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Types of Breast Cancer:

The two most common types of breast cancer are named after the parts of the breast in which they start.

· Ductal Carcinoma:
starts in the cells which line the breast’s ducts, beneath the nipple and areola. The ducts supply milk to the nipple. Between 85% and 90% of all breast cancers are ductal. If the cancer is DCIS (ductal carcinoma in situ), it is well contained, not invasive, and can be very successfully treated. Usually removed during a lumpectomy, if the tumor margins are clear of cancer, follow-up treatment may include radiation. If ductal cancer has broken into nearby breast tissue (invasive cancer) then a mastectomy may be needed, and your doctor may also recommend chemotherapy.

· Lobular Carcinoma:
begins in the lobes, or glands which produce milk in the breast. The lobes are located deeper inside the breast, under the ducts. About 8% of breast cancers are lobular. If the cancer is LCIS (lobular carcinoma in situ) that means the cancer is limited within the lobe and has not spread. It may be removed during a lumpectomy, if the tumor margins are clear of cancer, follow-up treatment may include radiation. If lobular cancer has spread into nearby breast tissue (invasive cancer) then a mastectomy may be needed, and your doctor may also recommend chemotherapy.

Second most common is a group of breast cancers that invade nearby tissue:

· Invasive (Infiltrating) Breast Cancer
Invasive, or infiltrating, breast cancer has the potential to spread out of the original tumor site and invade other parts of your breast and body. There are several types and subtypes of invasive breast cancer.

This rare form of breast cancer is named for its appearance:

· Inflammatory Breast Cancer:
is the least common, but most aggressive of breast cancers, taking the form of sheets or nests, instead of lumps. It can start in the soft tissues of the breast, just under the skin, or it can appear in the skin. Unlike ductal and lobular cancers, it is treated first with chemotherapy and then with surgery. When caught early, inflammatory breast cancer can be a manageable disease, and survival rates are increasing.

Least common is a cancer of the nipple, named for Sir James Paget, who first noticed the relationship between changes in the nipple and the underlying breast cancer:

· Paget’s disease of the nipple/areola often looks like a skin rash, or rough skin. It resembles eczema, and can be itchy. The itching and scabs (if scratched) are signs that cancer may be under the surface of the skin, and is breaking through. Paget’s is usually treated with a mastectomy, because the cancer has by then invaded the nipple, areola, and the milk ducts. Although Sir James has several other diseases named for him (bone disease and disease of the vulva) those conditions are not related to this condition of the breast.

Next month I will follow up this article with additional information about each type of breast cancer. Knowledge and being proactive creates power so let’s get intelligent about our decisions!

Your feedback is greatly appreciated. Please leave comments, ideas and suggestions in the comment area.


Acupuncture Can Relieve Cancer Pain

What Is Acupuncture?

Acupuncture is an age-old healing practice of traditional Chinese medicine in which thin needles are placed at specific points in the body. It’s primarily used to relieve pain but also has been used to treat other conditions. More than 3 million Americans use acupuncture, but it is even more popular in other countries. In France, for example, one in five people has tried acupuncture.

How Acupuncture Works

Acupuncture seeks to release the flow of the body’s vital energy or “chi” by stimulating points along 14 energy pathways. Scientists say the needles cause the body to release endorphins — natural painkillers — and may boost blood flow and change brain activity. Skeptics say acupuncture works only because people believe it will, an effect called the placebo effect.

Does Acupuncture Hurt?

Acupuncture needles are very thin, and most people feel no pain or very little pain when they are inserted. They often say they feel energized or relaxed after the treatment. However, the needles can cause temporary soreness.

Acupoint: Other Pain

People have tried acupuncture for neck pain, muscle pain, tennis elbow, and menstrual cramps, hoping to avoid medicines and their side effects. The World Health Organization lists 28 different conditions that are sometimes treated with acupuncture. In the U.S., a review by the National Institutes of Health called for robust research to verify the promise that acupuncture holds for many different conditions.

A Boost for Pain Medicine

Acupuncture may provide added pain relief when it’s used along with pain medicine or another therapies, such as massage. Acupuncture can reduce the need for medicine and can improve the quality of life of people with chronic pain.

Acupoint: Nausea

Acupuncture at the pericardium (P6) acupuncture point on the wrist can reduce the symptoms of nausea and vomiting, even after cancer drug treatments or surgery. Studies compared 10 different acupuncture methods — including needles, electrical stimulation, and acupressure — to medicines that block nausea or vomiting and found the acupuncture treatments worked.

Acupuncture and Cancer Care

Because acupuncture can lessen pain, nausea, and vomiting, it is sometimes used to help people cope with symptoms of cancer or chemotherapy. It also can help manage hot flashes associated with breast cancer. Be sure to talk to your doctor first and seek a practitioner who has experience working with cancer patients.

When to Consider Acupuncture

Because acupuncture rarely causes more than mild side effects, it is a potential alternative to pain medications or steroid treatments. It is also considered a “complementary” medicine that can be used along with other treatments. It is best to discuss the use of acupuncture with your health care provider.

Acupuncture Risks

Although acupuncture is generally safe and serious problems are rare, there are some risks. Needles that are not sterile can cause infection. In some acupuncture points, needles inserted too deeply can puncture the lungs or gallbladder or cause problems with your blood vessels. That is why it is important to use a practitioner who is well-trained in acupuncture.

Who Shouldn’t Use Acupuncture

People with bleeding disorders or who take blood thinners may have increased risk of bleeding. Electrical stimulation of the needles can cause problems for people with pacemakers or other electrical devices. Pregnant women should talk with their health care provider before having acupuncture. It’s important not to skip conventional medical care or rely on acupuncture alone to treat diseases or severe pain.

Choosing a Practitioner

It is important to receive treatment from someone who has met standards for education and training in acupuncture. States vary in their licensing requirements. There are national organizations that maintain standards, such as the American Academy of Medical Acupuncture (a physician group) or the American Association of Acupuncture and Oriental Medicine. Make sure that your practitioner uses sterile needles that are thrown away after one use.

Acupuncture Variations

Several other therapies use a different way of stimulating the acupuncture points. Moxibustion involves the burning of moxa, a bundle of dried mugwort and wormwood leaves, which can then be used to heat the acupuncture needles or warm the skin. Electroacupuncture adds electrical stimulation to the needles. Another recent variation uses laser needles that are placed o

Acupressure vs. Acupuncture

If you are afraid of needles, you may be able to get much of the same effect from acupressure. Acupressure involves pressing or massaging the acupuncture points to stimulate the energy pathways. Scientific comparisons of acupressure and acupuncture are limited, but acupressure has been shown to be effective in reducing nausea and lessening labor pain.

This article was taken from a WebMD newsletter. I found the information very easy to understand and thought you would appreciate it.
Your feedback is greatly appreciated. Please leave ideas, thoughts and suggestions in the comment area.


When Life Hands You Disappointment

When life hands you a disappointment, don’t lower your expectations. Raise
those expectations.

If you’re having trouble reaching your goals, don’t give up on those goals.
Make them even more ambitious and even more meaningful.

Yes, life can be filled with inconvenience, frustration, and disappointment.
The people you deal with can be rude, incompetent, arrogant and downright
abusive.

But you don’t have to let any of it get to you. Just as easily as you can
choose to be angry, you can choose to be positive, productive, purposeful
and enthusiastic.

When the negativity gets thick, respond with positive enthusiasm. For that
is precisely when it can have the most powerful effect.

When being positive is not working out, double down on your positively. Base
your response not on how life has been, but on how you would like it to be.

Your feedback is greatly appreciated. Please be sure to leave ideas, suggestions and thoughts in the comment area.


Digital Mammography- Yes or No?

Breast cancer is diagnosed in 1 in 8 women; approximately 740 women will be diagnosed in Nova Scotia this year. Fortunately, deaths caused by breast cancer has been declining for the last decade or so. This is partly due to the diagnostic tools that are now being used and the fact that women are taking an active part in their health by getting regular mammograms. Mammograms are the preferred diagnostic test to find breast cancer at an early stage.

For a long time, the only option was a mammogram that records images of the breast on screen. Now, digital mammograms are available. These machines actually store and analyze the information collected using computers.

All mammograms work by sending X-rays through the breast tissue to obtain images. These pictures are then analyzed for abnormalities and assessed for changes from previous tests. Whether your doctor recommends a film or digital mammogram, your testing experience will be the same.

To get the best images possible in either a film or digital mammogram, the technologist needs to flatten and compress your breasts before taking images. Your breasts will be flattened between two special plates before X-rays are used to take the image. For both types of mammograms, the entire test lasts about 20 minutes.

X-rays have been used for nearly a century to detect breast cancer. But the modern-day film mammogram was invented in 1969. In this procedure, images are recorded on film much in the way a traditional film camera takes pictures.

In a digital mammogram, X-rays are still used. But they are turned into electric signals that can then be stored in a computer. This is similar to the way digital cameras take and store pictures.
How do rates of detecting breast cancer compare for film and digital mammograms?

Although film mammograms are very effective, some research suggests that they may miss between 10% and 20% percent of breast cancers.

A study published in September 2005 in the New England Journal of Medicine compared digital mammograms to film mammograms. The study involved 49,000 women in North America with no known signs of breast cancer. The women were screened using both digital and film mammograms at the beginning of the study and again one year later. Breast cancer was found in 335 of the women. The researchers determined that digital mammograms were superior to film mammograms for three groups:

· women under 50 years of age
· women with dense breasts
· women who have not yet gone through menopause, or who have been in menopause less than one year.

Digital mammograms did not prove to be more beneficial for post-menopausal women over age 50 that do not have dense breasts. Additionally, both forms of mammogram had the same rate of false positives.

It cannot be told from the study whether the increased use of digital mammography over film mammography would result in fewer deaths. However, the researchers did note that the types of cancer caught by digital mammograms after being missed on film are the forms of the disease that can be fatal.

What are the potential benefits of digital mammograms?

· Enhanced interpretation. Mammograms can be extremely difficult for radiologists to interpret. Digital mammograms, though, are stored electronically. That means they can be analyzed by computers as well as by radiologists.

· Image manipulation capabilities. Film mammogram images cannot be changed. Digital mammogram images can be manipulated digitally for better clarity and visibility. For instance, the contrast of the images can be changed where necessary to provide a clearer picture.

· Lower average radiation dosage. Digital mammograms may take more views of each breast than film mammograms. But they use approximately 25% less radiation than film mammograms. That’s because smaller areas of the breast are imaged in each view

· Easier second opinions. Since digital mammograms are stored in computers, they can easily be sent electronically to other health care professionals for analysis.

· Easier to store. Film mammograms produce bulky sets of films that must be stored and revisited for comparison in future tests. Digital mammogram results are stored on computers for ease of access and retrieval.

Who should get a digital mammogram?

Women younger than 50, premenopausal or perimenopausal (those with a menopause duration of less than 1 year) women, and women with dense breasts might benefit from digital mammogram screenings. For other groups of women, research indicates that film and digital mammograms have similar detection results.

Digital mammograms cost much more than film mammograms. And the vast majority of mammogram facilities in the U.S. do not have digital capabilities. However, even if you are a woman that might benefit from digital mammograms, not having access to digital mammogram technology does not mean you should forego a regular film mammogram.

The American Cancer Society recommends that all women age 40 and above have an annual mammogram to screen for breast cancer. The U.S. Preventive Services Task Force (USPSTF) does not recommend screening for women in their 40s. For women between the ages of 50 and 74, USPSTF experts say women should have mammograms every two years.

If you are at high risk for developing breast cancer, you might also benefit from an annual MRI in addition to a yearly mammogram.

This article was copied from a online publication provided by WebMD. I found the information to be important and valuable, although quoted by the American Cancer Society the information contained therein can be directly related to the Canadian Cancer Society. You may be interested to know we now have a digital mammography machine available right here in Nova Scotia!

Please feel free to share ideas, thoughts and/or suggestions in the comment area.


Alcohol and Your Health- To Drink or Not to Drink

For years we have been hearing results of surveys that have told us that minimal drinking actually has a positive effect on your health. One glass of red wine per day is, or was, supposed to be beneficial on several different levels. Unfortunately to drink or not to drink is becoming a difficult question to answer, especially since the latest studies have linked even a little drinking of alcohol to an increase in developing certain types of cancer.

In one of these studies, researchers have found that women who have one drink per day have an overall higher risk of developing certain types of cancers such as breast, liver, rectum, throat, mouth and esophagus cancers. In the meantime, there are several different studies from the past that have shown heart health and alcohol have a positive relationship.

So, what does this mean? Who do you believe? While some experts disagree on some answers, they do agree that anyone with a dependency issue with regards to alcohol and women who are pregnant should not drink alcohol. Following are some opinions they have on general health and alcohol consumption.

The research on health and alcohol use suggests some harm and some benefit. Studies show a link to breast and liver cancer with the consumption of alcohol as well as to other cancers. Reduction of alcohol intake can reduce your incidence of head, neck, and colorectal cancer, but there seems to be a benefit of alcohol and heart health.

Doctor Arthur Klatsky, former practicing cardiologist and now a investigator for research, says that there isn’t one answer for everyone. “It must be individualized according to a specific person and it is crucial to take into consideration age, sex, specific medical conditions, and family history. There is not a one size fits all answer.”

For example, a 60 year old man who has given up smoking but has a family history of heart attacks, a less than ideal cholesterol level and no dependency issues with alcohol decides to have a glass of wine per day with dinner…well he would be better off continuing this practice.

On the other hand, a 25 year old, health conscious woman with no risk for heart disease, who drinks very little should not boost her wine intake just for heart health. It just isn’t going to do any good for 40-50 years. For men 40 and older and women 50 and older there are benefits from alcohol for heart health with moderate drinking. Moderate drinking is defined as one drink per day for women and two drinks per day for men.

Considering alcohol and cancer risk only, studies show new potential links and studies have shown the link for many decades. There seems to be a clear link to alcohol consumption and cancer of the head and neck, especially among cigarette smokers.

“We can confidently say that even moderate alcohol consumption is associated with a modestly higher risk for breast and colorectal cancer. If you don’t drink there is no reason to start. If you are someone who drinks and you’re a woman, limit drinking to one a day; if a man, to two a day” says Susan Gapstur, PhD, MPH and V/P for epidemiology for the American Cancer Society, Atlanta. If you are at a high risk for cancer you may want to limit yourself to less than that.

A family history of certain types of cancers, such as breast, head or neck may be a good reason to limit your intake or to consider abstaining from drinking alcohol all together, with the exceptions of special occasions. This advice is equally for both men and women. Alcohol combined with tobacco especially boosts the risk for head and neck cancers. However, those with a family history of only heart disease may do well with moderate drinking as it seems to be a benefit.

Research is showing that there does indeed seem to be a gender gap with developing or increasing your risk to getting cancer, but experts tend to disagree on to the extent of this. For example, even light to moderate drinking is associated with female breast cancer but for men light to moderate drinking doesn’t seem to have any effect on an increased risk to cancer. It is not protective, but it will not increase the risk. This is generally true, but living in an area that has high pollutant levels may also pose an increased risk of cancer.

When all is said and done we have to read the evidence, study the science and look at our own individual situation, health and history to determine what is best for us. The research seems to point out there is no exact science that can determine that one drink per day is fine for everyone. Nothing is safe for everyone but there is a sensible level of drinking that must be tailored to the individual. Sensible does not mean “saving” them up and then drinking a weeks worth of alcohol in two days. That is considered binge drinking and is not considered healthy for anyone.

Is it better to drink a little each day or just twice or three times a week? Experts do not agree on this either some saying, to be on the safe side a glass of wine twice a week whereas others say just a little each day is healthier. Again, do what you need to do to get this right for you as an individual.

The original article, which has been rewritten, came from the website Web-MD.

Your feedback is greatly appreciated. Please leave ideas, thoughts and suggestions in the comment area.






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