Conquering Breast Cancer

When Kristi Dunbar told her doctor about a lump she found on her breast, she didn’t think much of it. After all, she had received normal results of a mammogram just four months earlier. After a biopsy, in which her breast tissue was examined for cancer cells, she received the diagnosis: stage 3 breast cancer, which had started to grow and spread.

“When I heard the word cancer, I immediately thought the worst,” Dunbar says. “How bad is it? Will I lose my hair? Will I survive? Will my family be OK? So many questions ran through my head.”

One in eight women in the U.S. will develop breast cancer in her lifetime. Knowing the risks and identifying symptoms can lead to early detection, which may have a significant impact on treatment.

Know your risk

Breast cancer starts in the glands, ducts or tissue of the breast, typically in the form of a tumor. Women older than 50 are considered at higher risk for breast cancer, though it can occur in younger women and even men. “My mother and aunt both survived breast cancer,” Kristi says. A family history of breast cancer may increase the likelihood of a diagnosis.

Other lifestyle factors, such as being overweight or obese (especially after menopause) and not getting enough physical activity, can also increase your chances of developing cancer.

Early detection saves lives

Like many women with breast cancer, Dunbar’s first warning sign was a lump on her breast. “I knew something wasn’t right,” she says. “It just looked and felt different.” Adventist Health St. Helena’s oncologists (cancer experts) recommend that women do a monthly breast self-exam at home to detect changes, such as lumps.

Care that goes above and beyond

After her diagnosis, Dunbar met with Ari Umutyan, MD, a medical oncologist, to develop a treatment plan. “Dr. Umutyan approached my care specifically for me, not as one-size-fits-all,” she says. “I told him I was concerned about neuropathy—nerve damage to my feet—from chemotherapy, so he listened to my concerns and tailored my treatment approach.”

Breast cancer treatments include surgical removal of the tumor or all of the breast tissue. Oncologists may also opt for chemotherapy, radiation or hormone therapy, which limits hormones that can help cancer cells spread.

When Kristi began her treatment with Dr. Umtuyan, he was providing care at a different hospital. However, when he joined the Martin-O’Neil Cancer Center in July 2019, Kristi transferred her care to Adventist Health. “I had developed a relationship built on trust with Dr. Umtuyan,” she says, “so I followed him when he moved to continue my follow-up care,” which includes regular bloodwork and an estrogen blocker to prevent the growth of cancer cells. It’s a short drive from her home in Yountville to the Adventist Health Medical Office in Napa or the Martin-O’Neil Cancer Center in St. Helena

Surviving, then thriving

While undergoing treatment, Kristi says her family and friends were a vital support system. “I joined a group of people who were experiencing cancer, and we would meet for lunch to talk, support one another and give advice,” she says, “and my husband went to every appointment and chemo session with me. He was truly my advocate throughout the process.

Now that her cancer is in remission, Kristi feels strong enough to go outdoors and exercise more. “My husband and I went to Lake Tahoe and rented Jet Skis a few months after I finished treatment,” she says. “I was speeding through the water with the wind in my face on a beautiful day, and I felt so much joy. I couldn’t stop laughing. For the first time in a long time, I felt so alive.”

Napa Valley’s destination for breast health

Adventist Health’s team of breast health experts are ready to care for you from diagnosis to treatment and beyond. The multidisciplinary team includes a breast navigator, breast surgeon, cancer genetics specialist and oncology specialists.

Get screened

To schedule a 3D mammogram at Adventist Health St. Helena’s Women’s Imaging Center, call 707-963-6569.