May 23, 2011
Breast Conservation–A Paradigm Shift
by timojazz
Breast Conservation–A Paradigm Shift
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Home Page > Health > Cancer > Breast ConservationâA Paradigm Shift
Breast ConservationâA Paradigm Shift
Posted: Mar 07, 2011 |Comments: 0
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The incidence of breast cancer is rapidly increasing in India and has overtaken cancer of cervix in Indian women in metropolitan cities. One in 22 Indian women are likely to develop breast cancer during their lifetime. Breast cancer is a disease of old age with the peak incidence in the fifth and sixth decades – but in India the disease is seen a decade earlier, probably due to shorter longevity of life in Indian women (about 62 years as per Indian census), as compared to their counterparts in the USA.
Statistically, breast cancer is more common among unmarried women, nulliparous women and those who did not breast-fed their babies. Smoking, alcohol drinking and high fat diet intake are attributed to the causation of breast cancer and its high incidence among the women residing in metropolitan cities of India, where a Western lifestyle seems to be taking hold.
In India, nearly 50 per cent of breast cancer patients present with locally advanced disease. The main reasons for this late presentation are illiteracy, poverty, lack of awareness, feeling of shame, ignorance coupled with lack of health education. Absence of pain in the early stages adds to the cause of delay in seeking medical advice.
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Surgical treatment of breast cancer has changed significantly in recent years from radical to conservative approach. The surgical treatment of breast cancer must be determined for each woman on an individual basis. Breast cancer patients are twice more likely to be offered breast-conserving surgery (BCS) if treated by surgeons at a dedicated cancer center than by surgeons in the private practice, according to a national survey of breast specialists conducted by the American Society of Breast Diseases. In this study only 19% of surgeons used BCS in their practice while the remaining 81% performed mastectomy irrespective of the stage of the disease.
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Patients may have an initial gut preference for mastectomy as a way to “take it all out as quickly as possible”. Women tend to prefer mastectomy more often than their surgeons do because of this feeling. But, studies following thousands of women for more than 20 years follow-up show that there is no difference in overall survival in mastectomy over breast conserving therapy. Hence, proper counseling is very important. Only a surgeon, who is convinced him/herself, can propagate the idea and convince the patient for breast conservation.
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Women whose breasts are preserved have fewer episodes of depression, anxiety and insomnia. A recent multicentre study of patients with early-stage breast cancer found women who undergo breast conservation therapy have improved body image, higher satisfaction with treatment and no additional risk of recurrence compared with women treated with mastectomy. Careful selection of the patient for breast conservation is very important for a successful outcome.
Indications for breast conserving surgery (BCS):
1.      Patient’s desire for breast conservation.
2.      Tumor less than 4 cm in size (T1 or T2).
3.      Good Breast vs. tumor volume ratio.
4.      Availability of radiotherapy and mammographic facilities.
5.      Patients with N0 or N1 axillary nodes.
6.      Non-pendulous breast to allow a uniform radiation dosage distribution.
Contraindications for BCS:
1.      Multicentric breast cancer.
2.      Diffuse malignant looking micro calcifications on mammogram
3.      Matted (N2) axillary lymph nodes.
4.      Recurrence in a previously conserved breast.
5.      Collagen vascular disease.
6.      Early pregnancy.
7.      H/o previous irradiation to chest wall.
8.      Positive surgical margins
Relative Contraindications for BCS:
1.      Tumor size >5 cm. (T3)
2.      High risk of residual tumor or surgical margin positivity on resection.
3.      Large tumor in a small breast.
4.      Poor histological differentiation.
5. Extensive intraductal component (>25% of tumor is DCIS)
Breast Reconstruction
Reconstruction should be offered to all women who undergo a total mastectomy or whose breast conservation surgery (BCS) leaves an unacceptable cosmetic deformity. Immediate reconstruction is more convenient for patients, less expensive, and limits exposure to anesthesia risk. The aesthetic results tend to be better and the patient does not have to live with a deformity, even temporarily.
Reconstructive surgery can be delayed or performed immediately by either breast implants or autologous tissue. The most commonly used autologous flaps are the TRAM (transverse rectus abdominis myocutaneous) flap, the latissimus dorsi flap or free flaps.
Breast-conserving surgery is a treatment modality for early-stage breast cancer that causes less physical disfigurement and psychological trauma to the patient. Many prospective randomized trials have demonstrated that overall and disease-free survival rates for early-stage breast cancer are equivalent after mastectomy or BCS with postoperative radiotherapy.
Patients with a centralsub(retro)areolar cancer or Paget’s disease of the nipple that require resection of Nipple-Areolar complex (NAC),can also be treated with breast conservation with acceptablecosmesis.
In conclusion, breast-conserving surgery combined with radiation is now wellestablished as the preferred local-regional treatment for amajority of patients with early stage (stage 0, stage I, and stage II) breast cancers. Properlyselected patients can expect equivalent long-term survival fromthe disease, yet avoid mastectomy with all the negative physicaland psychological aspects of that more radical, ablative procedure.Not all patients, however, are considered appropriate candidatesfor a breast-conserving approach.
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February 6, 2011
Smoking & Excessive Drinking May Affect your Breast Health
by mikeygibran
Smoking & Excessive Drinking May Affect your Breast Health
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Home Page > Health > Quit Smoking > Smoking & Excessive Drinking May Affect your Breast Health
Smoking & Excessive Drinking May Affect your Breast Health
Posted: Oct 19, 2007 |Comments: 0
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Medical experts recommend the following measures to best protect your breasts while maximizing your overall health:
Avoid excessive drinking of alcoholic beverages – Some studies indicate there may be a link between drinking alcohol and an increase risk for breast cancer. Occasional red/white wine is fine or rather it benefits your health.
Sensuality and sexuality are not opposed to or the enemy of spirituality. Celebrate the sensuality of your body!
Avoid becoming overweight – No need to diet, just adopt the two suggestions above and you should naturally stay in shape.
Do not smoke cigarettes or other tobacco products – Like alcohol, smoking has been linked to breast cancer.
Sleep in total darkness. Your body gets deeper, more curing sleep in the dark of night.
Do exercises that involve the movements of your shoulders and build up your chest and upper arm strength regularly
Enjoy nurturing yourself. You need to massage your breasts and/or pamper yourself with a massage or your favorite spa treatment. It is a MUST survival skill.
Adopt positive female role models by having beautiful female images to view at home and at work.
Eat a little of soy-based products, such as soy milk, tofu, and tempeh regularly can help blocking the tendency for breast tissues to bond with extra estrogens that can cause disorder in healthy the functioning of breast tissue.
Practice breast self massage as well as using the spa service – Use warmed oil to touch your breast gently while in the shower or with your partner. ANBES breast massage oil is ideal if you want your breast to feel smooth and silky. It furthers help in preventing wrinkles/lighten stretch marks.
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Article Tags:
breast health, breast enhancement tips, anbes, pueraria mirifica, breast serum
Latest Quit Smoking Articles
More from Julie Walker
Curbing Breast Cancer Recurrence
This health video is focusing on the things you can do for your health to help curb the recurrence of breast cancer. (05:00)
Easier Radiation for Breast Cancer
In this health video learn how there’s a new kind of breast cancer therapy that’s quicker, easier and better for patients. (01:14)
Tracking Breast Cancer Treatment
In this health video learn how it can take months to find out if a woman’s breast cancer treatment is even working. A new scanner can give results in days. (01:34)
In this health video learn about a pill that taken every day could prevent breast cancer. (01:27)
In this medical health video Expert Patient PJ Hamel, a survivor, discusses symptoms of breast cancer that seem scary, but aren’t worth panicking over. PJ also introduces resources to learn more about breast cancer symptoms. (01:10)
Breasts are not Time Bombs. Protect your Breast Health by Sending the Right Message
Send optimistic messages to your breasts. Breasts are not time bombs. Stride out in confidence. Hypnotherapy is probably one of the most effective ways to achieve this as it can help to release conflicts, depression, blocks and illness between your mind and body….find out more.
By:
Julie Walkerl
News and Society>
Women’s Issuesl
May 07, 2007
More Breast Enhancement Tips for Better Breast Health
Do not use underarm deodorant that contains aluminum salts or other compounds. Aluminum is a heavy metal that can enter the blood and lymph systems through the skin and severely challenge the immune system. More tips here…
By:
Julie Walkerl
News and Society>
Women’s Issuesl
Jun 13, 2007
Easy to Follow Breast Health Enhancement Tips
Choose to eat in nature foods and use environmental friendly cleaning products. Many artificial chemicals (including what is found in fertilizers, pesticides. germicides) mimic hormones and cause physical and emotional disorder in your body and mind.
By:
Julie Walkerl
Health>
Women’s Healthl
Nov 07, 2007
Easy to Follow Breast Enhancement & Breast Health Tips for You!
Choose to eat in nature foods and use environmental friendly cleaning products. Many artificial chemicals (including what is found in fertilizers, pesticides. germicides) mimic hormones and cause physical and emotional disorder in your body and mind. More breast health tips here…
By:
Julie Walkerl
Healthl
Aug 18, 2007
lViews: 1,746
Stop Excessive Drinking to Protect your Breast Health
Avoid excessive drinking of alcoholic beverages and eating a well balanced diet can protect your breast and improve your breast health…find out more.
By:
Julie Walkerl
News and Society>
Women’s Issuesl
Mar 28, 2007
Expose your Breasts to Sun and Moonlight Help to Improve Breast Health
Do you know exposing your breasts to sun and moonlight is a way to improve your breast health? And Color TVs, microwave ovens, and computer screens release radiation can cause damaged tissues, thus bad for your breast health…find out more.
By:
Julie Walkerl
News and Society>
Women’s Issuesl
Feb 27, 2007
Daily Simple Tips to Improve Breast Health
Do you know Color TVs, microwave ovens, and computer screens release radiation can cause damaged tissues, thus bad for your breast health…find out more.
By:
Julie Walkerl
News and Society>
Women’s Issuesl
Apr 12, 2007
lViews: 116
Going Green with Electric Cigarettes
Electric Cigarettes are designed to look, feel, and taste just like the actual kind you would usually buy. Electric Cigarettes contain no tar, no burning substances, and zero second hand smoke.
By:
Donald Crabtreel
Health>
Quit Smokingl
Feb 05, 2011
Trying to Quit Smoking? Check Out Electronic Cigarettes!
E-cigs, or electronic cigarettes, make smoking more enjoyable and less toxic. Electronic cigarettes are smokeless electronic cigarettes, made to look, feel and almost taste like a real cigarette, without the harmful effects of a real one.
By:
Donald Crabtreel
Health>
Quit Smokingl
Feb 05, 2011
Getting Decrease This Cigarettes For Great
That can help make sure that you usually are prosperous inside your subsequent, along with ultimate make an attempt to give up smoking there are a few things that make sure you definitely consider. Setting you approximately be a success is not something that really should transpire by chance. If you really want to stop using tobacco once and for all, you simply must make a very few mindful options that must be followed.
By:
Bertrand Thomasl
Health>
Quit Smokingl
Feb 05, 2011
Likely To Give Up Smoking ? What You Should Do
Any time in your lifetime where you come to a decision it’s give up smoking cigarettes for great is certainly a critical phase. It symbolizes some time that you experienced once you have made a decision that must be the perfect time to gain back finish management over our bodies, and actually take charge of your selections.
By:
Bertrand Thomasl
Health>
Quit Smokingl
Feb 05, 2011
you feel the first thing you need to do is light up and have a fag even though you haven’t cleaned your teeth and your mouth feels like you have just licked the carpet?
By:
Phil Jarvisl
Health>
Quit Smokingl
Feb 04, 2011
Electronic Cigarettes Sold As Safe
Electronic cigarettes are handheld nicotine-delivery devices that, despite a devoted following, are currently swirling in controversy.
By:
cristinal
Health>
Quit Smokingl
Feb 04, 2011
Why Vapor Cigarettes Are So Incredibly Effective
Well, those of us who have had some kind of doubts on the addictive nature of cigarette smoking should reconsider their perceptions about the “magical affects” cigarette smoking has on any human being, since a recent survey shows that well over thirty percent of the whole population of the world (irrespective of age and gender) happens to be what we call “chain smokers”.
By:
rachaelswiftl
Health>
Quit Smokingl
Feb 04, 2011
Many smokers are asking themselves this question on many occasions. They have been trying to stop smoking unsuccessfully. Different smokers have different smoking experience and hence that also makes the treatment to quitting smoking different. Some will tell you the best smoking experience is when they wake up, others after they have had a good time with their lovers; and others claim their best cigar is after they eat.
By:
John Lismol
Health>
Quit Smokingl
Feb 04, 2011
Can Intake of Herb Fo Ti Root Really Enhance Your Bustline?
Can intake of herb Fo Ti Root really enhance your bustline? Breast enlargement supplement usually contain herbs (like Fo Ti Root), with natural estrogenic properties from plant sources (phyto-estrogens) that work by regulating hormones and promote healthy tissue growth.
By:
Julie Walkerl
Health>
Women’s Healthl
Jun 23, 2008
lViews: 1,704
Do Breast Massage Oil Helps in Male Breast Enhancement?
You probably saw or heard of breast massage oil. But do Breast Massage Oil helps in nale breast enhancement?
Breast massage oil, as the name implies, is used to massage your breast. Let’s see the benefits of breast
massage first.
By:
Julie Walkerl
Health>
Wellnessl
Jun 12, 2008
lViews: 787
lComments: 1
Will Breast Massage Helps in Male Breast Enhancement?
Will breast massage helps in male breast enhancement? Well, it all depends. Here, you will discover the key to effective breast massage for male breast enhancement.
By:
Julie Walkerl
Health>
Men’s Healthl
Jun 10, 2008
lViews: 1,922
Male Breast Enlargement Pills Faq (part Two)
Male Breast Enlargement Pills is an all-natural herbal dietary supplement that will help to increase breast size.. Some of the most frequently asked questions on male breast enlargement pills are covered here.
By:
Julie Walkerl
Health>
Men’s Healthl
Jun 05, 2008
lViews: 1,256
Natural Male Breast Enhancement Proven to Work?
Male Breast Enhancement proven to work? One may wonder, or even find it bizarre to relate a monk and male breast enhancement together…read on for the full story.
By:
Julie Walkerl
Health>
Men’s Healthl
May 29, 2008
lViews: 3,250
Male Breast Enlargement Pills Faq (part One)
Male Breast Enlargement Pills is one of the most sought after breast enlargement methods because popping pills is easy, compare to other methods. Some of the most frequently asked questions on male breast enlargement pills are covered here.
By:
Julie Walkerl
Health>
Men’s Healthl
May 27, 2008
lViews: 1,265
lComments: 1
Is Natural Male Breast Enlargement Possible?
Natural male breast enlargement is shown possible for some transgender, by intake of supplements and application of breast cream or serum. Would you like to read real life stories of male breast enhlargement and photos?
By:
Julie Walkerl
Health>
Men’s Healthl
May 26, 2008
lViews: 6,619
Natural Breast Enlargement Success Story…part 1
ANBES Breast Enhancement Serum, that even works on men! Read feedback here.
By:
Julie Walkerl
Healthl
Apr 25, 2008
lViews: 1,638
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Feel free to use this article on your website or ezine as long as the following information about author is included. Julie is the customer service guru of ANBES.com. ANBES.com is offering Free Sample, Limited Period Only. Latest Nanotechnology Breast Enhancement Serum That Show Immediate Results In 5 Minutes… While stock last! http://www.anbes.com/article/
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