2011 Mary Bird Perkins Cancer Center at TGMC Cancer Annual Report

AT

PROSTATE CANCER STUDY

2011 CANCER ANNUAL REPORT

2 M A R Y B I R D P E R K I N S C A N C E R C E N T E R AT T G M C 2 0 1 1 C A N C E R A N N U A L R E P O R T 3

The Cancer Committee of Mary Bird Perkins Cancer Center at TGMC is a multidisciplinary group of healthcare professionals who meet on a quarterly basis to ensure that Mary Bird Perkins Cancer Center (MBPCC) at TGMC is meeting all criteria and guidelines established by the American College of Surgeons Commission on Cancer as well as the goals and objectives set forth by the Committee to improve cancer care for the citizens of our region.

The Cancer Committee also discusses ideas and stays current on the latest recommendations and guidelines concerning prevention, early detection, treatment and meeting the needs of the people who are affected by cancer in the communites we serve.

PHYSICIANSRaul Doria, M.D., Medical Oncologist

Cancer Committee Chairman, Tumor Conference Coordinator

Robert Gamble, M.D., Medical Oncologist/ Hematologist

Cancer Quality Control of Registry CoordinatorCharles Ledoux, M.D., General Surgeon

Cancer Liaison PhysicianWillard Dalton, M.D., PathologistDavid Gyer, M.D., Pathologist Jeffrey Long, M.D., Radiation Oncologist Harry McGaw, M.D., Medical Oncologist Anne Walker, M.D., Radiologist

HEALTHCARE PROFESSIONALSMary Adams, B.S., CTR

Cancer Registry, TGMC Rhonda Alfred

Director of Marketing and Planning, TGMCToni Armstrong, RN

Director of 3N Oncology, TGMCShea Austin

Representative, American Cancer SocietyAnn Bergeron, LPN, CCRC

Clinical Research Coordinator, TGMCCynthia Boudreaux, LPN, CTR

Cancer Registry, TGMCDonna Bryant, RN, OCN, MSN, ANP-C, CCRC

Executive Director of Clinical Research, MBPCC

2010 CANCER COMMITTEE

Donna Buxton, RNPerformance Improvement and Regulatory Coordinator, TGMC

Clarke Currie, MHA, LNHA, CRCFADirector of Oncology Services, MBPCC at TGMC

Renea Duffin, MPAVP of Cancer Programs, MBPCC

Vickie Hall, LPN, RT, (T)VP of Patient Care, MBPCC

Sid Hutchinson, R.Ph, MHA, FACHEVP of Ancillary Services, TGMC

Nichol Ledet, RNRehabilitation Coordinator, TGMC

Julia Light, RN, BSNPatient Navigator, TGMC

Nicole Magee, CTRDirector of Cancer Registry, MBPCC

Joy Martinez RN, CCM, CPUR, IBCLCDirector of Case Management and Social Services, TGMC

Mary Miller, RN, MSNVP of Physician Services, TGMC

Salli Phillips, LCSW, OSW-CDirector of Social Services, MBPCC

Jada Songy, MBA, RHIA Director of Health Information, TGMC

Linda Songy, RN, MSNAssistant VP of Nursing Services, TGMC

Dan Vincent, CMDProgram Manager of Radiation Therapy, Dosimetrist, MBPCC at TGMC

Diane Yeates, CPA, MBA, FACHE, CHFP Chief Operating Officer, TGMC

OUR MISSION

To improve survivorship and lessen the burden of cancer

2 0 1 1 C A N C E R A N N U A L R E P O R T 3

On behalf of the Cancer Committee, I am pleased to present the 2011 Mary Bird Perkins Cancer Center at TGMC Cancer Annual Report. Featuring our 2010 study on prostate cancer, I hope you find its contents both interesting and informative.

The year 2011 was truly an eventful one for Mary Bird Perkins Cancer Center at TGMC. In October, we officially opened the doors to our new state-of-the-art facility. The grand opening was exciting for so many reasons, from community involvement to the advanced technology and enhanced resources, to our dedicated cancer care team, the eco-friendly construction and beautiful architecture.

The biggest reason to be excited, however, is the benefits the new Center brings to our patients. Having all cancer services under one roof offers convenience and efficiency. The new Elekta Infinity linear accelerator is state-of-the-art allowing for faster treatment. Coupled with PET/CT scanning capabilities for treatment planning, we can now target cancer more accurately, which improves results and minimizes toxicity.

When we say “we built it for you,” we mean it. We built the new Mary Bird Perkins Cancer Center at TGMC for our community, our friends, our family and our neighbors. We built it to provide people with the resources, tools and expertise necessary to defeat this disease, close to home. We built it because we want more survivors.

I am passionate about the fight against cancer, not only as a cancer survivor myself but as an oncologist as well. Moreover, I am proud to work for Mary Bird Perkins Cancer Center at TGMC because I know this new Center allows patients to receive world-class cancer care without having to leave their home, their friends and their family.

On the pages that follow in this report you will see the hard work that was put into making this new Center a reality. You will also see familiar faces, impactful events and exceptional services that you have come to expect from Mary Bird Perkins Cancer Center at TGMC. Although our scenery has changed, our mission will always remain the same – to improve survivorship and lessen the burden of cancer.

Thank you,

Raul Doria, M.D. Medical Director Cancer Committee Chairman Mary Bird Perkins Cancer Center at TGMC

CHAIRMAN’S LETTER

Dr. Doria with cancer survivor John Moore and his wife Libbi at the Mary Bird Perkins Cancer Center at TGMC grand opening celebration on October 12, 2011.


CANCER LIAISON PHYSICIAN’S REPORT

Approximately 75 percent of the cancer patients in this country are treated in programs accredited by the American College of Surgeons Commission on Cancer. Mary Bird Perkins Cancer Center at TGMC is one of these. The mission of the Commission on Cancer is to improve the “survival and quality of life for cancer patients through standard setting, prevention, research, education and monitoring of comprehensive quality care.”

The past year brought with it new achievements and important milestones for both the Cancer Committee and Mary Bird Perkins Cancer Center at TGMC in meeting this mission. Perhaps the most notable of those achievements was the grand opening of our new facility. Featuring cutting-edge technology, advanced resources and incredible design, the Center stands as a symbol of hope for those fighting cancer in the Bayou Region. So too does the Mary Bird Perkins Cancer Center at TGMC staff, as they are the ones who truly make this Center come to life through their compassion and hard work.

In addition to this milestone, the Cancer Committee made great strides in 2011 by using Mary Bird Perkins Cancer Center at TGMC’s electronic health records through the MOSAIQ program to achieve American Joint Committee on Cancer staging status on our top five primary cancer sites. Psychosocial distress screening assessments were implemented as well in 2011 and are currently utilized by inpatient and outpatient oncology patients – providing a resource to ensure their comfort and wellbeing. Community education forums on colorectal cancer were also added in 2011.

Efforts like these have helped us to enhance the level of care and improve the patient experience at Mary Bird Perkins Cancer Center at TGMC. They have also helped us to better track the diseases we fight daily through the use of rigorous national standards as our guide.

The 2011 Cancer Annual Report provides a snapshot of the great work going on at Mary Bird Perkins Cancer Center at TGMC. Thank you to everyone who helped make these accomplishments possible. And, as always, thank you to the community for your support as we continue to provide expert, caring and effective cancer treatment, close to home.

Charles Ledoux, M.D., F.A.C.S. General SurgeonCancer Liaison Physician


Raul Doria, M.D. - Medical OncologistBoard Certifications: American Board of Internal Medicine (Subspecialty: Medical Oncology)Medical School: University of AsuncionResidency: University of Miami/Jackson Memorial HospitalInternship: University of Miami/Jackson Memorial HospitalFellowship: Yale University School of Medicine

Robert Gamble, M.D. - Medical OncologistBoard Certifications: American Board of Internal Medicine(Subspecialty: Medical Oncology)Medical School: Universidad NordestanaResidency: Jamaica Hospital - New YorkInternship: Jamaica Hospital - New YorkFellowship: St. Luke’s Hospital - New York and St. Michael’s Medical Center

Jeffrey Long, M.D. - Radiation OncologistBoard Certifications: American Board of Radiology (Subspecialty: Therapeutic Radiology)Medical School: University of IowaResidency for Diagnostic Radiology: University of Arkansas for Health Sciences, Humana Hospital-UniversityResidency in Radiation Oncology: University of Iowa Hospital

Harry McGaw, M.D. - Medical OncologistBoard Certifications: American Board of Internal Medicine(Subspecialty: Medical Oncology)Medical School: Louisiana State UniversityResidency: Ochsner Clinic and Charity Hospital of New OrleansInternship: Charity Hospital of New OrleansFellowship: Ochsner Foundation Hospital

ONCOLOGY TEAM


The new state-of-the-art Mary Bird Perkins Cancer Center at TGMC facility opened its doors to the community on October 12, 2011 – expanding the Center’s comprehensive services in the Bayou Region.

The new Center is an important milestone in a partnership that began three years ago. In 2008, Mary Bird Perkins Cancer Center, Terrebonne General Medical Center and Cancer Care Specialists formed a partnership with one goal in mind – to offer residents of the Bayou Region a comprehensive cancer center, close to home.

Since then, Mary Bird Perkins Cancer Center at TGMC has grown and evolved to meet the needs of the community, but its mission has remained the same: to improve survivorship and lessen the burden of cancer. The new Center provides patients access to

chemotherapy, radiation therapy, surgery, diagnosis capabilities, an inpatient cancer unit, infusion services, social services support, patient navigators, dietician and nutritional support, clinical research trials and community outreach.

Our team of healthcare professionals is committed to providing the entire continuum of cancer care, from prevention and early detection to diagnosis, treatment, recovery and survivorship. This allows patients to stay near family and friends – a vital part of survivorship – while receiving the highest quality care.

Mary Bird Perkins Cancer Center at TGMC is nationally accredited with commendation and recognized for excellence in cancer care by the American College of Surgeons Commission on Cancer.

MARY BIRD PERKINS CANCER CENTER AT TGMC GRAND OPENING – OCTOBER 2011

Our new facility is more than just concrete, glass and state-of-the-art equipment. It’s about giving our community a quality cancer treatment facility to treat patients now and for future generations to come.

The Elekta Infinity radiation machine The medical oncology infusion suite


The new Center is the first building in the region and the first hospital in Louisiana to earn Leadership in Energy and Environmental Design (LEED) Silver certification.

Designed by Chenevert Architects and built by the McDonnel Group, the building used a previously developed site and existing building structures, as well as non-harmful paints, primers, adhesives and flooring.

The facility features regional materials, a storm drainage retention system to reduce the impact on the municipal water supply and drainage system and a green roof. Special lighting controls reduce overall power usage and during construction, 88 percent of all waste and debris was recycled as well.

In addition to being a non-smoking worksite, Mary Bird Perkins Cancer Center at TGMC followed an indoor environmental air quality program during construction, followed by a complete post-construction flush of the air system, removing all pollutants. It also uses High-Efficiency Particulate Air (HEPA) filters in the HVAC system.

Patients entering the new Mary Bird Perkins Cancer Center at TGMC are greeted by a larger than life message of hope. Perched in the soaring entrance, an oversized, brightly-colored mobile traces the butterfly’s journey from cocoon to taking flight. The butterfly is a symbol of hope and recovery.


CANCER SERVICES

MEDICAL ONCOLOGYMedical oncology services are provided by an experienced team who knows cancer is not a one-person battle. Our dedicated team of physicians, nurses and healthcare providers are committed to offering our patients personalized care in a compassionate and nurturing environment.

Chemotherapy is provided in an area that overlooks our rooftop tranquility garden for cancer patients to enjoy while receiving treatment. The Infusion Center is staffed with four knowledgeable and experienced chemotherapy nurses as well.

DIAGNOSTIC IMAGING We provide a full arsenal of diagnostic imaging equipment used in the fight against cancer.

Diagnostic imaging equipment includes:

QQ GE Discovery 600 PET /CT - provides diagnostic testing, development and treatment plans. Features Cone Beam CT for more accurate and precise scans.

QQ GE Signa HDXT 3.0T high-performance MRI system - This high definition MR system delivers more definitive diagnostic exams and is enhanced with anatomy-specific components that take accuracy and certainty to a new level. American College of Radiology accredited.

QQ GE LightSpeed VCT (Volume CT) 64 Slice Cat Scan - This scanner is the latest innovation in CT technology. It has the ability to deliver wide anatomical coverage and high resolution, simultaneously, allowing clinicians to capture whole organs in seconds. American College of Radiology accredited.

RADIATION ONCOLOGY Our radiation oncology team uses state-of-the-art technology, including the Elekta Infinity linear accelerator, to treat patients. The Infinity enables faster, more accurate treatments. Its features include intensity-modulated radiation therapy (IMRT) and image-guided radiation therapy (IGRT). The use of Infinity is supported by sophisticated treatment planning stations, physics and dosimetry quality assurance instrumentation and software. Adjacent to the radiation therapy department is a state-of-the-art positron emission tomography and computed tomography (PET/CT) scanner.

In 2010, Mary Bird Perkins Cancer Center at TGMC was awarded a three-year term of accreditation in radiation oncology services from the American College of Radiology (ACR). The ACR awards accreditation to facilities for the achievement of high practice standards after a peer-review evaluation of its practice.


CANCER SERVICES

WOMEN’S IMAGING AND BREAST CENTERQQ GE Digital Mammography - American College of

Radiology and Mammography Quality Standards Act accredited.

QQ Breast biopsy ultrasound and image guided biopsy

QQ Breast Specific Gamma Imaging (BSGI)

QQ Ultrasound

SURGERYSurgery plays an important role in diagnosing and staging of cancer. Our surgery team is comprised of highly trained healthcare professionals, including specialty trained physicians, registered nurses, certified registered nurse anesthetists and other healthcare support personnel.

INPATIENT CANCER UNITWe provide access to a highly trained and specialized clinical staff on our inpatient oncology unit. There are thirteen chemotherapy nurses on the unit. Each nurse is specially trained and has attended special courses to administer chemotherapy. Five of them are oncology certified nurses.

PATIENT NAVIGATOR / SOCIAL SERVICESOur patient navigator ensures each cancer patient receives continuity of care, from the first appointment with their oncologist. A registered nurse, our patient navigator is a patient’s personal cancer care coach, assisting each patient through treatment, recovery and survivorship.

Areas of assistance include:

QQ Providing emotional supportQQ Arranging transportationQQ Educating the patient on his or her disease and

treatment planQQ Translating medical terminologyQQ Obtaining referrals to support groups and other

community resourcesQQ Finding financial assistance for expensive

chemotherapy drugs QQ Coordinating care among medical providers

The patient navigator helps remove barriers to cancer treatment for our patients so that they are able to keep their appointments, follow their treatment regimens and receive the support they need.

The patient navigator and social workers are available to assist patients and their families as needed while navigating through their journey to recovery.


CANCER SERVICES

DIETICIAN AND NUTRITIONAL SUPPORTGood nutrition and healthy eating is essential to having the necessary energy to fight cancer. Clinical dieticians on staff help patients maintain their nutrition in order to maximize their strength while undergoing treatment. Recommendations are made to address the side effects of cancer treatment and to provide maximum nutrition.

CLINICAL TRIALSAs an important component of our oncology services, cancer-related clinical trials are offered to patients. Eligible candidates can enroll and be treated under clinical trial protocol. Benefits of taking part in a clinical trial include:

QQ Access to promising new approaches to cancer treatment that are often not available outside the clinical trial setting

QQ The new treatment approach being studied may be more effective than the standard approach

QQ Participants receive regular and careful medical attention from a research team that includes doctors and other health professionals

QQ Participants may be the first to benefit from the new treatment approach under the study

QQ Results from the study may help others in the future

Specifically, clinical trials offer our patients the opportunity to participate in the advancement of evidence-based medicine, close to home.

To learn more about clinical trials, including a full list of trials currently available, visit www.marybird.org/TGMC.


OUTREACH

Mary Bird Perkins Cancer Center at TGMC is committed to meeting the needs of our community and demonstrates this dedication by providing multiple free cancer screenings and educational opportunities.

In 2011, Mary Bird Perkins Cancer Center at TGMC provided 25 screening events with 769 people being screened. In addition, 1,091 people were reached at 13 educational events where cancer information was shared.

EARLY BIRD SCREENINGSEarly detection saves lives. That’s the message Mary Bird Perkins Cancer Center at TGMC is spreading across the Bayou Region. With our mobile medical unit, the Early Bird, free cancer screenings, educational outreach programs and resources are available at no cost to uninsured and underinsured residents.

The Early Bird is a 50-foot mobile medical unit with three fully-equipped exam rooms. It is staffed with a driver/outreach coordinator, an early detection specialist and a patient navigator.

Screenings offered include breast, skin, prostate, colorectal and oral cancer.


SUPPORT GROUPS & COMMUNITY INVOLVEMENT

SUPPORT GROUPSSupport groups are a strong part of the emotional and physiological healing process. Various cancer support groups are offered at Mary Bird Perkins Cancer Center at TGMC, along with cancer recognition events throughout the year.

QQ Bosom Buddies Support Group: A support group for breast cancer survivors. Meets the 4th Wednesday of each month from 11:30 a.m. to 1 p.m. Lunch is provided every other month. For more information, call (985) 858-7020.

QQ Nosotros:10 Steps to Recovery Support Group: For all cancer patients and their families. Led by Dr. Raul Doria. Meets the 3rd Monday of each month at 6 p.m. For more information, call (985) 857-8093.

QQ Look Good–Feel Better: Makeovers for all cancer patients in association with the American Cancer Society. Led by licensed cosmetologists. For more information, call (985) 858-7020.

Dr. Raul Doria leads the Nosotros – 10 Steps to Recovery Support Group, which meets the third Monday of each month.

Mary Bird Perkins Cancer Center at TGMC employees participated in the 2011 Susan G. Komen Race for the Cure in October.

QQ Camp Bluebird: An adult cancer camp allowing participants to enjoy fun activities while camping inside with other survivors. Held annually in October. For more information, call (985) 850-6308.

QQ Beautiful You: Provides wigs, scarves, turbans and hats to cancer patients. Available by appointment only. Hours: Monday to Thursday, 8 a.m. to 4:30 p.m.; Friday, 8 a.m. to noon. For more information, call (985) 850-6308.

COMMUNITY INVOLVEMENT

At Mary Bird Perkins Cancer Center at TGMC, we believe it is important to be an active part of the communities we serve. That is why we participate in several events that benefit the local fight against cancer.

QQ Cancer Survivors Day celebration, held annually in June.

QQ Love Lights a Tree, a recognition program for the holidays. Held annually with the American Cancer Society.

QQ Susan G. Komen Race for the Cure, held annually in October.

QQ American Cancer Society’s Relay for Life, held annually in April.


FUNDRAISING EVENTS

LADIES NIGHT OUTLadies Night Out is a cancer fundraising gala which raises funds to provide care and comfort items and/or services to patients of Mary Bird Perkins Cancer Center at TGMC. Proceeds generated from the gala have been used to provide necessary items or services for cancer patients such as a blankets, durable medical equipment, nutritional supplements, help with household bills, transportation, hotel expenses (for out-of-town families) and wigs.

In addition, every newly diagnosed cancer patient is provided with a comfort bag that has essential items which will be of use to the patient while undergoing treatment.

QQ Save the date for the 6th Annual Ladies Night Out on March 9, 2012, at the Houma-Terrebonne Civic Center. The program is about remembering, honoring and celebrating those who have been touched by cancer. Your support is greatly appreciated.

MARY BIRD PERKINS AT TGMC OPENIn 2011, the Adams Pro Golf Tour and Mary Bird Perkins Cancer Center at TGMC hosted the first annual Mary Bird Perkins at TGMC Open at Ellendale Country Club in Houma September 26 – October 1. The week-long event kicked off on Monday, September 26 with the Taste of the Tournament Par-Tee and Auction. There was plenty of local Cajun cuisine, music and a silent auction.

The Pro-Am took place on Tuesday, September 27 in the form of a four-man shamble with three amateur golfers and an Adams Tour pro per team. From Wednesday, September 28 through Saturday, October 1 the Mary Bird Perkins at TGMC Open professional tournament featured Adams Pro Golf Tour Series players. A free junior clinic for kids ages 6 – 16 was held Thursday, September 29 in association with Adams Pro Golf Tour Series professionals.

The Mary Bird Perkins at TGMC Open benefits the fight against cancer in the Bayou Region.

QQ Save the date for the 2012 Mary Bird Perkins at TGMC Open April 2 - 7 at Ellendale Country Club.

Randy Haddad, Mary Bird Perkins Cancer Center, with Shawn Jasper, winner of the tournament, and Rhonda Alfred, TGMC.

Phyllis Peoples, president and CEO of TGMC, accepts a check from Brooke Haydel. Brooke, with the help of her mother Dr. Sarah Haydel, raised more than $10,000 for the fight against cancer.


BACKGROUNDThe prostate is a walnut sized gland in men that is located below the bladder and in front of the rectum. Prostate cancer is among the most common types of cancer. Prostate cancer is the third most common cause of death from cancer in men of all ages and is the most common cause of death from cancer in men over the age of 75. One out of six men will develop prostate cancer at some time during their life, and one out of 36 men will die of prostate cancer. Prostate cancer is much more common in older men. More than 65 percent of prostate cancers are diagnosed in men over the age of 65.

Because most men have no symptoms at the time prostate cancer is diagnosed, it is especially important to have regular screenings. Screening for prostate cancer includes a digital rectal examination and a PSA (prostate-specific antigen) blood test.

DIAGNOSISThere is an increased risk of prostate cancer in African-American men and those with a family history of prostate cancer. This fact led the American Cancer Society to recommend that all African-American men and those with a family history of prostate cancer start yearly screenings for prostate cancer at age 45. All other men should start their yearly screenings at age 50.

The only way to definitively diagnose prostate cancer is to biopsy the prostate. The biopsy specimen is reviewed under a microscope. The prostate cancer is then assigned a Gleason score, which ranges between two and ten. The higher the Gleason score, the more aggressive the prostate cancer cells appear under the microscope. The score can range from non-aggressive (score 2) to very aggressive (score 10).

Depending on the PSA value, Gleason score and other factors, there may be additional diagnostic tests needed to help be sure that the prostate cancer has not spread beyond the prostate. If the prostate cancer has spread beyond the prostate to other organs or parts of the body, it is said to have metastasized. The most common area that prostate cancer metastasizes to is the bone.

TREATMENTSeveral treatments are available for prostate cancer. The specific treatment recommended depends on multiple factors, including the Gleason score and whether the prostate cancer has metastasized. Treatment of prostate cancer may include:

QQ Surgery - This involves surgical removal of the prostate

QQ Radiation therapy - There are several techniques available

QQ Hormonal therapy - A treatment to reduce the normally circulating levels of testosterone to shrink the cancer

QQ Chemotherapy – Used only for extensive prostate cancer that has not responded to other treatments

If prostate cancer is found in its earliest stages, the five-year survival rate is close to 100 percent, according to the American Cancer Society. Mary Bird Perkins Cancer Center at TGMC promotes early detection of prostate cancer by offering free prostate cancer screenings in Houma and surrounding areas. These screenings include both a PSA blood test and a digital rectal examination performed by a physician. For more information about these screenings, please call (888) 616-4687.

CONCLUSIONWhile prostate cancer is common, there is a message of hope. The physicians at Mary Bird Perkins Cancer Center at TGMC are dedicated to using state-of-the-art treatment approaches in a compassionate and caring environment, close to home. There is no need for men diagnosed with prostate cancer to leave this area for treatment. Through early detection and effective therapy, survivorship of prostate cancer is now greater than ever before.

Jeffrey Long, M.D. Robert Alexander, M.D.Radiation Oncologist Urologist

PROSTATE CANCER STUDY PROSTATE CANCER STUDY


Demographic Character ist ics of Patients Diagnosed With Prostate Cancer

MBPCC at TGMC (%)

NCDB ACS Mid-South Division (%)

NCDB Community Hospitals in All States (%)

Age at Diagnosis

<40 0 <1 <1

40-49 8 2 2

50-59 33 18 19

60-69 34 40 38

70-79 15 31 31

80-89 9 7 9

90 and over 1 <1 1

Race/Ethnicity

White 82 80 81

Black 16 19 12

Hispanic 0 <1 4

Other/Unknown 2 1 3

AJCC Stage

0 0 <1 <1

I 5 1 1

II 74 80 79

III 5 6 7

IV 10 6 6

Unknown 6 6 6

ACS Mid-South Division includes: Alabama, Arkansas, Kentucky, Louisiana, Mississippi, Tennessee

NCDB data includes all cases diagnosed in Community Hospital in all states (16,026 cases from 464 hospitals)

Observed 5-Year Prostate Cancer Survival Rates in Comparison With National Stat ist ics

All Stages Stage I Stage II Stage III Stage IV 0

20

40

60

80

10089%

84%

100%

79%

96%

87%82%

86%

42%

33%

QQTGMC % QQNCDB %




2010 SITE TABLE

SiteGroup

TotalCases

Class Sex Stage Not Ap-plicable

Un-knownAnalytic NonAn M F Stage 0 Stage I Stage II Stage III Stage IV

All Sites 260 260 0 154 106 24 64 43 38 51 22 18

Lip 1 1 0 1 0 1 0 0 0 0 0 0

Salivary Glands, Major

1 1 0 1 0 0 0 0 0 1 0 0

Mouth, Other and Nos

1 1 0 1 0 0 0 1 0 0 0 0

Tonsil 1 1 0 1 0 0 0 0 0 1 0 0

Esophagus 2 2 0 2 0 0 0 1 0 1 0 0

Stomach 13 13 0 10 3 1 2 1 2 3 1 3

Small Intestine 2 2 0 2 0 0 0 0 0 0 2 0

Colon 30 30 0 17 13 2 9 4 8 5 0 2

Rectum and Rectosigmoid

9 9 0 7 2 1 1 2 3 2 0 0

Anus, Anal Canal, Anorectum

2 2 0 0 2 0 0 0 0 1 0 1

Liver 2 2 0 1 1 0 1 0 0 1 0 0

Pancreas 4 4 0 2 2 0 0 1 0 3 0 0

Larynx 2 2 0 2 0 0 1 1 0 0 0 0

Lung/Bronchus-Small Cell

14 14 0 9 5 0 0 0 6 8 0 0

Lung/Bronchus-Non Small Cell

46 46 0 24 22 0 21 0 12 12 0 1

Leukemia 6 6 0 3 3 0 0 0 0 0 6 0

Myeloma 4 4 0 3 1 0 0 0 0 0 4 0

Soft Tissue 3 3 0 2 1 0 1 0 0 0 0 2

Melanoma of Skin

4 4 0 3 1 0 1 0 1 1 0 1

Breast 21 21 0 1 20 2 7 7 3 0 0 2

Corpus Uteri 3 3 0 0 3 0 2 0 0 0 0 1

Ovary 1 1 0 0 1 0 0 1 0 0 0 0

Prostate 21 21 0 21 0 0 0 13 0 5 0 3

Bladder 22 22 0 14 8 16 0 5 0 0 0 1

Kidney and Renal Pelvis

18 18 0 11 7 0 12 4 1 1 0 0

Ureter 1 1 0 0 1 1 0 0 0 0 0 0

Brain 2 2 0 1 1 0 0 0 0 0 2 0

Thyroid 4 4 0 3 1 0 4 0 0 0 0 0

Hodgkin’s Disease 3 3 0 2 1 0 1 0 0 2 0 0

Non-Hodgkin’s Lym-phoma

10 10 0 6 4 0 1 2 2 4 0 1

Unknown or Ill-Defined

7 7 0 4 3 0 0 0 0 0 7 0


CANCER REGISTRY AND TUMOR CONFERENCE

CANCER REGISTRYThe Cancer Registry at Terrebonne General Medical Center (TGMC) continues to be a significant element in the evaluation of cancer care.

The registry participates in the facilities accreditation process under the Commission on Cancer of the American College of Surgeons and received commendation for its high level of abstraction.

Under the guidance of the Cancer Committee, the registry collects newly diagnosed cancers for the purpose of research under the National Cancer Data Base (NCDB), as well as on the local and regional level. Mary Bird Perkins Cancer Center at TGMC reported 260 newly diagnosed cancers in 2010.

The top five primary sites reported were:

Lung (60)

Colon(30)

Bladder (22)

Breast (21)

Prostate (21)

The Cancer Registry of TGMC is a member of the Louisiana Cancer Registrars Association and the National Cancer Registrars Association. The Cancer Registry is housed in the new Cancer Center and can be reached at (985) 850-6307.

TUMOR CONFERENCEThe Cancer Committee ensures that a certain percentage of diagnosed cancer cases are presented every year at Tumor Conference. These cases are discussed for the purpose of education and appropriate treatment modalities. The conferences are evaluated annually based on multidisciplinary attendance, frequency and total case presentation. The majority of cancer cases are presented in a prospective fashion.

Physicians Presenting at Tumor Conference:

Raul Doria, M.D.

Robert Gamble, M.D.

Eric Jukes, M.D.

Charles Ledoux, M.D.

Jeffrey Long, M.D.

Harry McGaw, M.D.


A STORY OF HOPE

Last May, as Wendy Couvillon, a 39-year-old high school teacher, was getting ready to go to work, she felt what seemed to be a pulled chest muscle. However, when the pain persisted two days later, she opted to see a doctor just to be sure. The doctor suggested she receive a mammogram, a cautionary measure. Couvillon got a mammogram a few days later and was told she may have breast cancer. After a biopsy confirmed so, Couvillon said she immediately began to re-evaluate her life.

Couvillon opted to undergo the most aggressive treatment possible—a bilateral mastectomy. “With six daughters, there was just no time for breast cancer. Not as a mom, a wife and a teacher,” she explained. By choosing to have this surgery, Couvillon was able to forgo radiation and chemotherapy treatments.

“Cancer was the only word I heard in the beginning,” she said of her diagnosis. Still, rather than spending weeks worrying, she was provided with resources immediately thanks to Mary Bird Perkins Cancer Center at TGMC and their world-class team of physicians and nurses. According to Couvillon, standout performances in the medical arena during this fight have been made by Dr. Raul Doria, oncologist and medical director of Mary Bird Perkins Cancer Center at TGMC, and Julia Light, Patient Navigator and registered nurse.

“Dr. Doria has been a lifeline. He told me that it was ok to be upset, but don’t be afraid,” she said while speaking about her oncologist. In addition, Patient Navigator Julia Light, RN, has proven to be a wealth of information and support for Couvillon. From providing support group contacts to discussing special undergarments and prosthetic options, she says that Light kept her from feeling alone while serving as a travel guide in what she calls the “foreign land that is cancer.”

Couvillon applauds Mary Bird Perkins Cancer Center at TGMC for their seamless work in handling each patient’s case. “You don’t retell your problems 50

times. There’s just great communication,” she said. Another important feature of the Center’s work is the level of compassion they provide. “There is no rushing. They just take their time with you and make you feel comfortable.”

Now on medication and being checked periodically, Couvillon knows that she has a long journey in front of her over the next five years. She urges other women to trust their instincts, citing the importance of performing self-checks and “listening to your body.” Despite the inconvenience of cancer as a busy wife, mother and professional, she stresses the importance of a positive attitude. “Cancer can take my body. It can change the way I look, but it can’t take my sense of self. Don’t lose hope. There’s always hope,” she said.

Former cancer patient Wendy Couvillon with five of her six daughters.



8166 Main Street, Houma, LA 70360

Radiation Oncology, Suite 101 (985) 876-9045 | Medical Oncology Suite 201 (985) 857-8093

www.marybird.org/TGMC

AT

TGMC-114 (11/11)

Documents

2011 Mary Bird Perkins Cancer Center at TGMC Cancer Annual Report