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Saturday, November 25, 2006

Breast Cancer Treatments

In this article I am going to cover options for treating breast cancer, once it has been diagnosed.

Unlike years ago when options for treatment were few and not very effective, today there are many options for treating breast cancer, many with excellent results and chances for full recovery, depending on the type of breast cancer and how advanced it is.

Here is a brief overview of your options today.

1. Local Regional Treatment. This is actually treatment of the lymph nodes in the area surrounding the breast as well as the breast itself. If metastatic disease is present then the treatment is given to specific areas. One of these methods is radiation therapy or radiotherapy. Much to womens’ surprise there are very few side effects from this therapy and they are restricted to the area being treated. Radiotherapy is an effective way to destroy the cancer cells and provide the best chance that the cancer will not come back.

Another method of this type of treatment is surgery which is usually the last recourse when all other methods have failed. With surgery in many cases reconstruction is needed afterwards as often part or all of the breast needs to be removed, which is called having a mastectomy. However, even this radical a surgery is not as drastic as it was years ago. Today every attempt is made to preserve as much of the healthy breast as possible.

2. Systemic Treatments. This is where the whole body is treated as a system.

The most common systemic treatment is chemotherapy. The purpose of chemotherapy is to get rid of any cancer cells that may have spread from the breast to other areas of the body. The reason chemotherapy works and also the reason it is so hard on your body is because it attacks the rapidly dividing cancer cells in your body. Unfortunately cancer cells are not the only cells in your body that divide, thus the reason that chemotherapy can have such a sickening effect on a person. Still, chemotherapy is not as hard to go through today as it was years ago and is an important insurance policy against the spread of the disease, especially to the lymph nodes, which in many cases is fatal.

Another treatment that isn't as common is tamoxifen, which is a very powerful drug. This drug reduces the risk of breast cancer returning after surgery and even reduces the risk of a woman ever getting breast cancer. However the side effects, though not fatal, can be very serious and uncomfortable. They include blood clots and uterine cancer, hot flushes, early menopause, problems with fertility, nausea and vomiting, weight gain, mood swings, depression and loss of energy.

3. Alternative and Holistic Treatments. These are treatments where the body, mind and spirit are all treated. Unfortunately there is very little medical evidence to show that these treatments are effective. Some of these alternative methods include acupuncture, meditation, relaxation techniques, and the use of flaxseed and black cohosh. Flaxseed supposedly reduces the growth and spread of breast cancer. Black cohosh is supposed to stop the hot flushes associated with those who have breast cancer. Again, there is nothing to support either of these claims.

Friday, November 24, 2006

Diagnosing Breast Cancer

As the number one cancer affecting women in the United States, breast cancer is getting a lot of attention. Studies show that the earlier breast cancer is detected the better chance a woman has of beating it. Learning the warning signs and symptoms may help a women to get an early diagnosis.

Cancer is a disease that starts in the cells. Cancer is formed when cells keep dividing even though they are supposed to stop. They then form extra cells that lump together and form a tumor. Symptoms of breast cancer vary depending on the stage it is in. In the early stages of breast cancer there may be no symptoms. There is usually no pain or any other sign that breast caner is present. However, as the cancer grows symptoms may start to appear. There may be a lump either on or around the breast or under the arm. The breast may change in looks and size. There may be discharge or change in the nipples. If a women experiences any of these symptoms a visit to the doctor is recommended.

A common test to check for signs of breast cancer is called a mammogram. A mammogram is an x-ray of the breast that will show abnormal tissue growth. Another way to check for breast cancer is through an exam. A breast exam can be done by a woman or her doctor. It involves touching and feeling around the breast and under the arms for any lumps or abnormalities. Getting regular breast exams and mammograms are one of the best ways to detect breast cancer in the early stages.

Besides mammograms and physical exams there are some other ways to diagnosis breast cancer. An ultrasonography is where an ultrasound is used to look at the breast. Aspiration, also known as a needle biopsy is where a needle is used to remove fluid or tissue that is then looked at in a laboratory. Usually tests like these are done if a mammogram or exam show signs for concern.

Breast cancer is a very real threat for women of all ages. Every woman should be conscious of any changes in her breasts. A doctor will recommended when a women should start getting a mammogram, typically this in the later thirties or early forties. Knowing the symptoms and keeping diligent about exams is the best way to prevent breast cancer from spreading and growing.

Thursday, November 23, 2006

Breast Cancer: Battleground Stories

A slip of paper with the information below was handed to me by one of the brave women I had the pleasure of knowing during the meeting of a local support group. She said, “Whatever you do, make sure at least one person reads it.”

”Of all the cancer related deaths, breast cancer is the second cause of death after lung cancer among women. This disease strikes the male population as well. An estimated 40,200 women will die of breast cancer this year, but many may be spared by early detection. Some medical providers may be offering low or no cost mammograms. Some referrals for information: Y-ME National Breast Cancer Organization 1 800 221 2141 National Alliance of Breast Cancer Organizations 1 888 806 2226 www.medicare.gov National Cancer Institute 1 800 422 6237 Komen Breast Cancer Foundation 1 800 462 9273 or 1 800 IM AWARE American Cancer Society 1 800 227 2345”

I had asked a friend to ask the group to let me sit in on one of the survivor meetings. When the group accepted my presence, we met in a comfortable lounge with five wonderfully vibrant women and two robust men, all ranging in ages from twenty-eight to sixty-four who had come together to talk about their battles of survival and their innermost feelings. They told me that they were twenty-two people but a few couldn’t make it to this session. Having two men in a group like this was unusual because men refuse to tell their problems in a group setting, especially about a disease like breast cancer that is known to be a women’s malady.

Celia, the first one who spoke, was twenty-four when her cancer was detected. Now, she is forty. She said, her cancer comes back uninvited every few years. She is currently under treatment again. There were times when she wanted to do away with herself to save her parents the heartache and trouble. She still has awful nightmares. The night before she had a hippopotamus chasing her into a lake filled with milk. Celia is a very bright woman. She doesn’t easily give in to depression and has an indomitable spirit. She said what she tells here to the group, she’d never tell to her family or to her doctors. The group has always understood and respected each other’s confidence.

During her first round of treatments, Celia got to know one of the male social workers. It was the best time in her life, although she looked awful with no hair and an uncontrollable nausea. He became her lover while she was in treatment. She said, he held her while she vomited, took off from his work to be with her on her bad days, and waited for her at the door while she was going through chemotherapy. As soon as she was given a clean bill of health, he left her; she was devastated.

“Why is it,” she asked the group, “Some men love women only when they are in despair?” Then she answered her own question, “Saving the damsel in distress syndrome! It inflates the male ego.”

I couldn't help but reflect that this affair had hurt Celia more than the illness. Still, she tried to have a positive attitude and considered herself a survivor, even though her cancer had returned again.

Eileen, the bubbliest in the group, was forty-one when the cancer was discovered. There was no breast cancer in her family. She was an athlete who ran every day and played singles tennis twice a week. She ate a low-fat diet with practically no red meat. Moreover she had a mammogram done when she was thirty-five and then another one when she turned forty. Both those mammograms’ reports were clean. Fortunately she examined herself frequently. Several months after her last mammogram she discovered a lump in her right breast. Three months later she went in for a follow up and had a biopsy. The diagnosis was benign but the doctor called her back in three months.

When she went back, the same spot showed some scar tissue. She wasn’t afraid because she trusted in her first biopsy. She said, at the time, she had a ‘this can’t happen to me’ attitude.

This time, however, things were very different. The breast cancer was in her body, but Eileen wasn’t going to give up. She obtained all the information she could get her hands on.

She says she went through a wide range of feelings. The strongest emotion she felt was anger. She went around the house kicking in the doors.

Eileen is one of the lucky ones. She is healthy at the moment and has finished her last reconstructive surgery. “Thanks to advances in medicine, my figure looks better than ever,” she said jokingly.

Martha has raised two children to adulthood after her cancer was discovered fourteen years ago. She has a wonderful, supportive, sunshiny attitude and she is a joy to be with. She has just retired from a twenty-five year teaching career.

Martha says she wasn’t always like this. She went through all the emotions and then some. Now, she is learning to play the guitar, something she yearned for all her life. She is also very active in the affairs of her church. She prefers to believe that she is living with the cancer with gusto and in spite of it. She has done a lot to bring about cancer awareness nationwide. She has even attended fancy parties without a wig. “I try to make at least one person aware per day,” she said.

The oldest one in the group that day was Paul. Paul was already suffering from skin cancer when the breast cancer was discovered four years ago. He went to see a surgeon in another state because this surgeon was one of the few doctors around who specialized in male breast cancer. Paul has a wry sense of humor. He described with motions the funny incidents of himself getting a mammogram and of being pulled like taffy when almost nothing was there to pull. He said all the bad feelings he had experienced were already finished with “the other C”, referring to his skin cancer. So there was nothing left for this one. As he put it, he has been through the “four horsemen”: Mastectomy, Chemotherapy, Radiation, Tamoxifen. He felt bad only when he discovered his wife weeping secretly before the mastectomy. He didn’t let her know he saw her. One person in the group suggested that maybe he should. He said he can’t handle that. Paul still cuts his own lawn and fixes things around the house but talking to the family about fears--his or theirs--is not his thing.

Sheila now believes that breast cancer is not a death sentence, even though her cousin, who was also her best friend, was diagnosed with this terrible disease around the same time as Sheila was diagnosed. Her cousin is no longer alive. “She always wondered what we did wrong,” she remembered. She felt, when her cousin died in a year and a half, her life had to come to a stop also. She went under extensive counseling because of it, and she discovered that her family, her children, and her life were the most important things.

Nowadays, Sheila sees her battle as a blessing. She believes her cousin would be living now if her cancer had been caught ahead of time. She volunteers at the clinic in her free time, especially counseling the newcomers.

When he too was diagnosed, Jonathan, the other man in the group, had already lost a sister and a cousin to this “woman’s disease”. He was furious. He blamed the medical profession, God, his mother, his wife, his co-workers, the government, and everybody in existence. After the surgery, he picked a fight with the doctors accusing them of not paying enough attention to him. Jonathan still felt that people were more compassionate to women with breast cancer. He said he didn't blame them because of the losses in his family but nobody knew how to give support to frightened men. “I am not afraid of showing my feelings on the subject but the medical profession is not ready for men with emotions,” he said.

According to him the best way is what they have now, the support group of survivors receiving encouragement from each other. He said, “There would be more men here if we could only get them to agree to talk about it.”

The last one of the group and the youngest, Karen, found a lump while she was in the shower. She immediately went to her doctor and asked for a mammogram and an ultrasound. The results were normal. They showed nothing nasty. Both the doctor and the radiologist thought that the lump was fibrocystic.

After a few months, Karen still had the lump. So Karen went to see a surgeon on her own. The surgeon also thought that the lump was fibrocystic. After two more months when she found few more lumps near the original lump, she forced the surgeon to remove them. On the surgeon’s recommendation, she went to have a needle biopsy one early morning. Later that day the pathologist called to inform her that she had breast cancer.

Wednesday, November 22, 2006

Breast Cancer; Facts and Figures

It would not be surprising, therefore, that any ailment or condition that endangers the look, health and functionality of this vital body part would be a real source of worry to every lady.

Breast cancer, despite all medical and technological advances, as been on the rise in the last 50 years or so. The figures that stare us in the face when we check the records are quite alarming. But, there is no running away from these figures, they are real.

It's alarming but it is true that there's more breast cancer now than ever before. It is true that between 1979 and 1986 the incidence of invasive breast cancer in the United States alone has increased 29 percent among white women and 41 percent among black women, and incidences of all breast cancers doubled. It's true that despite yearly mammograms and advanced medical and diagnostic technology the percentage of women dying from breast cancer has remained virtually unchanged over the past 50 years, and that every 12 minutes throughout the last half of the 20th Century another woman died of breast cancer.

It is also fact that more than two hundred thousand cases of breast cancer are diagnosed every year in the United States. In Canada about twenty thousand new cases, thirteen thousand in Australia and over forty one thousand in the UK. And it's true that breast cancer is the disease that women fear more than any other, that breast cancer is the biggest killer of all women aged 35 to 54, and that of the 2.5 million women currently diagnosed with breast cancer, half will be dead within ten years.

It really does not matter if you are 20 years old or 50 years old. You stand some risk of catching the monster. It is estimated that one in every nine women will get breast cancer at some period in her life

These are not pleasant tales. My purpose in painting these gory pictures, is not to scare anyone, but to make you see the importance of giving more attention to your breast. The more you know about breast cancer, the better.

Almost every woman is at risk of breast cancer, but records show that 80% of cases are found in woman over 50 years of age. There are several factors that can predispose one to breast cancer. Some are within your control and others are not. It therefore makes much sense to avoid the humanly controllable factors as much as possible. Most of these are the daily lifestyle choices we make. The problem is that these habits do not show the extent of damage they can cause to our body until we begin to get older, and by then the damage is done already.

Factors associated with breast cancer include:

- Taking an oral contraceptive pill
- Hormone replacement therapy
- Obesity and/or high fat diets
- Family history of breast cancer

It is worth stating here, however, that most breast cancers are hormonally related Other factors may also affecting the risk, include stress, carcinogens, excessive use of stimulants like alcohol, caffeine and cigarettes and exposure to pesticides and radiation.

Early detection of breast cancer is still the best guarantee of getting cured. Presently, six out of every seven patients diagnosed with breast cancer are cured at an early stage. However, if they are diagnosed when the cancer has become advanced, the cure rate falls to about one in seven. It is extremely important to catch breast cancer at an early stage if it is to be satisfactorily cured. This therefore makes knowing the symptoms very crucial.

Breast cancer, in its early stages hardly shows any sign at all. It does not cause any pain in most instances. Some of the symptoms associated with breast cancer include:

- Itching in the armpit or around the breast region
- Pink, red, or dark colored area (called erythematic) with texture similar to the skin of an orange
- Ridges and thickened areas of the skin of nipple or breast
- Appearance of a bruise that does not go away
- Nipple getting inverted
- Breast warm to the touch
- Pain in the breast which could vary from a constant ache to stabbing pains
- Change in texture as well as color of the skin around the nipple
- Change in the shape or size of a breast
- Dimpling of the breast skin
- Swelling or a lump in the armpit
- Discharge from the nipple

None of these symptoms is clear evidence of breast cancer, as most of the signs may also arise due to other conditions affecting the breast. Only a doctor can made a definite statement about the presence or otherwise of breast cancer after an exhaustive examination.

Know your breast, and how to self examine your breast and always report the slightest changes to a doctor. It's not worth taking chances with breast cancer. It's real and it's spreading like wild fire in the ever-polluted society we live in today. Do the little you can to keep your name off the breast cancer list, the sacrifice is worth it.

Tuesday, November 21, 2006

Determining Breast Cancer Risk Factors

Medical researches attempt to define risk factors in order to discover who is most likely to get a particular disease and also to find clues as to the disease's cause and thus to the prevention and cure.

A risk factor is usually determined by taking a large population of people - say 1,000-2,000 or more - and identifying a variety of features about them, determining who gets the disease under study and then seeing what the relationship is between the disease and the features that commonly occur within the group. It is important how the findings from population researches are being used. If you determine that out of your 2,000 people under study, 500 got the disease and all 500 drank milk as infants, you can't decide from this that milk-drinking causes breast cancer. If none of the 1,500 drank milk as infants, you might be on the right track; if; as is more likely, all 1,500 did drink milk, you've learned nothing except that most people drink milk as children.

Sometimes, as in the case of lung cancer and smoking, risk factors are dramatic and can make a clear difference to the individual's likelihood of getting the disease. Unfortunately, it usually doesn't work this way. In breast cancer, several risk factors, such as family history, have been identified. But so far, there is nothing comparable to the correlations found between cholesterol and heart disease, or between cigarette smoking and lung cancer. 70% of breast cancer patients have none of the classical risk factors in their background. It is important to understand this for two reasons. Overestimating the importance of risk factors can cause needless mental distress if you have one of them in your background. On the other hand, you may create a false sense of security if you don't have them. Most breast cancer patients do not have a family history of breast cancer. By virtue of being a woman, you are at risk of breast cancer.

Another thing to note is that the risk factors do not necessarily increase in a simple arithmetical fashion; if one risk factor gives you a 20% risk of acquiring breast cancer and another gives you another 10% chance, it doesn't always mean that you're up to 30%. The interaction of risk factors is a tricky and complicated process. One interesting example is in the studies on alcohol and breast cancer, which shows that women with other risk factors who also drank liquor didn't increase their risk very much, while women with no other risk factors who drank raised their risk dramatically.

Most breast cancer still occurs in white women over 50 - about 50% of cases. Your risk at age 30 is 1 in 5,900 / year. By age 40, it is 1 in 1,200 / year, so the risk of getting breast cancer before you're 50 is very small. The median age of diagnosis of breast cancer is 64, which means that half of women who get breast cancer will get it before age 64 and half will get it after. So whenever risk factors or breast cancer is discussed, it is important to correct for age. Other risk factors - family history, hormonal factors, etc. - will most likely cause breast cancer only in combination with rising age.

Another factor that needs to be considered is the effect of variability of ethnic groups. The risk of African-American women and other women of color is less than that compared to Caucasian women. This is a disease that is predominantly found in non-Hispanic white women. African-American women have rates similar to those of white women premenopausally. That won't necessarily be comforting news to African-American women, however, though it's less common in that group, it's often more deadly.

Monday, November 20, 2006

Inflammatory Breast Cancer

Inflammatory breast cancer, or IBC, is a rare form of breast cancer. It is estimated to occur in only 1 - 3% of all breast cancer patients. It usually occurs in post-menopausal women, but cases have been found in girls as young as 12 and in men. IBC is usually diagnosed at an earlier age than other forms of breast cancer and is more common in African American women than in Caucasian women. This cancer has a higher mortality rate because it is often misdiagnosed in the early, more treatable stages. However, advances in cancer research have improved the survival rate.

This cancer grows rapidly; your symptoms will appear in a matter of days or weeks. Women with inflammatory breast cancer often have no idea that they have breast cancer because IBC does not usually form a lump in the breast. Instead, this cancer forms 'sheets' of cancer cells making your breast feel thicker or heavier than usual. Other symptoms of IBC include swelling and tenderness of the breast, discoloration (usually red to purple) of the breast, itching or pain in the breast, dimpled or rough looking skin on the breast, swelling or crusting of the skin on the nipple and flattening or retraction of the nipple. Many of these symptoms mimic those of a breast infection, or mastitis. Mastitis usually causes a fever and usually occurs in younger breast-feeding mothers. Mastitis will respond to antibiotics. IBC, which has been documented in breast-feeding women, does not cause a fever nor respond to antibiotics.

Because the symptoms of IBC are so similar to mastitis and because inflammatory breast cancer is so rare, many doctors misdiagnose this cancer as mastitis. Patients are often prescribed multiple rounds of antibiotics because it doesn't clear up after the first round. If you have these symptoms and your doctor wants you to take more than one round of antibiotics, ask for a biopsy or referral to a breast specialist. You may have to be very aggressive to get the proper diagnosis. This is vital because the earlier this is diagnosed, the sooner you can begin treatment and the better your survival chances.

A proper cancer diagnosis usually results from elimination of mastitis as a culprit, with the symptoms still present and possibly getting worse. Your doctor may schedule you for a mammogram or a breast sonogram to confirm the diagnosis, but these are not very reliable with this cancer because the affected area may not show up. A biopsy is the most effective way to confirm diagnosis of this cancer, however it may still be wrong if your doctor biopsies the wrong area of your breast. Because this cancer does grow very rapidly, your doctor may also schedule other tests to determine if your cancer has spread to other organs in your body. This will affect your course of treatment.

Your treatment depends largely upon whether your cancer has spread to other organs of your body. You will most likely have a team of doctors talking with you, trying to determine the best course of treatment for you. You will receive aggressive treatment because inflammatory breast cancer is a late stage cancer. This means you will most likely receive chemotherapy, surgery and radiation therapy. You will most likely receive chemotherapy first because this cancer makes performing surgery first risky due to the skin changes it causes. Chemotherapy also works to shrink the size of the cancer, making it more likely that surgery will remove all of it. The surgery that most women choose with this cancer is a mastectomy, or complete removal of the affected breast. This is because the cancer is often widespread throughout the breast, making a surgery that preserves breast tissue highly unlikely.

During surgery, your surgeon will probably remove the lymph nodes under your arm to examine them for cancer. After surgery, you will most likely receive radiation therapy. Radiation therapy is used to kill any cancer cells that the surgeon may have missed and to help prevent the cancer from returning. Inflammatory breast cancer has a high incidence of recurrence, so your doctor may prescribe additional rounds of chemotherapy if you responded well to the previous rounds or hormone therapy if your cancer was the type that grew in the presence of estrogen.

Sunday, November 19, 2006

Breast Cancer - Did Toxic Anti Perspirant Deodorants Kill My Friends

When was the last time you tried to buy a plain old deodorant? I'm only asking because I can't find one anywhere, or rather I couldn't.

Instead, everywhere sold anti-perspirant deodorants and I just wanted the deodorant without the anti perspirant bit.

Why?

Well, in the last two years I have lost three friends to breast cancer and have had my own personal mammogram scare. Fortunately the biopsy was benign but even so it was a pretty traumatic experience and I began to wonder what on earth is going on.

I read in the paper last week that the rate for Breast Cancer is currently 1:9 and that all women aged between 50 and 69 should receive a free breast examination every two years. Unfortunately those ladies most at risk like my mother who is over 70 years of age don't qualify.

Another thing I discovered is that in a recent study carried out by Reading University in UK on breast cancer patients, every single tumour contained parabens.

Now parabens are common preservatives in several personal care products. They are derived from petrochemicals and personal and skin care manufacturers have a tendancy to call them 'organic preservatives' which gives the impression they are safe.

The reason they are able to do this is because the chemical term for 'organic' means anything that contains a carbon atom. Since crude oil comes from decaying leaves and living matter which existed thousands of years ago, its DNA contains carbon. Sneaky, eh?

The problem with parabens is that they mimic estrogen, apart from also causing allergic skin reactions and being eye, skin and respiratory tract irritants.

Found in body creams, lotions, body washes, anti perspirants and deodorants, parabens are used in more personal care products than practically any other synthetic ingredient.

Now deodorants reduce, cover up or eliminate the odours most of us would prefer to remain hidden and anti perspirants slow down the action of the sweat glands. They do this by obstructing the amount of perspiration that can be excreted.

That's the problem and why I was looking for a deodorant.

You see the sweat retarding agents are normally based on aluminium complexes and I know from bitter experience that aluminium is a neuro toxin. That means it attacks the neurons in the brain. It doesn't have to kill them, just disrupt them in some way and you get mental problems.

My son is autistic and you can read all about my run in with heavy metals including aluminium in my book Autism, Amalgam and Me - Jodi's Journey Continues. Aluminium has also been linked to Alzheimer's disease which has been predicted to triple by the year 2050. It's a horrible long destructive illness which tears families apart.

But back to the anti perspirant deodorants.

I don't know if you are aware of it but your skin is often referred to as your third kidney. It is the biggest eliminatory organ in your body and is a two way membrane. It will absorb 60% of whatever you put on it.

Toxins get in through hair follicles and sebaceous glands and are eliminated through perspiration. Now picture the scenario for most women.

We like to keep our underarms devoid of excess bodily hair so we shave. We also like to smell fresh, so we smooth on deodorants or anti perspirants to the area from which we've just removed this hair. As toxins enter the body via hair follicles and sebaceous glands they inevitably get inside our bodies but if we then block up our under arm sweat glands by using anti perspirant deodorants, how do they get out?

Seemingly, they don't and I wonder if that's why my three friends died of breast cancer and all those women had parabens in their tumours. What do you think?

Apparently a study of 400 American women found that those who shaved three times a week and applied deodorant at least twice a week were almost 15 years younger when diagnosed with cancer than women who did neither.

The answer, therefore, could be to stop shaving and let your natural body odours loose, or find a safer alternative. Thankfully I've managed to find just that in a 100% toxic synthetic chemical free deodorant which comes in three different aromas.