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Is the leading type of cancer in women.Most breast cancer begins in the lining of the milk ducts, sometimes the lobule. Breast cancer metastasizes most commonly to auxiliary nodes, lung, bone, liver, and the brain. The most significant risk factors for breast cancer are gender (being a woman) and age (growing older). Other probable factors include nulliparity, first child after age 30, late menopause, early menarche, long term estrogen replacement therapy, and benign breast disease. Controversial risk factors include oral contraceptive use, alcohol use, obesity, and increased dietary fat intake.
About 90% of breast cancers are due not to heredity, but to genetic abnormalities that happen as a result of the aging process and life in general. A woman’s risk of breast cancer approximately doubles if she has a first-degree relative (mother, sister, daughter) who has been diagnosed with breast cancer.
Cancer cells remain inside the breast duct, without invasion into normal adjacent breast tissue. A firm lump or thickness in breast, usually painless; 50% are located in the upper outer quadrant of the breast.
Asymmetry of the breast may be noted as the woman changes positions; compare one breast with the other. Mammography (most accurate method of detecting non-palpable lesions) shows lesions and cancerous changes, such as microcalcification.
Estrogen or progesterone receptor assays, proliferation or S phase study (tumor aggressive), and other test of tumor cells determine appropriate treatment and prognosis. Blood testing detects metastasis; this includes liver function tests to detect liver metastasis and calcium and alkaline phosphatase levels to detect bony metastasis. Chemotherapy is the primary used as adjuvant treatment postoperatively ; usually begins 4 weeks after surgery (very stressful for a patient who just finished major surgery). Principal breast cancer drugs include cyclosphosphamide, methotrexate, fluorouracil, doxorubicin, and paclitaxel. Additional agents for advanced breast cancer include docetaxel, vinorelbine, mitoxantrone, and fluorouracil. Indications for chemotherapy include large tumors, positive lymph nodes, premenopausal women, and poor prognostic factors.
Chemotheraphy is also used as primary treatment in inflammatory breast cancer and as palliative treatment in metastatic disease or recurrence.
Hormonal agents may be used in advanced disease to induce remissions that last for months to several years.
Surgeries include lumpectomy (breast-preventing procedure), mastectomy (breast removal), and mammoplasty (reconstructive surgery). Monitor for adverse effects of radiation therapy such as fatigue, sore throat, dry cough, nausea, anorexia. Monitor for adverse effects of chemotherapy; bone marrow suppression, nausea and vomiting, alopecia, weight gain or loss, fatigue, stomatitis, anxiety, and depression. Suggest to the patient the psychological interventions may be necessary for anxiety, depression, or sexual problems. Michaela’s story begins (translated from the German) with her marriage to Gilbert in 1995. Stepping back from the human toll, this account sounds to me as though Michaela’s tumor had progressed to en cuirasse carcinoma, a horrible, painful, and nasty manifestation of breast cancer in which the cancer grows from the breast into overlying skin and spreads along the chest wall and back in nodules that eventually coalesce into large contiguous tumor masses.
There may be worse ways to die than of en cuirasse breast cancer, but I can’t think of very many. Needless deaths like that of Michaela Jakubczyk-Eckert, who is now nearly a year in the grave, can all too often be the result of the pursuit of woo. Because of the advances of SBM, few people are aware of the natural history ( really *histories*) of the illness. Outside my place was a large tree that began to lose its leaves earlier than usual on one branch, then another.
Alt med would probably attribute the ghastly conditions described by Gilbert to the intervention of SBM when nothing could be further from the truth. Even if woo-meisters don’t explicitly tell people to avoid SBM, their invectives against it may accomplish the same purpose.
This type of advanced cancer is just one of the good reasons why people should have the option for a physician-assisted death. She wanted to see the snow and woods because I used to read her a poem by Stephen King that ran in the New Yorker a long time ago.
Romantics have often compared the cycle of the season to the cycle of life, a comparison I have never really trusted. When the idea threatens to become oppresive, I think of the woods in New England tilting into winter – how you can see the whole expanse of the lake, not just the occasional wink through the trees, and hear every movement on the land that slopes down to the water. Recently, I have been hearing a new, even more atrociously cruel meme (courtesy of PRN): if you want your woo to work even ‘better’ (a lie), don’t use any SBM. If they believe this (or want their customers to believe this), why would they want to use SBM? To start with, it allowed Orac to vent off his frustrations and to provide us with a story worth knowing.
Also, our esteemed host and the more serious writers provides us with links to scientific articles and websites where the data they used to form their opinions can be found.
Being a psychologist, I was fascinated by expressions that appeared either whimsically childish or purely pathological- sometimes both.
Eventually, callers provided glowing testimonials while basking in the light of their guru; I discerned sales pitches cleverly disguised amid the so-called informational content. Another person who discovered similar material ( and with whom I rubbed shoulders in cyberspace), wrote about it and was sued. Over the past 4 years, these natural health experts have branched out into new, exciting areas of in-expertise, pontificating on the economy, politics and surviving the NEXT economic meltdown as well as other disasters.
I believe myself to be uniquely suited for the task I have taken on: I studied life and social sciences and can write a little. At the risk of (further) derailing the thread, I would like to say what I heard about euthanasia in Europe. Of course, if you are at a stage where you cannot take food by yourself, they are not going to be able to help you.

Then my family went to the Vet to put our dog to sleep (coincidentally, because of a grapefruit-sized breast tumor which we stupidly let grow to the point of rupturing the poor dog’s skin), one quick injection and it was over in less than 10 seconds, she just collapsed in my arms. I suppose what I am asking is if she is doing this alongside a rigidly adhered to conventional medical regime, is there anything to worry about beyond of course the fact of the cancer itself? Since the start of this fall, I have heard of plenty of people that have been diagnosed with cancer. Many questions come to mind when I think of cancer, one of them being whether cancer can be inherited or not. But for now, since my mom is a breast cancer survivor, I think about the progress that Penn State has made with the cancer, like finding a virus that can kill cancer cells. The rate of women getting breast cancer or dying from breast cancer varies by race and ethnicity.
Incidence source: Combined data from the National Program of Cancer Registries as submitted to CDC and from the Surveillance, Epidemiology and End Results program as submitted to the National Cancer Institute in November 2014.
From 1999a€“2012, the rate of women dying from breast cancer has varied, depending on their race and ethnicity.
Cancer has spread to the axillary lymph nodes, which are sticking together or to other structures, or cancer may be found in lymph nodes near the breastbone. Because the drugs differ in their mechanisms of action, various combinations are used to treat cancer. Provide psychological support to the patient throughout the diagnostic and treatment process. Indeed, from the very beginning, in one of the earliest posts I ever wrote, I explained just why breast cancer testimonials for alternative medicine should be taken with a huge grain of salt. The marriage was happy, but, unfortunately in October 2001 Michaela was diagnosed with breast cancer. On the other hand, how does one convince the one he loves that she is making a horrible mistake, that she is pursuing quackery, and that she is endangering whatever chance she has of surviving her cancer?
When breast cancer progresses to this point, the en cuirasse tumor often bleeds and becomes necrotic, leaving the unfortunate woman with a chest wall covered with bloody, partially dying tumor that smells like rotting meat–mainly because it is in essence rotting meat, with living tumor in and around it. Yes, it is certainly possible that Michaela would have died of her cancer anyway even if she had continued with chemotherapy, undergone mastectomy, and proceeded to radiation. Unfortunately, patients like Michaela can’t give their testimonials to counter the testimonials of true believers.
Next time i see two people agreeing that it’s about to rain, I will call them a hivemind. A fair point about the confidentiality argument but if I ever had to examine a female I made a point of having a chaperone.
Someone in pain, with no hope, should have an effective and painless way to end their suffering, sure. You also have a physician-assisted death option, for those who cannot take a pill by themselves, as it was explained to me by a Dutch colleague after he watched his mother going through the process (she became paralyzed after a stroke, and on top of this caught some virus by a visiting daughter). Which, sometimes, is simply lack of water – not very pleasant to suffer and even less to watch.
And call its originators frauds, quacks and charlatans, as well as being mercenary and prevaricating entrepreneurs. Not saying that any disease is worth being happy over but there is just a different type of empty feeling when it comes to cancer. I just wish there was a cure for this disease because thousands of lives would be saved today. It's great to no know that the disease cannot be passed from parent to child the way hair color and height is passed on, some cancers do have genetic risk factors, but if you have a parent with cancer it does not mean that you will automatically carry it as well. The graph below shows how many women out of 100,000 got breast cancer each year during the years 1999a€“2012. I thought that rerunning this particular post is a good reminder of what the cost of eschewing science-based therapy for breast cancer can be, and that price is horrible.
Of course, most of these testimonials are either given by true believers or used by people selling alternative medicine, and they are used mainly to sell product.
Even more unfortunately, as this picture shows, it was an advanced, neglected breast cancer. Suffice it to say that fear of the disease or a desire not to face its reality can lead to women putting off seeking treatment for a very long time, while the tumor grows. And how does one do it in a nonconfrontational manner that doesn’t drive her deeper into the bosom of the quacks?
Even if she didn’t have metastatic disease, she had at the very best less than a 50-50 chance of surviving 10 years.
In the past year or so, more branches on one side became affected and the amber beads became the side of small apples. Sometimes, some communities undergo internal troubles and civil discourse goes down the drain.
As I watched price charts and chyrons fly past, I was treated to bizarre advice and descriptions of mediaeval health routines. That age range is rather young compared to the age that it would normally plague (which is normally found in older people). Incidence rates are for state registries that meet USCS publication criteria for all years, 1999–2012.
Indeed, I have a patient right now who had a breast cancer recurrence under the arm but didn’t seek help for it until it was over 5 cm. Surgery can’t do anything for it, although radiation can often provide good palliation. But I can assure you that almost certainly her death would not have been as painful, and she would certainly would have had a decent shot at surviving her cancer–in marked contrast to what happens if a patient chooses woo like the German New Medicine. Over time, I found much more terrible anti-science from around the globe and in other media.
In the case of my friend’s mother, one doctor actually decided to wait two weeks, and to ask again.
However, there's not a day that goes by that I don't think about the hope and progress made to treat cancer. Even so, as a change of pace today I plan on showing you a different kind of testimonial than you are probably used to seeing.
I suspect that, had it been my wife (who, fortunately, is as hard-nosed about woo as I am), I would have insisted upon going along in order to be the skeptical advocate, to ask the hard questions of Dr.

The real problem occurs when patients whose chest walls had already received radiation therapy develop en cuirasse disease . Cancer appears to occur when the growth of cells in the body is out of control and cells divide too quickly. My aunt said that she felt a sense of comfort whenever my mom was around and that my mom gave her hope that she could actually survive.
It's easier to think about the advancements made in the field of cancer research than it is to dwell upon how scary cancer actually is. In this case, even though the tumor was stated to be 9 cm in diameter, if Michaela did not have metastatic disease anywhere other than her axillary lymph nodes, her situation was still salvageable. Their chest wall can’t be re-radiated, and there is precious little that can be done. There was a good chance that her life might still have been saved with chemotherapy, followed by a mastectomy, and then radiation therapy to the chest wall and axilla. Michaela, never having had radiation therapy, would not have fallen into this latter, terrible category. Even if they don’t have real complications that can be at times life-threatening, like colon cleansers or chelation therapy, in the case of even an eminently treatable cancer like breast cancer, at the very least, they can falsely sell the patient on the hope of a cure for her cancer without chemotherapy, surgery, or radiation, leading to catastrophic delays in effective treatment or recurrences. Before I launch into this testimonial, I have to point out that this testimonial makes me ambivalent about my use of Dr.
Indeed, if Michaela had returned to conventional medicine before she was at death’s door, her chest wall and back covered with fungating, rotting, and bleeding tumor, radiation therapy might have done wonders for her.
There are several causes of cancer, some of them including Benzene and other chemicals, excessive alcohol intake, genetic problems, obesity, radiation and viruses. Ryke Geerd Hamer’s German New Medicine for Your Friday Dose of Woo a couple of weeks ago.
It’s highly unlikely that it would have saved her life, but it could have prolonged it somewhat and provided palliation, making her last months far more tolerable than the horror that she faced.
My intent has always been to expose the ridiculousness of various examples of woo and thereby hopefully persuade people that it is not to be trusted with their lives, but never forget that, when I’m dealing with stuff like colon cleanses, the German New Medicine, liver flushes, or other similar woo, there is meant to be a sharp point behind the silliness.
When I treated the German New Medicine on YFDoW, I did my typical light-hearted deconstruction of it.
It’s outer margin is smooth, so it might undergo 6-month follow-up, or, if it has been growing, it could undergo biopsy. A primary breast MRI is often visualized as a lobulated lesion with expansive and infiltrating features. The imaging pattern of breast lymphoma is unrelated to its histopathologic subtype, and in fact, only a very small number of patients ultimately diagnosed with lymphoma of the breast actually present with clear B-cell lymphoma symptoms. Histological aspects of lymphoma of the breastHistologically, breast lymphoma-tumors tend to infiltrate between mammary ducts, but do not tend to destroy them. Interestingly, it is actually quite difficult to distinguish malignant breast lymphoma from breast in the early stages, even when examining excisional biopsy and fine needle biopsy samples.
Only when the disease really takes hold and one finds the clear presence of diffuse large B-cells can one make a definitive diagnosis.
Most breast lymphomas are initially diagnosed as breast carcinoma, because that is what they appear to be. It usually takes a really high-power microscopic view to see the B-cells of breast lymphoma in evidence.
When they are present, one might typically see an abnormal lymphoid population of small to medium sized centrocyte-like B-cells and monocytoid B-cells. The first treatment priority for breast lymphoma is of course to determine whether the disease originates in the breast, or is systemic in nature.
There are many different kinds of lymphoma, too many to be discussed here, but the kinds of lymphoma that form soft tissue masses in unusual locations such as the breast are generally more problematic to treat.
However, there is usually some positive response to treatment.Treatment is similar to breast cancerThe three main options for treatment are similar to breast cancers. Patients are usually treated either by surgical intervention alone (for localized breast tumors), surgery with chemotherapy, or surgery with radiation therapy and chemotherapy, a so-called multi-modal approach. Quite often, chemotherapy is withheld until there is evidence of a relapse, or, until there is evidence that the lymphoma is systemic in nature. Some breast lymphomas may be treated without surgery and just with radiation therapy, and these tumors do tend to have the best prognosis, likely because the presentation was mild enough and found early enough that surgery and chemical therapy were not indicated.Stem cell transplantation is sometimes usedAnother intensive treatment option for breast lymphoma, should circumstances indicate, is to include high-dose chemotherapy supported by peripheral blood stem cell transplantation, but the use of stem cells is very controversial and not widely discussed. Essentially what happens in these more intensive types of treatment is that first a bone marrow sample is taken. Then, the physicians attempt to grow stems cells from the bone marrow in a laboratory setting.
Without any kind of adjuvant therapy, the relapse rate for breast lymphomas treated by surgery alone is fairly high, and relapse can even occur up to ten years following breast surgery.
However, no discernible factors, including stage or histologic findings, appear to consistently effect the recurrence rate. But generally, if a patient survives the early treatment phase of the disease, they tend to do very well.Most breast lymphomas are treated with surgery and chemotherapyStatistically, it would seem that about 35% of patients with lymphoma of the breast are treated by surgery and chemotherapy , and about 36% treated with surgery and chemotherapy and radiation, and about 20% treated by surgery with radiation. Lymphoma treatment became amazing during the last 10 years.Unfortunately, the survival rates for breast lymphoma are not all that promising.
It can be estimated that about 30% to 50% of patients with lymphoma of the breast will survive beyond two years. The overall survival rates are slightly higher for patients treated with surgery and radiation therapy without chemotherapy, but one cautions that the use of chemotherapy is usually indicated when the disease is already at a more advanced or systemic state, so those statistics can be misleading. However, it does appear that for patients who succumb to the disease, closure tends to occur in an average for seven months or so rather than a prolonged battle. So, if a patient with breast survival can survive beyond one to two years, chances are that the disease is in remission.Prognosis for stage I lymphomas is much higherGenerally speaking, the prognosis for breast lymphoma seems to be related to the histologic type and stage of the disease.
High-dose chemotherapy with autologous hematopoietic stem-cell transplantation in breast cancer. A B-cell spectrum including the low grade B-cell lymphoma of mucosa associated lymphoid tissue.

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