Showing posts with label breast cancer. Show all posts
Showing posts with label breast cancer. Show all posts

Friday, February 7, 2014

Picking the "Best" Cancer


Suzy walked into a boutique called “Cancers R Us” in the high end of town.  It’s located between the Coffman Tobacco Wholesaler and the Sizzler Tanning Salon.  An associate greeted her at the well-polished counter with a friendly, “May I help you?”

“Yes,” replied Suzy.  “I’ve been diagnosed with cancer and I’m here to pick out which type.”

“I see.  Well, first of all, I’m sorry for your diagnosis, but I’m here to help you select the cancer that works best for you.  Are you interested in a more highly exclusive cancer, or one more common?”

“What’s the difference?”

The associate goes on to explain, “The higher the exclusivity, the higher death rate and suffering.  However, if you survive, you’ll be in a very elite group.”

Suzy started to respond when another woman entered the boutique.  She was dressed in purple and looked frail with hardly a hair on her head.  The associate looked her way and said, “Hello Margaret, I’ll be right with you!”

Suzy asked the associate why Margaret looked so frail.  “Oh, she purchased one of our more exclusive cancers…pancreatic cancer.  Their color is purple…that outfit was part of her cancer kit.  She’s come in for a Stage upgrade today.”

“Oh my…she doesn’t look well at all.”

“That happens with such cancers, but if she survives, she’ll be in the most exclusive cancer club!”

Suzy’s expression became slightly glazed.  “Um, maybe I don’t want something quite as exclusive.  Do you have anything a little more common?”

The associate smiled and said, “Well, one of our more common cancers for women is breast cancer.  Let me show you the package.”  The associate places a pretty pink box on the counter and opens it to reveal a pink shirt and several pamphlets.  “As you can see, breast cancer also has some level of exclusivity, but because of its popularity, there are more funds provided towards research.  This results in a better mortality rate and thus a less exclusive status.  But it’s widely popular as many people participate in walks and events and it even has its own month!”

“Wow!  That sounds better than that other cancer!”

Margaret was listening and chimed in, “I wish I had chosen breast cancer.  It’s nice to have the potential to be exclusive, but it’s so hard.  I have to fight almost alone…there are very few walks or events.  And while there is a month devoted to my cancer, no one knows about it.”

Suzy added, “Well, I guess it’s not a bad choice to make if I HAVE to choose one.  My friends at the Sizzler were mentioning something about a pink walk...it sounded fun.”

Margaret responded, “Oh honey…there might be walks and events, but there’s nothing fun about it.  The walks are important in order to survive!”

“Wait…so people still die from breast cancer?”

“Every day.”

As a silence set in, the associate asked, “Did I hear you say something about the Sizzler?”

Suzy responded, “Um…yes.  I go to the Sizzler twice a week.”

“Oh, well you might be interested in a cancer from our skin series.  By being a Sizzler client, you are eligible for a cancer upgrade!”

Suzy looked at the information and asked, “What’s this male-a-normal?”

“That’s melanoma.  It’s increasing in popularity and has a very high exclusivity rating as well.  Their color is a chic black.”

“Um…I think I want to stick with the more common variety.  Besides, black is a little warm in the summer months as I work on my tan.”

The associate added, “Well, this is our most common of all cancers but really can’t be considered exclusive at all.  It’s called Basal Cell Carcinoma and hardly anyone ever dies.  Their color is orange…sometimes black.”

Suzy’s eyes lit up.  “Oh yes…definitely!  I want basal cell carcinoma!  Does my Sizzler upgrade still apply?”

“Yes it does…just sign this form and I’ll be back with the kit.”

As Suzy signed the form, the associate returned with a tape measure.  “Here, let me measure your ear.”

“Um…why are you measuring my ear?”

“It has to come off.  Basal cell carcinomas are cut out with surgery.  Most are on the back or legs or head, but some occur in other areas.  With your upgrade, you’ll be more affected. In this kit, your ear will have to be removed.  But don’t worry hon, we’ll give you a prosthetic ear that looks almost normal.”

“WHAT?  My ear!  I thought no one got hurt with this cancer”

“Oh sweetie…I said very few people die.  But everyone with cancer suffers in their own way.”


Kind of a sick little story, eh?  Let me start off by saying that I meant no disrespect to anyone with any type of cancer. The story above was inspired by a recent Facebook discussion over an ad by Pancreatic Cancer Action, a charitable organization in the UK.   The ad shows a young woman with pancreatic cancer and a headline stating, “I wish I had breast cancer.” 

While the headline is shocking and offensive to many, I think most people “get it.”  Breast cancer has a much higher survival rate where as a pancreatic cancer diagnosis is akin to a death sentence.  I think the true message this girl is trying to say is “I wish I had breast cancer instead of pancreatic cancer.”  After all, no one…I mean NO ONE wants ANY cancer.

The debate that evolved in the discussion was whether one cancer was “better to have than another.”   I’ve heard the same discussion within the melanoma community regarding Stage 0 thru Stage IV.  You see, most early stage melanoma patients have a 97% or higher survival rate.  The cancer can be cut out and it’s essentially “gone” (although we all know that melanoma has a 1 in 3 chance of recurring, so it’s never truly “gone”).  Those diagnosed with Stage IV melanoma have around a 10% survival rate.  There’s obviously a big difference between the two, and that gap has prompted people to argue over the definition of “survivor” or whether or not the two extremes should even be considered the same cancer.

It’s obvious that the Stage IV patient suffers much more, especially physically.  The same can be said for someone diagnosed with pancreatic cancer over basal cell carcinoma.  But the mental anguish can run deep, even with the shallowest of physical scars.  Cancer affects every patient differently, but it DOES affect every patient.

Several years ago, I was told I “might” have prostate cancer and I endured two biopsies to find out I did not.  I was told that I had a high probability of developing the cancer in my 50’s. I’m 51.  I have thought of that “probability” every day since turning 50. The thing is, I was told that prostate cancer was “a good one to have” because most men with prostate cancer die of something else…it’s not the prostate cancer that kills.  Yet, I have a friend whose father died last year…from prostate cancer.  It was a death as gruesome as anyone with pancreatic cancer or breast cancer or melanoma.  Knowing that has affected me.  And that was just a cancer probability, not a diagnosis!

My point in all this is that no one wants cancer.  Ali Stunt, the founder of the aforementioned charity stated the same thing.  The ad was more about the imbalance between research performed and grants donated.  I can understand her frustration.  At the same time, I don’t envy any cancer and I think the headline could have been a little more sensitive.  We might have pink envy, but I can’t imagine anyone at all “wanting” any type of cancer.  At all.

Friday, November 1, 2013

Comparing Survival Rates of Breast Cancer and Melanoma


I posted a recent commentary article written by someone else on my Facebook page that had a remarkable statement. “The survival rates for stage II melanoma are the same or worse than for stage III breast cancer.”  That got my attention, so I decided to dig in a little more.

A survival rate tells you what percentage of people will survive a certain type of cancer after a specified number of years.  In most cases, the survival rate is measured for 5 years.  For instance, a survival rate of 80% means that 80% of the people with that cancer survived, or were alive, after 5 years.  Conversely, 20% of the people died.  This is calculated based on the study of hundreds or thousands of people who have been diagnosed with the various cancers.  As I mentioned in an earlier post, “surviving” may not mean you’re cancer free or not undergoing treatment.

As I see it, the survival rate of a cancer dictates just how deadly that cancer can be.  However, a cancer with a low survival rate might not be the more widespread killer.  As stated in the original quote, melanoma has a lower survival rate than breast cancer, but statistics also show that there are about 5 times more cases of breast cancer per year than melanoma cases.  Breast cancer is a grenade which affects many while melanoma is a stone cold assassin which targets a few with greater efficiency.

How do the different cancers compare?  I checked into the American Cancer Society’s website and found the survival rates for each stage for both breast cancer (obtained from the 2013 National Cancer Institute’s SEER database) and melanoma (obtained from the 2008 AJCC Melanoma Staging Database):

Breast Cancer
Melanoma
Stage
Survivor Rate
Stage
Survivor Rate
0
100%
Not reported
I
100%
IA
97%
 
 
IB
92%
II
93%
IIA
81%
 
 
IIB
70%
 
 
IIC
53%
III
72%
IIIA
78%
 
 
IIIB
59%
 
 
IIIC
40%
IV
22%
IV
15% to 20%

 
As you can see, there are indeed levels of Stage II melanoma which have a lower survival rate than Stage III Breast Cancer!

So what does this say?  It implies that breast cancer research has been very successful in recent years, thus increasing the overall survival rates.  In fact, according to the American Cancer Society’s “2013 Cancer Facts & Figures” report, breast cancer has an overall (all stages together) average survival rate of 89%.  Melanoma’s overall survival rate is 91%.

Hmm... that is interesting.  Is research responsible for melanoma’s higher overall survival rate?  Most likely not.  These figures were taken in 2008…before incredible medical advances such as Yervoy and Ipi.  Melanoma has always had a high OVERALL survival rate because so many more people catch melanoma in the earliest stages as opposed to many other cancers.  Why?  Because we can see it on the skin!  While this seems like great information, it hasn’t been the best news for melanoma researchers.  After all, if a cancer has such a high survival rate, why pour money into researching a cure when other cancers need more desperate help?  I’m sure this has been the challenging argument for melanoma researchers for years.

It’s important for those donating money to understand the nature of advance stage cancers.  Stage II breast cancer has a 93% survival rate.  Stage IIC melanoma has a 53% survival rate!  That’s an alarming difference!  This gap can only be filled with additional research.

To me, this set of data tells demonstrates two things.  First, as I said before, advanced melanoma is a stone cold killer.  But secondly, and more importantly, melanoma can be defeated if detected early.  There have been great things happening to further successful melanoma treatments, but so much more needs to be done.  The greatest weapon against this assassin is you!  Get your skin checked annually by a dermatologist and check your own skin monthly.

 
Post script:

As I reviewed the data found in the American Cancer Society report, “Cancer Facts & Figures 2013,” I noticed the survival rates of other cancers.  In particular cancers of the lung and pancreas have remarkably low overall survival rates.  Compared to melanoma at 91%, lung cancer comes in at only 16% and pancreatic cancer at 6%.  Stage IV rates for each respectively are 4% and 2%.  More people will die of lung cancer this year than any other cancer.  Cancer of the pancreas is statistically the deadliest of all cancers.

November is the awareness month for both Lung Cancer and Pancreatic Cancer.  The pink ribbons and football cleats have been put away now that October is over.  No one will likely be wearing white (lung) or purple (pancreas) in November…at least not for awareness.

Please continue your support for melanoma awareness and research, but take some time this month to lend your heart and hand to pancreatic cancer and lung cancer…the latter which took my mom’s life in 2005.

Monday, October 1, 2012

A Plea for Help to the Breast Cancer Community


Black and Pink...Fighting Cancer Together!
Dear Breast Cancer Awareness Supporters….

We in the Melanoma Awareness Community need your help.  You may have heard that some of us have “Pink Envy.”  In reality, I believe we have Pink Inspiration (read this post to see what I mean).  In truth, we’re as interested in the awareness of ALL cancers as much as you are.  But as it turns out, those that wear the Pink seem to get more press and attention…and that’s why we need your help.

A friend of mine attended a fund-raising 5K run last month in honor of Breast Cancer Research and Awareness.  One of the door prizes was a free month of appointments at a local tanning salon.  More recently, tanning salons have been offering discounted tanning sessions for every person that wears pink for Breast Cancer Awareness.  A pink ribbon was even spotted on a bottle of tanning lotion.

In case you didn’t know, tanning is a direct contributor to melanoma…the deadliest form of skin cancer.  It’s the second leading cancer of women under 39, behind breast cancer.  It’s the MOST COMMON form of cancer in young adults age 25 to 29.  Some (much) of this is attributed to UV ray exposure…the same UV rays in tanning booths and the sun.

Everything is covered in pink in October.  It’s a sign of your incredible awareness campaign.  We are envious, but we are inspired.  However, the placement of pink ribbons upon tanning products is a step too far.  This would be the same as placing your pink endorsement upon cigarettes.  Tanning booths and cigarettes are both recognized carcinogens…cancer-causing agents. 

I know that you, the typical member of the breast cancer community would not endorse the placement of pink ribbons on anything associated with cancer.  So I ask you to speak out.  Contact your local organization and encourage them to withdraw any support to the placement of pink ribbons on anything tanning related.  Tell those that display your ribbon as a means to promote their tanning business that you’re offended.

We all stand up together in the fight against cancer.  All cancer.  Please help us in the fight against melanoma by withdrawing any association with skin cancer-causing activities.

Thank you…

Saturday, October 1, 2011

Linked to Pink?

October is Breast Cancer Awareness Month.  But did you know that Melanoma could have a direct link to the Pink Cancer?  It’s true!  An article in the Skin Cancer Foundation’s website explains how having one of these cancers raises the odds of developing the other.   (Thanks to the curator of Hotel Melanoma for bringing this to our attention).
Dr. Gillian Murphy of the Beaumont Hospital in Dublin, Ireland, states that patients with melanoma or other skin cancers have always been at higher risk of developing other malignancies , but with breast cancer, there’s a fourfold increase.  Per Dr. Gillian, this “raises the possibility of a genetic predisposition linking the two cancers.”
This is good news for a couple of reasons.  First of all, research for one type of cancer may now aid in research for the other.  Any little bit of new information we learn about one just may indeed help out the other.
The second reason is admittedly more selfish.  Melanoma Awareness needs a boost…and the Breast Cancer Awareness campaign is about a big a boost as a campaign can get.  In the month of October, you’ll see about as much pink as you will traditional autumn colors.  Whoever first marketed the idea for this pink awareness campaign was either a genius, a sales whiz, or really darned lucky.  But imagine…a small amount of proceeds from everything donning a pink ribbon goes to Breast Cancer Research or Awareness.  And not just t-shirts and hats, but candy, detergent, and even Chick-fil-A meals!  I know that there is never enough money for research, but by golly, the Pink Warriors have a good thing going.
This might sound like jealousy.  It’s not. Despite this blog’s name “Black is the New Pink,” I’ve had the utmost respect for the Pink Ribbon campaign.  No…not jealousy.  Envy.  Like an LA Clipper fan that envies the Lakers.  Like a NY Mets fan that envies the Yankees.  It’s not hate…it’s envy.  And in my case towards Breast Cancer Awareness, it’s respect.
I would love to see the Melanoma Awareness campaign be half as effective as the Pink Ribbon campaign.  Unfortunately, we have a few things going against us.  For one thing, the gurus that determined the cancer awareness ribbon colors assigned Melanoma the color black.  This is appropriate in that the word “melanoma” literally means “black tumor.”  But unfortunately, black ribbons also represent death and mourning.  Orange is an alternate color I’ve occasionally seen associated with Melanoma Awareness…but black dominates for now.  I doubt that Keebler would don the black ribbon on their packaging for fear the public would think the elves died. 

© Keebler...dead or alive

Another thing going against us is that non-melanoma skin cancer is so damned treatable.  This is a good thing if you discover your skin cancer is non-melanoma…but it’s a bad thing for melanoma’s street cred.  “It’s Just Skin Cancer.”  No…it’s not…but most folks just don’t get it.  Until they get it.  I don’t wish for non-melanoma cancers (such as basal cell carcinoma and squamous cell carcinoma) to become more deadly, however the fact that they’re very treatable creates an ironic barrier for Melanoma Awareness Campaigners.
Partnering up, or perhaps merely riding the coattails of Breast Cancer Awareness might be Melanoma’s big break.  Whether it is or not, we at least have our small rebellious forces of Melanoma Warriors…screaming from our blogs and Miles For Melanoma events…and hoping to be heard.
In this spirit of breast cancer awareness, I’ve prepared a little treat.  I’m not a programming genius, but I made up a movie (my first attempt ever) with my own little take regarding the link between Breast Cancer and Melanoma.  I apologize for no sound to this movie.  It’s a little over a minute long, so the silence shouldn’t be too overbearing.  If any readers have some suggestions regarding a freebie soundtrack or enhancement, feel free to inquire and I’d be willing to make an adjustment.  Until that point, please enjoy what I’ve prepared…and by all means share it!