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Doctor insights on: High Esr Levels In Breast Cancer Patients

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In Metastatic Breast Cancer what does elevated ESR mean?

In Metastatic Breast Cancer what does elevated ESR mean?

Not much: It is a non specific test which means it can increase in all kinds of ailments such as chronic infections (TB for example and in Chronic arthritis) and in many different Cancers. So it is not useful test for Breast Cancer....pure waste of money! ...Read more

Dr. Barry Rosen
4,351 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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What diet is best for breast cancer patient?

What diet is best for breast cancer patient?

Healthy: You should maintain a healthy diet. After surgery it is important to increase your protein content to heal your wounds. ...Read more

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When do breast cancer patients need tamoxifen?

When do breast cancer patients need tamoxifen?

Tamoxifen: A selective estrogen receptor modulator is effective added therapy for women with well-differentiated, estrogen receptor positive breast cancers. ...Read more

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What food should a breast cancer patient avoid eating?

What food should a breast cancer patient avoid eating?

Food to avoid: No food is associated with exacerbating breast cancer. Enjoy what ever you want but in moderation of course ...Read more

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If a breast cancer patient breast feeds her child will he be affected?

If a breast cancer patient breast feeds her child will he be affected?

No: It is safe to breast feed after having breast cancer, although the affected breast may not produce milk following radiation therapy. Of course, any medication you take, including chemotherapy, may be passed to your child in the breast milk; therefore, your child's pediatrician needs to be aware of any medication you are taking before starting breastfeeding. ...Read more

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What can be done to support breast cancer patients?

What can be done to support breast cancer patients?

There are Support g: Ample support is available from your oncologist, his/her onclogy nurses. Most oncology centers have support groups made up of cancer patients, so it is good to join a breast cancer support group with the help of your oncologist. American cancer society (acs) also offeres a lot of help and guidance to further guide you with your needs. You should call up the local branch of the acs in your locality. ...Read more

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What does herceptin (trastuzumab) do for breast cancer patients?

What does herceptin (trastuzumab) do for breast cancer patients?

Herceptin (trastuzumab): Herceptin (trastuzumab) is one of targetted therapy that we can use to treat a her2 positive breast cancer. There are other her 2 receptor inhibitors out there- such as lapatinib, Pertuzumab and hopefully tdm1. It is able to stop the cancer from growing and ultimately cause death to cancer cells that have the her2 receptors. ...Read more

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Is stage 4 breast cancer patient still have the chance to survive?

Is stage 4 breast cancer patient still have the chance to survive?

Yes: There are many treatment options available for stage 4 breast cancer. Based on what type of breast cancer if ER/PR positive, HER2 positive or not. You should speak to medical oncologist to discuss all the treatment options. ...Read more

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When a patient with breast cancer falls unconscious for several days, what does this signify?

When a patient with breast cancer falls unconscious for several days, what does this signify?

No way...: ...In God's creation I could know that. I hope someone took her to the hospital. Fainting spells with or without cancer need to be evaluated and one in which the patient is out "for days" sounds particularly serious. ...Read more

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Patients with advanced breast cancer, Has received chemotherapy, Is there any need for radiotherapy?

Patients with advanced breast cancer, Has received chemotherapy, Is there any need for radiotherapy?

Breast Cancer: As you see on TV cancer Dx and Rx is very individualized. Some need radiation and some may not. So discuss this with your Dr. ...Read more

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What are the usual symptoms of male breast cancer, and how often do patients not have the usual symptoms?

What are the usual symptoms of male breast cancer, and how often do patients not have the usual symptoms?

Male breast cancer: Hard lump behind nipple, non painful usually, sometimes the nipple will invert or have discharge, older male usually. ...Read more

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Why are markers left in the chest of previous breast cancer patients? I can see them on X-rays and do they hurt?

Why are markers left in the chest of previous breast cancer patients? I can see them on X-rays and do they hurt?

Usually clips: If the marker were one used to define a non palpable lesion for localization of tumor it should have been resected with the lesion. If the patient underwent mastectomy, the radio opaque clips are vascular clips used to control chest wall blood vessels that were bleeding during the procedure and used to stop bleeding. They are permanent and do not cause any related symptoms. And are never removed ...Read more

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If a patient has breast cancer and breastfeeds her child, do the stray cancer cells in the milk have any effect on her child?

If a patient has breast cancer and breastfeeds her child, do the stray cancer cells in the milk have any effect on her child?

NO: Studies cancer cell will not pass into milk and will not give cancer to the child even in later part of life. However doctors will not recommend breast feeding, the medication, radio isotopes will pass into milk and effect the child.. ...Read more

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Can all breast cancer patients carry the brca genes?

Can all breast cancer patients carry the brca genes?

No!: Many patients with breast cancer have no genetic predisposition or risk for breast cancer.

However, there are several genetic markers which increase the risk of developing breast cancer over a person's lifetime. ...Read more

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Is soy milk safe for breast cancer patients?

Probably: The evidence is unclear, but is most likely safe. ...Read more

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How can I transition from breast cancer patient to cancer survivor?

How can I transition from breast cancer patient to cancer survivor?

Survived: If you have survived the treatment and you are cancer free then you are a survivor. Congratulations! Www. Drlugo. Com. ...Read more

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Is detected IgG with lamba in bloodwork of breast cancer patient serious?

Is detected IgG with lamba in bloodwork of breast cancer patient serious?

MGUS: If your blood count, kidney function and calcium are normal, it probably is a monoclonal gammopathy of undetermined significance. I agree your oncologist should be able to evaluate this. ...Read more

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Is serum albumin an independent predictor of survival in patients with breast cancer?

Is serum albumin an independent predictor of survival in patients with breast cancer?

Interesting question: I do not know of any data that point to Albumin as an independent prognostic factor in early breast cancer. Patients with advanced cancer often develop malnutrition and cachexia which will lower the Albumin levels. Those patients will do poorly so indirectly it may give you a rough idea of prognosis in those advanced cases. ...Read more

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How often to breast cancer patients have a lumpectomy & gone on to live a life, cancer free?

How often to breast cancer patients have a lumpectomy & gone on to live a life, cancer free?

Much more often....: ...Than not. Thankfully, our tools for treating breast cancer have improved quite a bit over the past 20 years. Survival is not related to method of surgical rx (lumpectomy vs. Mastectomy); rather, it is dependent on the stage, type, and molecular features of the cancer. When caught very early, the chance for cure is better-than 90%. The best way to do that is yearly mammograms beginning at 40. ...Read more

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How long should a patient wait before starting chemotherapy and after the breast cancer surgery?

How long should a patient wait before starting chemotherapy and after the breast cancer surgery?

12 weeks: Studies have shown that benefit from chemotherapy doesn't begin to drop off as long as it is started within 12 weeks of surgery. I take the type of cancer into consideration, though. For more aggressive breast cancers, I like to start chemo within 4-6 weeks. For the slower growing er+ cancers, within 12 weeks is fine and supported by data. ...Read more

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Would the arm be edematousf the patient has breast cancer, and their axillary lymphy nodes are removed?

Would the arm be edematousf the patient has breast cancer, and their axillary lymphy nodes are removed?

Lymphedema: The removal of lymph nodes is the main cause of lymphedema. The nodes drain fluid from the arm. This is a treatable problem but not curable. I highly recommend going to a lymphedema clinic in order to get evaluated and treated. Treatment includes manual massage, exercises, arm sleeve and other types of manipulation. ...Read more

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Is it ok to use sauna suit or slimming support when I do my walking exercise? I'm a breast cancer stage 3 patient?

Is it ok to use sauna suit or slimming support when I do my walking exercise? I'm a breast cancer stage 3 patient?

Yes: After surgery wearing a sports bra to prevent movement will help with the pain. Once you have healed you may wear whatever is comfortable for you. ...Read more

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Would multiple multi-phase protocol hd chest cts several months apart impose too much radiation hazard if patient is already at risk for breast cancer?

Would multiple multi-phase protocol hd chest cts several months apart impose too much radiation hazard if patient is already at risk for breast cancer?

Depends: Studies have documented a certain yet low risk of breast cancer to the use of diagnostic xray based imaging. The risk depends on age of the patient and the amount (or dose) of exposure. You and your doctor should discuss this risk versus the possible benefit to your current health issues for which these ct scans are being considered. The radiologist performing the ct's will know the dose. ...Read more

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Is mastectomy really necessary for a stage 2 breast cancer patient?

Is mastectomy really necessary for a stage 2 breast cancer patient?

Depends: The choice between mastectomy (either one or both breasts) and lumpectomy depends on many factors including genetic issues, size of the cancer and of the breast, location, and many others. It is a choice to be made by both the surgeon and the patient after a thorough discussion. ...Read more

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What recommendations do oncologists have for a stage 1 breast cancer patient?

What recommendations do oncologists have for a stage 1 breast cancer patient?

D/w your oncologist: Stage 1 in general is treated with surgery and radation therapy if lumpectomy is chosen. In addition, anti hormonal therapy is recommended for er+ cancer. Chemo +/- biological therapy i.e. Anti her2neu inhibitor - is given for some cases of stage I breast cancer- depending on the size, prognostic factors, oncotype dx, her2neu receptor status, age, preference, ps, etc. D/w oncologist in detail. ...Read more

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Does a breast cancer patient benefit from chemo if she is er+, pr+ and her2-?

Does a breast cancer patient benefit from chemo if she is er+, pr+ and her2-?

Possibly: The biggest predicting factors are the size of your tumor and the lymph node status. There are many helpful pieces of information online. Adjuvantonline. Com
nccn. Org patient section. This is really a complex question because we now have oncotyping to tell us recurrence risk. I would ask your physician, and consider two opinions. ...Read more

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How do you screen for breast cancer in patients who have already had a mastectomy?

How do you screen for breast cancer in patients who have already had a mastectomy?

Physical exam: The mainstay of surveillance for breast cancer in a mastectomized breast is frequent physical exam by a physician. I examine my patients every 6 months for the first five years after mastectomy. It is also important to continue getting mammograms annually in the non-mastectomized breast. ...Read more

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What is the expected life span of stage 3 a her2 + 43 years old breast cancer patient?

What is the expected life span of stage 3 a her2 + 43 years old breast cancer patient?

Results encoraging: Overall survival of stage iii breast cancer 70% her2 breast cancers are aggressive so needs aggressive, targeted chemotherapy, with Herceptin (trastuzumab) in combination with toxal (and other chemo) need to work closely with oncologist. ...Read more

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Which test is used to screen for breast cancer in patients who have already had a mastectomy?

Physical exam: Physical exam, both self exams and by a doctor, are the best ways to look for recurrence after mastectomy. For women who had reconstruction with a tram or diep flap (not implant), mammogram is sometimes recommended. For women with implants, MRI can be considered but is not routine. ...Read more

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Breast cancer reconstruction patients: what does it mean when the doctor can't "find the magna site"?

Breast cancer reconstruction patients: what does it mean when the doctor can't "find the magna site"?

Injection Site: Staged reconstruction with tissue expanders involves slowly injecting the expanders with saline (salt water). One type of expander has a magnet adjacent to the injection valve and a special (needle) finder to make injection easier. ...Read more

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What's the survival rate of stage4 breast cancer? My mom is a stage 4 patient for several years now.

What's the survival rate of stage4 breast cancer? My mom is a stage 4 patient for several years now.

Doesn't Matter: This is great news - focus in the time you have with your mother. Today women are living longer with stage 4 breast cancer due to better treatments, targeted therapies and growing understanding that breast cancer is not one disease. Congratulations. ...Read more

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How can angiogenesis and invasion influence tumor growth and metastasis in a patient with breast cancer?

How can angiogenesis and invasion influence tumor growth and metastasis in a patient with breast cancer?

The general concept: The general concept behind angiogenesis promoting cancer metastasis growth is that cancer cells / tumors use more nutrients and therefore need more blood flow than usual to grow to a large size, and that if we can inhibit this new vessel growth stimulated by tumors, we can limit the growth of the tumor. ...Read more

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What are the benefits we get from zometa and what are the side effect? I'm a her2 breast cancer stage 3 patient

What are the benefits we get from zometa and what are the side effect? I'm a her2 breast cancer stage 3 patient

Controversial: I personally think there is a benefit based on the trials. Specifically in post-menopausal women. Not only treating or preventing osteoporosis but also preventing breast cancer recurrence. But I think the final answer is still unknown. The side effects are few but one which is rare can be problematic, osteonecrosis of the jaw. ...Read more

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What could be the causes of increased uptake by a nonenlarged subcarinal node on pet scan in a patient with breast cancer?

Pet scan challenging: A pet scan will generally show 3 main groups of findings. Infection inflammation or cancer. With a history of breast cancer a biopsy may be considered but that will depend on the details of the situation. ...Read more

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Is chemotherapy required for stage 1A IDC breast cancer, tumor size 1.1 cm, ER & PR positive, HER2 negative, nuclear grade 1. Patient is 42 years old.

Is chemotherapy required for stage 1A IDC breast cancer, tumor size 1.1 cm, ER & PR positive, HER2 negative, nuclear grade 1. Patient is 42 years old.

Borderline call!: Your breast tumor is quite small, so it has >90% odds that it can be safely treated with surgery, without any chemotherapy required. You may ask your doctor for treating you with tamoxifen which is a antihormone type of medication, commonly used as the treatment for tumors that are ER positive. Good luck ...Read more

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I a patient has breast cancer, when would you give radiation therapy?

I a patient has breast cancer, when would you give radiation therapy?

Breast irradiation: Radiation therapy is used for localized breast cancer. Radiation alone is not a curative treatment for breast cancer. In breast cancer, it is used as an additional (adjuvant) treatment to treat local and regional areas at high husk for microscopic disease. It's use depends on stage and what type of surgery had been performed. For more information, cancer. Gov, cancer. Org, astro. Org, nccn. Org. ...Read more

Dr. Barry Rosen
1,380 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
1,063 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