About four years ago, Cecelia "Biz" Spotted Tail felt a lump growing in her lower belly.
"I know something's wrong, I know my body," she says. "I couldn't lay on my stomach because I kept feeling that ball."
Spotted Tail, 53, lives in South Dakota, where she has raised five kids on the Rosebud Indian Reservation. After working in mental health services for many years, she recently started a small business, a flower farm called Bizzie's Bees.