Health and Medical Answers From World Leading Experts. Relevant, helpful, and accurate health information.

I am interested in learning more about lymph node transfer surgery. Where can I get more information?

Please reach out to Dr. Corinne Becker who practices in Paris and New York. Here is her telephone in Paris: 0825 74 34 74

Here are links to many answers and videos by Dr. Becker on lymph node transfer:
http://talkabouthealth.com/CorinneBeckerMD/answers
http://www.youtube.com/playlist?list=PL4F8D94400D78EC80

Question by: member7563 (Survivor (10 - 20 years))

1 Answer | 4 months ago

I have lymphedema in my left leg and I understand that you and Dr. Becker are working on a new treatment. How can I get more information on this?

You should reach out to Dr. Corinne Becker and Dr. Josh Levine who do lymph node transfer in New York City. Telephone number: 646.240.9697

Here are links to many answers and videos by Dr. Becker on lymph node transfer:

http://talkabouthealth.com/CorinneBeckerMD/answers
http://www.youtube.com/playlist?list=PL4F8D94400D78EC80

Question by: member3534 (Survivor (2 - 5 years))

1 Answer | 4 months ago

I am interested in lymph node transfer surgery (surgical lymphedema treatment). Where can I find more information?

One of the leading experts in lymph node transfer, Corinne Becker, MD, from Paris has answered many questions on TalkAboutHealth and done a series of videos on lymph node transfer. Here are links to her answers and videos:

http://talkabouthealth.com/CorinneBeckerMD/answers
http://www.youtube.com/playlist?list=PL4F8D94400D78EC80

Question by: member7563 (Survivor (10 - 20 years))

2 Answers | 4 months ago

What are indications to be good candidate for lymph node transplantation? Where in Europe (living in Benelux) can I go to consultation?

Here is a great answer about criteria to be eligible for lymph node transplantation -http://talkabouthealth.com/what-are-the-criteria-for-a-patient-with-lymphedema-to-be-eligible-for-a-lymph-node-transfer-surgery

Dr. Corinne Becker, who practices in Paris, does lymph node transfer surgery. Here is a link to many of her answers on lymph node transfer:http://talkabouthealth.com/CorinneBeckerMD/answers

Here is Dr. Becker's telephone number in Paris: 0825 74 34 74

Question by: member1742 (Survivor (1 year))

2 Answers | 4 months ago

Interested in lymph node transplant for my mom. How can I get the ball rolling or know if she qualifies?

The next steps for you would be to have a consult with a lymph node transfer surgeon to review the details of your specific case.

One option is to call Dr. Levine's office to set up a consult with Dr. Corinne Becker (http://talkabouthealth.com/CorinneBeckerMD) - 646.240.9697. They are creating a lymphedema center in New York.

Here is a link to criteria for being eligible for a lymph node transfer surgery.
http://talkabouthealth.com/what-are-the-criteria-for-a-patient-with-lymphedema-to-be-eligible-for-a-lymph-node-transfer-surgery

Question by: member2512 (Family member)

1 Answer | 7 months ago

Test Question?

test reply email

Question by: member5592 (Family member)

2 Answers | 11 months ago

My breasts and the skin directly around them is itching. Nothing visible at all, no new soap or lotion, just itching like sunburn. What should I do?

Thank you for the question. We have notified several experts and survivors and expect answers soon.

The one thing I would be careful of is that itching of the breasts is a potential symptom of inflammatory breast cancer. I would consult a breast disease specialist (breast surgeon or inflammatory breast cancer specialist at a cancer center) right away. The more experienced with inflammatory breast cancer the better. As the answer in the link below states though, this symptom can be associated with benign non-cancerous conditions, but it is always better to be safe.

http://talkabouthealth.com/what-symptoms-of-inflammatory-breast-cancer-should-women-be-on-the-look-out-for

Please keep us informed.

Question by: member3160 (other)

2 Answers | 1 year ago

Is anyone out there diagnosed with cholangiocarcinoma (liver/bile duct cancer)? I would love to speak with you, especially if you are around my age (40).

Here are two wonderful organizations to reach out to that have matching programs for patients and survivors to connect with others like them. We will also do our best to get the word out to our community and will let you know. Thank you so much for reaching out and setting an excellent example for others.

http://www.4thangel.org/
http://www.imermanangels.org/

Question by: member2810 (Survivor (2 - 5 years)) in topic(s) Liver Cancer, Bile Duct Cancer, Patient Connections

1 Answer | 1 year ago

Hi Murray...I keep trying to add a pict to my profile. I get a message that it has been successfully done, and then the picture never appears. Help!

Sorry about that. I can see the picture now. Sometimes it takes a couple minutes for the picture to be seen throughout the site. If you still can't see it, try refreshing the screen.

Question by: member9324 (Current Patient)

1 Answer | 1 year ago

Great site Murray - I think it's wonderfully focused and really like the 'question' and answer format.

Thank you:) Would love to have you as a featured member and invite the community to ask you questions. Let me know:) murray@talkabouthealth.com

Question by: Bumpyboobs (Survivor (1 year))

1 Answer | 1 year ago

TAH - do you have a q/a on follow up protocol for breast cancer survivors?

Excellent question. Please do ask this question here and we will see what kind of answers we get from both survivors and experts.

I am going to remove this question, but please ask the question you recommend.

Murray:)

Question by: member3831 (Survivor (2 - 5 years))

1 Answer | 1 year ago

How can I change my password on TalkAboutHealth?

Go to the top right to the "Settings" drop down menu and click on "Notification Settings and Password". You can change the password at the bottom of this page.

Let me know if you have any issues.

Question by: member2145 (Pharmacist (Verified)) in topic(s) TalkAboutHealth Instructions, TalkAboutHealth, Directions For Using TalkAboutHealth

1 Answer | 1 year ago

What are the general risk factors for breast cancer?

gender
age
race
high fat diet
early onset of mense and late menopause
late or no pregnancies
family history (BRCA-1, BRCA-2)
personal history (already had breast cancer)
dense breast tissue
alcohol consumption
hormone supplementation

Here are a couple of links that go into greater detail:
http://www.mayoclinic.com/health/breast-cancer/DS00328/DSECTION=risk-factors
http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-risk-factors

Question by: murray (Family member) in topic(s) Breast Cancer, Breast Cancer Risk Factors, Breast Cancer Risk

1 Answer | 1 year ago

How can I connect with more YOUNG Breast Cancer survivors?

The two main organizations that I know of that focus on young cancer survivors are Young Survival Coalition (http://youngsurvival.org) and i2y (http://i2y.org).

Both have gatherings all over the country, either support groups or other events. They also have forums where you can meet others online. And if you are particularly ambitious, they could give you guidance on starting your own local group. You can also contact us at TalkAboutHealth and we will help you get a local group going.

Just this year I went to both Young Survival Coalition's and i2y's yearly conferences, and they were both amazing. Both offer scholarships as well, but make sure you apply early.

And of course, TalkAboutHealth (http://TalkAboutHealth.com) will match you with others similar to you as well.

Here is a longer list of organizations that support young survivors.
http://talkabouthealth.com/static/resources

Question by: raysingboyz (Current Patient) in topic(s) Young Survivor, Breast Cancer Support

1 Answer | 2 years ago

What is the difference between a screening mammogram and a diagnostic mammogram?

Screening mammograms check for lumps in the breast when there no signs or symptoms of breast cancer. Two X-rays are taken of each breast to determine if there have been any tissue changes compared to previous mammograms and look for tumors and microcalcifications.

Diagnostic mammograms are used to help diagnose or rule out breast cancer. Diagnostic mammograms are given after a lump or other sign or symptom of the breast cancer has been found. For diagnostic mammograms, more x-rays are taken to obtain views of the breast from several angles. Suspicious areas may be magnified to produce a detailed picture. The purpose is to locate and analyze potentially cancerous tumors or cells.

Question by: murray (Family member) in topic(s) Diagnostic Mammogram, Breast Cancer Tests, Breast Cancer Screening, Screening Mammogram, Mammogram, Breast Cancer Diagnosis

1 Answer | 2 years ago

I have Hodgkins Disease and it has already relapsed once. What can I eat that will help it never to come back again?

Unfortunately there is not a definitive answer for this question, but the general belief is that the best way to help prevent cancer is to exercise and eat a low calorie diet containing fiber, fruits, and vegetables.

As well, it is recommended to avoid environmental risks such as tobacco use, alcohol consumption, sun exposure, as well as air and water pollution.

Here is an excellent general article on cancer prevention.
http://www.cancerquest.org/introduction-cancer-prevention

I will research further environmental risks and post later. This is a very complex topic.

Question by: member1153 (Current Patient) in topic(s) Cancer Prevention, Prevention, Relapse, Hodgkin Lymphoma

2 Answers | 2 years ago

I am having an allergic reaction to my chemo treatments, what are my options?

The treatment of allergic reactions depend on the severity. Allergic reactions can be mild and only effect a small area of the body, or can be severe and result in anaphylactic shock.

Possible treatments include:
- Allergic reactions may be treated with antihistamines (diphenhydramine, etc.).
- Toxins should be avoided in the future
- Emergency allergic reactions may be treated with epinephrine (Epipen).

It is important to determine if you are experiencing an allergic reaction or a side effect of the chemotherapy medication. A common mistake is to confuse an allergic reaction with an adverse side effect of the medication.
- A side effect is a result of taking a medication. Some common adverse side effects are headaches, gastro-intestinal upsets, nausea, or vomiting

If it is a true allergic reaction from a chemotherapy treatment, your physician may prescribe a different chemotherapy treatment or a different chemotherapy regimen.

An allergic reaction is an extreme reaction by your immune system from toxins. Allergic reactions may happen right away or be delayed.

Question by: murray (Family member) in topic(s) Chemo Side Effects, Allergic Reactions, Chemotherapy, Allergic Reaction Symptoms

3 Answers | 2 years ago

Since taking Arimidex about 6 months ago, I am noticing side effects are becoming intollerable to me. Knee/joint pain, insomnia. Any suggestions?

Another option to discuss with your physician is tamoxifen. Studies have shown that aromatase inhibitors are more effective in postmenopausal women with ER+ breast cancers, but if side effects are severe, tamoxifen is an option to consider.

Here are a couple of articles comparing tamoxifen to aromatase inhibitors.
http://www.medscape.com/viewarticle/447550_2
http://www.sciencedaily.com/releases/2008/12/081211161737.htm

Question by: raysingboyz (Current Patient) in topic(s) Insomnia, Arimidex (Anastrozole), Joint Pain, Side Effects

5 Answers | 2 years ago

Is Molecular Breast Imaging (MBI) better than a mammogram at detecting tumors in my breasts?

According to this article on Sep 14th, 2010 (http://www.auntminnie.com/index.aspx?sec=spt&sub=mbi&pag=dis&itemID=91901) Michael O'Connor, PhD, a professor of radiologic physics at the Mayo Clinic says:
"Right now it's used as a secondary diagnostic tool." O'Connor explained. "You would not look at this technology to replace mammography for women who do not have dense breasts, because for them mammography does very well."

From the research that I have done it appears that there are numerous clinical trials in progress to determine the effectiveness of MBI versus other breast cancer screening methods (such as mammograms, MRI, etc.) as well as various breast cancer scenarios.
http://www.genewscenter.com/content/Detail.aspx?ReleaseID=10424&NewsAreaID=2
http://clinicaltrials.gov/ct2/show/NCT00591864
http://clinicaltrials.mayo.edu/clinicaltrialdetails.cfm?trial_id=101270

The main study that I have found that has been completed focused on detecting tumors in dense breast tissue.
http://www.mayoclinic.org/news2009-mchi/5203.html

It appears the approach that was taken with this innovation was they were looking specifically for a solution for the short-comings of mammography. We will see in the future how effective MBI can be. It looks to me like there is a lot of potential.

Question by: murray (Family member) in topic(s) Breast Cancer Screening, Breast Tumor Detection, Breast Cancer Risk, Mammogram, Molecular Breast Imaging (MBI), Breast Cancer Detection

2 Answers | 2 years ago

How does Molecular Breast Imaging (MBI) work?

MBI works using a gamma radiation-detecting camera. The patient is injected with short-lived radioactive agent. The tumor cells absorb the radioactive agent. The tumors are able to be seen/detected in the resulting image from the camera.

Question by: murray (Family member) in topic(s) Breast Cancer Screening, Breast Tumor Detection, Molecular Breast Imaging (MBI), Breast Cancer Detection

2 Answers | 2 years ago

What is Molecular Breast Imaging (MBI) / Breast Specific Gamma Imaging (BSGI)?

Molecular breast imaging (MBI) is a new screening method for breast cancer that is especially effective in detecting tumors in dense breast tissue that mammograms may miss.

Question by: murray (Family member) in topic(s) Breast Tumor Detection, Breast Cancer, Molecular Breast Imaging (MBI), Breast Cancer Detection

2 Answers | 2 years ago

Can you explain what MBI (Molecular Breast Imaging) / Breast Specific Gamma Imaging (BSGI) is?

Molecular breast imaging (MBI) is a new screening method for breast cancer that is especially effective in detecting tumors in dense breast tissue that mammograms may miss.

MBI works using a gamma radiation-detecting camera. The patient is injected with short-lived radioactive agent. The tumor cells absorb the radioactive agent. The tumors are able to be seen/detected in the resulting image from the camera.

According to a Mayo Clinic study, "MBI detected three times as many cancers in women with dense breast tissue and an increased risk of breast cancer." MBI also had fewer false positives according to the study. - http://www.mayoclinic.org/news2009-mchi/5203.html

Originally, the radiation dose of this procedure was much more than a mammogram. According to Mayo though, the radiation dose is now the same as a mammogram.
http://discoverysedge.mayo.edu/molecular-breast-imaging/

Question by: member4514 (Survivor (2 - 5 years)) in topic(s) Breast Cancer Screening, Breast Cancer, Molecular Breast Imaging (MBI)

2 Answers | 2 years ago

How do you “get away” on a daily basis?

I have a play list of "feel good" songs too! I always go for a run and play my favorite songs. Relaxes me and my mind is cleared, at least for a little bit.

Question by: murray (Family member) in topic(s) Recovery, Depression, Rejuvenation, Anxiety

9 Answers | 2 years ago

Who are the most active breast cancer advocates on twitter?

Question by: murray (Family member) in topic(s) Twitter, Lists, Breast Cancer Advocates

1 Answer | 2 years ago

I had multiple recontruction surgeries and now have significant scar tissue. Do you know of any 'treatments' or non-invasive procedures to remove scar tissue?

Scars from surgery most likely can never be completely removed without another surgery (which would possibly create another scar), but there are actions to take that may help reduce the size, soften the tissue, and fade or make it less noticeable.

The first thing to do is to lightly stretch and massage the scar area daily. When massaging, gently cross the incision from side to side. Also while massaging, be alert for lumps around or under the scar tissue, which might indicate re-occurrence. Massage breaks down the scar tissue, resulting in the tissue being rebuilt and some of it removed. You may use ointments or moisturizing cream while massaging.

Other options include:
- Ointments -There are numerous ointments, both commercial and home remedy, that you may test to see what is the most effective for you. Some of the ingredients that are considered most effective include hydroquinone, alpha hydroxy acid (i.e. glycolic acid), retinoid, tretinoin, and kojic acid.
- Silicone sheets, gels, and cushions have also been known to work to some degree.
- Chemical peels, laser treatment, or collagen or steroid injections - make sure to speak to your physician and dermatologist about these options.

Commercial ointments you may try include:
- Eucerin
- Bio Skin Repair
- Scarprin
- Dermatrix
- Syprex
- Pro-Sil
- Kelo-Cote Scar Gel
- Biodermis
- Scar Guard Scar Care
- Scar Heal
- Scar Esthetique Reduction Cream
- Wound-Be-Gone Hydrophilic Scar Gel
- Thiosinaminum
- Mederma

Some home remedy ointments that may help are:
- honey
- olive oil
- essential oils
- vitamin E liquid content mixed with aloe vera gel
- mint juice and lemon juice may help to fade the scars

Note: When you try new ointments, make sure you are not allergic to any of the ingredients by applying a small amount to an inconspicuous location and wait for 24 hours to see the results.

Question by: member7317 (Survivor (2 - 5 years)) in topic(s) Scarring, Scar Tissue, Removing Scar Tissue, Reducing Scar Tissue

2 Answers | 2 years ago

What foods are easiest to eat while experiencing an upset stomach and loss of appetite from radiation treatments?

I believe it is important to eat foods that are as high in nutrition as possible as well as making sure you have a balanced diet. Over time, you will probably want to vary your diet by being creative with various sauces and small amounts of spices to change things up.

Here are a list of nutritious foods to work into your diet:
- fresh or dried fruit and fruit juices
- fresh vegetables
- dairy products - cottage cheese, milk, eggnog, milkshakes
- soups
- drink lots of fluids
- try different types of meat with various sauces

You may want to avoid the following foods:
- spicy or hot foods
- acidic foods - oranges, tomatos
- hot liquids such as coffee or tea
- course foods like chips, raw vegetables, crackers, and nuts (you may soak some of these in liquid to soften)

Question by: murray (Family member) in topic(s) Radiation Side Effects, Diet, Radiation Treatment, Side Effects, Upset Stomach, Nutrition, Food, Lack Of Appetite

1 Answer | 2 years ago

What can I do to alleviate an upset stomach and loss of appetite from radiation treatments?

I am sorry about your upset stomach. This is a common issue in patients going through radiation treatments. What you are worried about is very important, sufficient nutrition in your diet is necessary to help your body recover and maintain health. At the end of the day, you will have to experiment to find the right nutrition plan for you.

If you can, meet with a nutritionist to develop a specific plan for your diet and make sure you understand the calories, protein, vitamins, etc. that you need as well as food options and how much to eat.

Here are some general suggestions that may help:
- try eating snacks and small meals throughout the day instead of a few large meals
- make sure to eat foods high in nutrients (high in protein or calories, such as nutrient bars, ensure, nutrition drinks, milk shakes, cheese, fruits, peanut butter, nuts, crackers, and juices.) and stay away from foods with little nutrition such as junk foods.
- drink dense fluids such as milk, milk shakes, and juice.
- when you feel good, make sure to eat
- prepare food that is colorful and appealing to the senses.
- try different seasonings
- bland foods, such as crackers, broth, and rice, may be easier to digest.

Depending on how you feel and the severity of the side effects, you may want to talk to your doctor about medications that may help alleviate an stomach upset and prevent weight loss. Here is a link to a list of potential medications your physician may prescribe for lack of appetite: http://talkabouthealth.com/what-medications-might-be-prescribed-for-lack-of-appetite

Question by: member1539 (Current Patient) in topic(s) Radiation Side Effects, Radiation, Radiation Treatment, Upset Stomach, Lack Of Appetite

2 Answers | 2 years ago

What are the healthiest foods to eat during chemotherapy?

One great food to have handy is chicken rice soup.

Live chat by: member2426 (Current Patient)

2 Answers | 2 years ago

is stage 4 a death sentence

in order to answer this question, more background information on the patient is need.

Question by: member1419 (Current Patient)

1 Answer | 2 years ago

What can I do on the Question page?

The Question page contains all of the information for a question.

Members are encouraged to contribute and improve the content for questions:
- answer questions
- edit the headline and question details to improve clarity and accessibility
- assign topics to the question to organize it
- vote for and suggest improvements to answers
- create and edit answer summaries

If you decide to "follow" a question, you will receive updates to the question in your Conversation Feed and via email.

Question by: murray (Family member) in topic(s) TalkAboutHealth, Directions For Using TalkAboutHealth

2 Answers | 2 years ago

What can I do on the Topic page?

The Topic page lists all of the conversations associated with that topic. Members are encouraged to:
- assign topics to conversation to help organize the content.
- improve the topic description
- organize topics using the Manage Topic page

If you decide to "follow" a topic, you will receive topic updates in your conversation feed:
- when a conversation is added to the topic.
- for a new answer in the topic.
- when a conversation in the topic is re-started.

Question by: murray (Family member) in topic(s) TalkAboutHealth, Directions For Using TalkAboutHealth

1 Answer | 2 years ago

What can I do on the Manage Topic page?

This page is how we organize the content on TalkAboutHealth so that it is easier to find.

Members are invited to help organize and improve the content on TalkAboutHealth.

Question by: murray (Family member) in topic(s) TalkAboutHealth, Directions For Using TalkAboutHealth

1 Answer | 2 years ago

How can TalkAboutHealth insure the highest quality content and answers?

Here are a couple of ideas:
- Encourage members to "Suggest Edits" to each other
- Encourage members to label answers "Not Helpful".
- Have moderators review and remove answers that are inaccurate, misleading, or not helpful.

Question by: murray (Family member) in topic(s) Ideas for TalkAboutHealth, TalkAboutHealth, Feedback For TalkAboutHealth

1 Answer | 2 years ago

question about breast cancer

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Question by: murray (Family member)

1 Answer | 2 years ago

What features should TalkAboutHealth add in the future?

TalkAboutHealth groups where users may start their own support group. Potential features are:
- schedule and organize virtual and in person meetings
- communicate with each other between meetings
- group leader may control membership

Question by: murray (Family member) in topic(s) Ideas for TalkAboutHealth, TalkAboutHealth, Feedback For TalkAboutHealth

1 Answer | 2 years ago

What are some tips to alleviate taste changes from chemotherapy medications?

Since taste buds are changing, it is important to discover what tastes you find appealing:
- Try different foods that look and smell good and fix a colorful dinner in pleasant surroundings.
- Use air freshener and fragrant candles to eliminate unpleasant odors.
- Food that is chilled may be more palatable.
- Drink lots of fluids.
- Use plastic utensils to eat and cook with.
- Try different seasonings and marinating your meat in juices, wines, salad dressings. Try barbecue sauce and sweet and sour sauces for different flavors.
- Consider drinking ginger ale or tea.
- Try chewing gum or sucking on mints or hard candies to freshen your mouth or sucking on ice chips

Tips for controlling taste changes may include:
- brush your teeth often and before and after eating
- maintain good oral hygiene
- discuss with your physician if it is ok not to eat 1-2 hours before or 3 hours after treatments
- rinse your mouth with salt water or baking soda dissolved in water to refresh your taste buds
- try to avoid cigarette smoke

Question by: murray (Family member) in topic(s) Taste Change, Chemo Side Effects, Metallic Taste, Taste Changes, Chemo Medications, Chemo Side Effect, Chemotherapy

1 Answer | 2 years ago

What are the best treatment centers in the NYC area for breast cancer?

Memorial Sloan-Kettering is one of the best hospitals in the world for treating breast cancer. They have numerous clinical trials and I believe might treat more breast cancer patients than any other hospital in the US.

New York–Presbyterian, Beth Israel, and NYU Medical Center also have very respectable breast cancer programs.

Question by: member2426 (Current Patient) in topic(s) Support, Breast Cancer, Best Hospitals, Best Breast Cancer Centers

1 Answer | 2 years ago

I don't understand what depression is and what causes it?

Depression is a medical illness . Symptoms associated with depression include:
- sadness lasting for two weeks or longer
- feelings of lack of interest in life and hopelessness

Depression is different from temporary sadness and fatigue.

Causes or risk of depression may include:
- Stressful life events (breast cancer diagnosis and treatment)
- Breast cancer medications
- Heredity (history of depression in you or any family member)
- Biochemical or psychological makeup
- Fluctuating hormone levels
- Pessimistic tendencies and lack of support from family and friends
- Alcohol and drug abuse
- Excess grief

Treatments of depression include
- Psychotherapy or counseling
- Antidepressant medications

Question by: murray (Family member) in topic(s) Hormone Levels, Chemo Medications, Sadness, Medications, Depression, Side Effects

3 Answers | 2 years ago

How long do taste changes usually last from chemotherapy treatments?

Taste change is usually temporary and effects everyone differently. Sometimes the taste change only lasts a couple of hours, but it could also last for a couple of months.

Question by: murray (Family member) in topic(s) Taste Change, Side Effects

1 Answer | 2 years ago

How do medications cause taste changes?

There is not a definitive study on what causes taste changes.

One theory is that damage to the cells in the mouth cause the taste changes. Cells in the mouth are extremely sensitive to chemotherapy.

Another theory is an association of nausea and vomiting from chemotherapy with taste may be a factor.

Question by: murray (Family member) in topic(s) Chemotherapy Side Effects, Taste Changes, Side Effects

1 Answer | 2 years ago

What are some of the best blogs to read on the breast cancer journey?

Here are a couple of my favorites:

http://jaynesbreastcancerblog.com/
http://mywifewithcancer.blogspot.com/
http://melnorth.blogspot.com/

Question by: murray (Family member) in topic(s) Best Blogs, Support, Blogs, Help

1 Answer | 2 years ago

Just diagnosed with breast cancer, what are some practical tips that will help me?

Here are some practical tips that should help:
- Appoint someone as your advocate to provide support, go to appointments with you, take notes, etc.
- Develop a support network (i.e. prayer groups, etc. ) and prepare family and friends
- Get copies of your electronic records from you physician and hospital to make sure they are correct. This will reduce risk of mistakes.
- Understand your insurance coverage - medications covered, deductibles, etc.
- Make sure to follow-up to get the information you need. Don't be shy.
- Try to have blood work and labs done at same facility. Have these tests done on a regular basis so you may look for trends.
- Have the hospital/clinic give you the results of tests and diagnostics digitally (i.e. compact disc) if possible.
- Check with social services to see if you are eligible for assistance.
- Make sure your living will, power of attorney, medical surrogate power of attorney, and names on bank accounts are up to date.
- Be calm and know that you are in charge of your decisions.

Question by: murray (Family member) in topic(s) Just Diagnosed, Tips

2 Answers | 2 years ago

What are some of the factors that influence breast cancer prognosis?

Some of the factors that effect the prognosis are:
- Location, size of the tumor, and if it has spread to other parts of the body
- Whether the cancer is fueled by hormones (hormone receptor-positive or -negative)
- Genetic makeup of the breast cancer cells (i.e. Her2 status)
- Rate of growth of cancer / aggresiveness
- age of patient
- whether it is recurring

Question by: murray (Family member) in topic(s) Breast Cancer Prognosis, Prognosis

1 Answer | 2 years ago

How is a prognosis determined after I have been diagnosed with breast cancer?

In order to give the most accurate prognosis for breast cancer possible, your medical team will perform numerous tests and potentially surgery to learn as much as possible about your cancer and determine the type and stage. Once staging and type has been established, prognosis is determined by comparing your cancer with the results of other cases similar to yours.

Question by: murray (Family member) in topic(s) Breast Cancer Prognosis, Prognosis

1 Answer | 2 years ago

Just diagnosed with breast cancer, what are the important tests that I must complete?

If a biopsy has been completed and the diagnosis is breast cancer, data collected from tests and surgery will help to determine the stage, treatment options, and prognosis.

One of the first steps is for the pathologist to assign a grade to the cancer based on examining a tissue sample. The grade measures the speed of growth of the cancer.
The DNA Ploidy and Ki-67 Antigen tests may also be used to measure speed of growth. The grade of the cancer helps to determine the treatment options and prognosis.

Determining the stage of the cancer also helps to determine the treatment options (staging tests are not required depending on size of cancer and symptoms):
- Tests may include:
- Diagnostic mammogram in both breasts - to get a more thorough view, pin point location, measure size, and search for other abnormal areas
- A complete blood count to determine overall health and if cancer has spread to the organs
- MRI - to help measure size of tumor and to see if cancer has spread to other parts of the body
- CT scan - to see if cancer has spread to other organs
- PET scan - to see if cancer has spread to other parts of the body
- Chest x-ray - to see if cancer has spread to the lungs
- Bone scan - to see if the cancer has spread to the bones

In order to accurately determine the stage of the cancer, many times surgery is required. During breast surgery, the following data may be collected to help determine the stage: size of the tumor(s), presence of cancer cells in the axillary lymph nodes under the arm, and the presence of cancer cells in other parts of the body.

Determining the hormone receptor status and Her2 status will determine how the cancer will respond to hormonal therapy and other targeted treatments.
- Her 2/neu - used to determine Her2 status. Helps to determine treatment options. If there are increased levels of Her2 protein, patients may respond well to the medication Herceptin.
-Estrogen Receptor/Progesterone Receptor - used to determine hormone receptor status. Helps to determine treatment options. Patients who have high percentages and intensity of estrogen and progesterone positive cells, may respond well to anti-hormone therapy.

There are also more specific tests for patients whose cancer meet specific criteria. A couple of examples are:
- Oncotype DX - for early stage, node negative, ER+ cancers to predict chemotherapy benefits and recurrence.
- MammaPrint (Agendia) - for lymph node negative breast cancer patients under 61 years of age with tumors of less than 5 cm. May assist in determining risk for possible metastasis of cancer.

Question by: murray (Family member) in topic(s) Breast Cancer Tests, Just Diagnosed, Tests

1 Answer | 2 years ago

How can I tell if health information on the internet is reliable?

I would recommend a couple of different tactics when evaluating information on the internet:
- validate information from multiple sources
- check with your physician and medical team with important information before taking action
- be critical in analyzing who published the information and whether it is a reputable organization (commercial, non-profit, government, etc.)
- be careful with information that sounds too good to be true, make sure to check with your medical team
- do your best to understand the information as opposed to memorizing facts
- remember that everyone is different, and information that might apply to one person, might not apply to others.

Question by: murray (Family member) in topic(s) Validity Of Information, Verify Information, General Health Information

1 Answer | 2 years ago

What are the best web sites for following the latest news on breast cancer?

Here are a couple:

Medical News Today: http://www.medicalnewstoday.com/sections/breast_cancer/
Science Daily: http://www.sciencedaily.com/news/health_medicine/breast_cancer/
Topix: http://www.topix.com/health/breast-cancer

Question by: murray (Family member) in topic(s) Best Web Sites, Breast Cancer Web Sites, Breast Cancer News, Web Sites

2 Answers | 2 years ago

What are the potential results from a biopsy?

After a biopsy, there are 4 potential results:
- Everything is normal - Even with this result though, it is important to continue with monthly self-exams, clinical breast exams, and mammograms.
- Not cancer, but you should be rechecked in 4 to 6 months to look for changes. In the mean time, you should also be looking for changes on your own.
- Abnormal but not necessarily cancerous - Sometimes tests may reveal a higher risk for breast cancer, which may result in more frequent testing or consideration of options to prevent breast cancer (i.e. preventative mastectomy, hormonal therapy).
- Cancer - If cancer is diagnosed, next steps are further tests to learn more about the cancer to determine stage, prognosis, and treatment options.

Question by: murray (Family member) in topic(s) Biopsy, Biopsy Results, Tests, Diagnosis

1 Answer | 2 years ago

How is it determined whether a lump is normal or abnormal?

Your physician will perform several tests to distinguish if the lump is normal or abnormal.
- Feeling the lump (palpation) to determine how hard and if the lump moves around. Cancerous lumps many times are hard and do not move.
- Diagnostic mammogram to determine size and location of the lump as well as learn more about the surrounding tissue and lymph nodes.
- Ultrasound test to determine if the lump is sold or filled with fluid.
- Thermal imaging (not common) measures shifts in physiological and metabolic activity.

If the lump appears suspicious, the next step is to have a biopsy and analyze cells from the lump.

Question by: murray (Family member) in topic(s) Diagnostic Mammogram, Ultrasound, Lump In Breast, Thermal Imaging, Diagnosis

1 Answer | 2 years ago

I just found a lump in my breast, what do I do now?

First, remember to stay calm. Then, you should immediately consult your physician. Lumps in breasts are very common and 8 out of 10 lumps found in women's breasts are not cancerous. Hormones may cause breast tissue to fill with water, creating lumps. Many times lumps go away naturally. But you can never be too careful in making sure.

The next step is for the physician will determine if the lump is normal or abnormal.

Question by: murray (Family member) in topic(s) Lump In Breast, Breast Cancer, Breast Cancer Symptoms

11 Answers | 2 years ago

How does a mammogram work?

A mammogram is an x-ray of the breasts. It is used for both breast cancer screening and diagnostic purposes.

For screening, it may detect breast cancer before it can be felt in a physical examination. Two views are usually taken for a screening mammogram.

For diagnosis, multiple views of the breast are taken to determine the size and location of the abnormality as well as learn more about the surrounding tissue and lymph nodes.

Question by: murray (Family member) in topic(s) Diagnostic Mammogram, Breast Cancer Screening, Mammogram, Tests

2 Answers | 2 years ago

What should I look for in a breast cancer center or hospital?

When selecting a hospital, make sure that you are comfortable with the physician, medical team, staff, and facilities.

Some of the specifics you should look for when considering hospitals are:

- How comprehensive is the care? How many services are offered that you might need within the hospital (i.e. radiology, reconstructive surgery)?
- How do they coordinate care? Is there one person who is responsible for each patient and what is their availability for questions?
- How many breast cancer patients does the hospital treat?
- What percentage of the surgeon's operations are on breasts?
- Do they have a breast imaging center or do they use an all purpose radiologist?
- How responsive are they? After the first mammogram, how quickly will you receive the results and have follow up testing?
- Is their technology state of the art?
- Do they have a multidisciplinary approach? Do all the specialists meet to discuss the care of each patient before treatment.
- Are on-site counseling and support groups available? Do trained counselors lead the sessions?
- Are their services to assist the patient with insurance and other miscellaneous needs?
- How comfortable do you feel with the procedures and facilities? Such as private dressing rooms, waiting areas, etc.
- Do you feel comfortable with the staff?
- Do they perform cutting edge research and offer clinical trials?
- Do they have access to a genetics counselor? Family history may be a factor in some of the decisions.

Question by: murray (Family member) in topic(s) Best Hospitals, Hospital Selection, Hospitals

1 Answer | 2 years ago

What is the difference between invasive versus non-invasive cancer?

Determining whether the cancer is invasive or non-invasive is one of the first pieces of information needed to begin developing a treatment plan going forward.

Non-invasive breast cancer means that the cancerous cells have not spread outside of the ducts or lobules. This is good news, but treatment is still needed to make sure the cancer does not spread.

Invasive breast cancer means that the cancerous cells have spread outside of the ducts or lobules to other parts of the breast or body.

Question by: murray (Family member) in topic(s) Non-invasive Breast Cancer, Invasive Breast Cancer

1 Answer | 2 years ago

What is the summary of the process for developing a treatment plan following diagnosis of breast cancer?

First it is important to understand the diagnosis. Some of the important factors to understand are:
- is the cancer invasive or non-invasive
- your mammogram
- your pathology report
- your margins of resection
- your medical history
- details of similar cases

After analyzing these factors, your medical team will determine the stage of the disease and treatment options. In many cases, surgery might be necessary to determine the stage of the cancer. In these cases the patient will have to make a decision for short-term treatment, as well as another treatment decision after the surgery.

An example of a common set of treatment options are the following:
- hormonal therapy
- breast conservation surgery - lumpectomy plus radiation
- mastectomy
- mastectomy plus radiation
- chemotherapy followed by surgery

Question by: murray (Family member) in topic(s) Treatment Plan, Treatment Options

1 Answer | 2 years ago

Just diagnosed with breast cancer, what are the important topics that I need to learn about?

Some of the important information you and your medical team will need to find out to determine your treatment options are:
-whether the cancer is non-invasive or invasive
-whether lymph nodes are involved and if so, how many?
-size of the tumor
-tumor grade
-hormone receptor status
-HER2/neu oncogene overexpression
-margins of resection

Question by: murray (Family member) in topic(s) Important Information, Just Diagnosed

1 Answer | 2 years ago

Just diagnosed with breast cancer, what can I do to prepare?

One of the main things I would recommend is to get organized. You will be inundated with information in a short-time period, and being organized will help you retain information and reduce stress.

- keep a calendar, either online or with a calendar book - it is important to track both your appointments and treatment dates

- track your important contacts (medical team, physicians, specialists, clinic, support group members, etc.) either online or in a contact book. Track names, phone numbers, after hours phone numbers, addresses, secretary's name, fax, office hours, etc.

- plan for several different transportation options - family members, friends, support group members, taxi, etc.

- get binders and track all important info:
- medical info (history, physicals, blood work, mri, pet scan, x-rays, recommendations, pathology, allergy list, etc.) File all communications from your health providers.
- insurance information and bills.
- work policies, communications from work, consents, disability - short and long term. File any communications from your company.
- social security disability communications
- expenses and receipts for tax purposes and to track copays and deductibles - mileage, items purchased, treatments, medications. Perhaps have a separate credit card for medical expenses.
- learning and teaching info

- purchase a comfortable case or bag to carry these items to the physician's office, hospital, and other appointments. Always bring your medical info and insurance info as well as something to take notes with.

Question by: murray (Family member) in topic(s) Get Organized, Planning, Just Diagnosed, Preparation

3 Answers | 2 years ago

What are some of the benefits and risks of clinical trials?

Potential benefits of a high quality clinical trial:
-Gain access to new research treatments.
-Obtain expert medical care at leading health care facilities.
-Help others by contributing to medical research.

Potential risks
- Potential unpleasant and serious side effects.
- Treatment may not be effective.
- May require more of your time and effort, including travel, more treatments, hospital stays, and complex requirements.

Question by: murray (Family member) in topic(s) Medical Research, Clinical Trial Benefits, Clinical Trials, Clinical Trial Risks

1 Answer | 2 years ago

What are the important questions to ask my medical team about potential participation in a clinical trial?

Some important questions you should consider are:

Make sure you understand your options as well as the risks and benefits.
What are the benefits for me?
What are the risks for me?
What other options do I have in terms of other studies or standard of care?
How do the risks and benefits compare to the other options?
What were the previous results from this treatment or similar treatments?
Why do researchers believe this new treatment is an improvement?

Do your best to understand the details of the study. The protocol description will answer many of these questions.
What is the purpose of the study?
How experienced is the team running the trial?
What are the patient eligibility criteria?
Is the study controlled or uncontrolled?
Is the study randomized and blinded?
What kinds of tests and experimental treatments are involved?
What is the duration and types of follow-up tests and treatments?
If the results are positive, will I be a able to continue with the treatment?
Who is responsible for complications and side effects from the trial?

Also consider the practical effects on your daily life and quality of life.
Is travel required?
How long will the trial last?
Will hospitalization be required?
Who will pay for the treatments?
Will I be reimbursed for other expenses?
What type of follow up care is part of this study?
How will I know that the experimental treatment is working?
Will results of the trials be provided to me?
Who will be in charge of my care?

I would also recommend that you meet the team in charge of the clinical trial to determine if you are comfortable working with them.

Question by: murray (Family member) in topic(s) Important Questions, Clinical Trial Participation, Clinical Trials, Clinical Trial Questions

2 Answers | 2 years ago

How do I know if a clinical trial is right for me?

When deciding whether to participate in a clinical trial, many issues should be taken into consideration. One of the main issues is whether you are a good fit for the trial, both from a disease and personal perspective. Make sure you talk to your medical team to determine if you are eligible, learn as much as possible about the clinical trial, and understand the benefits and risks.

Some reasons to consider participating in a clinical trial include:
- Current therapies are not good enough or are not a good fit (current health status, other health conditions, age, etc.)
- For aggressive, high risk, or high relapse diseases
- For preventative trials that may slow progression of the disease
- Current treatments are not working or disease is resistant
- There is no standard treatment of care for your particular situation

Question by: murray (Family member) in topic(s) Current Treatments Not Working, High Risk Disease, No Standard Treatment, Clinical Trials

1 Answer | 2 years ago

What are the best centers for breast cancer?

In the New York and New Jersey area, Sloan Kettering (http://www.mskcc.org) and the Monmouth Medical Center (www.monmouthwilentzbreastcenter.com) are excellent.

In Florida, there is Moffitt Cancer Center in Tampa

US News rated the best cancer hospitals as well: http://health.usnews.com/best-hospitals/rankings/cancer

Question by: murray (Family member) in topic(s) Support, Breast Cancer, Breast Cancer Centers, Best Breast Cancer Centers

3 Answers | 2 years ago

How can I find clinical trials that I am eligible for?

Some web sites to check are:
- http://www.cancer.gov/clinicaltrials
- http://clinicaltrials.gov
- http://breastcancertrials.org
- http://www.controlled-trials.com/
- http://www.emergingmed.com/
- http://acurian.com
- http://centerwatch.com

Question by: murray (Family member) in topic(s) Find Clinical Trials, Clinical Trials

1 Answer | 2 years ago

As a patient, what are the benefits of learning as much as possible about breast cancer?

Some of the potential benefits of becoming more knowledgable about breast cancer are:
- Feel empowered, more in control, and bolster confidence when making decisions.
- Better understand the advice you receive from your medical team.
- You will be able to ask more intelligent questions and possibly make suggestions on programs or clinical trials.

Question by: murray (Family member) in topic(s) Confidence, Knowledge, Empowered

2 Answers | 2 years ago

Just diagnosed, what is the best way to connect with other women who understand what I'm going through?

It is important to meet and develop relationships with others who understand what you are going through. There are quite a few resources for this.

Support Groups: contact your local hospitals, clinics, churches, etc. to find local groups. You may also reach out to organizations such as the American Cancer Society or Komen Foundation. They maintain lists of support groups. Of course you can also search google (i.e. breast cancer support groups). Sometimes it may take some time to find a support group where you feel comfortable. If you would like to potentially start your own support group, the American Self-Help Clearinghouse (http://www.cmhc.com/selfhelp/) has information, models, and advice.

Cancer Hotlines: if you need emotional support from someone trained to help, a couple of options are Share (http://www.sharecancersupport.org/) and Network of Strength (www.networkofstrength.org)

Online chat rooms and discussion boards: There are numerous chat rooms and discussion boards including http://TalkAboutHealth.com, http://breastcancer.org and http://www.bcsupport.org/.

Question by: murray (Family member) in topic(s) Discussion Boards, Support, Support Team, Support Organizations, Emotional Support, Others Who Understand, Support Groups, Chat Rooms, Forums, Just Diagnosed, Hotlines

1 Answer | 2 years ago

What are the symptoms of breast cancer?

Some of the more common symptoms are:
Mass or lump in the breast
Breast skin dimpling, reddening, or thickening
Nipple retraction
Breast swelling or pain
Nipple pain and/or discharge
Swelling or lumps in adjacent underarm lymph node

Question by: murray (Family member) in topic(s) Symptoms, Breast Cancer Symptoms

2 Answers | 2 years ago

Newly diagnosed with breast cancer, what are the next steps?

The first thing that needs to happen is a series of tests and analyses, and potentially biopsy and surgery to learn more about the breast cancer. Breast cancer is different for everyone, and as much information as possible must be gathered in order to determine treatment options. These tests likely will take a week or two to perform and analyze the results. In the meantime, do whatever works for you to relax and not worry, whether that is pampering yourself, taking a trip, exercising, shopping, etc.

When you receive the results of the tests, make sure that you have copies of all your medical records (mammograms, test results and pathology slides, etc.) so you can have them for future consultations and appointments. You can get this information at any time, all you need to do is ask for it.

It is also recommended that you get a second opinion, or even a third or fourth, to help you feel more comfortable with your options. This will also help you to begin selecting your medical team. You will get a feel for the physicians that are the best fit for you and that will listen and spend time with you.

After you evaluate the test results and discuss your options with your medical team, the next step will be to decide on your treatment plan. The good news is that there will more than likely be quite a few options to choose from. There will be a lot of information to understand. The medical team and your personal support team will be helpful during this process. Make sure to ask a lot of questions.

Question by: murray (Family member) in topic(s) Next Steps, Planning, Just Diagnosed, Preparation

2 Answers | 2 years ago