABR
Xiaodong Wu
PhD
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61. What do we treat?
From Benign Tumors to Carcinomas, Melanomas and Lymphomas, our
technology is expansive enough to treat a wide range of cancers:
Lung cancer Gynecological cancer
Prostate cancer Gastrointestinal cancer
Breast cancer Colorectal cancer
Skin cancer Kidney cancer
Spinal tumors Brain tumors
Bladder cancer Ocular melanomas
Pancreatic cancer Benign tumors (Meningioma; Pituitary Adenoma)
Head/Neck cancer
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62. What Makes ICI Different?
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63. COME VISIT US ANYTIME!
www.innovativecancer.com
5995 SW 71St
South Miami, FL 33143
info@innovativecancer.com
Tel: +1 305-669-6833
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