Breast cancer statistics on the rise — among men

It was a normal day for Mike Weatherly– that was until he noticed that an abnormally long hair on his chest needed trimming. It was on the areola that surrounds the nipple, and when he began to trim, he noticed a dark spot the size of a pencil eraser.

But, like most men, the Parkland resident procrastinated, thinking it was a pimple that would go away in time. But after a few weeks, it remained and that’s when he sought the counsel of a neighbor who happened to be an emergency room doctor.

“He didn’t like what he saw and told me I should get it biopsied,” said Weatherly.

“In October, the results came back as a positive grade 3 tumor and I was told I had breast cancer.”

If 100 breast cancers are diagnosed, only one will be found in a man. This year, however, it’s estimated that approximately 2,600 new cases will be diagnosed.

The 71-year-old former pilot for American Airlines, who has always been physically fit, had suddenly become a statistic. Yet, he never asked why me? “As humans, there’s a certain amount of vulnerability and things are going to happen,” he said.

“I also have rheumatoid arthritis, which is rare among men, so I’ve learned how to cope and never allowed myself to become depressed.”

When a tumor is sent to a lab for analysis, its grade is based on aggressiveness and invasiveness. Weatherly’s came back as grade 3, but luckily his cancer was localized and did not spread to surrounding lymph nodes.

If cancer cells had spread to the lymph node, they could have already traveled to the lymph system and spread to other parts of the body.

Weatherly’s cancerous tissue—and his nipple—were removed by a general surgeon on an outpatient basis, and now his ongoing care is in the hands of an oncologist.

“My treatment plan began in December and for the foreseeable future I’ll be seeing the specialist every six months,” he said. “I’ve been told it was a hormone- responsive tumor so in all likelihood I won’t require chemotherapy.”

Weatherly, a self-described “health nut” has been retired for 12 years. He was a track athlete at Southwest Missouri State College, and even into his late 30s participated in triathlons.

He continues to eat nutritional foods, works out on a stationary bike, and lifts weights at home. “Running track pushes a person to the limits, both physically and mentally,” he said. “I guess that’s where I learned the discipline about keeping the going into surgery, the better shape you’ll be in coming out and the quicker you’ll recover.”

Most male breast cancers are discovered in men over 50, where there is a history of breast cancer in the family, and the BRAC1 and BRAC2 (breast cancer susceptibility genes) are present.

Plus, if a man has had previous chest radiation therapy, he could be prone. Estrogen, which is used to treat prostate cancer, also increases the chances of male breast cancer. Injured testicles, liver disease, and obesity are also contributing to underlying factors.

According to the Centers for Disease Control and Prevention, one of the most common types of breast cancer in men is invasive ductal carcinoma. This is where cells grow outside the ducts into other parts of the breast tissue with the possibility of spreading to other parts of the body.

Men who inherit abnormal mutated genes are in a high-risk category, as the mutation may lead to either breast cancer or prostate cancer.

In Weatherly’s case, there was no family history of breast cancer or cancer in general. “I have to admit it was a shock and I never thought something like this would happen to me,” he said. “Thank goodness it was caught early enough.”

Since his cancerous tissue was removed, he’s undergone precautionary follow-ups, including a CT scan and PET scan.

“Most men are not diagnosed until it’s too late, so I was very lucky,” he said. “Just think, if that long hair hadn’t needed trimming, I may be telling you a much different story.”

As a fighter pilot on aircraft carriers in the Navy during the Vietnam era,
Weatherly learned how to deal with all kinds of situations, and his advice to men is to always be aware of any changes in their bodies.

“We tend to focus on heart attacks, strokes or whatever, and male breast cancer is an afterthought,” he said. “It’s only an afterthought until it happens to you.”

Guidelines for Breast Health

“In the pink” is pervasive this month. According to Dictionary.com, the idiom is actually “in the pink of health.” One would think that this is the connection between breast cancer awareness and the pink images that are highly visible. In reality, the symbol is derived from a ribbon’s symbolism as a sign of courage and support, and a promotion by Self magazine and Estee Lauder cosmetics in 1992. The pink ribbon promotion has evolved significantly over the years — from lapel pins to illuminated skylines in cities nationwide, to the addition of the color and symbol in uniforms for professional sports.

Though we need to be aware of breast health every month, with pink splashed spectacularly on just about everything in October, it brings the topic to the forefront. You know I am all about having a healthy lifestyle and making sure you’re in the know on keeping “your girls” aka breasts, healthy. Here are a few guidelines to help you out.

  1. Lifestyle
    Adjust your lifestyle to limit alcohol, increase fruit and vegetables, and exercise regularly; these are all factors that can help reduce the risk of breast cancer. It is also important to avoid smoking, control weight, and avoid exposure to radiation and environmental pollution. Breastfeeding can be beneficial, and the length and duration of hormone therapy should be limited.

2. Mammograms
Mammograms are considered the gold standard in breast cancer screening. The
American Cancer Society recommends that all women
get a mammogram every year beginning at age 40. For women with an above-average risk
of getting breast cancer, it is suggested that they discuss with their doctors if they should begin screenings at an earlier age.

3. Know Your Breasts.
Talk to your doctor about the pros and cons of breast self-exams. If you choose to do breast self-exams, your doctor can review how to do them with you. If you know how your breasts “should” feel then you can easily recognize when something is atypical and you should reach out to your health care provider.

4. Be Persistent.
If you think you feel “something,” and your healthcare professional dismisses your concerns, be persistent. You are your best advocate. If necessary, seek another opinion.

5. Network
Talk to your network of friends and ask them to share the names of their doctors or clinics. Personal recommendations from people you trust can go a long way when choosing healthcare professionals.

6. Symptoms
A lump is a symptom we hear about most often and 80 percent of lumps turn out to be benign. A lump can feel like a frozen pea, marble, or another hard item. This does not mean it is cancer, but if it is still noticeable after a few weeks or changes size or shape, have your doctor take a look.

Some of the other signs that something is amiss include persistent itching, a bug bite–like bump on the skin, and nipple discharge. If you notice something out of the ordinary that continues a few weeks, again, you will want to check with your doctor.

I’m not trying to alarm or create anxiety; you know my goal is to help guide you along the path of living a healthy lifestyle. Keep these guidelines in mind year ‘round for good health.

Take Away: You are your best advocate for “being in the pink of good health.” Follow these guidelines and make wise choices about your lifestyle.

By Michelle Stewart

Coconut Creek woman wins breast cancer battle

At the ripe old age of 32, while living your life, climbing the corporate ladder, and making plans for the future, the last thing you expect to hear is a cancer diagnosis – especially for the very rare and aggressive triple-negative breast cancer – which accounts for 10 percent of all breast cancers.

Triple-negative breast cancer is cancer that tests negative for estrogen receptors, progesterone receptors, and excess HER2 protein, making it harder to treat.

But that is exactly the diagnosis Coconut Creek resident and advertising and marketing professional Jessica Duemig, now 35, heard after discovering a lump in her breast.

To make sense of her experience, she put pen to paper (or keys to keyboard) and wrote a book about her experiences, titled, “WARRIOR,” which she self-published and is available on Amazon.

“It was total happenstance,” remembers Duemig about the night that changed her life. “I am a side sleeper and felt something in my breast that woke me up.”

Thinking nothing of it, Duemig ignored it for a couple of weeks until a month later the lump woke her up again and she decided to visit her doctor.

Her diagnosis was confirmed on Feb. 1, 2017. Three weeks later she underwent a bi-lateral mastectomy as a precaution, followed by immediate partial reconstruction, then endured chemotherapy for almost five months. Luckily, the cancer had not progressed to her lymph nodes. Six weeks after she finished chemo, she had the full reconstruction.

Duemig had her treatment at the Miami Cancer Institute, part of Baptist Health and the Memorial Sloan Kettering (MSK) Cancer Alliance.

With no family history of breast cancer, no BRACA 1 or 2 gene, Duemig says there was “no logical reason” to suspect she would have breast cancer at such a young age. She notes that typically mammograms are not even recommended for women under the age of 40.

“I could have been sitting there for eight years before I found this,” she says ruefully.

During those trying months, Duemig founded a community of family and friends on Facebook where she created Livestream videos of her daily struggles as a way to stay connected and keep her friends and family in the loop.

She used these videos as fodder for her book.

On her LinkedIn profile, she says: “This book is a testament to the process, from detection, through diagnosis into treatment and ultimately recovery. It’s emotional and funny and real – and it’s my story.”

“My hope is that this book can be the support warriors need and that reading it will unlock the “F*ck this” attitude it will take to come out on top,” she says.

Lindsay Oerter, a teacher from Royal Palm Beach, and her mom, Karen Boland, of Loxahatchee and herself a breast cancer survivor, were two of the viewers who tuned in regularly to support Duemig.

“I always knew she was a tough girl and someone who gets things done,” says Oerter, who is a friend from Wellington High School. “I had no doubt in my mind that Jess would get through this. That’s her.”

With no family history on her mother’s side, Boland, who retired after 23 years at Publix, and fought breast cancer along with two of her sisters, was told she inherited the predisposition from her father’s side of the family, something she did not realize was possible.

On a trip to Connecticut to visit her mom, Boland read a preliminary version of Duemig’s book.

“Jess’s writing style keeps you interested and engaged,” Boland says. “I would recommend it for a family member or anyone going through something similar.”

Writing the book was therapeutic for Duemig, during her nine-month journey.

“I wrote the guidebook I wished I had,” she says. “What to expect and what’s normal, both from the physical and emotional standpoints.”

What advice does she have for other women going through a similar experience?

“If you feel something is wrong, get it checked out,” she says. “It’s better to be proven wrong than to let something linger.”

“And,” she says, “whatever your feelings are, just know they are normal.”

Now, three years later, Duemig received her diagnosis of ‘cured’ last Feb. 29. (According to Duemig, with Triple Negative Breast Cancer a cured designation is given after three years, and not five as in other types of cancer.)

“As bad as it was, this could have been so much worse,” says Duemig. “I went into it with a “f*ck this” attitude – mind over matter. The minute you lay down and give in – it will win.”

Duemig didn’t hold back in her writing, putting a realistic/optimistic spin on the book.

“I had to look at all the good things that can come from this experience,” says Duemig. “I know myself better. I have the ability to make hard decisions.”

“Harness that power,” she says. “If you can beat cancer, what can’t you do?”

“WARRIOR” is available on Amazon and other online booksellers.

By Jan Engoren