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>> tonight - >> i just doing a self breast exam. noticedthat i had a lump when i did the exam. i was, like, oh, it's just another cyst. they hadme come in, let me know that, yes, indeed, there was a tumor, and it was cancer - >> an abc 27 special presentation - >> katie kiley: i was 31. they said i'm sorryto inform you that you do have breast cancer. it's shocking. it's not something anyone reallyexpects to hear about themselves. i was scared. i was very scared. >> penn state hershey breast center presents"hope and courage: a tribute to breast health",

brought to you by penn state milton s. hersheymedical center. >> alicia richards: good evening to you all.i'm alicia richards. for more than 25 years, october has been known as breast cancer awarenessmonth. no matter where you go, you see pink everywhere. here are some statistics for you.since the early 1990's, the breast cancer death rate has dropped more than thirty percentin the united states. three-fourths of women diagnosed have no family history, and arenot considered high risk. one in six breast cancers occur in women ages 40 to 49. >> debra pinkerton: thanks, alicia. a youngwoman's life changed within a matter of seconds. she said her world stopped when she heardthe words breast cancer. thirty-four year

old katie kiley mixes secret ingredients togetherto mark a special occasion. >> katie kiley: we're going to make a hotmilk sponge cake, and that's going to be in celebration of our second wedding anniversary. >> debra pinkerton: it's been two years sincekatie and her husband, jake gardner, said i do. a two-year journey filled with manyhappy times and many sad times, too. >> katie kiley: we moved here on june 21stof 2010. at that time, i had felt a lump in my right breast, and it was painful. >> jake gardner: the pain at the site of thelump persisted. so we said, well, best thing to do is to have this checked out.

>> katie kiley: i have a family history ofbreast cancer in both grandmothers, and so given that history i thought even though i'm31, it's really a good idea to schedule a mammogram, to get checked out. >> dr. rena b. kass: on the mammogram, itwas very difficult to see the lesion because it was so far down on the lower part of herright breast. an ultrasound was performed, and we could clearly see the mass that katiewas feeling. it is this hypocoic [phonetic] or dark lesion that had irregular bordersto it. very suspicious. >> katie kiley: they called me back, and theysaid we'll need to schedule another appointment with you to do a biopsy, and then, of course,your heart drops to your stomach.

>> jake gardner: in my mind, i'm still thinkingthis is most likely going to be a benign lesion, something that we don't really need to worryabout. >> debra pinkerton: katie wasn't so sure. >> katie kiley: it's just the idea that ihave something that needs to be biopsied is a very scary thing. >> debra pinkerton: she did undergo a corebiopsy, meaning that we took small slivers of tissue from the lesion. >> katie kiley: they did call me back in,and they said we have the results. we'd like you to come in, and we'd really like to speakwith you. they said i'm sorry to inform you

that you do have cancer. when they say theword cancer, of course, it hits you like a ton of bricks, and after that, i believe iheard cancer ba ba ba ba ba ba ba. you just don't hear any words after that. >> jake gardner: at that point, everythingkind of stopped, and i know it all stopped for katie. just trying to take in the diagnosisthat you have cancer. i went outside and called my parents and called her parents and talkedto them, and then kind of just fell apart myself for a little bit. >> debra pinkerton: doctors wanted to knowwhy katie had breast cancer at such a young age. so she underwent genetic testing.

>> katie kiley: they found out that i havea, it's called the brca 1 gene mutation, and it basically is a hereditary gene mutationthat was passed along by my father's mother through him and to me. >> debra pinkerton: katie's grandma jessiecarried the gene. she died from breast cancer at age 45 back in 1959. >> dr. rena b. kass: once we knew that shewas a gene carrier, that put her at increased risk for developing a new primary breast cancerafter we would treat this cancer that she had now. >> katie kiley: i ended up making a difficultdecision to have bilateral mastectomy so that

i wouldn't have to go through it again. >> debra pinkerton: before surgery, katieneeded chemotherapy. before chemotherapy, katie made some big decisions. >> dr. rena b. kass: she wanted to do eggpreservation because sometimes when you have chemotherapy, that can decrease the likelihoodof you being able to get pregnant. >> katie kiley: i ended up being lucky enoughto have them retrieve 21 eggs, of which 17 were viable and 12 fertilized. >> debra pinkerton: then katie and jake exchangedvows. >> katie kiley: we started planning on a sunday.we had everything tied up by monday afternoon,

and we got married the wednesday before istarted the chemo, and that was september 15, 2010. i just focused on the fact thati was finally married to the love of my life and enjoyed the day and really just let tomorrowbe tomorrow. >> jake gardner: getting married was easiestdecision i ever had to make, and that was because i love katie. it was the best dayof my life, and it was then subsequently followed by one of the scariest times in my life. >> debra pinkerton: that's because a day later,katie was in the hospital for chemotherapy. >> dr. rena b. kass: she had the chemotherapyfirst because i was a little bit concerned that her tumor was tethered to the chest wall,and i wanted to be able to shrink that tumor

down a little bit so that we wouldn't haveto take a lot of muscle on her. >> dr. leah v. cream: katie started an aggressivecourse of chemotherapy. she received eight treatments. almost immediately afterwards,there is definitely a sense of fatigue. >> jake gardner: it's hard to see someoneyou love start to get that rundown, but it progressively gets worse. chemo is toxic,but it treats the cancer. >> katie kiley: the hair loss was also anotherbiggie. that didn't start happening until october, but when it did, it happened in thespace of three days, and i went from having a head full of hair to being bald as a bowlingball. >> jake gardner: she's just as beautiful withouthair as she was with it. she never believes

me when i tell her that, but she was. >> debra pinkerton: chemotherapy lasted fourmonths. it ended two days after christmas. >> katie kiley: that was truly a great christmaspresent to be able to go in, know that after that i was done, to ring that bell, the i'mdone with chemo bell. >> dr. leah v. cream: we measured the tumorduring each treatment, and her tumor shrank with the chemotherapy, and we hoped that alsowhat it was doing was preventing a recurrence of any of those cancer cells somewhere elsein her body. >> debra pinkerton: surgery was next. >> katie kiley: i was scared. i was very scared,and i was very sad as well.

>> debra pinkerton: despite katie's fears,she kept looking ahead. thoughts about the future got her through this very difficulttime. >> katie kiley: knowing that i would be cancerfree on the other side. knowing that this was my best option to continue on and livethe life that i wanted to live. to be healthy, to have kids, to not have to worry about thisanymore. >> jake gardner: surgery is just plain scary.at the end of the day, your loved one is wheeled off down a hallway, and the doors close behind,and then you go wait in a room. nine hours later, dr. kass came downstairs and told usthat everything went well. >> dr. rena b. kass: her nodes were negative,and the tumor, there was a little bit of residual

tumor, but all her margins were clear, andwe were able to perform what we call a total skin-sparing mastectomy. so it really triesto preserve the natural envelope of the breast tissue to give you the best cosmetic result. >> debra pinkerton: recovery took some time,but she got some encouraging words from her grandma bea, who has survived two bouts ofbreast cancer. >> katie kiley: she said to me, honey, you'llget through this. as long as you stay positive, you'll get through this, and you'll be justfine, and it turns out she was right. >> debra pinkerton: as jake and katie celebratetwo years, happiness is now at the center of their lives.

>> jake gardner: it's great to see her getthrough it. she came through it like a champ. she fought the entire way. >> katie kiley: i feel wonderful now. i feelabsolutely wonderful now. lucky enough to have a clean bill of health and have my energyand my hair and all of it. >> debra pinkerton: katie and jake can't thanktheir families enough for all of the love and support they gave them. back to you, alicia. >>alicia richards: debra, you did a greatjob. thank you so much, and dr. rena kass joins us now. she's co-director of the hersheybreast center. so katie has a double mastectomy. i think women are always hungry to hear aboutadvances. how has that surgery evolved?

>> dr. rena kass: well, it's evolved a lotover the past several years. you know, if you think about what we performed decadesago where women would have these radical mastectomies, it was so disfiguring. the muscle would go.all the skin would go. and now we're able to perform these wonderful beautiful skin-sparingmastectomies where, you know, most if not all of the natural skin is preserved, andthis is wonderful for women that have a genetic predisposition to breast cancer where we cancut their risk of cancer - >> alicia richards: sure - >> dr. rena kass: by 93 percent - >> alicia richards: now, of course, women,what we're really all hoping for is a cure,

but until we get there, what other advancescan you tell women about? >> dr. rena kass: well, this past year there'sbeen a lot of dramatic changes that have happened underneath the arm. it used to be that forwomen, if you had any nodal spread from the cancer in the breast to the nodes, you'd haveto take out the majority of the nodes, and that winds up with a lot of morbidity. butthere was a trial that was published this past year called the z11, and in that trialfor women that were having a lumpectomy with radiation, if they only had a few nodes positive,we found out that they didn't really benefit from having additional nodes taken out. theydidn't have any worse survival, and there was no increase in recurrence. and so, youknow, we've been able to limit the amount

of morbidity for a lot of women - >> elisha richards: one thing i always thinkabout, and you well know this. i mean, when a woman gets diagnosed, so overwhelming justto hear the news, but then she has a million decisions to make. i mean, are there somewords of wisdom you can give to women to help them make these big decisions. >> dr. rena kass: it's tough. the first thingi would say is know your options. and, you know, if you don't hear all the options ofbreast conserving therapy and a mastectomy, ask questions. there's no silly questions.know who your team is. you know, know who your doctors are. there are websites. "u.s.news and world report". find out about the

hospital you're going to, and, lastly, weunderstand that it's difficult to make a decision. and so at penn state right now, we're workingon a tool in collaboration with harvard and md anderson to help patients make a good decision,to educate them on the options, and to find out, incorporating their own values. what'sgood for me - >> alicia richards: perfect. dr. kass, thankyou so much - >> dr. rena kass: it was great to be here- >> alicia richards: great job. alright. let'scheck in with debra again. debra. >> debra pinkerton: thanks, alicia. the phonelines are busy. the number to call is 717-346-3333. here to answer our viewer questions this eveningis the nurse navigator at the breast center,

michelle farnan. thanks for being with us- >> michelle farnan: thank you, debra. >> debra pinkerton: here's our first question.my grandmother and my mother both had a double mastectomy. what are the chances i will needthe same? >> michelle farnan: a women's risk of breastcancer is really determined by her personal health history as well as her family history,and there's only about a ten percent true genetic link to the disease. so it's reallyimportant to think about why did you mom and grandmother have that surgery. did they havea brca genetic testing done, and all of the things that go into your own personal risks.so i encourage you to talk to your health

care provider and perhaps be considered forsome additional screening methods or perhaps preventive measures. >> debra pinkerton: ok. thank -