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Breast cancer cases answers (4615)

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Q: 

Happy New Year and many thanks for your ''quick turnaround'' answer to my Dec 31, 2004 question on my 49 year old wife''s 4Qtr 2004 breast cancer case. I am so pleased to have found your web site. Your answer will help us develop better questions for our upcoming Jan 4, 2005 visit with an oncologist. What are your thoughts about having a mastectomy at this point (one breast or both breasts)? She had the Lumpectomy plus auxiliary node dissection on her right breast last November 23, 2004. We have mammogram films going back several years on both breast and she has told me she has fibrous dense tissue in both breasts. Would a mastectomy be the best result to reduce the risk of cancer recurrence? Since this breasts cancer has caught us off-guard, our interests (me, my wife, and my two daughters) are to be together as long as we can which implicitly means we would perhaps seek a treatment course that would provide us the highest probability of success in delivering no recurrence of this current cancer and if we could proactively address some future cancers this would be considered in our next phase of treatment.

A: You are welcome... It is true that mastectomy reduces the risk of local recurrence to 1% and that lumpectomy with radiation carries a 10-15% risk of recurrence, however now that she has been diagnosed all her mammograms and ultrasounds will be diagnostic breast imaging and she will be followed with a fine tooth comb. some women do choose to do bilateral mastectomy with reconstruction out of fear of the disease returning. we know however that lumpectomy with radiation compared to mastectomy are equal for survival. so even if the disease locally returned it doesn''t increase her risk of death statistically. surgery and radiation are local treatment. to keep the disease from popping up elsewhere,which is far more serious, chemo and/or hormonal therapy are given. Take...
Q: 

I''m 47 and have had routine mammograms yearly. My mammogram was clear in 6/05 and had my annual exam by my gyn. The next month I noticed scaling and redness around my right nipple. I work in a cancer center and know about Paget''s. After 2 months of using various creams & lotions with no improvement, I asked one of the oncologists that I work with to examine me to see if it looked liked Paget''s. She immediately referred me to a breast surgeon who felt like it could be Paget''s. I had an incisional bx so some underlying breast tissue could be sampled. It came back Paget''s. I had an MRI of both breasts and they were negative except for the biopsy site. After consultation with Medical and Radiation Oncology, I had a central lumpectomy and a sentinel node biopsy. I only had Paget''s involving the skin but did have some atypical lobular hyperplasia. We have a weekly conference in which breast cancer cases are discussed. The consensus of the group was for me not to have radiation but just 5 years of tamoxifen (I had my uterus/ovaries removed several years ago.). Most cases of Paget''s tends to present with an underlying mass or with DCIS. The radiation oncologist felt like to radiate with just skin involvement would be to overtreat. Have you seen cases like mine? Also, I did have a good cosmetic result. I''m taking Effexor to help with the hot flashes. I was previously on HRT.

A: we''d look at your other risk factors-- family history, menstruation history, smoking, etc to help decide. also, since you''ve had ovaries out already the hormonal therapy probably would be tamoxifen but an aromatase inhibitor instead. ask about that....
Q: 

Happy New Year and many thanks for your ''quick turnaround'' answer to my Dec 31, 2004 question on my 49 year old wife''s 4Qtr 2004 breast cancer case. I am so pleased to have found your web site. Your answer will help us develop better questions for our upcoming Jan 4, 2005 visit with an oncologist. What are your thoughts about having a mastectomy at this point (one breast or both breasts)? She had the Lumpectomy plus auxiliary node dissection on her right breast last November 23, 2004. We have mammogram films going back several years on both breast and she has told me she has fibrous dense tissue in both breasts. Would a mastectomy be the best result to reduce the risk of cancer recurrence? Since this breasts cancer has caught us off-guard, our interests (me, my wife, and my two daughters) are to be together as long as we can which implicitly means we would perhaps seek a treatment course that would provide us the highest probability of success in delivering no recurrence of this current cancer and if we could proactively address some future cancers this would be considered in our next phase of treatment

A: You are welcome... It is true that mastectomy reduces the risk of local recurrence to 1% and that lumpectomy with radiation carries a 10-15% risk of recurrence, however now that she has been diagnosed all her mammograms and ultrasounds will be diagnostic breast imaging and she will be followed with a fine tooth comb. some women do choose to do bilateral mastectomy with reconstruction out of fear of the disease returning. we know however that lumpectomy with radiation compared to mastectomy are equal for survival. so even if the disease locally returned it doesn''t increase her risk of death statistically. surgery and radiation are local treatment. to keep the disease from popping up elsewhere,which is far more serious, chemo and/or hormonal therapy are given. Take...


Q: 

I recently had an abdominal CT scan. The abdominal scan was negative, but the radiologist has reffered me for further diagostic testing due to finding a 1 cm density posterior aspect of the right breast. Does this sound like a breast cancer case? I am Very Worried. Ironically, The right breast is tender. And I have some pain in the arm pit on the right side as well... I have never been concerned about that... HELP..

A: it depends on quite a few things-- if they described as being ''spiculated'' then that would be worrisome. but CT scans like this can pic up benign masses too remember. time for a diagnostic mammogram to get a better handle on this. you will naturally have aches and pains now due to thinking about it. so distract yourself as best you can. it would truly be premature to assume its cancer. 80% of lesions found in the breast are benign....


Q: 

I''m 47 and have had routine mammograms yearly. My mammogram was clear in 6/05 and had my annual exam by my gyn. The next month I noticed scaling and redness around my right nipple. I work in a cancer center and know about Paget''s. After 2 months of using various creams & lotions with no improvement, I asked one of the oncologists that I work with to examine me to see if it looked liked Paget''s. She immediately referred me to a breast surgeon who felt like it could be Paget''s. I had an incisional bx so some underlying breast tissue could be sampled. It came back Paget''s. I had an MRI of both breasts and they were negative except for the biopsy site. After consultation with Medical and Radiation Oncology, I had a central lumpectomy and a sentinel node biopsy. I only had Paget''s involving the skin but did have some atypical lobular hyperplasia. We have a weekly conference in which breast cancer cases are discussed. The consensus of the group was for me not to have radiation but just 5 years of tamoxifen (I had my uterus/ovaries removed several years ago.). Most cases of Paget''s tends to present with an underlying mass or with DCIS. The radiation oncologist felt like to radiate with just skin involvement would be to overtreat. Have you seen cases like mine? Also, I did have a good cosmetic result. I''m taking Effexor to help with the hot flashes. I was previously on HRT

A: we''d look at your other risk factors-- family history, menstruation history, smoking, etc to help decide. also, since you''ve had ovaries out already the hormonal therapy probably would be tamoxifen but an aromatase inhibitor instead. ask about that....


Q: 

What are the Different Types of breast cancer?

A: breast cancer is one or more malignant tumors that develop in the breast cells. The cancer cells that form the tumor enter breast tissue and spread throughout the body. Although more common in women, men can contract the disease as well. Invasive, or infiltrating, ductal carcinoma, invasive, or infiltrating, lobular carcinoma, medullary carcinoma, Paget''s disease, and inflammatory breast cancer are all breast cancers that afflict the human body. Several rare types of cancer of the breast can strike people as well....
Q: 

How many men and women die of breast cancer last year?

A: ----quote--- As of 2008, there are about 2.5 million women in the U.S. who have survived breast cancer. breast cancer incidence in women in the United States is 1 in 8 (about 13%). In 2008, an estimated 182,460 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 67,770 new cases of non-invasive (in situ) breast cancer. About 1,990 new cases of invasive breast cancer will be diagnosed in men in 2008. Less than 1% of all...


 
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