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Health

New Study Questions The Importance of Mammograms

A controversial new study has found that annual mammograms may not help reduce breast cancer deaths and may increase the number of women unnecessarily getting treated for breast cancer.

The Canadian study tracked almost 90,000 women for 25 years, and found that having an annual mammogram between the ages of 40 to 59 did not lower the chance of dying from breast cancer more than having a physical examination.
The study, which was published in BMJ on Feb. 11, disconcertingly showed that 22 percent of invasive breast cancers were overdiagnosed by mammography, meaning the tumors would usually have been too small to cause symptoms or become life-threatening.

The BMJ researchers said that the current screening guidelines may be too much, and should be reconsidered.

Breast cancer screening guidelines in the U.S. have been a source of debate in recent years.

The U.S. Preventative Services Task Force, a panel of medical experts that advice the government, said in 2009 that women should only get mammograms every two years starting at 50. Before that age, the decision to be tested should be between the woman and her doctor, which usually meant it was not recommended unless the woman had high risk factors for breast cancer like specific genes or family history.

The panel argued that many mammograms lead to false positive results, and were detecting cancers that were too small to need treatment, leading to unnecessary procedures.

A later JAMA study showed that women who followed the panel’s recommendation were at no higher risk of late-stage cancers than women who got the test every year. However another study found that in women over 50 who had mammograms, for every one life saved, there were three women who were overdiagnosed.

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Healthcare

FDA Approves First Ultrasound Device For Dense Breast Tissue

Women with high density breast tissue are least likely to have small tumors picked up by a standard mammogram.


The National Cancer Institute estimates that about 40% of women receiving mammograms have dense breasts, meaning that they have a high amount of connective and glandular tissue compared with less-dense breasts, which have a high amount of fatty tissue. Women with dense breasts have an increased risk of breast cancer, since dense breast tissue may hide smaller tumors normally picked up during mammograms, enabling the disease to advanced to a stage more difficult to treat.

To counteract this, the FDA has recently approved the first ultrasound device for use in combination with a standard mammogram on women with DBT who receive a negative mammogram (no disease found in your breasts) and no symptoms of breast cancer. Known as the somo-v Automated Breast Ultrasound System (ABUS) this specially-shaped transducer can automatically scan the entire breast in about one minute to produce several images for review using ultrasound capable of detecting small masses in dense breasts. Software analyzes the differences in how the sound waves are reflected off different tissues and back to the transducer to create an image a physician can review for abnormalities.

Ask your physician to recommend additional screening using ultrasound, if it has been determined you have dense breast tissue and you’ve received a negative mammogram.

 

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Health

Walk 7 Hours Per Week To Reduce Your Risk of Breast Cancer

Women who stay active after menopause might reduce their risk of breast cancer.

New research from the American Cancer Society (ACS) in Atlanta, Ga., shows that women who stay active after menopause might reduce their risk of breast cancer. Women who engaged in at least one hour of vigorous physical activity each day significantly lowered their risk for breast cancer compared to those who did no exercise at all.

The research also indicated that walking at least seven hours per week, even when it was the only form of exercise, lowered the risk considerably. That can be accomplished easily by most busy women.

Women who walked seven hours or more per week had a 14 percent lower risk for breast cancer compared to those who walked three hours or less, so leave some time to walk over to the farther train station, take the stairs at work or get in a brisk walk during your lunch break. Just Move!

The study went on for 17 years (from 1992-2009) where every two-year intervals the women had to answer the same questionnaires again at various stages of their lives. The final outcome from the research was that women who walked at least the minimum 7 hours per week, had at least 14% lower risk of breast cancer.

This only adds credence to the fact that lifestyle choices play a big part in influencing the risk of disease and even small changes incorporated into our normal day-to-day activities make a difference in our overall quality of life.

 

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Cancer Healthcare

Staring Down The Enemy – Breast Cancer

Updates on what’s happening on the breast cancer frontlines. Use what you can, pass the rest on.

MUTATED HEREDITY

BRCA1 and BRCA2 are human genes that belong to a class of genes known as tumor suppressors. Mutation of these genes has been linked to hereditary breast and ovarian cancer.
A woman’s risk of developing breast and/or ovarian cancer is greatly increased if she inherits a deleterious (harmful) BRCA1 or BRCA2 mutation. Men with these mutations also have an increased risk of breast cancer. Both men and women who have harmful BRCA1 or BRCA2 mutations may be at increased risk of other cancers.
Genetic tests are available to check for BRCA1 and BRCA2 mutations. A blood sample is required for these tests, and genetic counseling is recommended before and after the tests.
If a harmful BRCA1 or BRCA2 mutation is found, several options are available to help a person manage their cancer risk.

source: national cancer Institute

DON’T NAME NO CANCER AFTER ME!

HER2-positive breast cancer is a breast cancer that tests positive for a protein called human epidermal growth factor receptor 2 (HER2), which promotes the growth of cancer cells. In about 1 of every 5 breast cancers, the cancer cells make an excess of HER2 due to a gene mutation. This gene mutation and the elevated levels of HER2 that it causes can occur in many types of cancer — not only breast cancer. This is a gene mutation that occurs only in the cancer cells and is not a type of mutation that you can inherit from a parent.

HER2-positive breast cancers tend to be more aggressive than other types of breast cancer. They’re also less responsive to hormone treatment.

Women with HER2 positive metastatic breast cancer whose cancer grows despite other standard therapies have a new treatment option available. (see WITH A BULLET)

source: mayo clinic online

WITH A BULLET…

A new ‘magic bullet’ drug called ado-trastuzumab emtansine was approved by the FDA and is giving hope to thousands of women suffering from one of the most deadly forms of breast cancer, HER2-positive. The FDA’s decision was announced in a Feb. 22 news release by the medicine’s developer, Genentech, a member of pharmecutical giant the Roche Group.
The medicine, aimed at an aggressive form of the disease, is expected to offer several months of quality ‘extra’ life and drastically cuts the debilitating side effects of traditional therapy.

In earlier trials, patients found that remission time was on average five months longer when given the drug as ‘first-line’ treatment at an early stage of the incurable advanced HER2-positive form of the disease.

The latest study involved women suffering from HER2-positive who had already been treated with Herceptin, but whose cancer had spread elsewhere. In those cases remission was extended ‘significantly’. Updated results announced back in October 2012 revealed that the medicine also was associated with a significantly longer rate of overall survival, the time a person lives from the beginning of the study until death from any cause. Overall survival increased nearly six months, from a median of 25.1 months to 30.9 months.

There are also fewer side effects with the drug. Fewer than five per cent of the women given T-DM1 in the earlier study lost their hair, compared with 65 per cent in the control group using traditional chemotherapy.

Other side effects such as diarrhea were also reduced. And half as many of the most serious side effects, requiring hospitalisation, were reported among those given the drug.

T-DM1 teams up the Herceptin antibody with a powerful chemotherapy agent DM1. The two are fused in a way that is more effective.

The new drug combination seeks out and attaches itself to cancerous cells, switching off the growth signals that encourage cancer to spread, while calling on the body’s immune system to attack and remove it. The drug then penetrates the cell’s outer layer and delivers the chemotherapy directly inside the cell to destroy it from within.

After the FDA approval, Genentech changed the medicine’s name from trastuzumab emtansine to ado-trastuzumab emtansine to avoid potential confusion, since both Kadcyla and Herceptin’s generic names begin with trastuzumab, a company spokesperson said.

source: daily mail online and living beyond breast cancer

A LIGHTER NOTE: “FOR MEDICINAL PURPOSES ONLY”

DOING THIS:

WILL GET YOU THIS:

Shown are fluorescence images of uncompressed (left) and compressed (right) colonies of malignant breast epithelial cells. Compressed colonies are smaller and more organized. (Images courtesy of Fletcher Lab)

Researchers at the UC Berkeley and the Lawrence Berkeley National Laboratory have put the squeeze — literally — on malignant mammary cells to guide them back into a normal growth pattern.

The findings, presented Dec. 17, 2012 at the annual meeting of the American Society for Cell Biology in San Francisco, show for the first time that mechanical forces alone can revert and stop the out-of-control growth of cancer cells. This change happens even though the genetic mutations responsible for malignancy remain, setting up a nature-versus-nurture battle in determining a cell’s fate.

“We are showing that tissue organization is sensitive to mechanical inputs from the environment at the beginning stages of growth and development,” said principal investigator Daniel Fletcher, professor of bioengineering at Berkeley and faculty scientist at the Berkeley Lab. “An early signal, in the form of compression, appears to get these malignant cells back on the right track.”

source: news center berkley edu.

A WONDERFUL NEW HORIZON

For decades, researcher Mina Bissell pursued a revolutionary idea — that a cancer cell doesn’t automatically become a tumor, but rather, depends on surrounding cells (its microenvironment) for cues on how to develop. She shares the two key experiments that proved the prevailing wisdom about cancer growth was wrong.

Categories
Health

CNN Anchor Underwent Double Mastectomy To Avoid Cancer

Zoraida Sambolin, the CNN host of Early Start, underwent a double mastectomy last month as a preventative measure. The host updated fans and well wishers via Skype, telling everyone that “things are going well.”

‘It’s been a pretty tough process,’ she told CNN. ‘But my prognosis is good now. What they found in my left breast was breast cancer stage one, grade one invasive, but the good news is my lymph nodes are free and clear, so I’m good.

‘My right breast actually ended up having Lobular Carcinoma two, and was headed in the same direction as my left breast, so I made a good decision, and now everything has been taken care of.’

Last month, Ms Sambolin revealed she was undergoing the same procedure as Angelina Jolie while discussing the Hollywood star on her show.

The host was diagnosed with breast cancer in her left breast, and underwent the double mastectomy on June 4th.

Categories
Health

Coffee Can Prevent Breast Cancer Recurrence?

Drinking coffee is good for your health.

We’ve heard these studies before but now a new published report takes the claim a bit further.

This study reveals consuming an extra cup may stop or prevent the reoccurrence of breast cancer when taken with Tamoxifen.

Sound far-fetched?

Researchers at the University of Sweden don’t think so. They say it may be true: drinking coffee may help prevent the return of breast cancer.

Following 300 breast cancer patients for five years, researchers asked some to take Tamoxifen (a medication used for the treatment for early and advanced breast cancer) with coffee while the rest of the patients in the study refrained from coffee consumption and took their Tamoxifen on its own.

Participants in the study who drank two or more cups of coffee plus the Tamoxifen after breast cancer surgery had half the rate of cancer recurrence than that of the participants who did not drink coffee.

The researchers theorize that coffee acts to “activate Tamoxifen and make it more efficient.”

The connection between coffee consumption and a decreased risk in cancer is not new.
Other studies show coffee may slow the progression of cancer cells. Coffee has also been connected to a decreased risk of developing certain kinds of cancer including skin and colon cancer.

Lund University Associate Professor Helena Jernstrom stated, “We would like to know more about how lifestyle can interact with breast cancer treatment.

This is researcher talk for: we need to do more trials and research.

In the past year other studies pertaining to coffee and its effect on health have been published. Positive benefits of coffee drinking include:

• Decreased risk of diabetes
• Increased metabolism
• Increased heart health
• Longevity
• Decreased risk of stroke

Of course, if one doesn’t normally drink coffee, this study is not a green light to begin. Always check with your doctor before significantly altering your diet.

After all, going from no coffee to multiple cups of coffee may result in something you don’t want: a negative effect on the nerves!

Melissa AuClair blogs at www.launchyourcreativelife.com  She has worked in multiple areas including 8 years on medical-surgical floors as a RN.  She loves a good cup (or three) of coffee every morning. 
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