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Doctor insights on: Breast Cancer Return Address Labels

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DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?

DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?

It depends: It may depend on your age. Radiotherapy to your involved breast may be required as it is the standard of care. Ask your doctor and let us know what advice you receive. Tamoxifen is another medication recommended after completion of Radiotherapy. ...Read more

Dr. Barry Rosen
4,342 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Surgeon said occult breast cancer spread to 2lymp nodes under arm no sign cancer in breast .Surgeon advises take out lymph glands, live breast .Should ?

Surgeon said occult breast cancer spread to 2lymp nodes under arm no sign cancer in breast .Surgeon advises take out lymph glands, live breast .Should ?

Standard treatment: The surgeon is giving you the "best evidence" advice. Without detecting any tumor in the breast, it is safer, less mutilating, less painful, less expensive, and better psychologically to leave the breast in place. Usually the tumor is so tiny that it cannot be found. Often, chemotherapy (to kill any cancer cells elsewhere in the body) and radiation to the breast is done. Good luck! ...Read more

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What are the current mammogram recommendations to prevent breast cancer?

What are the current mammogram recommendations to prevent  breast cancer?

Variable: Most us radiographic and oncologic groups recommend annual screening beginning at age 40. (continuing as long as life expectancy exceeds 10 years.) european groups point out the lower likelihood of breast cancer in young women and the higher false positive rate and recommend later, and less frequent screenings. Obviously - a strong family history may change your personal recommendation. ...Read more

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What are the current breast reconstruction techniques after breast cancer surgery?

What are the current breast reconstruction techniques after breast cancer surgery?

Flap or implant: Basically - you can use your own tissue or reconstruct with a breast implant. There are several options when your own tissue is used including tram (uses the rectus muscle in the abdomen with attached skin and fat), latissimus (the muscle going from shoulder to back - usually for relatively small defects), diep (uses skin and fat on abdomen, but preserves the muscle). ...Read more

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Can the experts please talk about the newest breast cancer treatment + free or cheap for stage 4 breast cancer?

Can the experts please talk about the newest breast cancer treatment + free or cheap for stage 4 breast cancer?

Clinical trial: Stage 4 breast cancer treatments include a variety of complex options. I suggest that you look into enrolling into a funded clinical trial for stage 4 breast cancer, which will provide options for reduced or free treatment (see: http://www.Cancer.Gov/clinicaltrials). In addition, please consult with a social worker to see what other options for coverage that may be available to you. Good luck. ...Read more

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Do the breast enhancement pills "breast actives" cause breast cancer or uterus cancer?

Do the breast enhancement pills "breast actives" cause breast cancer or uterus cancer?

Unknown: Breast enhancement pills are not regulated and therefore may have various unknown substances in them. Some of those substances, especially if they include estrogen, may increase risk of cancers. ...Read more

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Could a mammogram before 40 increase risk for breast cancer?

Could a mammogram before 40 increase risk for breast cancer?

Good point.: Risk of radiation induced breast cancer is probably negligible, compared to benefits of mammography. But you should undergo any test only when it is medically indicated, because every diagnostic test has its risks as well as benefits. ...Read more

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Mom was at stage 4 breast cancer, done w chemo and double mastectomy, healing for radiation. Natural supplements that will fight or stop/slow spread?

Mom was at stage 4 breast cancer, done w chemo and double mastectomy, healing for radiation. Natural supplements that will fight or stop/slow spread?

Unknown: Good question, but answer is not clear as far as i know. Consider a multivitamin and/or calcium + vitamin d supplement with a healthy diet. Would avoid any types of hormonal supplements and strongly recommend she discontinue smoking. During radiotherapy, avoid high dose/potency antioxidants. ...Read more

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How do you check breast cancer other than mammogram?

How do you check breast cancer other than mammogram?

See list: For diagnosis: physical examination ultrasound breast mri needle biopsy excisional biopsy for staging: pet/ct scan sentinnel lymph node biopsy lumpectomy mastectomy axillary node dissection for follow-up: usually physical examination, and mammogram or mri. ...Read more

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Please explain who has the power to reduce charges for breast cancer screening?

Please explain who has the power to reduce charges for breast cancer screening?

Breast cancer: There are a number of charges that are expensive to patients including by not limited to chemotherapy, radiation therapy and surgery. Since i perform reconstructive surgery i can only comment on those. In the us there are several issues with insurance and how they treat their clients and physicians. That being said the fee schedules are provided to administrators of practices and vary regionally. ...Read more

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Are certain foods better after breast cancer surgery?

Are certain foods better after breast cancer surgery?

Not really: The horse is out of the barn so to speak; but you should avoid foods and supplements with phytoestrogens [plant estrogen compounds] if your tumor is er positive. That includes a lot of soy although small amounts are fine. Also, being overweight or obese is associated with a worse prognosis. ...Read more

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Pap thyroid cancer size 7.5mm & invasive ductal breast cancer. ENT said should be ok to remove right half of thyroid only. Opinions?

Pap thyroid cancer size 7.5mm & invasive ductal breast cancer. ENT said should be ok to remove right half of thyroid only. Opinions?

That's fine: If a thyroid lesion is small and there are no nodes palpable and lesion is central in the lobe with a clean isthmus, the chance after a lobectomy of a new lesion forming is about 7%. A hemithyroidectomy here would be fine. ...Read more

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Pregnant- sent for breast us of thick tissue. diangosis fibrocystic. Breast surgeon agreed at her exam. How confident this is not cancer vs fibrocystic?

Pregnant- sent for breast us of thick tissue. diangosis fibrocystic.  Breast surgeon agreed at her exam.  How confident this is not cancer vs fibrocystic?

Breast lumps/preg: Pregnancy is a confounding factor when dealing with different medical diagnoses. Hormonal shifts of pregnancy will affect the breast and cause different symptoms (changes in exam /pain). Fibrocystic disease is very common among young women, but all abnormalities need to be followed up on. Whether its repeat exams, u/s, diagnostic tests that are safer in the latter stages- follow up is the key. ...Read more

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1 doc on here mentioned avoiding bpa plastics to help prevent breast cancer. What are bpa plastics?

I wouldn't worry: Medicine's way too big for any physician to know everything. Even physicians fall for "pop" claims -- in this case, a huge 1990's disinformation campaign by the militant environmental organization to the effect that synthetics were nonsteroidal Estrogens and the principal cause of breast cancer. The irony is seeing the same crooks eating tofu, loaded with non-steroidal estrogens. ...Read more

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Will soy give you breast cancer?

Will soy give you breast cancer?

No: Since certain soy products have weak estrogenic properties, the claim makes an llogical, scientifically unsupported claim that soy "causes" breast ca. Estrogen itself may promote some breast cancers, and theweaker soys potentially could do this "weakly", . ...Read more

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What would doctors recommend, breast reconstruction with mastectomy or lumpectomy?

What would doctors recommend, breast reconstruction with mastectomy or lumpectomy?

Patient-Preference: Most breast cancers can be surgically treated with equal success by mastectomy or lumpectomy (+radiation). Therefore, given the option, most women choose the much less invasive rx of a lumpectomy. Many other issues may factor into this decision--age, family hx, mammogram findings, pathology, etc--therefore, a critical part of one's preoperative evaluation is to fine-tune this recommendation. ...Read more

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Can elevated ca15-3 mean something other than breast cancer? Clear mammo but ca15-3 results - 31.6 (ca markers done as part of complete physical)

Can elevated ca15-3 mean something other than breast cancer? Clear mammo but ca15-3 results - 31.6 (ca markers done as part of complete physical)

Stop worrying: The reference range is set so that 5% of folks believed to be healthy fall above it. Usually the top of the reference range is 30 or so. This alone should make you stop worrying. Further, fairly high values are often observed with no obvious explanation. Why was it run in the first place? Mild elevations usually just generate confusion and upset people and never detect anything. ...Read more

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Dr. Barry Rosen
1,378 doctors shared insights

Breast Cancer (Definition)

Occurs when glandular cells lining the milk ducts and lobules of the human breast begin to grow in an unregulated manner. Often curable if found early and treated effectively with surgery, hormonal therapy, chemotherapy and targeted therapy, or a combination thereof. Early detection before the malignancy becomes large enough to be felt depends on mammography/sonography and MRI imaging of the breast ...Read more


Dr. Mark Hoepfner
1,061 doctors shared insights

Breast Carcinoma (Definition)

Most breast cancers are carcinomas. This is a type of breast cancer. These cancers start in the cells that line organs and tissues. In fact, breast cancers are often a type of carcinoma called adenocarcinoma, which starts in cells that make glands (glandular tissue). Breast adenocarcinomas start in the ducts (the milk ducts) or ...Read more