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u PAGE 8 - PLAINDEALER - WEDNESDAY. .11TNE i«77 Controversies Experts Assess Breast Cancer Tliere is a very slight risk that the x-ray picture (mammogram) taken to detect cancer will in fact cause cancer at a later date, said Ruth E. Snyder, M.D.. associate attending radiologist at New York's Memorial Sloan-Kettering Cancer center. But, she added, the risk is well worth taking. Speaking at a symposium on prevention and treatment of breast cancer sponsored by the University of Health Sciences- The Chicago Medical school, she added, "seven percent of all American women now contract breast cancer at some time in their lives." Mammography detects cancer in its miminal stage, she explained, long before a lump can be felt, when cure is most likely. The risk of getting cancer from an x-ray examination at the recommended maximum allowable dosage, is seven chances in a million. The risk is cut down to about one chance in a million by a new technique known as "Xonics Electronic mammography" (This is one-fortieth the risk and radiation of some older machines still in use). Doctor Snyder recommends that after age 35 or 40 women at high risk for cancer have a mammogram yearly, other women every eighteen months or two years. After age 50, when the risk from radiation is less, all should have a yearly mammogram. Eminent cancer experts at the meeting also expressed strong opinions on these "hot" topics. Needle Biopsy: Instead of removing a suspicious lump surgically for diagnosis, the Chicago Medical school's Gerald O. McDonald, M.D., said, "the procedure of choice is needle biopsy." Hie surgeon inserts a hollow needle into the breast under local anesthesia and draws out a sample of cells from the lump for analysis. This involves virtually no risk of spreading any cancer which may be there, according to Dr. McDonald. Results are reported by the laboratory in twenty-four hours. If die tumor is benign, simple removal is performed either under local or general anesthesia. If the tumor proves malignant-the proper surgical procedure is performed with full consent and knowledge of the patient. This approach has proven of great psychological benefit to the patient. " Precancerous Breast Sergery: "It is impossible to recognize a pre malignant condition of the breast, said David M. Berger, M.D., Chicago Medical school cancer surgeon. However, he indicated, there are cases in which the risk of developing cancer is so great that double breast removal is the best prevention. An example would be a woman over 35 with a history of breast cancer on her mother's side, with chronic cystic mastitis, who has had cancer in other parts of her body and whose breasts show severe widespread atypical hyperplasia-excessive growth of noncancerous cells which display signs of cellular and nuclear changes that tend toward malignant changes. If the hyperplasis is moderate, but there are other significant risk factors, explained Plastic Surgeon J. Vickers Brown, the woman may choose surgery which removes up to 95 percent of the breast tissue but leaves skin and nipple intact. In three to five days an implant is inserted on each side to restore a more or less normal breastlike appearance. Lumpectomy: Lumpectomy, widely practiced in England, got short shrift from one surgeon. This procedure involves cutting out only the cancerous lump, leaving the rest of the breast intact but subjecting it to intense radiation to kill any undetected cells. Most breast cancers originate in more than one place in the breast at the same time, according to Sloan-Kettering Surgeon Jerome A. Urban, M.D. "So any idea of treating breast cancer with less than total mastectomy (breast removal) is ridiculous." Classic Radical Mastectomy: This treatment, opposed by some physicians, received strong support from Doctor Urban. The operation, originated in England in 1867, removes not only breast tissues, but also skin, two underlying large chest-wall muscles, and all of the fatty tissue and lymph nodes of the arm pit. Critics who point to the prolonged discomfort it produces, favor modified radical mastectomy, which leaves the chest muscle intact. Dr. Urban favors the latter only when the tumor is less than 1 cm. (0.4 inch) in diameter and located peripherally in the breast tissue, and when no cancer is found in the lymph nodes. "A lot of patients are losing their lives as a result of inadequate mastectomy," said Dr. Urban. He said patients at Sloan-Kettering who underwent the classic operation enjoyed much higher ten-year survival rates than did similar patients who underwent the modified procedure at another cancer center. Make Certain Exposure To Sun Is Regulated Make sure that exposure to the sun is sensible." says L B. O'Reilly, University of Illinois Extension health education specialist. Ultraviolet sun rays are invisible, yet powerful, rays that cause suntan and sunburn. These rays can also cause skin cancer. O'Reilly says that when skin is exposed to this radiation, it mobilizes two major defenses. First, the outermost layer of skin gradually thickens. This prevents some of the ultraviolet rays from penetrating deep into the skin. Rays that reach deeper into the skin layers cause increased production of melanin, a skin pigment. As more melanin is produced, "the skin becomes darker. And the more melanin or "tan" in the skin, the more effectively additional sun rays are screened out, says O'Reilly. When initial exposure to the sun is too long, skin does not have a chance to mobilize its natural defenses. The painful result is sunburn. To varying degrees com­ mercial suntan products contain screening agents that absorb ultraviolet radiation. They supplement the skin's natural screening defenses. Many ot these products ef­ fectively prevent sunburn, says O'Reilly. Contrary to popular belief, suntan preparations do not speed up the tanning process. Suntan lotions and creams simply allow tanning to occur naturally within the skins. "Use the protection best suited to the skin type and to the kind of activity planned," says O'Reilly. "If fair skinned, be especially cautious." Swimming or activities that produce heavy perspiration may remove applications of suntan products. 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G R E E N S T . , M c H E N R Y YOU AMDYOURPET By Robert L. Steer, D.V.M. Manager of Veterinary Service* Nor den Laboratories ctucational^ I VETERINARIANS AND KENNEL MANAGEMENT Many veterinarians serve as consultants to commercial animal breeders besides providing medical treatment for the family pet. Breeders maintain more animals than the average pet owner. Their objective is usually to upgrade a specific breed of dog or cat or to raise a number of quality puppies or kittens. Breeders have all the needs of the person with one or two pets, plus a special interest in pregnancy and nutrition. The success of the kennel or cattery depends in large measure on the proper mating, pregnancy and whelping of the brood female. Each step in this series is important to the birth of healthy offspring. The veterinarian and breeder both focus attention on the brood female and have developed special solutions for the problems of the pregnant dog. One of these is an exercise program which improves muscle tone of the uterus and reduces difficulties at^whelping time. Combined with the use of special equipment, the program has increased the number of live pups per litter for many breeders. Veterinarians have also studied whelping difficulties in female dogs with small pelvises that bear large-headed pup­ pies. They discovered that Caesarian deliveries could routinely be performed on selected animals of certain breeds -like Boston terriers or bulldogs-to reduce stress and save puppies. Of course the breeder is in­ terested in other animals besides the brood female. The breeder and veterinarian work together to develop a program of preventive medicine for the entire kennel. With its con­ centration of animals in close quarters, a kennel is highly susceptible to outbreaks of infectious disease. From the veterinarian's point of view, Wis means involvement beyond vthe basic medical services of diagnosis, treatment and surgery. It means answering questions about kennel con­ struction, v.vtuipment, extra planning for sanitation and nutrition. Dealing directly wTth the kennel owner on a regular basis, veterinarians can also help eliminate (instead of just treat) congenital defects. Often, as a breeder strives for perfection in a breed of cat or dog, genetic defects are magnified through inbreeding. For this reason, veterinarians give kennel puppies a thorough medical examination at six weeks of age for congenital defects and overall health status. Their eyes, ears, teeth, heart arid lung functions are checked. Hernias are repaired and appropriate medication given if parasites are detected. This professional assistance enables the breeder to better evaluate his stock and the possibility of unfavorable results from certain crosses. In addition, puppies or kittens that are weaned and ready for shipping are given im­ munizations to avoid outbreaks of contagious diseases. As the demand for purebred dogs and cats increases, so does the veterinary profession's involvement with the pet breeder. Hopefully this will lead to the identification and promotion of good tem­ perament as well as canine and feline perfection. With the combination of the breeder's interest in the breeding program, and the veterinarian's concern for pet health, we can look forward to an increasing number of fine companion animals. Dr. Stear regrets that he is unable to personally answer letters from pet owners. He suggests that readers consult their own veterinarians when their pets have problems. Worst A sign in a Missouri bank reads: "The worst place in the world to live is just beyond your income." -Coronet. College Honors J Area College Graduates To Receive Degrees Diplomas for nine McHenry area May graduates of the University of Illinois at Ur- bana-Champaign will be mailed in mid-Anpiist. Among those from McHenry to receive degrees during commencement exercises May 15 were Kenneth E. Blake, 811 N. Allen avenue, BS in Com­ merce & Business Ad­ ministration; Alan F. Estis, 2217 W- Fernview lane, BS in Communications; Debra L. Virgens, 3104 Fairway drive, BS in Ertgineering and Peggy Ann O'Halleran, 5008 Orchard drive, BS in Applied Life Studies. Wonder Lake students were Lee A. Cristy, 3137 E. take Shore drive, BS in Applied Life Studies; Cheryl M. Elbersen, 4612 Hilltop drive, M$ in Graduate; Mark J. Pittman of 5912 Giant Oak road, BS in Applied Life Studies and Jay H. Young, 3305 E. Lake Shore drive, BS in Commerce ' and Business Administration. A Spring Grove collegiate, Peter K. Richardson, 9407 Richardson road, received a BS degree in Education. Pflug Named, On Institute Dean's List Rensselaer Polytechnic institute has announced the names of students who have made the dean's list for^the spring semester. From the McHenry area is Elmer Frederick Pflug, III, 1412 West Bayview lane. To qualify for the dean's list, candidates must be fulltime students, earn at least ® 3.0 grade average out of a possible 4.0 and not have any grades lower than C. Extension Comments (By George J. Young, Extension Adviser, McHenry County, University off Illinois) Farm Open House Arrangements were finally completed for visitors to tour two McHenry county farms Sunday, June 26 The public was invited to visit Norman and Lillian Heinrich's dairy farm on Ridgefield road near Crystal Lake and Robert and Martha Stoxen's beef-finishing farm on Lawrence road, north and west of Harvard, between 1 and 5 p.m. The two McHenry county, hosts and twenty-one other northern Illinois farms welcomed visitors June 26 as part of the University of Illinois coordinated Farm Visit day. This was an excellent op­ portunity to see how food is produced on today's modem farm. Helping the McHenry county host families by providing tour guides and refreshments were the Young Farmers' committee of Farm bureau, Livestock association, Dairy Herd Im­ provement association, Holstein club, Junior Wonder Maids 4-H club, Jones Locker in Woodstock, Jones Packing in Harvard and Dean Milk company in Chemung. Field Day The University of Illinois Agronomy Research center Field day at the DeKalb field will be June 29 with tours from 8:30 a.m. until noon. Come to hear and see research results SWIMWEAR THUR.-FRI.-SAT.ONLY 20% OFF DRESSES SPORTS WEAR 1216 N. Green St. McHenry Daily 9-5:30 Friday til 8:30 on corn and soybean-weed control, nutsedge control, corn and soybean fertility, insect control, oat and alfalfa varieties, corn date of planting and tillage practices. The Research center is on University road, five miles south and five miles west of DeKalb. Safety Pays There's one investment that pays top dividends for a lifetime, and that's safety. To make farmers more aware of the potential hazards they meet every day, the National Safety council and the U.S. Depart­ ment of Agriculture have proclaimed July 25-31 as National Farm Safety week. "Safety is a Good Investment" is the theme of the annual observance. Every farming enterprise, whether it is a family operation or it employs outside labor, should have a safety program. Last year accidents cost far­ mers $3 billion. A farm-safety program could mean a reduction in the number and severity of accidents, less lost working time and reduced medical expenses. , ,i To plan a safety program, make the following safety in­ vestments : -Assign jobs on the farm according to the worker's abilities. -Thoroughly explain jobs and encourage workers to ask questions when they don't understand. --Invest in personal safety equipment, including safety shoes, safety goggles, respiratory gear, ear plugs, SMV emblems and rollover protection structures on tractors. -Follow a routine machinery-maintenance pro­ gram. Don't wait for a breakdown. An out-of-season overhaul' means fewer shut­ downs and perhaps fewer accidents. Beef Referendum Voting in the national beef referendum starts Tuesday, July 5, at the Agricultural Stabilization and Conservation service (ASCS) office in Woodstock. Voting ends Friday, July 15. Any county dairy or cattle producer who registered June 6-17 is eligible to vote. Coming Events June 29, Agronomy Research Center Field day, DeKalb July 5, Wheat Variety Plot Twilight meeting July 7, 208 Agricultural Pollution update report July 12, Report on USDA Crop report and Fall Pricing comments July 19, Oat Variety Plot Twilight meeting July 20,22, Hog Carcass show July 25, Insect Twilight meeting July 26, Beekeepers July 27, 30, Beef Carcass show BE WISE AND USE ELLIOTT'S PAINT