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Doctor insights on: Early Stage Breast Cancer Treatment

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Dr. Barry Rosen
1,336 doctors shared insights

Breast Cancer (Female) (Definition)

Breast cancer results when glandular cells lining the milk ducts and lobules of the human breast begin to grow in an unregulated manner. The growth occurs initially inside the ducts but eventually breaks outside into the breast tissue and ultimately spreads both to the lymph nodes in the armpit and via the bloodstream to other parts of the body. Because of the promoting affect of estrogen almost all breast cancer occurs in women and is a rarity in men. The unregulated growth is due to both inherited and acquired genetic defects. It is the most common malignancy in women but it 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 on an annual basis. ...Read more


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Please help! what is the best course of action for breast cancer treatment?

Please help! what is the best course of action for breast cancer treatment?

Get a team: ...Of specialists (breast surgeon, med onc, and rad onc), preferably working together in a multidisciplinary setting, who will evaluate the situation from the beginning and make a concerted plan of attack. This should include dietitian, physical therapist, and if needed a genetics counselor. ...Read more

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Diagnosing Breast Lumps (Checklist)

Do a breast self exam after your period ends
monthly
Check daily in shower after soaping up
daily
Learn the architecture of your breasts by repetition
once
Observe skin around nipples
once
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What are common proven alternatives to chemotherapy for breast cancer treatment?

What are common proven alternatives to chemotherapy for breast cancer treatment?

Alternative to what?: Chemotherapy is the administration of a drug that circulates throughout the body and kills cancer cells. Our goal is to choose the most effective drug tailored to one's specific cancer subtype. If by "alternative" you mean alternative to proven, standard therapy...No. However, many of our "standard" drugs are well-tolerated w/o traditional side-effects like hair loss, nausea, etc. ...Read more

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Is there a less toxic alternative to chemotherapy for breast cancer treatment?

Is there a less toxic alternative to chemotherapy for breast cancer treatment?

Yes: In some cases hormonal treatment can be as effective as chemotherapy. However if there is benefit from chemotherapy then it would be in addition to hormonal therapy. You should ask what percent benefit chemotherapy would give your circumstance and then decide if it's worth it to you to not accept that benefit. ...Read more

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Living with Skin Cancer (Checklist)

Avoid sun exposure between 10 am and 2 pm
daily
Apply sunscreen
2x day
Wear a hat outdoors on sunny days
daily
See dermatologist for check ups
2x year
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Please advise if it's normal not to get cat scans after breast cancer treatment?

Please advise if it's normal not to get cat scans after breast cancer treatment?

Depends...: ...On many factors. Current standards of care do not recommend scans for patients with low risk for recurrence as they do not improve the overall chances of surviving the cancer (this was proven in at least 2 or 3 clinical studies). Patients with stage 3 cancer often do get scans, especially in the beginning, to do a complete staging. ...Read more

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Are there negative effects of breast cancer treatment/ mammography after a year? What should I expect?

Are there negative effects of breast cancer treatment/ mammography after a year? What should I expect?

Mammo is low risk: Treatment effects can vary significantly depending on what is done (type of surgery, radiation, chemo). Mammography should not have any significant effects, especially after one year. Mammograms are low dose radiation, but any radiation can increase cancer risk over the long term (decades). The cancer risk from mammograms is extremely low. Note that you are below the recommended screening age. ...Read more

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Managing Pain from Cancer (Checklist)

Ask oncologist to refer you to cancer pain specialist
Once
Ask pain specialist about both interventional and medication options
Once
If pancreatic cancer, ask about a celiac plexus block
Once
If neuropathy, request trial of ketamine-based topical creams
Once
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Is tamoxifen a must for er/pr negative menstruating woman for breast cancer treatment?

Is tamoxifen a must for er/pr negative menstruating woman for breast cancer treatment?

No: This and similar medicines are anti Estrogens that block the receptors. So if the patient has negative receptors there is little benefit from the medication. So it's not a must. ...Read more

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Dr. Barry Rosen
4,214 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


Dr. Chevies Newman
1,113 doctors shared insights

Premature (Definition)

Very premature is a condition in which a baby is delivered between 28 and 31 weeks' gestation. Depending on how premature, how sick, and how lucky or unlucky a baby is, he can get brain problems, cerebral palsy, blindness, deafness, developmental problems, learning disabilities, severe lung diseases, infection and loss of some intestines, etc... Babies who are only moderately premature usually ...Read more