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News
September 30, 2022
Breaking Down The Stages Of Breast Cancer
By News Staff

Once a person is diagnosed with cancer, his or her physician will try to determine how far the illness has progressed, including whether or not it has spread to other areas of the body. This effort is known as’staging.’ Each cancer has its unique staging characteristics, and breast cancer is no different.The stage of the cancer ultimately refers to how much cancer is present in the body, indicates the American Cancer Society. Doctors treating breast cancer adhere to the TNM staging system, which is overseen by the American Joint Committee on Cancer. This staging uses both clinical and pathological (surgical) systems for breast cancer staging. Pathological staging may be more accurate because it examines tissues taken during surgery or a biopsy.

T CATEGORIES

T in the staging system refers to the tumor’s size and whether it has spread to the skin or chest wall under the breast. Higher numbers refer to larger tumors and greater spread.TX: A primary tumor cannot be assessed.TO: No evidence of primary tumor.TI: Tumor is 2 centimeters (cm) or less across.T2: Tumor is more than 2 cm but not more than 5 cm across.T3: Tumor is more than 5 cm across.T4: Tumor is of any size growing into the chest wall or skin.

N CATEGORIES

N in the staging system identifies if the cancer has spread to the lymph nodes near the breast, and if so, how many.NX: Nearby lymph nodes cannot be assessed, which can happen if they were previously removed.NO: Cancer has not spread to nearby lymph nodes.N1: Cancer has spread to one to three axillary (underarm) lymph node(s), and/ or cancer is found in internal mammary lymph nodes (those near the breast bone) on a sentinel lymph node biopsy.N2: Cancer has spread to four to nine lymph nodes under the arm. One or more area of cancer spread is larger than 2 millimeters (mm).N3: Cancer has spread to any of the following: 10 or more axillary lymph nodes with area of cancer spread greater than 2 mm; to lymph nodes under the collarbone, with at least one area of cancer spread greater than 2 mm; cancer found in at least one axillary lymph node (with at least one area of cancer spread greater than 2 mm) and has enlarged the internal mammary lymph nodes; cancer in four or more axillary lymph nodes (with at least one area of cancer spread greater than 2 mm), and to the internal mammary lymph nodes on a sentinel lymph node biopsy; to the lymph nodes above the collarbone on the same side of the cancer with at least one area of cancer spread greater than 2 mm.

M CATEGORIES

M indicates if the cancer has spread to distant organs.MO: No distant spread is present on X-rays or other imaging and physical tests.Ml: Cancer has spread to other organs, notably the brain, bones, liver or lungsasdetermined bya biopsy ortesting.Notethatthisstaging system also uses sub-stages within each category, which further breaks down breast cancer staging into more characteristics and combinations. The ACS says there are so many possibilities that can go into staging that two women at the same breast cancer stage may have different experiences.

Any sign of an abnormality in the breast or body merits a consultation with a doctor, who can determine if breast cancer is present. Lower numbers on TNM staging are desired, and can be achieved by catching breast cancer early.

Promoting awareness
A: Main, Main...
Promoting awareness
March 21, 2023
Sallisaw Mayor Ernie Martens this week signed three proclamations declaring National Drug and Alcohol Facts Week, Vaping Awareness Month and Alcohol Awareness Month in Sallisaw. On hand for the signin...
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Graffiti found at Brushy School under investigation
A: Main, Main...
Graffiti found at Brushy School under investigation
By Lynn McCulley Staff Writer 
March 21, 2023
Brushy School Superintendent Jared Armer said someone wrote graffiti on the school’s storm shelter and the incident is currently under investigation. Armer, who has served as superintendent of the sch...
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I-40 shooter set for jury trial sounding docket
A: Main, Main...
I-40 shooter set for jury trial sounding docket
By Amie Cato-Remer Editor 
March 21, 2023
A Dallas, Texas man who shot two others on Interstate-40 near Vian in July 2021 is scheduled for a 9 a.m. March 23 jury trial sounding docket, according to Sequoyah County court records. Lee B. King, ...
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Sallisaw, Vian residents transported following Sunday accident
A: Main, Main...
Sallisaw, Vian residents transported following Sunday accident
By Amie Cato-Remer Editor 
March 21, 2023
Three people were transported Sunday afternoon following a collision on US-64 and 4570 Road, about four miles west of Sallisaw, according to an accident report issued by Oklahoma Highway Patrol (OHP)....
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Man charged with child sexual abuse
A: Main, Main...
Man charged with child sexual abuse
To appear for docket
By Amie Cato-Remer Editor 
March 21, 2023
A Sallisaw man who was originally charged in 2021 with three felony counts of child sexual abuse, one felony count of rape first degree by instrumentation, and two felony counts of rape, first degree,...
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Man charged in fentanyl overdose death of Vian man
A: Main, Main...
Man charged in fentanyl overdose death of Vian man
To appear before Judge Waters
By Amie Cato-Remer Editor 
March 21, 2023
A Roland man who was charged in May 2022 with murder in the first degree-felony murder of a Vian man is set to appear before Associate District Judge Kyle Waters on March 22, according to Sequoyah Cou...
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Resignations accepted by Roland school board
A: Main, Main...
Resignations accepted by Roland school board
By Amie Cato-Remer Editor 
March 21, 2023
The Roland Board of Education met on March 13 where they discussed and voted on several employment issues. The board accepted the resignations of Ag teacher and FFA advisor Myron Lockwood, Special Edu...
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SEQUOYAH COUNTY SCOREBOARD
Sports
SEQUOYAH COUNTY SCOREBOARD
March 21, 2023
Saturday, March 18 Vian 11, Amber-Pocasset 9 (Ripley Tournament final) Gore 17, Woodland 11 (Pioneer Festival) Friday, March 17 Vian 18, Atoka 12 (Ripley Tournament semifinal) Gore 9, Thomas-Fay-Custe...
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Sequoyah County sports calendar
Sports
Sequoyah County sports calendar
March 21, 2023
All teams listed are high school teams and all schedules are subject to change. THURSDAY, MARCH 23 •Sallisaw, Muldrow and Roland track and field teams at Wilburton (10 a.m.) •Gore track and field team...
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Coleman, Storako power No. 1 OU to Hall of Fame Classic sweep
Sports
OU SOFTBALL
Coleman, Storako power No. 1 OU to Hall of Fame Classic sweep
By Soonersports.com 
March 21, 2023
OKLAHOMA CITY — No. 1 Oklahoma completed the Omni Hall of Fame Classic sweep with a 7-1 win over No. 19/22 Auburn Sunday afternoon in OKC. Redshirt senior pitcher Alex Storako twirled a gem in the cir...
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Wolverines win Ripley Tournament Saturday
B: Sports
Wolverines win Ripley Tournament Saturday
By Lea Lessley Sports Writer 
March 21, 2023
The Class 2A ninth-ranked Wolverines went 3-0 last week at the Ripley Tournament to win the tourney for the first time since 2018. Ripley is located about 15 miles southeast of Stillwater. Vian head c...
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