In the photo: The young Doctor Anthony P. Cannella with his mother, Marie
The year was 1986, and my family was going through a very difficult and stressful time. During this period, my mother, who was the rock of our family, withheld the fact that she was losing weight and had a growth in her right breast. It was not until my father found out and forced her to go to the doctor. She ended up being diagnosed with Stage III breast cancer with metastasis to adjacent lymph nodes.
My family was devastated; she was only thirty-eight years young. The physicians were very discouraged with her diagnosis, and gave her only six months to live; interestingly she had no family history of breast cancer. However she was a strong woman and endured a right radical mastectomy, nitrogen mustard chemotherapy and whole body radiation therapy. To watch such a dynamic and lively individual be brutalized by this course of therapy was beyond description with the usual vernacular. However, she fought on, and finally she went into remission one year later.
During the next four years the oncologists would find another set of lymph nodes positive and she would have to go through the process again. It was during this time that she also developed Celiac disease; a gastrointestinal disease where eating wheat protein or gluten causes a horrible mal-absorption process and she lost twenty kilograms. Finally, right before my fourteenth birthday she was diagnosed with stage IV breast cancer with metastasis to her lungs, liver and bones. After a two-week battle in the ICU, my mother succumbed to this ferocious illness. The bedrock of my family was gone, and she died at only forty-three years old.
In the years that followed, my father and I struggled through life without my mother. Things were terribly difficult and I had to grow up fast; learning how to become self-reliant by cooking, cleaning on my own and trying to take care of my father at the same time. Fortunately, I have a huge extended family, which helped my father and myself survive during this time. Later, when choosing a career, I remembered how my mother suffered, and how much we as a family suffered with her illness. This was the overwhelming reason that I choose medicine as a career; not to stop the pain of my mother’s death, but to try and make life more tolerable for those are inflicted with such an illness.
Even to this day, the loss of my mother is horribly painful for me. I wonder what she would think about my life and the type of man, which I have become, and her impression with the decisions I have made. I would hope to think that she would be satisfied with all of those things and would want me to be an even greater advocate for a cure of what took her life. This would have to include encouraging my patients and even through social media of the importance of self-breast exams.
Knowing your own body well enough to know when something is wrong is the key to the early identification of this disease. Even more important is being aware of a history of breast cancer in one’s family and doing something about it early in life. I implore all women over thirty to do self-breast exams monthly, and have a talk with their physician if they do not know how. I would hope that by telling you my experience, might possibly save your life and even more so your legacy.
Article by Anthony P. Cannella, M.D., M.Sc. (
@apc_md)