Friday, 10 May 2013

Complementary Techniques Standards for Safety and Effectiveness on protection of thebreast

Although many complementary medicine techniques have been used for centuries, the availability of scientific data on many of these techniques has been limited. However, researchers supported by the National Center for Complementary and Alternative Medicine are conducting well-designed studies of some complementary techniques, including acupuncture and massage.
Some complementary techniques have professional associations with developed standards, but many do not. And some therapies have several associations with different standards. In the United States, some complementary therapies require that practitioners be state licensed or certified to practice.
These complementary therapies require licensed or certified practitioners:
  • acupuncture
  • chiropractic therapy
  • massage (not all states require)
  • Shiatsu (not all states require)
Other therapies that don't require licensing do offer practitioners the option of being certified with a certification board. It's usually best to look for a certified practitioner for these therapies:
  • hypnosis
  • massage (in states that don't require licenses)
  • music therapy
  • Shiatsu
  • yoga
Some therapies can have risks or side effects for certain people.
If you have: Avoid these complementary therapies:
Lymphedema
  • Acupuncture
  • Some types of massage
  • Shiatsu
  • Yoga
Bleeding disorders or take blood thinners
  • Acupuncture
  • Chiropractic therapy
Low white blood cell count/are receiving chemotherapy
  • Acupuncture
  • Massage
  • Shiatsu
Irritated skin/are receiving radiation
  • Massage
  • Shiatsu
Weakened bones or osteoporosis
  • Chiropractic therapy
  • Massage
  • Shiatsu
  • Yoga
Mental illness
  • Hypnosis
  • Progressive muscle relaxation
Pregnancy
  • Aromatherapy
The bottom line is that there is no scientific evidence that any complementary therapy can cure cancer. Complementary therapies work best as part of your total treatment plan, combined with conventional medical treatments. Always talk to your doctor about any complementary therapy you would like to try. He or she can integrate it into your treatment plan and possibly recommend a practitioner.

Complementary & Holistic Medicine on protection of breast cancer

              The goal of complementary medicine is to balance the whole person — physically, mentally, and emotionally — while conventional medicine does its work. For many people diagnosed with breast cancer, complementary medicine has helped to:
  • relieve symptoms
  • ease treatment side effects
  • improve quality of life
Researchers are working to better understand the value and benefit of complementary medicine in breast cancer.
In this section, you can read:
What Is Complementary Medicine?
Learn about how complementary medicine works, points to consider, and costs associated with complementary techniques.
Types of Complementary Techniques
Explore a wide range of complementary therapy techniques — from acupuncture and yoga to prayer, music therapy, and massage.
The Healing Benefits
Discover how complementary therapies can help you manage the physical and emotional symptoms of breast cancer.
Is Complementary Medicine Safe and Effective?
Learn about the treatment standards, safety testing, and potential side effects associated with complementary medicine.
Finding a Practitioner
How do you tell if a complementary medicine practitioner is reputable? Learn how to find a skilled practitioner and what questions to ask before starting treatment.
Talking to Your Doctor
Learn how to discuss complementary medicine with your doctors and nurses.
What Doctors and Patients Say About Complementary Medicine
Hear from women who have used complementary therapies and doctors who recommend them.
Resource Guide
Get a list of trusted websites and books where you can learn more about complementary medicine and a list of places to find a skilled complementary medicine practitioner.
The medical experts for Complementary Medicine are:
  • Raymond Chang, M.D., and Pamela Yee, M.D., Meridian Medical Group, New York; Institute of East-West Medicine, New York; Albert Einstein School of Medicine, New York 
  • Lorenzo Cohen, Ph.D., Director of Integrative Medicine, The University of Texas M.D. Anderson Cancer Center, Houston, TX 
  • Beth Baughman DuPree, M.D., F.A.C.S., breast cancer surgeon, Comprehensive Breast Care Associates, Langhorne, PA; author of The Healing Consciousness.
  • Jane I. Hart, M.D., Preventive Medicine Consultations, Cleveland Heights, OH
  • Personal Quote

    "Some complementary therapies work better for some people than others—just like some chemotherapies are more effective for some women than others. I've gotten a lot of benefit from many complementary therapies, but you have to try some out for yourself. Look at your options and then decide what makes sense for you."

    —Janine, breast cancer. 

Treatment & Side Effects on breast cancer protection

In recent years, there's been an explosion of life-saving treatment advances against breast cancer, bringing new hope and excitement. Instead of only one or two options, today there's an overwhelming menu of treatment choices that fight the complex mix of cells in each individual cancer. The decisions — surgery, then perhaps radiation, hormonal (anti-estrogen) therapy, and/or chemotherapy — can feel overwhelming.
Breastcancer.org can help you understand your cancer stage and appropriate options, so you and your doctors can arrive at the best treatment plan for YOU.
In the following pages of the Treatment and Side Effects section, you can learn about:
Planning Your Treatment 
What types of treatment are available, the most likely sequence of treatments, treatment options by cancer stage, and fitting treatment into your schedule.
Getting a Second Opinion
Reasons for getting a second opinion about your treatment plan, how to go about getting one, and what to do once you’ve got it.
Surgery
Breast-conserving surgery (lumpectomy), mastectomy, and lymph node dissection, and what to expect from each. Also included: Prophylactic surgery and breast reconstruction.
Chemotherapy
How chemotherapy works, who should get it, different types and combinations, and side effects and how to manage them.
Radiation Therapy
How radiation therapy works, who it's for, advantages, side effects, and what to expect when you get it.
Hormonal Therapy
The link between hormones and breast cancer and how different groups of drugs — including ERDs, SERMs, and aromatase inhibitors — can affect that link. Also covered: Side effects of hormonal therapies
Targeted Therapies
How they work, who should get them, how they're given, side effects, and major studies.
Complementary & Holistic Medicine
How complementary medicine techniques such as acupuncture, meditation, and yoga could be a helpful addition to your regular medical treatment. Includes research on complementary techniques and ways to find qualified practitioners.
Drugs for Treatment and Risk Reduction
A reference list of drugs used to treat and reduce the risk of breast cancer, including how they work, to whom they are typically given, and side effects.
Treatments for Pain
Ways to treat cancer- and treatment-related pain, including types of medications and tips on talking to your doctors about pain.
Treatment Side Effects
A reference list of side effects and ways to manage them.
Lymphedema
All about lymphedema, including who is at risk, what to watch out for, how to reduce risk of lymphedema flare-ups, and how to find a lymphedema therapist.
Clinical Trials
What clinical trials are and how they work, why they're important, and how to find trials that may be appropriate for you.

Thursday, 9 May 2013

Breast Cancer Risk and Risk Factors on protection of breast cancer

By now you may be familiar with the statistic that says 1 in 8 women will develop invasive breast cancer. Many people misinterpret this to mean that, on any given day, they and the women they know have a 1-in-8 risk of developing the disease. That’s simply not true.
In reality, about 1 in 8 women in the United States — 12%, or about 12 out of every 100 — can expect to develop breast cancer over the course of an entire lifetime. In the U.S., an average lifetime is about 80 years. So, it’s more accurate to say that 1 in 8 women in the U.S. who reach the age of 80 can expect to develop breast cancer. In each decade of life, the risk of getting breast cancer is actually lower than 12% for most women.
People tend to have very different ways of viewing risk. For you, a 1-in-8 lifetime risk may seem like a high likelihood of getting breast cancer. Or you may turn this around and reason that there is a 7-in-8, or 87.5%, chance you will never get breast cancer, even if you live to age 80. How you view risk often depends on your individual situation — for example, whether you or many women you know have had breast cancer, or you have reason to believe you are at higher-than-normal risk for the disease — and your usual way of looking at the world.
Even though studies have found that women have a 12% lifetime risk of developing breast cancer, your individual risk may be higher or lower than that. Individual risk is affected by many different factors, such as family history, reproductive history, lifestyle, environment, and others.
For more information on understanding breast cancer risk and risk factors, visit the Lower Your Risk section of Breastcancer.org.
This section is designed to help you better understand breast cancer risk and some of the factors that can increase risk.
Initially, breast cancer may not cause any symptoms. A lump may be too small for you to feel or to cause any unusual changes you can notice on your own. Often, an abnormal area turns up on a screening mammogram (x-ray of the breast), which leads to further testing.
In some cases, however, the first sign of breast cancer is a new lump or mass in the breast that you or your doctor can feel. A lump that is painless, hard, and has uneven edges is more likely to be cancer. But sometimes cancers can be tender, soft, and rounded. So it's important to have anything unusual checked by your doctor.
According to the American Cancer Society, any of the following unusual changes in the breast can be a symptom of breast cancer:
  • swelling of all or part of the breast
  • skin irritation or dimpling
  • breast pain
  • nipple pain or the nipple turning inward
  • redness, scaliness, or thickening of the nipple or breast skin
  • a nipple discharge other than breast milk
  • a lump in the underarm area
These changes also can be signs of less serious conditions that are not cancerous, such as an infection or a cyst. It’s important to get any breast changes checked out promptly by a doctor.
The term “risk” is used to refer to a number or percentage that describes how likely a certain event is to occur. When we talk about factors that can increase or decrease the risk of developing breast cancer, either for the first time or as a recurrence, we often talk about two different types of risk: absolute risk and relative risk.

Absolute risk

Absolute risk is used to describe an individual’s likelihood of developing breast cancer. It is based on the number of people who will develop breast cancer within a certain time period. Absolute risk also can be stated as a percentage.
When we say that 1 in 8 women in the United States, or 12%, will develop breast cancer over the course of a lifetime, we are talking about absolute risk. On average, an individual woman has a 1-in-8 chance of developing breast cancer over an 80-year lifespan.

U.S. Breast Cancer Statistics on protection of breast cancer

  • About 1 in 8 U.S. women (just under 12%) will develop invasive breast cancer over the course of her lifetime.
  • In 2011, an estimated 230,480 new cases of invasive breast cancer were expected to be diagnosed in women in the U.S., along with 57,650 new cases of non-invasive (in situ) breast cancer.
  • About 2,140 new cases of invasive breast cancer were expected to be diagnosed in men in 2011. A man’s lifetime risk of breast cancer is about 1 in 1,000.
  • From 1999 to 2005, breast cancer incidence rates in the U.S. decreased by about 2% per year. The decrease was seen only in women aged 50 and older. One theory is that this decrease was partially due to the reduced use of hormone replacement therapy (HRT) by women after the results of a large study called the Women’s Health Initiative were published in 2002. These results suggested a connection between HRT and increased breast cancer risk.
  • About 39,520 women in the U.S. were expected to die in 2011 from breast cancer, though death rates have been decreasing since 1990 — especially in women under 50. These decreases are thought to be the result of treatment advances, earlier detection through screening, and increased awareness.
  • For women in the U.S., breast cancer death rates are higher than those for any other cancer, besides lung cancer.
  • Besides skin cancer, breast cancer is the most commonly diagnosed cancer among American women. Just under 30% of cancers in women are breast cancers.
  • White women are slightly more likely to develop breast cancer than African-American women. However, in women under 45, breast cancer is more common in African-American women than white women. Overall, African-American women are more llkely to die of breast cancer. Asian, Hispanic, and Native-American women have a lower risk of developing and dying from breast cancer.
  • In 2011, there were more than 2.6 million breast cancer survivors in the US.
  • A woman’s risk of breast cancer approximately doubles if she has a first-degree relative (mother, sister, daughter) who has been diagnosed with breast cancer. About 15% of women who get breast cancer have a family member diagnosed with it.
  • About 5-10% of breast cancers can be linked to gene mutations (abnormal changes) inherited from one’s mother or father. Mutations of the BRCA1 and BRCA2 genes are the most common. Women with these mutations have up to an 80% risk of developing breast cancer during their lifetime, and they are more likely to be diagnosed at a younger age (before menopause). An increased ovarian cancer risk is also associated with these genetic mutations.
  • In men, about 1 in 10 breast cancers are believed to be due to BRCA2 mutations, and even fewer cases to BRCA1 mutations.
  • About 85% of breast cancers occur in women who have no family history of breast cancer. These occur due to genetic mutations that happen as a result of the aging process and life in general, rather than inherited mutations.
  • The most significant risk factors for breast cancer are gender (being a woman) and age (growing older).
  • As of Jan. 1, 2009, there were about 2,747,459 women alive in the United States with a history of breast cancer. This includes women being treated and women who are disease-free.

Understanding Breast Cancer

SurgConsult
If you or a loved one has been diagnosed with breast cancer, it's important to understand some basics: What is breast cancer and how does it happen?
In this section, you can learn about how breast cancer develops, how many people get breast cancer, and what factors can increase risk for getting breast cancer. You also can learn more about signs and symptoms to watch for and how to manage any fears you may have about breast cancer.
Breast cancer is an uncontrolled growth of breast cells. To better understand breast cancer, it helps to understand how any cancer can develop.
Cancer occurs as a result of mutations, or abnormal changes, in the genes responsible for regulating the growth of cells and keeping them healthy. The genes are in each cell’s nucleus, which acts as the “control room” of each cell. Normally, the cells in our bodies replace themselves through an orderly process of cell growth: healthy new cells take over as old ones die out. But over time, mutations can “turn on” certain genes and “turn off” others in a cell. That changed cell gains the ability to keep dividing without control or order, producing more cells just like it and forming a tumor.
A tumor can be benign (not dangerous to health) or malignant (has the potential to be dangerous). Benign tumors are not considered cancerous: their cells are close to normal in appearance, they grow slowly, and they do not invade nearby tissues or spread to other parts of the body. Malignant tumors are cancerous. Left unchecked, malignant cells eventually can spread beyond the original tumor to other parts of the body.
The term “breast cancer” refers to a malignant tumor that has developed from cells in the breast. Usually breast cancer either begins in the cells of the lobules, which are the milk-producing glands, or the ducts, the passages that drain milk from the lobules to the nipple. Less commonly, breast cancer can begin in the stromal tissues, which include the fatty and fibrous connective tissues of the breast.
Over time, cancer cells can invade nearby healthy breast tissue and make their way into the underarm lymph nodes, small organs that filter out foreign substances in the body. If cancer cells get into the lymph nodes, they then have a pathway into other parts of the body. The breast cancer’s stage refers to how far the cancer cells have spread beyond the original tumor.
Breast cancer is always caused by a genetic abnormality (a “mistake” in the genetic material). However, only 5-10% of cancers are due to an abnormality inherited from your mother or father. About 90% of breast cancers are due to genetic abnormalities that happen as a result of the aging process and the “wear and tear” of life in general.
There are steps every person can take to help the body stay as healthy as possible and lower risk of breast cancer or a breast cancer recurrence (such as maintaining a healthy weight, not smoking, limiting alcohol, and exercising regularly). Learn what you can do to manage breast cancer risk factors.
Always remember, breast cancer is never anyone's fault. Feeling guilty, or telling yourself that breast cancer happened because of something you or anyone else did, is not productive.

Breast Cancer and Your Job on breast cancer protection

The impact of a breast cancer diagnosis on work life can vary from person to person. For some people, the effect is minimal. You may have an understanding supervisor, a flexible schedule, and an encouraging team to support you through treatment. For others, there might be some questions about how to manage work and treatment: What do I tell my boss? Should I take time off from work for treatment? How will I pay the bills?
This section offers ways to manage the emotional, physical, and legal aspects of balancing your job and your treatment:
  • Telling Your Boss and Co-workers about Your Breast Cancer Diagnosis
  • Working During Treatment
  • Taking Time Off Work for Treatment
  • Self-employed and In Treatment
  • Looking for a New Job
  • Recognizing and Responding to Discrimination at Work   
    The first question you may want to ask yourself when thinking about talking to your boss or coworkers about your breast cancer diagnosis is “Should I tell?” You don’t have to tell anyone at work, unless it is apparent that your diagnosis or treatment will interfere with your ability to work or your work schedule. Keep in mind that if you decide not to discuss your health at work, some questions may be raised if your productivity level is affected, or if you miss a lot of time at work due to treatment appointments.
    You might decide to just tell some people — your supervisor, your closest colleagues, or someone with whom you share responsibilities. Or, you could decide to tell everything to everyone, depending on how comfortable you feel. So how do you tell them, and what do you tell them? Keep in mind that people may react differently; you may receive great amounts of support from some coworkers, while others might not be as comfortable with the conversation.
    Your comfort is the most important, so do what feels right for you. Here are some things you might want to try to make the discussion a little easier:
  • Have the conversation in a comfortable, yet private area.
  • Talk to your co-workers in smaller groups of one to three people, to make conversation easier.
  • Assure your team of your commitment to your job. Explain that you will do everything in your power to do the best job you can. For example, you can ask someone to handle your duties when you’re not at work and you’ll follow up when you return.
  • Don’t be afraid to ask your co-workers for help and understanding. Explain that you may need some flexibility in your schedule and support in some projects.
  • Explain that you will keep everyone posted on your health as needed. Allow coworkers to ask some questions about your situation — most likely, they care and want to help. At the same time, if they seem to be asking too many questions, let them know that you appreciate their concern, but that you’d like to focus on work.
  • Discuss a possible change in your appearance. You may experience hair loss, for example, if you’ll be having chemotherapy treatments.

Wednesday, 8 May 2013

Vascular or Lymphatic System Invasion on breast cancer protection

The breast has a network of blood vessels (called the vascular system) and lymph channels (lymphatic system) that carry blood and fluid back and forth from your breast tissue to the rest of the body. They are the "highways" that bring in nourishment and remove used blood and the waste products of cell life.
Vascular or lymphatic system invasion happens when breast cancer cells break into the blood vessels or lymph channels. This increases the risk of the cancer traveling outside the breast or coming back in the future. Doctors can recommend treatments to help reduce this risk.
Your pathology report will say “present” if there is evidence of vascular or lymphatic system invasion. If there is no invasion, your report will say “absent.” Lymphatic invasion is different from lymph node involvement. The lymph channels and lymph nodes are part of the same system, but they are looked at and reported separately.
Grade is a “score” that tells you how different the cancer cells’ appearance and growth patterns are from those of normal, healthy breast cells. Your pathology report will rate the cancer on a scale from 1 to 3:
  • Grade 1 or low grade (sometimes also called well differentiated): Grade 1 cancer cells look a little bit different from normal cells, and they grow in slow, well-organized patterns. Not that many cells are dividing to make new cancer cells.
  • Grade 2 or intermediate/moderate grade (moderately differentiated): Grade 2 cancer cells do not look like normal cells and are growing and dividing a little faster than normal.
  • Grade 3 or high grade (poorly differentiated): Grade 3 cells look very different from normal cells. They grow quickly in disorganized, irregular patterns, with many dividing to make new cancer cells.
Having a low-grade cancer is an encouraging sign. But keep in mind that higher-grade cancers may be more vulnerable than low-grade cancers to treatments such as chemotherapy and radiation therapy, which work by targeting fast-dividing cells.
Be careful not to confuse grade with stage, which is usually expressed as a number from 0 to 4 (often using Roman numerals I, II, III, IV). Stage is based on the size of the cancer and how far it has (or hasn’t) spread beyond its original location within the breast.
Your pathology report may include information about the rate of cell growth — what proportion of the cancer cells within the tumor are growing and dividing to form new cancer cells. A higher percentage suggests a faster-growing, more aggressive cancer, rather than a slower, “laid back” one. Tests that can measure the rate of growth include:
  • S-phase fraction: This number tells you what percentage of cells in the sample are in the process of copying their genetic information, or DNA. This S-phase, short for “synthesis phase,” happens just before a cell divides into two new cells. A result of less than 6% is considered low, 6-10% intermediate, and more than 10% is considered high.
  • Ki-67: Ki-67 is a protein in cells that increases as they prepare to divide into new cells. A staining process can measure the percentage of tumor cells that are positive for Ki-67. The more positive cells there are, the more quickly they are dividing and forming new cells. In breast cancer, a result of less than 10% is considered low, 10-20% borderline, and high if more than 20%.
Although the S-phase fraction and Ki-67 level may provide you and your doctor with useful information, experts don’t yet agree on how to use the results when making treatment decisions. Therefore, not all doctors order these tests routinely, so they may not appear in your pathology report. The other results in your report will be much more important in making informed choices. (If you decide to have an Oncotype DX test to check the likelihood of cancer coming back and whether you could benefit from chemotherapy, Ki-67 will be included in that panel of testing.)

Non-Invasive or Invasive Breast Cancer

Non-Invasive Cells                                                         Invasive Cells
Breast cancer usually begins either in the cells of the lobules, which are milk-producing glands, or the ducts, the passages that drain milk from the lobules to the nipple. The pathology report will tell you whether or not the cancer has spread outside the milk ducts or lobules of the breast where it started.
Non-invasive cancers stay within the milk ducts or lobules in the breast. They do not grow into or invade normal tissues within or beyond the breast.
Non-invasive cancers are sometimes called carcinoma in situ (“in the same place”) or pre-cancers. Invasive cancers do grow into normal, healthy tissues. Most breast cancers are invasive. Whether the cancer is non-invasive or invasive will determine your treatment choices and how you might respond to the treatments you receive.
In some cases, a breast cancer may be both invasive and non-invasive. This means that part of the cancer has grown into normal tissue and part of the cancer has stayed inside the milk ducts or milk lobules. It would be treated as an invasive cancer.
A breast cancer also may be a “mixed tumor,” meaning that it contains a mixture of cancerous ductal cells and lobular cells. This type of cancer is also called “invasive mammary breast cancer” or “infiltrating mammary carcinoma.” It would be treated as a ductal carcinoma.
If there is more than one tumor in the breast, the breast cancer is described as either multifocal or multicentric. In multifocal breast cancer, all of the tumors arise from the original tumor, and they are usually in the same section of the breast. If the cancer is multicentric, it means that all of the tumors formed separately, and they are often in different areas of the breast.
In most cases, you can expect the breast cancer to be classified as one of the following.
  • DCIS (Ductal Carcinoma In Situ): DCIS is a non-invasive cancer that stays inside the milk duct.
  • LCIS (Lobular Carcinoma In Situ): LCIS is an overgrowth of cells that stay inside the lobule. It is not a true cancer; rather, it is a warning sign of an increased risk for developing an invasive cancer in the future in either breast.
  • IDC (Invasive Ductal Carcinoma): The most common type of breast cancer, invasive ductal carcinoma begins in the milk duct but has grown into the surrounding normal tissue inside the breast.
  • Less Common Subtypes of Invasive Ductal Carcinoma can include tubular, medullary, mucinous, papillary, and cribriform carcinomas of the breast. In these cancers, the cells can look and behave somewhat differently than invasive ductal carcinoma cells usually do.
  • ILC (Invasive Lobular Carcinoma): ILC starts inside the lobule but grows into the surrounding normal tissue inside the breast.
  • Inflammatory Breast Cancer: Inflammatory breast cancer is a fast-growing form of breast cancer that usually starts with the reddening and swelling of the breast, instead of a distinct lump.
  • Male Breast Cancer: Breast cancer in men is rare, but when it occurs, it is almost always a ductal carcinoma.
  • Paget’s Disease of the Nipple: Paget’s disease of the nipple is a rare form of breast cancer in which cancer cells collect in or around the nipple.
  • Phyllodes Tumors of the Breast: Phyllodes tumors are rare breast tumors that begin in the connective tissue of the breast (stroma) and grow quickly in a leaflike pattern. Some are cancerous, but most are not.
  • Recurrent and/or Metastatic Breast Cancer: Breast cancer that has returned after previous treatment or has spread beyond the breast to other parts of the body.

Your Diagnosis on breast cancer protection

Just as no two people are exactly alike, no two breast cancers are exactly the same, either. Your doctor will order a series of tests on the cancer and nearby tissues to create a “profile” of how the breast cancer looks and behaves. Some of these tests are done after the initial biopsy (removal of tissue sample for testing), others in the days and weeks after lumpectomy or mastectomy. Each time testing is done, your doctor receives a report of results from the laboratory. All of these lab reports together make up your complete pathology report.
Your pathology report is so important because it provides information you and your doctor need to make the best treatment choices for your particular diagnosis. Those decisions depend on knowing characteristics such as:
  • the size and appearance of the cancer
  • how quickly it grows
  • any signs of spread to nearby healthy tissues
  • whether certain things inside the body — such as hormones or genetic mutations (abnormal changes in genes) — are factors in the cancer’s growth and development
In this section you can read more about what your pathology report is likely to include and what the information means. If you’ve already been diagnosed with breast cancer and you see a test here that doesn’t appear in your report, don’t worry — not all of these tests are routine. Ask your doctor if you’re concerned about any tests that weren’t performed on your tissue. The laboratory keeps your tissue samples for a long time after surgery, so testing can be done later in the process of diagnosis if necessary.
For more help understanding your diagnosis, you can also use My Breast Cancer Coach. My Breast Cancer Coach is a questionnaire designed to help you better understand your type of breast cancer so you can focus on the information that's most relevant to you.
Visit the links below to learn about the different parts of your pathology report:
  • Getting Your Pathology Report
  • Non-Invasive or Invasive Breast Cancer
  • Cell Grade
  • Rate of Cell Growth
  • Tumor Necrosis
  • Size of the Breast Cancer
  • Surgical Margins
  • Vascular or Lymphatic System Invasion
  • Lymph Node Involvement
  • Ploidy (Number of Chromosomes)
  • Hormone Receptor Status
  • HER2 Status
  • Triple-Negative Breast Cancer
  • EGFR Status
  • Genomic Assays: Oncotype DX and MammaPrint
  • BRCA1 and BRCA2 Testing
  • Stages of Breast Cancer
  • What Does Prognosis Mean?
  • Your Diagnosis: Questions to Ask Your Doctor
  • Tools for Tracking Results: Mobile App
  • Tools for Tracking Results: Pathology Report Checklist

Tuesday, 7 May 2013

Standards for Safety and Effectiveness in Complementary Techniques helps on protection of breas tcancer

Although many complementary medicine techniques have been used for centuries, the availability of scientific data on many of these techniques has been limited. However, researchers supported by the National Center for Complementary and Alternative Medicine are conducting well-designed studies of some complementary techniques, including acupuncture and massage.
Some complementary techniques have professional associations with developed standards, but many do not. And some therapies have several associations with different standards. In the United States, some complementary therapies require that practitioners be state licensed or certified to practice.
These complementary therapies require licensed or certified practitioners:
  • acupuncture
  • chiropractic therapy
  • massage (not all states require)
  • Shiatsu (not all states require)
Other therapies that don't require licensing do offer practitioners the option of being certified with a certification board. It's usually best to look for a certified practitioner for these therapies:
  • hypnosis
  • massage (in states that don't require licenses)
  • music therapy
  • Shiatsu
  • yoga
Some therapies can have risks or side effects for certain people.
If you have: Avoid these complementary therapies:
Lymphedema
  • Acupuncture
  • Some types of massage
  • Shiatsu
  • Yoga
Bleeding disorders or take blood thinners
  • Acupuncture
  • Chiropractic therapy
Low white blood cell count/are receiving chemotherapy
  • Acupuncture
  • Massage
  • Shiatsu
Irritated skin/are receiving radiation
  • Massage
  • Shiatsu
Weakened bones or osteoporosis
  • Chiropractic therapy
  • Massage
  • Shiatsu
  • Yoga
Mental illness
  • Hypnosis
  • Progressive muscle relaxation
Pregnancy
  • Aromatherapy
The bottom line is that there is no scientific evidence that any complementary therapy can cure cancer. Complementary therapies work best as part of your total treatment plan, combined with conventional medical treatments. Always talk to your doctor about any complementary therapy you would like to try. He or she can integrate it into your treatment plan and possibly recommend a practitioner.

Monday, 6 May 2013

Changes in Your Sex Life of breast protection on cancer

The most uncomfortable stuff to talk about is probably your sex life and the changes that have taken place with your illness. You may not know what needs fixing or how to fix it, but you know things are different.
Many women report having less sex than before their illness, for several reasons:
  • The breast cancer experience slows down your body. It takes longer to do lots of things, including getting interested in and starting and finishing sexual intercourse.
  • Sex may be uncomfortable or even painful if you've been thrown into sudden-onset menopause. No surprise that you tend to have less sex, for now. Many women may have had little or no sex from the time of diagnosis through treatment.
Most people have wild ideas about what goes on in other people's bedrooms. Give yourself a break: The carefully researched book Sex in America (by Michael, Gagnon, Laumann, and Kolata) tells us that Americans have a lot less sex than the movies, television, and the guys in the locker room would have you believe. The averages reported in that book are:
  • seven times a month between ages 30 and 40
  • six times a month between ages 40 and 50
  • five times a month between ages 50 and 60
For people over 60, the numbers continue to decline. But although you may assume that no one in their 70s and 80s has a sex life, that's just not so.
Molly, 78, described her sex life after breast cancer treatment: "I stopped the action for a while, and then we went back at my request. He was waiting for me to give him the go-ahead." Hilda, an 82-year-old breast cancer survivor, explained that she didn't have a lover "at the moment." Sex goes on even into the 90s for some. And now with Viagra, who knows what new limits will be set?
Don't let the myths about other people's sex lives get in the way of what's happening in yours. And remember that there are exceptions to every pattern.
If your sex life is not working the way you want it to, your doctor or nurse may be able to referee these issues with your partner and you. You can cue your doctor in advance, since he or she has most likely already touched on delicate issues with you. Maybe he or she can be the tour guide for the two of you. If your partner is there when you talk with the doctor who's managing your care, you and your partner both get a chance to air and dispel fears, and replace myths and false information with facts.

Expert Quote

One of my patients had told me that her breasts had been a crucial part of her sexual life before the discovery of her disease. She had breast cancer in both breasts, treated with l lumpectomy and radiation. Her breasts looked great—but her husband was ignoring them completely. I scheduled an appointment that included her husband and was able to reassure him that her breasts would not be harmed by fondling, kissing, or whatever; that he could not catch cancer; and that she was not radioactive. They quickly resumed their former lovemaking habits.
Robin M. Ciocca, D.O.

You and Your Partner about sex and breast cancer protection

What do partners of breast cancer patients care most about? In spite of what you may imagine or fear, studies show that the answer is simply this: Their loved one is alive and feeling well. The loss or alteration of a breast is almost meaningless in contrast. "I don't care what they take from you as long as I can see your face" is a common sentiment. Most caring partners (both men and women) see their lovers as having many parts to love, and as being more than the sum of those parts.
Nobody is promising there won't be ups and downs. While you're worrying about feeling less attractive, your partner is also dealing with worry, anxiety, and maybe even guilt, wondering: "Could I have been responsible? Could I in some way have contributed to the cancer? Will I become radioactive if I touch her, if I touch her breast? Is her cancer contagious?" And (perhaps feeling guilty), "When will I be able to worry about myself for a change?"
It may be hard for you figure out your needs and concerns, let alone tell them to your partner. You don't want to make light of what your partner has already done for you, so phrase your requests as carefully and positively as possible: "You've been working so hard, doing so much—and it's made a huge difference. But what I really need right now is to be close to you and tell you what's making me nervous and anxious. I need you to listen, and maybe just hold me."

Communication's the key

Communication—talking to each other, listening to each other—is the basis of any intimate relationship. But most people haven't a clue about how to talk about something as big as cancer. So here are some tips to get you started:
  • Find some time. Most couples have limited time together anyway. A breast cancer diagnosis just adds more distractions. Even when you do get to talk, there are so many interruptions the conversation may go nowhere. Schedule some time in a quiet place where you know you won't be interrupted.
  • Start somewhere. Begin by talking about something comfortable and manageable—your vacation plans, even the weather. Once you're talking, then you can work the conversation around to your fears, concerns, how the illness has changed you, and the importance of your relationship.
  • Talk, talk, talk. Even if your partner isn't a good talker, that doesn't mean he or she isn't listening. You may need to do most of the talking yourself but, believe it or not, what you're saying WILL be heard and it WILL sink in. Stop along the way to get feedback. Eye contact and touch can give your words greater meaning and emphasis.
  • Reassure your partner. Your partner may feel that you've got enough to deal with without listening to someone else's fears and concerns. Make it clear that you WANT to hear how he or she is feeling, that you're both in this together.
  • Bring in a third party. If you're both having trouble communicating, a visit with a therapist can get the ball rolling.
  • Write it down. Sometimes it's much easier to write how you're feeling in the form of a letter or even a journal entry than to say it face to face.
Breast cancer is not good for relationships, but good relationships can be made stronger by sharing hardship. Your partner may have doubts, and miss and mourn the "old" you, just as you may be doing. But that doesn't mean he or she is prepared to trade you in. "My husband stood by while I cried and screamed, and he hugged me when I let him get close enough," said Debra. "Our marriage is better now than it ever was before."

Should you be in this relationship?

If you see yourself as damaged goods, you probably assume your partner feels as you do. But that simply isn't a given.
One consequence of feeling less than lovable is fear of being abandoned. It's true that in some cases a man sees his partner's altered body as a personal reflection of his value—and just wants out. Other partners simply come apart under stress.
Overall, though, following a diagnosis of breast cancer, as many women leave their husbands as are left by husbands. They don't want to waste their time in an unfulfilling, unhappy marriage.

Sex and Intimacy on breast cancer protection

Many women find that breast cancer diagnosis and treatment seriously disrupt their sexual lives. First there are the most obvious issues—the physical changes, exhaustion, nausea and pain from treatment, self-image, empty energy reserves, and the emotional chaos from the diagnosis itself. But there are also many other issues that women and their partners may not even know they'll have to face.
Yet retaining intimacy in your relationship both during and after your breast cancer ordeal is critical to your overall recovery. And single women who want to become part of a relationship worry how breast cancer will affect their prospects, about how and when to tell those prospective lovers about their condition.

Personal Quote

Vicky Cosgrove was married nearly 20 years and had four children, ages 6 to 17, when she was diagnosed with breast cancer in February 2000. Yet after a year in which she had a bilateral mastectomy and reconstruction, chemotherapy and radiation, and began taking tamoxifen, she says her intimate life with her husband has never been better. "Maybe it has something to do with feeling that we shouldn't waste our time, maybe it's that I feel he's even more in tune with my needs," she says. "But he's just become a much more giving person."

Flawed marriages don't have to come apart, with or without breast cancer. Divorce rates are not higher among couples in which a woman has had breast cancer. Sometimes the shock of a cancer diagnosis pushes partners in a troubled relationship to consider the source of their problem and seek counseling.
Or YOU may be the one who responds unpredictably. One very independent woman became overwhelmed, uncertain, and very dependent when her breast cancer was diagnosed. This new "frailty" devastated her, and her marriage went through a rough spell till she finally returned to something of her old self.

Talking, telling, supporting each other

It would be nice to have a partner who understands and helps you feel better as you work to get back your old confidence, but that may just be unrealistic. He or she is probably suffering, too, and may be less able to express that suffering than you are. So each of you have all this emotion buried somewhere inside.
Ginny could not understand her husband's silence. "What's the matter with you? Why don't you talk to me about what's happening? I have CANCER! I could die! Say SOMETHING!" Ginny felt as though she was yelling at a stone wall.
Breast cancer has become so common that most men have someone close in their life who has suffered the disease. There's no way to predict how any man will respond, but there is no doubt that many men are supportive and prepared to continue the relationship.
Women may find it easier to talk to one another, and lesbian partners may be particularly sensitive and supportive. It is also true, however, that a woman may feel especially vulnerable and personally threatened if her partner has breast cancer, knowing this disease is one that can affect her as well.



Sunday, 5 May 2013

Types of Exercise helps on breast cancer

There are three basic types of exercise:
  • Aerobic Exercise: increases your heart rate, works your muscles, and makes you breathe faster and harder
  • Flexibility Exercise: may include stretching, foam rolling, yoga, tai chi, and Pilates
  • Strength/Resistance Exercise: may involve barbells and weight plates or dumbbells
Examples of each type of exercise are in this section, as well as the benefits it offers, the equipment you’ll probably need, and where you can do it. The ideal exercise program contains all three types, plus warm-up and cool-down sessions. That may sound like a lot, but after you have your doctor’s approval to start exercising, you can start slowly and gently and then gradually extend the time you work out.
According to an exercise survey Breast cancer did October through November 2011, quite a few of our visitors -- 82% of respondents -- walk  for exercise. Other top exercise choices were weight lifting (35%), cycling (29%), yoga (28%), and running (23%).
If you’re starting a new exercise program after breast cancer surgery, adding any additional aerobics to your routine can potentially overwork the arm on the surgery side. For example, if you start an exercise program designed specifically for breast cancer survivors, wait to use an elliptical machine, play tennis, do cross-country skiing, or anything else that works your arm until your arm is stronger. It may be too much right after surgery.

Finding an Exercise Trainer on protection of breast cancer.

If you’re planning to do strength training after breast cancer treatment, you may want to work out with a certified trainer (or physical therapist trained in lymphedema diagnosis and management) who has experience working with breast cancer survivors. A qualified trainer can help you start slowly, teach you precautions to take and push you enough but not too much.
Make sure your trainer is certified by a national trainer organization. The American College of Sports Medicine, the National Association of Sports Medicine, and the American Council on Exercise are three well-known, respected organizations, but there are others that are also good.
A trainer who has a cancer and exercise training certification from the American College of Sports Medicine has done additional training to work specifically with people who’ve been diagnosed with cancer. After completing the cancer and exercise training program, a trainer will “understand the potential impact of cancer therapy, especially surgery and chemotherapy, in putting cancer patients at increased risk of injury and other complications, such as lymphedema, from exercise.” You can search for a cancer and exercise-certified trainer on the American College of Sports Medicine website.
The PALS for Life training program teaches trainers to work specifically with breast cancer survivors. This program is based on the protocol used in the Physical Activity and Lymphedema trial. Visit the PALS for Life website to find a PALS for Life-qualified trainer.
While a college degree isn’t necessary to be a good trainer, a degree in a field related to exercise physiology means the person has that much more education.
Here are some questions to ask a potential trainer:
  • Have you worked with breast cancer survivors before?
  • Are you certified? If so, which organization is your certification from?
  • Do you hold a cancer and exercise-training certification?
  • May I have the names of three of your current client references?

Exercise on breast cancer protection.

Regular exercise is an important part of being as healthy as you can be. More and more research is showing that exercise can reduce the risk of breast cancer coming back (recurrence) if you've been diagnosed, as well as reducing the risk of developing breast cancer if you’ve never been diagnosed.
Breastcancer.org visitors know how important exercise is. According to a survey we did in October and November 2011, 70% of people who answered the survey exercised regularly and 23% exercised less often. But they were still exercising!
A roundtable convened by the American College of Sports Medicine in 2010 reviewed available research and concluded that exercise is safe during and after all breast cancer treatments (as long as you take any needed precautions and keep the intensity low) and improves physical functioning, quality of life, and cancer-related fatigue. There also is evidence that exercise can help breast cancer survivors live longer and lead a more active life.
In this section, you can read about the benefits of exercise for people diagnosed with breast cancer, types of exercise, and when you can exercise, both during and after treatment.
Why Exercise?
Exercise can lower your risk of breast cancer coming back, as well as help you maintain a healthy weight, ease treatment side effects, boost your energy, and more! Read about the many ways exercise is good for you.
Exercise Safely
Learn how to start exercising safely by following these nine steps.
Finding an Exercise Trainer
If you’re planning to do strength training, you may want to work out with a certified trainer or therapist who has experience working with breast cancer survivors. Learn how to find one in your area and the questions to ask before you sign a contract.
Types of Exercise
Read about the three types of exercise -- aerobic, strength/resistance, and flexibility -- and learn why you need to do each. There’s also information on intensity levels and how to measure how intense your exercise is.
Exercise During and After Treatment
Research shows that it’s safe to exercise during all types of breast cancer treatment, as long as you take certain precautions and keep the intensity low. Learn what you can do and when and how to stick to your exercise routine.
How to Stick to an Exercise Routine
After your initial enthusiasm wears off, use these tips recommended by other women and experts to stick to your routine.
Exercise Resource Guide 
Browse a list of links to websites offering information on exercise for breast cancer survivors, including warm-up and stretching exercises.
Exercise Testimonials
Read about what motivates other women diagnosed with breast cancer to stick to their exercise plans, tips they use to get moving even when they don’t want to, and the moves that keep them glowing and fit.
The experts for Exercise are:
Linda T. Miller, P.T., D.P.T., C.L.T., clinical director of the Breast Cancer Physical Therapy Center, LTD. Dr. Miller specializes in treating post-operative complications of breast cancer surgery, including lymphedema, and also heads Recovery In Motion, LTD, a network of facilities that use Miller’s Recovery In Motion education and treatment program for breast cancer rehabilitation. Linda teaches continuing education programs nationally and has published several articles on post-operative breast cancer rehabilitation and breast cancer-related lymphedema.
Nancy J. Roberge, P.T., D.P.T., M.Ed., Legislative Chair of the Oncology Section of the American Physical Therapy Association. Dr. Roberge is the director of Chestnut Hill Physical Therapy and focuses her work on helping women move through breast cancer diagnosis, recovery, and beyond, achieving the highest quality of life possible. She has developed a two-day comprehensive breast cancer rehabilitation course and teaches nationally and internationally.

Saturday, 4 May 2013

What Happens to Food in Your Body on protection of breast cancer

Just thinking about eating causes your body to start secreting insulin, a hormone that helps keep blood sugar (glucose) under control. Insulin is made by the pancreas. As you eat, more insulin is released, in response to the carbohydrates in the meal. Insulin is released when you eat protein-rich foods, but at a slower rate. If your pancreas is functioning properly, the amount of carbohydrates in what you’re eating usually determines how much insulin is released.
As you digest carbohydrates, they go into the blood stream as glucose. To keep blood sugar levels under control, insulin signals the cells in your body to take in glucose from the blood stream. The cells use some of glucose for energy and store some for later use. The way glucose is stored depends on the type of cell doing the storing. Muscle cells store glucose as glycogen. Liver cells store some glucose as glycogen and convert some to fat. Fat cells store glucose as fat.
A special note about high-fructose corn syrup: High-fructose corn syrup was introduced in 1978 and replaced the sugar in most soft drinks by about 1985. Total yearly sugar consumption (which excludes artificial sweeteners) immediately increased from 120 pounds per person to 150 pounds per person. High-fructose corn syrup is 55% fructose, 42% glucose, and 3% other carbohydrates. One important fact about fructose: it’s the carbohydrate your body converts to fat most easily. When you digest high-fructose corn syrup, much of the glucose in it ends up in the blood stream, raising your blood sugar levels. But the fructose in high-fructose corn syrup is processed almost totally in the liver, which has the proper enzymes to do the job. So fructose has no immediate effect on blood sugar and insulin levels, but there are lots of long-term effects.
Your liver isn’t designed to process the amount of fructose most people eat today. Fruit has fairly small amounts of fructose – a cup of blueberries has about 30 calories of fructose in it. But soft drinks or juices sweetened with high fructose corn syrup have much higher amounts – 12 ounces of Pepsi or Coke has 80 calories of fructose; 12 ounces of apple juice has 85 calories of fructose.
Your liver’s answer to this flood of fructose is to turn most of it into fat and ship it to your fat tissue. At the same time, the glucose that comes with the fructose in high-fructose corn syrup raises your blood sugar levels and makes your body secrete insulin, which tells your fat cells to store whatever comes their way, including the fructose processed into fat coming from your liver.
The more high-fructose corn syrup you eat and the more years you spend eating it, the more your body adapts by converting high-fructose corn syrup to fat. Over time, you accumulate fat in your liver (a condition called “fatty liver disease”). So while fructose has no immediate effect on your blood sugar and insulin, after a few years it will likely cause you to store calories as fat.
As glucose is removed from the blood stream, insulin levels go down and your cells start using fat for fuel instead of glucose. This is why you can go for long stretches – overnight, for example, when you’re sleeping, without eating. Your cells rely on fat for fuel.
There are two types of body fat: fatty acids and triglycerides. Fatty acids are small enough to move in and out of cells and be used as fuel for cells. Fat is stored inside fat cells as triglycerides, three fatty acids bound together. Triglycerides are too big to flow through cell membranes and so are stored for future use.
Insulin also plays a major role in telling your body when to store and use fat and protein. It does this by affecting the actions of two enzymes, lipoprotein lipase (LPL) and hormone-sensitive lipase (HSL).
LPL sits on the surface of cells and pulls fat out of the bloodstream and into the cell. If LPL is on a muscle cell, it pulls fat into the cell where it’s used for fuel. If LPL is on a fat cell, it pulls fat into the cell and makes it fatter.
It’s important to know that the hormone estrogen suppresses LPL activity on fat cells. This could be one reason why some women gain weight after menopause or after breast cancer treatment that dramatically decreases estrogen levels. With less estrogen in the body, LPL can pull more fat into fat cells and store it there.
The HSL enzyme works to make fat cells leaner by breaking down triglycerides into fatty acids that then can leave the fat cell and be used as fuel by other cells. So the higher HSL levels, the more fat we break down and burn.
Insulin reduces HSL enzyme levels, which stops triglycerides from being broken down and means more fat is stored in fat cells. When insulin levels are up even a little bit, fat accumulates in fat cells.

How Your Body Gets Nutrients from Foods

Eating a wide range of foods that include a variety of nutrients is the easiest way to have a healthy diet.
On this page, you'll learn why your body needs each of the following nutrients, and which foods you'll find them in:
  • Proteins
  • Carbohydrates
  • Fats
  • Vitamins and minerals
  • Water
Proteins give your body amino acids — the building blocks that help your body's cells do all of their everyday activities. Proteins help your body build new cells, repair old cells, create hormones and enzymes, and keep your immune system healthy. If you don't have enough protein, your body takes longer to recover from illness and you're more likely to get sick in the first place.
During treatment for breast cancer, some people may need more protein than usual. Good sources of protein are lean meat, fish, poultry, and low-fat dairy products, as well as nuts, dried beans, peas, and lentils.

Carbohydrates give you quick energy — they quickly go into your blood as glucose (blood sugar), which your body uses for fuel first, before turning the leftovers into fat.
Fruits, vegetables, bread, pasta, grains, cereal products, crackers, dried beans, peas, and lentils are all good sources of carbohydrates. Many of them are also good sources of fiber, which your digestive system needs to stay healthy.
Sugar (white and brown), honey, and molasses are also carbohydrates. But these types of carbohydrates are high in calories and don't offer any other benefits (like vitamins and minerals). Whole grains and fruits and vegetables are healthier sources of carbohydrates than refined grains and sugars.
Fats give your body the fatty acids it needs to grow and to produce new cells and hormones. Fat also helps some vitamins move through your body. Vitamins A, D, E, and K are fat-soluble vitamins, which means they need some fat to be absorbed. They are also stored in the fatty tissues in your body and the liver. Fat also helps protect your organs against trauma. Your body stores excess calories as fat, which is saved up as reserve energy.
Fats give you more concentrated calories than carbohydrates or proteins. In other words, a teaspoon of fat will have more calories than a teaspoon of carbohydrate or a teaspoon of protein.

Understanding Food Groups on breast cancer protection

Fruits and vegetablesA diet rich in fruits and vegetables is recommended by cancer experts as well as registered dietitians. The American Cancer Society and the American Institute for Cancer Research recommend eating 5 or more servings of a variety of vegetables and fruits each day to ensure that your cancer risk is as low as it can be. The United States Department of Agriculture (USDA) 2005 Dietary Guidelines for Americans recommend 9 servings of fruit and vegetables each day. This sounds like a lot, but it's really only about 2 cups of fruit and 2 1/2 cups of vegetables.
Nutrition experts say that variety is key, because different fruits and vegetables have different nutrients. Plus, if you eat too much of one thing, you might get bored. One way to eat a variety of fruits and vegetables is to eat foods with all the colors of the rainbow. Green is broccoli. Red is peppers. Yellow is a banana. Purple is eggplant. Orange is an orange. Or try to eat dark green vegetables (think spinach, collard greens, or kale) at one meal, and orange (carrots, sweet potatoes, or squash) the next. Cut up an apple into your morning cereal and have a peach with your lunch. Frozen raspberries or blackberries are a yummy dessert. Be creative!

Whole grains

USDA guidelines recommend 3 ounces or more of whole grains per day. Whole grains still have the bran and the germ (the core of the grain kernel) attached and have more fiber, minerals, and vitamins than refined grains. The refining process removes the bran and germ from the grain.
You can't tell if a food is made from whole grain by looking at its color — you have to read the label. The ingredients should say "whole" or "whole grain" before the grain's name, "whole grain wheat," for example. Brown rice, bulgur, oatmeal, and barley are examples of whole grains that are eaten on their own. Both the American Institute for Cancer Research and the American Cancer Society recommend choosing whole grains over refined grains. To be considered high in whole grains, bread must have 2 to 3 grams of fiber per slice, and cereals must have at least 6 or more grams of fiber per serving. Some examples are Multi-Bran Chex cereal by General Mills (7 grams of fiber per serving) and Flax and Fiber Crunch cereal by Back to Nature (9 grams of fiber per serving).

Meat and beans

Meat is a good source of the protein and fatty acids you need for energy and health. Red meat also contains iron, which is especially important for women. But meat also has high levels of saturated fat and cholesterol, and a study done in 2006 found that eating more than 1 1/2 servings of red meat per day may increase breast cancer risk. The USDA guidelines recommend 5 1/2 ounces of meat (defined to include chicken and fish) per day, or meat substitutes (vegetable protein products) or beans if you prefer not to eat meat. If you do eat meat, poultry, or fish, try to choose lean cuts and opt for chicken or fish most of the time. If you don't eat meat, you may need to add nuts, seeds, or beans to your diet to ensure that you're getting enough protein and iron.
Eggs are also included in this category. One egg equals a 1-ounce serving of meat.

Milk and dairy

The USDA recommends that you eat one of these options every day:
  • 3 cups of low-fat/fat-free milk or yogurt (that's a little more than 3 6-ounce containers of yogurt)
  • 4.5 ounces of low-fat/fat-free natural cheese, such as cheddar (about 4 slices)
  • 6 ounces of low-fat or fat-free processed cheese, such as American (about 6 slices)
Alternatively, you can mix portions of the above choices as long as they add up to the equivalent of the recommended amount. For example:
  • 1 1/2 cups of low-fat/fat-free milk and 3 ounces of processed cheese
  • 1 cup of low-fat/fat-free milk, a 6-ounce container of yogurt, and 1 1/2 ounces of natural cheese
Processed cheese has less calcium than natural cheese. That's why you need to eat more of it per day. Processed cheese is made from natural cheese and other ingredients. It is pasteurized and has more moisture so it can be stored longer and melt easier.
If you don't like or can't drink milk or milk products, make sure you get enough phosphorus, vitamin A, calcium, and vitamin D from other food sources. Examples include carrots, sweet potatoes, winter squashes, broccoli, dark green leafy vegetables, salmon, sardines, and fortified cereals.
If you are lactose intolerant, you might want to try lactase supplements.

Fats and oils

You need some fat in your diet, but not very much. The USDA guidelines recommend that you get no more than 35% of your daily calories from fat.
There are three main types of fats:
  • Saturated fats are the "bad" fats that raise your cholesterol levels. Saturated fats are found in animal products such as whole milk, cheese, ice cream, fatty meats, and some vegetable oils, such as palm and coconut oils. Saturated fat also includes trans fat, found in shortening, stick (or hard) margarine, cookies, crackers, snack foods, fried foods, doughnuts, pastries, baked goods, and other processed foods made with or fried in partially hydrogenated oils.
  • Monounsaturated fat and polyunsaturated fats are the "good" fats that help lower your LDL cholesterol. These types of fats are found in fish and foods from plants such as vegetables, nuts, and grains, as well as oils made from these nuts and grains (canola, corn, soybean).

What Does Healthy Eating Mean on breast cancer protection.

Healthy eating means eating a variety of foods that give you the nutrients you need to maintain your health, feel good, and have energy. These nutrients include protein, carbohydrates, fat, water, vitamins, and minerals.
Nutrition is important for everyone. When combined with being physically active and maintaining a healthy weight, eating well is an excellent way to help your body stay strong and healthy. If you have a history of breast cancer or are currently undergoing treatment, eating well is especially important for you. What you eat can affect your immune system, your mood, and your energy level.
No food or diet can prevent you from getting breast cancer. While researchers are still studying the effects of eating unhealthy food on breast cancer and recurrence risk, we do know that being overweight is a risk factor for both first-time and recurrent breast cancer. In this section, you can learn how to eat in a way that keeps your body as healthy as it can be.
Read on for information about food groups, nutrients, how to create a healthy eating plan, how to figure out portions, and how enjoy your food without overeating.
In this section, you can read about:
  • Understanding Food Groups
  • How Your Body Gets Nutrients from Foods
  • What Happens to Food in Your Body?
  • Designing a Healthy Eating Plan
  • Portion Size
  • Enjoying Your Food

Nutrition on protection of breast cancer

Nutrition — giving your body the nutrients it needs — is important for everyone. When combined with exercising and maintaining a healthy weight, eating well is an excellent way to help your body stay strong and healthy.
If you're currently undergoing treatment for breast cancer or have been treated for breast cancer in the past, eating well is particularly important for you. In this section, you can read about healthy eating and what and how to eat during and after treatment.
What Does Healthy Eating Mean?
Healthy eating means eating a variety of foods that give you the nutrients you need to maintain your health. Find out how to balance your diet and manage your portion sizes.
Healthy Eating During Treatment
If you're recovering from surgery, or receiving chemotherapy, radiation, or other breast cancer treatment, your focus is on getting rid of the cancer. Eating well will help you stay strong for this fight by giving your body the nutrients it needs. Read about how you can eat to manage your weight, reduce fatigue, build your energy, and get enough fluids.
Healthy Eating After Treatment
Healthy eating and physical activity after treatment are important as you recover from treatment and begin your life beyond breast cancer. Learn about eating to manage your weight and how to create a healthy eating plan that includes exercise.
Nutrition and Breast Cancer Risk Reduction
In this section you can find out what we know today about the impact of food on breast cancer risk. Read about foods that contain healthy nutritional compounds, understand what "organic" and "genetically modified" really mean, and learn how to choose and prepare foods in ways that lower the risk of food-bourne illnesses.
Dietary Supplements
Many women with breast cancer take dietary supplements such as vitamins, minerals, and herbs hoping it helps them to stay strong. Learn about suggestions for using supplements.
Nutrition Resources
In this section, you can browse a comprehensive list of links to nutrition web sites offering information on dietary guidelines, dietary supplements, research, nutrition labels, food safety, and more.

Friday, 3 May 2013

Chutney for the Holidays on breast cancer protection

The holidays are such a festive time of year – travel to see family, visits with friends, and parties galore.
When catching up, I always like to bring a small gift to share. But it can be hard to know just what to bring — and I don’t like to spend time wandering aisles for that perfect something. So a few years back, I decided to make a homemade gift: my favorite chutney. Everyone enjoyed it so much that I now make it every year.
I can make a batch in less than an hour, and then store it in pretty glass jars in the refrigerator. When I need a gift, I pull one out, tie on a ribbon, and it’s ready for on-the-go giving.
It feels good sharing a little something from my home with others. I also like that it’s full of healthy fruits and vegetables. The cranberries, raisins, pears, and onions all have a good dose of fiber, plus they’re full of antioxidants. (Antioxidants help strengthen the immune system and may reduce the risk of heart disease, cancer, and other conditions.) Ginger can help ease indigestion and nausea. Cinnamon, cloves, and allspice may help reduce inflammation in the body.
Yes, of course — there’s some sugar too — but it’s the holidays, after all!
Dr. Weiss’s Holiday Chutney (Cranberry-Pear-Raisin Chutney)
1 lb cranberries (fresh or frozen)
3 ripe pears (preferably Bosc), peeled and diced
1 large sweet or red onion, chopped fine
½ cup raisins
1 cup water
1 cup brown sugar
2 tsp cinnamon
¼ tsp ground cloves
2 tsp fresh, finely chopped ginger (or 1½ tsp powdered ginger)
¼ tsp allspice
Place all ingredients into a stock pot with a thick bottom so it doesn’t burn. Bring to a boil over moderate heat, stirring often. Reduce heat to medium for 20 minutes, and then reduce heat to low for 20 more minutes, stirring regularly.
Let cool and then store in jars. Chutney will last for 2 weeks in the refrigerator, or it can be frozen. Makes enough for about 8 jelly-sized jars.
This chutney is wonderful served as a topping for soft cheese on a slice of fresh bread. It’s also a perfect condiment for turkey, chicken, fish, or veggie burgers. It also goes well with plain yogurt (I prefer Stonyfield Greek-style 0% fat).
I hope you’ll enjoy this chutney as much as I do. Do you have a favorite homemade treat you like to give during the holidays, too? I’d love to hear about it!

The Family Dinner Recipe: Sloooooow Cooker Curry on breast cancer.

The Family Dinner: Great Ways to Connect with Your Kids, One Meal at a Time by Laurie David and Kirstin Uhrenholdt (Grand Central Life & Style, 2010). Laurie is a very special friend and champion of Breastcancer.org. We’re pleased to share Laurie and Kirstin’s delicious, healthy recipes as part of Think Pink, Live Green!
Crock-pot, slow cooker, genie chef hiding in your pantry: whatever you call that pot, the magic part is that you just need to do a little prep the night before, or in the morning before you go to work. That evening when you come home and open the door, it will be to a house that smells warm and inviting, as if someone has been cooking all day long just for you.

YOU NEED:

1 tablespoon vegetable oil
1 red onion, cut into wedges
5 cloves garlic, minced
1 tablespoon very finely minced fresh ginger
2 tablespoons curry powder, hot or mild
1⁄2 cinnamon stick
3 whole cardamom pods or 1⁄4 teaspoon ground cardamom (optional)
1 14-ounce can good-quality crushed tomatoes
Salt and pepper to taste
1 pound small red potatoes, unpeeled, cut bite-size
1 whole organic chicken, 4–5 pounds, cut into 8 pieces, skin removed (you can get the butcher to do this for you)
1 cup Greek yogurt, whole or 2 percent
1 cup fresh or defrosted frozen peas

TO MAKE 6 SERVINGS:

Heat up a large nonstick pan and drizzle in the oil. When it shimmers, add the onion and sauté until soft and golden. Add the garlic and spices, stir for 30 seconds, until fragrant, then stir in the tomatoes and bring to a simmer. Season with salt and pepper. (You can do this the night before: Chill the sauce, add the potatoes and chicken, and store in the fridge until you are ready to cook.)
Pull your slow cooker out from wherever it lives. Rinse it out. Put the potatoes on the bottom, then top with the chicken and the tomato sauce you just made. Set the cooker to low for 6 to 8 hours. Half an hour before serving, fold in the yogurt and peas, and taste for seasonings . . . Does it need a little more salt? A pinch of curry?
Serve with basmati rice, naan bread, and a side of chutney

Breast Cancer Radiation Sometimes Harms Hearts

Before I started treatments for breast cancer, I consulted a radiologist. He asked about my diagnosis, explained how radiation treatments could help, and then did an examination. When his exam was done, he said, "You're lucky - you are pigeon-breasted, so radiation to the breast will most likely miss your heart and lungs. That's a risk we have to consider. We could kill your cancer, but your heart might receive some damage and your left lung might develop some stiffness." Oh nice, I thought, just more risks that I wanted to hear about!
A new study has come out in the New England Journal of Medicine that confirms my radiologist's concerns. Women who have radiation for breast cancer run a higher than average risk of later developing heart disease or having a heart attack. This risk starts to be apparent from 5 years after treatment and runs until 20 years later. If the left breast - closest to the heart - received radiation, then the risk increases. The study is based on older data, and may not reflect the current standard of care. Women in this study were treated between 1958 and 2001 with radiation for breast cancer. Newer and more targeted radiation techniques use less radiation and more shielding of internal organs, which increases patient safety.
Dr. Sarah Darby, who led the study from Oxford University, said that patients should not skip radiation treatments because of this research. "Doctors can now estimate the risk and know that in most cases it will be very small so they can reassure their patients," she said, ""The results of our study should not scare women off having radiotherapy," she told Reuters Health in an email. "It is a life-saving procedure."
If a women has a risk for heart disease before she develops breast cancer, she should let her oncologist know. Treatments can be designed to minimize exposure to her heart and she should be carefully monitored during and after radiation. Her radiologist might even recommend brachytherapy instead of external beam radiation. There are also ways to track lifetime radiation exposure, or monitor the dose via an implanted dosimeter.

Fighting Stage 3 Breast Cancer on protection

Katharine Adams and Dr. Kimberly Allison have never met, but they share a diagnosis in common. Both women have fought Stage 3 breast cancer, and more importantly, are now thriving and helping others too! Once diagnosed with cancer, each woman had some serious treatments to face and many decisions to make. These survivors have built upon their experiences and moved forward in different ways.
Katharine Adams lost both breasts and went through 6 months of chemo and 6 weeks of radiation. She learned to take charge of her medical decisions and kept copies all of her medical records. Kathy became her own patient advocate - a move which protected her health through the rigors of treatments. She also designed comfortable, good-looking clothing to be worn during recovery. Did I mention that she is a fitness trainer? Despite the chemo and radiation, Kathy continued to use exercise to keep herself limber and fit. That's something I wish I had done!
Dr. Allison was a new mom just getting used to breastfeeding when she found a lump and was diagnosed with Stage 3 breast cancer. She is a pathologist - an important part of the oncology team - and knew what cancer could do at the cellular level. Kimberly had to deal with her cancer at age 33, while going through many other life changes. Her treatments were aggressive - to match the large tumor - but she survived. She shares her story in the book "Red Sunshine" about how she and her very supportive husband went through the whole journey. It helps to know that doctors are very human and can relate to the sufferings of their patients.
Stage 3 breast cancer is a complex, invasive cancer diagnosis. This diagnosis is broken down into 9 substages, each a bit more serious than the last, all of which require more treatment than Stage 2. With treatment, survival rates are better than Stage 4, and about half of all patients live past the 5-year mark to have full and useful lives.
Here's an article with all the details about diagnosis, survival rates, treatments and follow-up procedures for Stage 3 breast cancer.

Real Friends Don't Fade Away When You're Dying From Breast Cancer

The simple fact is this: people do still die from breast cancer. Despite the upswing in survival rates and improvements in detection and treatment, this disease is still a killer. We still need a cure - for all the different variations in breast cancer - and we still need effective prevention. Meanwhile, men and women are still being diagnosed with cancerous breast lumps and enduring surgery, radiation, chemo, and years of hormone therapy in hopes that their cancer will be beaten and will not return. But you may know someone who has had a recurrence, and you may remember someone who didn't survive.
Back around Christmas, I wrote about a friend who had a recurrence at four years past diagnosis. Her cancer had gone to Stage 4 and she knew that her time was limited, because it had targeted her liver. Treatment was offered, and she turned it down. She chose to spend her remaining time feeling relatively well - instead sick from chemo - and to use the time to see friends and family while making good memories. That was a brave decision and very characteristic of Adell.
She had a broad base of support from family, friends, and community. Taking charge of her situation, she made it clear that she wanted Home Hospice.Her husband had made the same choice and that worked well for them. Her family was very sad but also supportive. They got organized and started staying with her in shifts, so that she always had someone around the house. As the disease progressed and she became weaker, her supporters made a simple request. They needed lunches for four every weekday, to sustain Adell and her at-home supporters. This would also give them a little respite from caregiving, a little time to talk with people that were supportive of them as well as Adell. As time passed, this combination of food and respite became more and more important.
We had set up a community on Lotsa Helping Hands. The calendar allowed us to request and sign up for days when lunches were needed, as well as see what other support was wanted. We could swap news and photos and support Adell and her caregivers. At first, people regularly signed up to support for Adell and her family. It worked well and the LHH site facilitated communication. But in Adell's last three weeks, support tapered off. Fewer people offered to help. Caregivers and family members were still constantly on the job, and didn't want to leave the house any more than necessary. Word got out that Adell didn't have long to live, and that she sometimes didn't eat or that she slept all day. That is normal for people who are doing the work of dying. They are using their energy as best as they can, preparing in body and spirit  to resolve their life on Earth.
Now I'm going to speak very personally and frankly. When a person you care about is approaching the end of their life, do not - DO NOT - fade away, only to show up again for the funeral. That person and their family still needs support daily as the process takes it course. A person who is dying can still hear and sense the world around them, and may be able to feel the emotional atmosphere in their world. Their caregivers certainly still need connections with the world outside the situation, people who will listen, refrain from judgement, offer hugs, tissues, and yes - lunches! So here's my bottom line on this: Stick with the person and their family - To The End. Think about what support you hope to have when you enter into your last days, and offer others the best quality of comfort and support that you can give. Don't pull back, especially as news from the bedside gets more final. Real friends don't let friends die lonely. They love tough and they love true.

Thursday, 2 May 2013

Choose Low-Fat Dairy For Better Odds of Breast Cancer Survival

Sorry lattes, bye-bye cream pie, cheese it - pizza! I can live without the higher risk of recurrence if you and I never meet again.
Ice cream, butter, cheese bites, creamy yogurt, sour cream, whole milk - could we live without having one of these yummy things every day? If you're concerned about your risk of breast cancer, then plan on going with low-fat dairy from now on. Switching to low-fat dairy items improves your chances of survival and raises the odds against a recurrence.
A study just published by Kaiser Permanente researchers reveals that breast cancer survivors who consumed at least one serving daily of high-fat dairy products were more likely to succumb to the disease or to have a recurrence than those who followed a low-fat diet. Since dairy milk comes from pregnant cows and because estrogen is concentrated in milk fat, consuming high-fat, whole-milk based products washes your breast tissue in more estrogen than you'll ever need. Estrogen fuels about 88% of all breast tumors. If you are eating a high-fat diet, you are at greater risk for obesity and cancers that are associated with an abundance of body fat. Add to that an overdose of estrogen, and your risk for breast cancer ramps up accordingly.
"Specifically, women consuming one or more servings per day of high-fat dairy had a 64 percent higher risk of dying from any cause and a 49 percent increased risk of dying from their breast cancer during the follow-up period," said lead author Candyce H. Kroenke, a staff scientist with Kaiser Permanente. Her study included data from 1,893 women who were diagnosed with early-stage, invasive breast cancer between 1997 and 2000. The study participants were followed for 6 to 12 years.  Bottom line: Research shows a link between consumption of high-fat dairy and breast cancer mortality, but no association with low-fat dairy foods and breast cancer outcomes.
So now, if I cream my coffee, gobble up a pudding, or slurp down a yogurt - it will be low-fat from now on. It may not taste as decadent, it may not seem as silky, but I may be around longer to enjoy other good things.

Stress Awareness Helps Breast Cancer Survivors Cope

It's no surprise to me that yesterday was the deadline for filing your taxes, and today, April 16, is Stress Awareness Day. I just hope you noted your medical tax deductions, if you spent so much on treatments and related costs for yourself or family members. That's one good reason for saving all those receipts all year long.
If you're dealing with breast cancer - yours or someone else's - you already have stress. You don't need a day set aside to "be aware" of stress, because you live with it, you cope, you ride out the emotions, and you survive. As a patient and survivor, you have already felt how stress impacts your health. Higher levels of stress affect your sleep patterns, energy for the day, headache frequency, blood pressure, appetite, and fatigue. In turn, that can influence the emotions that you may feel saddled with - depression, social isolation, fear, anger, frustration.
Here's some good ways to de-stress today:
  • Exercise regularly at least a little, or as much as you can. It may lift your mood.
  • Eat a healthy diet and include anticancer choices in each meal.
  • Blow off smoking and alcohol - skip the extra damage these do to you.
  • Reach out for support - get on social media, call a friend, find a support group.
  • Have quiet time, try meditation, prayer, or journaling.
  • Be yourself, without pushing yourself to be a Super Hero.
Not all types of stress are bad - it can be a great motivator! But stress unchecked can start to rule your life and ruin your days. Check in with yourself if you're getting overwhelmed, step back and think about where you're going. Shed excess stress and avoid stress triggers when you can. You'll be healthier and happier for it.

Healthy Habits for Earth Day Improve Health on breast cancer

After having breast cancer, I've always been on the lookout for ways to improve my health. I even read up on things to cook to keep my family members healthy! And since Earth Day is April 22, I've started thinking again about ways to make my home a healthier place. Here's a few ways to make your life greener and healthier.
Personal Recycling: Donate gently used wigs, sleep caps, and chemo caps to clinics and support groups that will pass them along to other patients. This keeps these items out of your closet and makes someone else happy.
Eliminate E-Waste: Instead of tossing your used electronics into the trash or dust bin, donate them or take them to an e-waste recycling facility for proper disposal. Your city or county e-waste recycling facility can prevent the lead, mercury, and cadmium contained in old printers, computers, and cell phones from leaching into water and air. Everybody benefits from that!
Green Your Clean: Try switching from chemical products to natural cleaning solutions. Change your home from smelling like a manufactured perfume pot to a truly fresh, green clean. Use some home-made cleaners that do the job and keep you, your kids and your pets safe. You'll save money and fewer harmful chemicals will go into the rainwater runoff.
Grow and Eat Green: If you don't have a veggie garden, consider starting one. It can be as simple as a few potted herbs or as extensive of raised beds of organic produce. You will have cleaner food without industrial pesticides and can take pride in your own tomatoes, peppers, basil, and local varieties of flowers for your table. We've done this for years and always have food to share with happy neighbors.

Dump Expired Drugs Safely on breast cancer protection

During my treatments for breast cancer, I took pills. Lots of pills, all shapes and colors, all for different issues. After a while, when I would take Pill #1 - it would cause a side effect - and then I'd need Pill #2 to chase off the side effect from Pill #1. This often seemed pointless, but because I wanted to survive, I just kept refilling those prescription and taking those pills. I had a stockpile of prescription pills and a spreadsheet for my medication schedule. Finally when treatment was over, I was afraid to throw away the remaining pills because they felt like a security blanket. The pills had become my weapons against recurrence, and I didn't really want to part with them. Like many patients, I took estrogen-lowering drugs for 5 years after primary treatment, and then kept the extra pills in the back of my medicine cabinet. Finally, on National Prescription Drug Take-Back Day, an initiative of the Drug Enforcement Agency (DEA), I gathered up all my hoarded pills and took them to a nearby Sheriff's Office.
At a National Take-Back Day, volunteers accept packages of prescription medicines that are brought in by people like me and you. Most pills will be received, although an Epi-Pen and an old bottle of Mercurochrome that I had were rejected. The pills will be put into a bag for medical waste, and all the packaging will go into the trash. DEA agents will collect the bags of medicines - they took in 244 tons in 2012 - and these will be incinerated in special kilns that do not release fumes into the air.
Although none of my drugs would give you a thrill if you tried them, one reason the DEA collects these is to prevent drug abuse. Many young people get their recreational drugs right out of the family medicine chest, and can become addicted. Prescriptions are abused more than street drugs like cocaine, hallucinogens, and heroin in total. One other reason to properly dispose of drugs is to keep them out of the water supply. Flushing drugs may seem to be a safe disposal method, but when too much of those wind up in your tap water, you've got a problem.
If you didn't make it to your local Drug Take-Back event this year, and you still have drugs to dispose of, talk with your pharmacist or doctor. They can help you find the right place to take those pills.

MammoSite Breast Brachytherapy on breast protection of cancer

MammoSite breast brachytherapy is a type of accelerated breast radiation treatment. Sometimes called balloon catheter radiation, MammoSite treats breast cancer from within your breast in 5 days - with fewer side effects than the standard six or seven week course of external beam radiation.
Breast Radiation After Lumpectomy Radiation may be used to treat breast cancer after your tumor has been removed with a lumpectomy. Radiation treatments are done to prevent recurrence by ensuring that any cancer cells that may remain in the tumor area are destroyed. Intracavity brachytherapy is different than external beam radiation - it delivers radiation from inside your breast, and affects only a very small portion of healthy tissue.
MammoSite Breast Brachytherapy MammoSite was FDA approved in 2002 for post-lumpectomy breast cancer treatment. The MammoSite Radiation Therapy System uses a special balloon catheter, placed in your lumpectomy cavity and inflated with saline solution. Your surgeon can place a MammoSite balloon catheter at the time of your lumpectomy, or it may be inserted at a later time.
Advantages and Disadvantages of MammoSite Brachytherapy MammoSite brachytherapy treatments can be completed in five to seven days, as compared to six to seven weeks of standard external radiation. This means less disruption of your schedule, less travel time, and fewer copayments. Your breast will have a surgical scar, but otherwise none of the skin burns or tissue thickening that may occur with standard radiation. A very small portion of your breast will be treated by the radiation, and healthy tissue will be unaffected. Standard radiation may cause fatigue, but with brachytherapy you will be able to go about life as usual. Patients say that having to avoid showers for a week is a disadvantage, and that the sensation of having a saline-filled balloon within a breast feels odd. Infections can occur around the catheter insertion site, but you can take antibiotics to combat that. Because a catheter line will extend out of your breast while the device is in place, you'll need to wear a sports bra or a very comfortable bra to accommodate it, and adjust your sleeping position for comfort.
What to Expect During MammoSite Radiation Treatments MammoSite treatments are done twice a day for five consecutive days. Your treatment appointment will take about 30 minutes. During radiation treatments, your radiation oncologist will connect your MammoSite catheter line with a radiation machine, and put a small radioactive seed through the catheter into the balloon, where it emits your radiation dose. You won't feel any heat or vibration during the treatment. At the end of each treatment session, the seed is removed and you won't carry the radiation around with you in between treatments. If any cancer cells are lingering in the tissue around your surgical margin, the radiation should kill them. After 5 days, the balloon catheter is drained of saline and then removed through a small incision that is closed with a dressing.
Recovery After MammoSite Treatment You may have some side effects during or after MammoSite brachytherapy treatments. These will clear up with proper care, but make sure to go to your follow-up appointments and let your doctor know if you have concerns about recovery. You can expect some redness or bruising around the catheter insertion site. There may also be some pain or drainage from the scar before it heals. Take care to keep this area clean and dry. If skin redness persists, or the area becomes puffy or looks inflamed, see your doctor to determine if you may have an infection. You can take antibiotics to clear up the problem.
MammoSite Has A Good Track Record MammoSite has been tested in clinical trials and the company that makes the device continues to improve the balloon for more precise radiation. Very few local recurrences have been reported after MammoSite brachytherapy. This treatment compares well with ClearPath and other accelerated partial breast radiation techniques. Medicare and most private health insurance policies cover MammoSite treatments.
Requirements For MammoSite Radiation Therapy MammoSite is intended for the treatment of early-stage breast cancer. In order to qualify for MammoSite brachytherapy, you should be 45 years old or older, plan to have a lumpectomy, have no lymph nodes involved, and your tumor size must be three centimeters in diameter or smaller. Your surgeon must be able to leave at least seven millimeters of tissue between your skin and the fully inflated balloon. Your lumpectomy cavity needs to be as globular as possible to accommodate the balloon; otherwise the treatment won't work properly. In some cases, the MammoSite device must be repositioned for optimal results. Choose a surgeon who is very experienced in placing the MammoSite device, and ask if the hospital has all the proper equipment needed to implant and position the catheter.