Young Women and Breast Cancer
10 Survivors Share their Messages to Help Educate Others

According to Young Survival Coalition young women CAN and DO get breast cancer. While breast cancer in young women accounts for a small percentage of all breast cancer cases, the impact of this disease is widespread: There are more than 250,000 women 40 and under in the U.S. living with breast cancer, and over 11,100 young women will be diagnosed in the next year. But, despite the fact that breast cancer is the leading cause of cancer death in women ages 15 to 54:
    * Many young women and their doctors are unaware that they are at risk for breast cancer.
    * There is no effective breast cancer-screening tool for women 40 and under.
    * Young women are often diagnosed at a later stage than their older counterparts.
    * There is very little research or educational material focused on issues unique to this younger population, such as fertility, pregnancy, genetic predisposition, the impact of hormonal status on the effectiveness of treatment, psycho-social and long-term survivorship issues, and higher mortality rates for young women, particularly for African-Americans and Latinas.
    * Young women diagnosed with breast cancer often feel isolated and have little contact with peers who can relate to what they are experiencing.
    * As the incidence of young women with breast cancer is much lower than in older women, young women are underrepresented in many research studies.

You are never too young to develop breast cancer! Breast Self-Exam should begin by the age of twenty. For more information about young women and breast cancer visit 
http://www.youngsurvival.org.

Here are the stories of 10 young Mid-South women who are survivors. 

Lashondra Banks, Age 26, 5-Month Breast Cancer Survivor
Clarksdale, Mississippi (Formally from Memphis, Tennessee)

Earlier this year, I found a suspicious lump in my breast.  And on May 28, 2008, at the age of 25, I was diagnosed with breast cancer.  My uncle died on that very same day, and that made me feel like in one day's time, the world was crashing down around me.  I seemed to be losing everything.
     For the next month after my diagnosis I continued to work as a certified nurse's assistant in a hospital.  I started chemotherapy on June 17th; I would take eight treatments in all, one every two weeks.  Ten days after my first treatment, I had a port put in.  And emotionally, I continued to feel pretty low.  When family members asked me how I was doing, I didn't want to talk about breast cancer and how I felt.  So I didn't.  I didn't realize it then, but my isolation only fed my sense of hopelessness.
    I had to stop working because the chemo made me feel so bad.  And since I was sick all the time, I couldn't give my son, Treveon (5), and my daughters, Trekeria (2), and Jamyla (9 mos.) the attention they were used to.  I love my children so much, and it hurt me that I couldn't show them my love in the same way they had known it before.  The day came when I lost all my hair.  When my hair came out, I cried so hard!  My son, Treveon, saw me crying, and he reached out to me with his own encouragement.  "Mom, you still look like a woman.  And it will grow back."  I cried even harder to hear my son speak so sweetly to me.
     A few days before my 26th birthday, which was August 8, depression began to overwhelm me.  All I could do was cry.  Thankfully, I got the help I needed, and I realized that my family loved me and wanted to help me get through this.  Although I had days when I didn't think I was going to make it, the support and love of family and friends are such strength to me. And beyond the help of family and friends, I turned to God, and knew that He was able to pull me through my breast cancer treatments.
     On September 10, I went back to work.  I have a wonderful, caring boss. Aside from aching legs and other side effects, I am doing well and I am glad to be back at work.  In October, I will have a mastectomy followed by reconstruction.    Now that I can see the finish line, I want to encourage others with my story.  Accept the love and support of family and friends, and seek the emotional help you need, along with the physical help.  I am thankful to be alive!

Dana Carmon, Age 41, 10-Month Breast Cancer Survivor
Collierville, Tennessee

On February 18, 2008 while taking a shower, I felt a lump in my left breast.  In a panic, I called out for my husband.  Don confirmed my fear; he felt the lump too.  That was a Saturday night.  I had to wait until Monday morning to call a doctor.   I got right in and was referred to have a diagnostic mammogram and ultrasound.  I had recently turned forty and had not yet scheduled that very important appointment.  I really hadn’t thought about it.  The mammogram and ultrasound led to a biopsy. So on March 6, a rare snowy afternoon and my oldest son Kyle’s sixteenth birthday, I had my biopsy. 
	March 11 was a day just like any other.  I went to work doing a job I love.  I’ve worked as a dental hygienist for Dr. Jim Sexton and Dr. Pat Clark for nineteen years.  It was there that I got “the call”… Infiltrating Ductal Carcinoma… Grade III tumor… Estrogen negative…. Progesterone negative… Her2 negative… all words that were completely foreign to me.  As I sat there dazed, my co-workers and bosses rallied around me, prayed for me, and comforted me.  I called Don and went to my parents’ house but the hardest part was yet to come, I had to tell my boys.  Don and I have four boys: Kyle 16, Colin 15, Will 12, and Max 9.  The boys were very scared and upset.  To them cancer meant death.  I explained that I was going to be sick for a while, but I was going to come through it.  I’m a survivor!
	Over the next week I met with my surgeon, Dr. Michael Berry then my oncologist, Dr. Lee Schwartzberg.  After gathering my family history, Dr. Berry recommended that I consider genetic counseling, but first I should begin chemotherapy.  Surgery would come later.  During one of my chemo appointments I saw the genetic counselor.  She charted carefully the cancer history of my relatives and recommended that I be tested for the BRCA breast cancer gene.  Three weeks later the results came back.  I tested positive for the BRCA2 gene.  That was a great piece of information to have when deciding what surgery option I should choose.  I decided that I would have bilateral mastectomies and have my ovaries removed.   That was one of the hardest decisions I’ve ever had to make.  I worried what others might think of me without breasts.  How would I look?  I felt that my breasts were what made me a woman.  I realize now I was wrong.  I am still the same woman I’ve always been.  Actually, after this journey I’m a better woman.
	If there is anything I’ve learned in my experience it’s this:  Know your family history!  If you have a family history of cancer, earlier screening is a must.  Know your body!  Do your self-exams every month.  Know that even if you get breast cancer, you can survive it!
 
Karen Hoffmeister, Age 25, Under Oncology Care Since Age 19
Memphis, Tennessee

My story started when I was 19. I was a sophomore in college and very involved in extra curricular activities at my university. I was just a normal college student when I found a lump in my right breast. I was scared to death to tell my parents because I head never heard of this happening to someone so young. It was scary to think about the idea of Breast Cancer especially at such a young age. I told a couple of my closest girlfriends who convinced me to tell my family. Immediately after telling my parents my mom scheduled me an appointment with a doctor in Cincinnati (which is where I was living at the time). They removed the lump and it was not cancerous. I was very lucky. 
	I moved to Memphis in May of 2006 when I was 23. I found another lump a little over a year later; only this time it was in my left breast. I knew that this was not something I should mess around with so I called my mom immediately to ask her to speak with my doctor in Cincinnati and have her refer me to someone here in Memphis that could check it out. After a biopsy it came back again that I did not have any signs of breast cancer. I was sent to a surgeon here in Memphis and she went over my options with me. She said I can either have the lump removed which would get it out completely and leave me with nothing to worry about, or that I could keep it and they could watch to see if it grew. If it did grow they would remove it. The doctor said that if it will worry me or if I will think about it all of the time I should just remove it. After going through the surgery before I knew it was not a hard surgery, but I would like to avoid it if possible. I was told that this was something they would have to keep an eye on and if I would like to keep it they were fine with it. I will be going back again soon to have the lump checked it to make sure it has not grown. 
	I found out last Christmas that my aunt (my mother’s sister) has breast cancer. She has been under treatment and had to have one of her breast removed. She just had her last reconstructive surgery a little over a month ago. She is a SURVIVOR! My family and I went to Bloomington, Indiana and participated in the Hoosiers Outrun Cancer for my aunt. Some of us ran the race but most of my family walked. My aunt the survivor walked and was able to finish the race just a couple of weeks after her last surgery. She has so much strength and is such an inspiration to me. I have learned how lucky I have been so far, and I will continue to get my checkups especially now that I know that unfortunately breast cancer is in my family. I think it is so important for even us young women to know that you need to get your checks ups regularly. It’s so hard when you are young because you think, “it could never happen to me.” If my family lived closer I am sure they would be here to participate in the Race for the Cure as well. I will be running not only for my Aunt Julie and Debbie but also for all the strong women who are SURVIVORS!  

Lydia Hutchison, Age 26, 1-Year Breast Cancer Survivor
Cordova, Tennessee

It appeared that everything was coming together perfectly. It was the last month of my pharmacy residency and I had already accepted a great job at Methodist Hospital. My husband and I were buying our dream house and a vacation to Disney World was on the horizon. How did I know that one day would change my life forever? Like most people who hear my diagnosis, I kept asking myself: “how does this happen?” My story begins with one symptom: nipple discharge. In the majority of cases, nipple discharge does not lead to cancer. It was this one symptom that saved my life. 
	A mammogram was recommended to try to figure out what was causing the discharge. I will never forget the day, or the radiologist, who told me the news. All of a sudden, conversations began to include words like: mastectomy, chemotherapy, radiation, and breast reconstruction. I was in shock and disbelief that something like this was happening to me. According to the doctors, I was lucky. We caught the cancer at Stage 0. 	At 25 years old, I had to make the decision whether or not to cut off my breast. I agonized over the decision. I wanted to do everything I could to make sure that the cancer never returned, yet I still wanted to feel like a woman. After reviewing all of the facts, I decided to have a partial mastectomy and endure 7 weeks of radiation treatment. No chemotherapy was needed. What a huge relief. After enduring my surgery and radiation treatments, my cancer was physically gone but my emotional scars were still present. 
	My husband and I made the painful decision to put off having children until I completed the full 5 years of Tamoxifen therapy. We both wanted children very badly but didn’t want to jeopardize my health. Looking back on this past year shows me what incredible strength I have inside me and I can overcome any obstacle that comes my way. I will not be defined by my cancer diagnosis.  I will live, laugh and most importantly, love.

Monica Malone, Age 37, 2-Year Breast Cancer Survivor
Proctor, Arkansas

I am a wife, mother, daughter, and friend. I live in the middle of nowhere better known as Proctor, Arkansas. My husband Randy and I are the proud parents of Lyndsey, 18, Taylor, 11, and Mason, 9. This is my story.
	The fall of 2006 was forever life changing. My mom was dying of pancreatic cancer, and my daughter was turning 16. I found a lump in my breast. I knew instantly it was cancer. I was 33 years old. Who has cancer at 33? I did. Within a matter of 6 weeks, I had a biopsy, a mastectomy, a port placement, my first chemo treatment, and I slept through my daughter’s 16th birthday. 
	Pink became the family’s favorite color. Not red, but pink. The color of survival, the color that 
gave us hope. I had fears to face. Pink became my armor. Chemo was my first fear.
	I was scared to death to face chemo. Yes because of all the side effects of chemo…hair loss, nausea, vomiting, the loss of my “normal” life, but more so that I was going to be with old people who were ready to die. 
I was only 33. I was not ready to die. I soon realized how much I had in common with the others. We were all fighting to live. I then had to face the fear of how my children would deal with me being sick from treatment.  
I was their mother, the taxi driver, the baker, and the social secretary. What was going to happen? My family happened. My husband became the taxi driver, my daughter the social secretary, and my boys remained boys. I learned that no matter how weak the chemo made me, I was just as strong a mother from the couch as I was in the driver’s seat.
	My next fear was radiation. Were they going to give me too much? How bad was it going to burn me? While radiation was not as harsh as chemo, the sound of that heavy door closing was enough to shake any one’s soul. But with every slam of that door, I was one step closer to being deemed cancer free.
	Throughout this journey I have learned my share of lessons. Cancer does not mean death. Kids are resilient and cope better than many adults. Friends you did not know you had become the ones you cannot live without. Wigs are hot and no one will tell you it is crooked.
	I am a simple person. I do not ask for lavish things. I love God, my family, my friends, and my life. As you read my story, I hope that you this with you. Do not use cancer as an excuse. It is not. So what if you sleep through a birthday party. Who said that you could only have one party? Do not let cancer rule your life; rule the cancer. Use it to your advantage. Talk to people; tell them your story. They might need to hear it. Better yet, you might to need to hear theirs.
	I am now finished with chemo, radiation and 42 weeks of Herceptin. I take Tamoxifen everyday. My cancer markers are within an acceptable range. I have shoulder length hair that beats any wig. I wear a prosthetic breast that is known to make an unexpected public appearance at any given time. I am a survivor.
Patti Marsh, Age 43, 3-Month Breast Cancer Survivor
Memphis, Tennessee

I had my annual mammogram on July 16, 2008 and the radiologist told me that she was concerned about my results and asked if I could stay for more tests. After three and a half hours of tests she told me that the microcalcifications she saw looked “highly suspicious” and that I would need a core needle biopsy. At the time I didn’t think that it could be malignant. After all it wasn’t a tumor. I had the biopsy the next week and the next morning I received a call from the radiologist. It was malignant and I would need surgery. I started to cry and handed the phone to my husband because I didn’t hear anything she was saying after the word malignant.
	My breast cancer is called Ductal Carcinoma In Situ or DCIS. It is a non-invasive cancer because it stays inside the milk duct of the breast in which it started and has not spread into the normal surrounding breast tissue. It can grow to cover a small or large area of the breast. DCIS is the most common kind of non-invasive breast cancer. According to the American Cancer Society, about 60,000 cases of DCIS are diagnosed in the United States each year. One of the main reasons this number has been increasing is because more women are getting mammograms and more cancers are being spotted early.
	I am very lucky that I didn’t need chemotherapy because my cancer was non-invasive, just the lumpectomy and seven weeks of radiation. My skin has developed a sunburn-like reaction and I have become quite tired. The radiation has become mentally and emotionally challenging because the treatments are five days a week. After radiation I will be receiving hormonal therapy for five years because my DCIS was hormone-receptor-positive and this therapy will reduce the risk of recurrence and lower the risk of getting a new cancer.
	My husband, family, friends and neighbors have been unbelievably supportive. I am humbled by their warm wishes and positive thoughts. Their support has meant the world to me and I want them to know how much I love them all!

Melissa Martin, Age 37, 6-Month Breast Cancer Survivor
Cordova, Tennessee
 
My grandmother is a three-year breast cancer survivor.  As soon as she was diagnosed, I decided I should start having mammograms, in case there was a genetic link.  I also began a more thorough self-examination.  I have always had fibroid cysts, another common factor she and I shared.  In April of this year, I found what I thought might be another cyst.   However, this one felt different!   Not one to put anything off when it comes to my health, I immediately scheduled an appointment.
             It was April 18, 2008, early Friday morning, when the phone call came that changed my life. “It’s Cancer!” are words I will never forget hearing. I fell to my knees and cried. Thankfully, within an hour, I was surrounded by my husband, Ricky, family and friends. By the week's end, I was reminded of the advances in today’s medicines and how I wasn’t going to fight this alone. I’m not going to lie, there were times I was so mad. I wanted to know why me?  I have two children; Jessica, age 19, and Hunter, age 14 and it was hard to keep them from feeling my fears.  I knew I wanted to be there for my family and be a part of their future.   They also helped me to remember all the obstacles I have been faced with in the past and where I was today with my family, career and self.  The fight had begun!
             My cancer was Infiltrating Ductal Carcinoma, grade 3, which meant it was very aggressive. It tested negative for estrogen and progesterone, but positive for HER2/Neu. Armed with as much information as I could consume, I opted for a bilateral mastectomy. Yes, I was scared. The thought of going in with breasts and going home without them was enough for any woman - actually, more than enough. But once the surgery was completed, I was wakened by my surgeon whispering sweet words in my ear, “lymph nodes negative.”
             Today, I have completed 4 rounds of chemo and three Herceptin treatments behind me, with nine more to go. I will be finished in May 2009 and by then will have one of four breast reconstruction surgeries behind me.  My genetic testing was negative and that was a huge relief for my family!    I have lost my breasts, hair, and eyelashes, but I have not lost my faith. I am proud of who I have become. I have grown personally and spiritually.  I believed in myself, stayed positive and strong. I listened to my body and my doctors. I realized that I have already lived through what I feared the most - a diagnosis of breast cancer. And I now know there is LIFE after cancer. You can read more about my journey at www.caringbridge.org/visit/melissamartin.

Cheri Sharp, Age 34 -  8 Month Breast Cancer Survivor
Collierville, Tennessee

It’s very unusual to be diagnosed with breast cancer while pregnant, but that’s the situation I found myself in earlier this year.  I was pregnant with my forth child, everything going pretty smoothly, when my left breast began to itch.  It continued to bother me so my ob/gyn suggested a topical cream to sooth the itching.  While applying the cream, I felt a hard lump.   My doctor told me not to worry, that breast changes are very common in pregnant women, but wisely referred me to a specialist just to be sure.  
    On March 6th of this year, at 27 weeks pregnant, my breast specialist called me with the biopsy results – cancer.  I couldn’t believe it.  That weekend was the most difficult one I’ve ever faced.  We didn’t know the extent of the cancer yet, and what complications the pregnancy would add, so I mentally prepared for the worst.  Thankfully, the news only got better from there.
    My cancer started in a duct and quickly grew to about 4 centimeters.  A sentinel lymph node biopsy showed no spread.  Dr. Schwartzburg of the West Clinic recommended I start with one chemo drug given every 3 weeks until delivery in hopes to stop the cancer from growing larger.  Then we could get more aggressive with other chemo drugs.  My ob/gyn was prepared to deliver the baby as early as 33 weeks if needed.
    I responded very well to the chemo.  My tumor not only stopped growing, but actually began shrinking after even the first treatment!  I carried my baby boy to 37 weeks before delivering by c-section.  To my huge relief, he came out a bit weak but otherwise healthy and happy with a full head of dark hair (I was completely bald!).  I had 3 weeks off to recover before starting the chemo back up again.  My last treatment was on September 10th.  
    I just had my lumpectomy on October 2nd and still have 33 doses of radiation ahead of me, but I had a complete response to the chemo, so I’m officially cancer free now!  I started a blog when I was first diagnosed to keep friends and family informed and involved.  That proved to be a huge help to me – to know that I had so much love and support through all this.  I have an incredible husband and four amazing children: Bryce 12, Jared 9, Alana 3 and my special little Tolan 5 months old.  My greatest strength continues to be through my faith and trust in my Father in Heaven, who has blessed me immeasurably this year and throughout my life.

Suzana Tokalic, Age 39, 1-Year Breast Cancer Survivor
Cordova, Tennessee

I was born and raised in Bosnia but when I got married to my husband Damir we moved to Germany because of the war in our country. Our son Theo was born in Germany. In 1997 we decided to start all over by moving to USA. I have wonderful family, worked for
great company First Tennessee Bank as Operations Manager, and just when I thought “I have it all” I was diagnosed with breast cancer at age 38.
	I found a lump by self-examination. I had my mammogram just a year prior to this and everything was fine. My gynecologist told me that I don't have to have another one until age 40. That was little bit strange to me because my mother died from breast cancer but I trusted my doctor. I was wrong!
	I scheduled appointment immediately and my doctor told me that I did not have cancer just by looking at me. I didn't believe that so I asked if I can have mammogram same day and I did have one. Next day I had phone call from his office that I will have to see a specialist because my mammogram was abnormal. 
	On September 21, 2007 I had biopsy and on September 24 I was diagnosed with Ductal Carcinoma, 
grade III. 
I remember coming home that day after my appointment with Dr. Berry and I was looking at my five year old dog 
and I was wondering if my dog will live longer than I will. Our son was 15 and I was wondering if I would be around 
when he graduates high school or when he has his first date. 
	After days of crying and feeling sorry for myself I was looking at my family and decided to get up and fight. I told myself that we lost everything twice because of the war and if we could survive that we can survive everything. I will not give up without fight.
	On October 17 I had my first surgery, lumpectomy, but I needed another surgery because they found 1mm tumor in one of my lymph nodes. On November 14 my second surgery was successful and there was no lymph nodes involved this time but I learned that I would have to have chemotherapy. 
	Loosing my hair was the hardest thing in this journey but with my husband and son on my side it was little bit easier. My husband was my rock and he made me feel beautiful even with my baldhead. I am so thankful and blessed that I had my family with me, fighting together with me. 
	It has been one year since my diagnosis and I am doing great. I learned so much and I truly believe that God chose me for reason. I learned patience and forgiveness and how to enjoy little things in life. My advice to every woman is to trust your own instinct. You know your body best and don't let anyone tell you what you should and shouldn't do. Don't be afraid to share your concerns with your doctor. Remember early detection is the key!

Stephanie Stricklin Whitley, Age 38, 2-Year Breast Cancer Survivor
East Memphis, Tennessee

On October 3, 2007 while showering before work, I felt a mass on the side of my left breast.  I didn’t think too much about it and didn’t say anything to my husband but as soon as I arrived at work, I called my OB GYN.  He examined me and sent me for my very first mammogram.  After reviewing the results, he called me with news that my mass had “cancer characteristics” and that I needed to see a breast surgeon.  
	My husband Jeffrey and I met with a wonderful breast surgeon, Dr. Rad Andrews, and he performed a core needle biopsy.  He called the next day with the devastating news that I in fact had breast cancer.  At this point, the rollercoaster began!!  My type of cancer was called Infiltrating Ductal Carcinoma.  The good news about this type of cancer is that it is the most common form; therefore they know the most about it!  At this point we were in total shock!  I do not have any history of breast cancer in my family and after genetic testing, it was confirmed that I do not carry the breast cancer mutation, which is such a blessing!  
	Jeffrey and I met with Dr. Schwartzberg at the West Clinic and he determined that I had a 4.5 cm tumor and that we needed to start my treatment with chemotherapy, surgery, and follow up with radiation treatments.  So I endured sixteen weeks of chemotherapy, then a lumpectomy and removal of 27 lymph nodes, and followed up with 33 radiation treatments.        
	Here comes the honest part … breast cancer is the toughest obstacle I have endured in my little life thus far.  It is devastating to feel so bad, to look so different, and being a woman, to loose your hair and be bald when everyone around you is beautiful and just going on with life. During my treatments, I would feel really bad for 7 days straight but then I would have 7 really good days until the next treatment!  I would not be telling the truth if I did not mention those things, however, I can honestly say that I know I am a better person today from having endured breast cancer.  I firmly believe that!    
	I will close with these final thoughts on my breast cancer journey … God is so good … and by His grace, I am totally healed!  I am cancer free!!!!  I did have a little advantage; I have the most wonderful, caring, loving husband in the whole wide world!!!  I could not have made it through this very difficult time had it not been for Jeffrey!  And not to mention my incredible family, friends, co-workers, and my new friends!!!  Just a smile from a co-worker made me feel like I was going to be okay.  I would tell myself over and over, just make it through today!!  Cancer is tough … there is no need to sugarcoat it but if you turn your life over to our Lord and Savior and give Him control, claim His healing, and just hang tight and know there is light at the end of the tunnel, you can and will survive!  I did!   
http://www.youngsurvival.orghttp://www.caringbridge.org/visit/melissamartinshapeimage_2_link_0shapeimage_2_link_1
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