The Pink Ribbon Journey: The Companion Guide for Breast Cancer Patients
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The Pink Ribbon Journey - Gilbert Newman, MD
The Pink Ribbon Journey: The Companion Guide for Breast Cancer Patients
Cover 8 copy (1).jpgCopyright
Copyright © 2015 by Gilbert Newman, MD All rights reserved. No part of this book may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without written permission from the author, except in the case of a reviewer, who may quote brief passages embodied in critical articles or in a review. The information in this book is distributed on an as is
basis, without warranty. Although every precaution has been taken in the preparation of this work, neither the author nor the publisher shall have any liability to any person or entity with respect to any loss or damage caused or alleged to be caused directly or indirectly by the information contained in this book.
First Printing: 2015
ISBN 978-1-329-59478-4
Gilbert Newman, MD, LLC
Dedication
To my lovely wife and children.
Thank you. Without your support and patience, I would have never achieved my dream.
Contents
The Pink Ribbon Journey: The Companion Guide for Breast Cancer Patients
Copyright
Dedication
Acknowledgements
Preface
Introduction
All Women Should Be Aware of These Breast Cancer Facts
Chapter 1: The Risk Factors for Breast Cancer
Are You At Risk of Developing Breast Cancer?
Chapter 2: Breast Cancer Screening
Six Things you Need to Know About Breast Cancer Screening
Chapter 3: Symptoms of Breast Cancer
What Should You Be Looking Out For?
Chapter 4: Self-Breast Examination
Four Things You Should Know About Self-Breast Examination
Chapter 5: Diagnosis of Breast Cancer
What Tests Are Needed For A Suspicious Breast Lump or Changes?
How exactly is Breast Cancer Diagnosed?
Does Everybody Need Additional Imaging Study?
Chapter 6: More About your Mammogram
What Do You Need To Know About BI-RADS?
What do you need to know about your Breast Density?
Chapter 7: Physicians you are going to meet
You can build your Own Medical Team
Chapter 8: What should you ask your Physician
Ten Basic Questions to Ask Your Physician
Chapter 9: Staging of Breast Cancer
What Does Cancer Staging Mean To You?
Two Staging Systems Used In Breast Cancer
Definitions of TNM and AJCC stages
Chapter 10: What are your Treatment Options
Treatment Options by Breast Cancer Stage
Ductal Carcinoma In Situ (DCIS)
Lobular Carcinoma In Situ (LCIS)
Breast Cancer
Chapter 11: What are your Surgical Treatment Options
Breast Conserving Surgery (Lumpectomy)
Mastectomy
Different Kinds of Mastectomy
Prophylactic Mastectomy
Chapter 12: What to do with the Lymph Nodes?
What Is Sentinel Lymph Node Biopsy?
What is Axillary Lymph Node Dissection?
Chapter 13: Should you Consider Breast Reconstruction?
Four Things to Think About with Breast Reconstruction
Chapter 14: Breast Reconstruction Options
Two Main Options for Breast Reconstruction
Breast Implants
Tissue Flap Reconstruction
Chapter 15: How can you prepare for your Breast Surgery
Things to do once you have decided for Surgery
Things to do a Day Before Breast Surgery
Chapter 16: The Day of Breast Surgery
What should you expect on The Day of Surgery?
What should you expect Immediately Around Surgery Time?
Chapter 17: What to Expect Recovering from Breast Surgery?
Recovery in The Hospital
Recovery outside The Hospital
Home Care: Additional Help if Needed
Chapter 18: Lymphedema
How to Prevent Lymphedema after Axillary Surgery?
Chapter 19: Genetic Testing for Breast Cancer
Two Forms of Genetic Testing are Available for Breast Cancer:
Chapter 20: Clinical Trial and Breast Cancer
Five Basic Facts you should know about Breast Cancer Clinical Trial
Chapter 21: Chemotherapy for Breast Cancer
What Are The Chemotherapy Options?
What are Some of The Side Effects of Chemotherapy?
Hair loss
Neutropenia (Low White Blood Count)
Nausea and Vomiting
Decreased Appetite
Heart Damage (Cardiomyopathy)
Bone Marrow Suppression (Myelotoxicity)
Mucositis or Stomatitis (Sore mouth)
Nephrotoxicity (Kidney injury)
Chapter 22: Radiation for Breast Cancer
What are Some of The Side Effects of Radiation?
Chapter 23: Future Breast Cancer Risk
Four Things to do to Minimize your Future Breast Cancer Risk
Six Simplified Recommendations for Breast Cancer Prevention
Chapter 24: Survivorship Follow Up
Follow-up upon Completion of your Breast Cancer Treatment
Breast Cancer Survivorship Surveillance
SUMMARY
Acknowledgements
I would like to thank my patients, my nurses, my colleagues and my multidisciplinary cancer care team without whose help this book would never have been completed.
Thank you for your patience and guidance.
Preface
If you are looking for an easy-to-understand, step by step yet comprehensive breast cancer guide, this book is for you. This guide is written for any woman and their loved ones with breast cancer, those who are worried about developing breast cancer, or for anybody who simply wants to learn more about breast cancer. The Pink Ribbon Journey will take you from the very beginning of a breast cancer journey, from what symptoms to look out for, through the practical aspects of breast cancer that affects you, to your best chance of staying cancer free. This is all explained in an easy-to-understand language, written by an oncologist who has seen and treated hundreds of patients with breast cancer. You will feel supported, and understand the disease better with this companion guide. Armed with this knowledge and confidence, you will feel empowered by each decision that you make and allow you to anticipate challenges positively to achieve your treatment goals and see you through your breast cancer journey.
Introduction
All Women should be aware of these Breast Cancer Facts
Why? The reason is simple. Breast cancer is more common than you and I think.
Somebody that you know, maybe your family member, a friend, a neighbor, a colleague at work or someone in your community, probably has breast cancer or is at risk of developing breast cancer. In the Western world, one in eight women will have breast cancer in their lifetime. That is an astonishingly high number!
The incidence rate of breast cancer increases with age. Therefore, the older