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Article Category: Highlights

Preventing Cancer with Wellstar’s Genetics Experts

Published on April 09, 2021

Last updated 02:18 PM April 09, 2021

Image of medical professional with test tubes

While Wellstar’s expert cancer specialists are well-equipped to help their patients fight cancer, they’re also dedicated to stopping cancer before it starts.

Part of preventing cancer is knowing your risk and taking action early. Wellstar’s Genetic Risk Assessment Program helps patients determine whether they may be at higher risk for some cancers.

At Wellstar, our focus is PeopleCare—personalized healthcare tailored just for you. For cancer care, that means taking a close look at what makes you unique—your distinct genetic makeup that sets you apart. Genetic counselors use a compassionate approach to guide patients and their families so they can make informed healthcare decisions.

“We are the busiest genetic counseling program in Georgia,” said Wellstar's Chief Cancer Officer, Dr. Michael Andrews. “Cancer care now is very genetically-based, and the specialists in our program can look for certain abnormalities and adapt treatments based on what they find.”

Halting Hereditary Cancers

Genetic mutations play a major role in about 5–10% of cancers. A patient with a family history of cancer who learns they have specific genetic mutations can partner with their provider to be more proactive, whether that involves screening, lifestyle changes or medical treatments. Taking a few proactive steps could prevent cancer, even if the patient’s genetics may put them at a higher risk.

Genetic testing can also benefit cancer patients and empower their whole families with important information. If a cancer patient learns they carry a mutation, it can help relatives decide if they could benefit from genetic testing. Also, people who have certain cancers and also have specific DNA sequences may benefit from targeted therapies.

Some possible signs of hereditary cancer include:

  • Unusually early age of cancer onset
  • Multiple primary cancers in a single patient
  • Cancer in paired organs (such as in cancer in both breasts)
  • Multi-generational cancers
  • Rare tumors
  • An unusual presentation, such as male breast cancer
  • Belonging to an ethnic group known to be at high risk for hereditary cancers
  • No environmental explanation for the cancer

Some gene mutations can increase your cancer risk, so if your provider finds that you are affected, they may recommend increased screenings and other precautions to monitor your health.

  • TP53: This gene produces a protein that slows down tumor growth. Mutations in this gene can cause Li-Fraumeni syndrome, which puts patients at an increased risk for developing some cancers.
  • BRCA1 and BRCA2: Mutations in these genes increase the risk of breast and ovarian cancer, as well as pancreatic cancer, prostate cancer and male breast cancer.
  • PTEN: This gene also stops tumor growth. Mutations in this gene are associated with Cowden syndrome, a disorder that increases the risk of breast, thyroid, endometrial and other forms of cancer.

Take charge of your health—and maybe help out a family member, too—by learning more about how your genetics could affect your cancer risk. Call (470) 793-7472 to book an appointment with a Wellstar Genetic Counselor. Both in-person and virtual visits are available. Learn more at wellstar.org/cancercare.

Genetic Risk Assessment Helps Prevent Cancer

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Michael Bryan Andrews Medical Genetics Cancer Care
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Highlights

Personalized Breast Care Close to Home at Wellstar North Fulton

By Wellstar Breast Surgeon Dr. Laura Pearson

I have never met a woman who enjoyed getting mammograms, including myself. They can be uncomfortable, awkward and anxiety-provoking—especially if you have had scares in the past or are at high risk for getting breast cancer.

There are so many additional resources for risk reduction and surveillance available that go hand-in-hand with mammograms. At Wellstar, reducing your risk and screening for cancer starts with a physical from your primary care doctor.

If you are at average risk of developing breast cancer, you should begin annual screening mammograms at age 40. If you have a family history or other risk factors, your doctor may recommend earlier or more frequent screening. If something is detected on a mammogram, the Wellstar Comprehensive Breast Health Program has nurse navigators who will help arrange diagnostic imaging, biopsy procedures and referrals to breast specialists. If you are diagnosed with cancer, the compassionate and oncology-trained nurse navigators with Wellstar Cancer Care walk patients through diagnosis, evaluation, treatment and beyond.

If you’re diagnosed with breast cancer, your treatment and care will transition from our Comprehensive Breast Health Program to the Wellstar Cancer Care team. In Wellstar STAT Clinics, which stands for Specialty Teams and Treatment, we put you at the center of your care plan. In our STAT Clinic for Breast Cancer, the care team, including breast oncology nurse navigators, surgeons, medical and radiation oncologists, nutritionists and genetic counselors, will meet with you and your support system on the same day to formulate a treatment plan personalized to your specific cancer, as well as your personal and cultural needs. Patients are able to ask questions, make decisions and start treatment sooner, improving outcomes.

Many times, surgical intervention can be done as an outpatient procedure. We can also offer some people intraoperative radiation therapy, or IORT—the option of doing their radiation treatment in the operating room at the same time as their lumpectomy, meaning they are able to avoid four to six weeks of radiation treatments. Any other interventions, such as chemotherapy or radiation, including our CyberKnife for treatments like targeted partial breast radiation therapy, are found in the cancer center on Wellstar North Fulton’s medical campus. We have physical therapists, social workers and palliative care specialists who are there for you if the need arises.

Your Wellstar care team can also help you reduce your risk of developing breast cancer. Being overweight or obese or being a smoker can increase your risk. Patients at Wellstar have access to our Center for Best Health to assist in weight management. We also have smoking cessation programs and dietitians waiting to help you make healthier choices that can positively impact your health.

Wellstar provides more than healthcare, PeopleCare—working relentlessly to exceed national standards and our patients’ expectations while remembering the humanity of every patient. We are here for all the situations and stages of our patients’ lives by offering the tools and resources to be healthy and thrive. Wellstar clinicians live in the communities we serve. We must get physicals, mammograms and biopsies. We need help being our healthiest selves. We get sick and have family members who need compassionate care. PeopleCare means offering our patients world-class healthcare in the communities where they live and work.

Your care team can put your mammogram order in Wellstar MyChart to book online, or you can schedule by calling (678) 581-5900.

Visit wellstar.org/northfultoncancercare to learn more about cancer care at Wellstar North Fulton.

Keep reading
At 26, Maria receives chemotherapy as part of her breast cancer treatment plan, determined to complete her interior design degree on time.

PeopleCare

MariaCare

Maria Fernanda Ortiz was a college junior, pursuing a degree in interior design. But at just 26 years old, her life took an unexpected turn. She discovered a lump in her breast, which led to a cancer diagnosis and expert, multidisciplinary care at Wellstar that would shape her professional aspirations in the future. Maria feels her hopeful attitude and compassionate care team at Wellstar helped her come through treatment with positive outcomes.

Feeling heard in healthcare

After Maria discovered a lump, she initially saw a doctor who went through the motions but didn’t seem to take her concerns seriously. 

“He was so sure it was nothing because I am so young,” she remembered. “I didn’t think it was cancer, but I wanted someone who would get to the bottom of it.”

She then saw her OB/GYN who referred her to Dr. Laura Pearson, a Wellstar breast surgeon at Wellstar North Fulton Cancer Center, for a second opinion. 

Maria got what she was looking for: a doctor who listened and would help her find answers. 

“Maria is the perfect example of a patient advocating for themselves,” Dr. Pearson said. “She did exactly what she was supposed to do for someone her age who finds a lump. When it didn’t go away, she got it looked at. When she didn’t feel like she was being heard, she didn’t let it go.”

 

A surprising cancer diagnosis

Dr. Pearson immediately performed an ultrasound in the office, followed quickly by a biopsy, which came back positive for cancer. 

"The diagnosis was scary," Maria said. “Dr. Pearson made it as simple as possible to understand by making sketches. She took the time to answer my questions—and she gave me hugs.”

Dr. Pearson added, “I try hard to be methodical and build a story: ‘This is what this means. This is how it applies to you.’ It’s important for patients to understand their plan and how it’s based very specifically on their situation.”

Maria was diagnosed with stage 2A breast cancer, meaning it was a small tumor but had spread to a nearby lymph node. 

“The stage helps us understand how the patient is going to do with standard treatment,” Dr. Pearson explained. “At stage 2A, we’re looking at a 90% survival rate.”

Keep reading
Illustration of group of men

Highlights

Prostate Cancer Screening in Black Men

Screening for prostate cancer is crucial for early detection and to help provide the best possible outcome. It is especially important for Black men to be vigilant about screening, as they are disproportionately impacted by this cancer.

About 1 in 6 Black men will be diagnosed with prostate cancer in their lifetime, compared to 1 in 8 white men, according to a report from the American Cancer Society. Prostate cancer is the second leading cause of cancer death in Black men.

The American Cancer Society recommends that men at an average risk of developing prostate cancer begin screening when they are 50, but Black men should start earlier—at age 45 if they have no family history of prostate cancer, and at age 40 if any of their male relatives have had prostate cancer. Wellstar takes a personalized approach to cancer screenings, with clinicians discussing benefits versus risks of screening and helping patients evaluate their risk.

“Despite many physicians being aware of this and following this practice, Black men continue to be diagnosed with and die from metastatic prostate cancer. This is a trend that desperately needs to be reversed,” said Wellstar Primary Care Physician Dr. Earl Stewart. “We have adequate screening tools that do not even require a digital rectal examination.”

The Prostate-Specific Antigen (PSA) blood test is more accurate than the digital rectal examination in helping to detect prostate cancer, according to Dr. Stewart. Patients should also discuss family history with their relatives. “Patients knowing their family history is so crucial in having those discussions with primary care physicians to determine the best age at which to start screening,” Dr. Stewart said.

Screening for prostate cancer is as simple as making a preventive appointment with your primary care physician, discussing your family history with him or her, and having a PSA blood test. This test may be performed during an annual physical or wellness visit. Shared decision making between physician and patient is important to discuss your risk, your need for testing and next steps to take if your PSA level is elevated and concerning. Knowing your risk can save your life.

“I know many personally who are near and dear to me who had the disease and who unfortunately died from complications of metastatic prostate cancer,” Dr. Stewart said. “I know many more who lived because they had the conversation and dared to move forward with appropriate screening at the appropriate age.”

Learn more about prostate cancer care at Wellstar.

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