Showing posts with label cancer. Show all posts
Showing posts with label cancer. Show all posts

Saturday, September 19, 2009

Breast Cancer Treatment: Coping With A Mastectomy

As women, especially American women, much of our femininity is centered on our breasts. No matter where you look, there are pictures, billboards, commercials, television shows, and movies with women with these beautiful breasts and ample cleavage. The thought of losing one or both breasts, to breast cancer, can be devastating for many of us. Sure, there's reconstruction, but will it ever really look the same again? Even if you have reconstruction, you'll never have sensation there again and, for many of us, that definitely affects our sexuality.

I went through two separate mastectomies, for my breast cancer, despite the fact that I wanted them both done at the same time. Two different surgeons told me that wasn't necessary. They found out, later, that it was, as I had the same breast cancer in both breasts. Through these surgeries, I learned a few things about what to expect, and how to get up and running again, after a mastectomy for breast cancer.

The first thing to realize is that, apart from the emotional aspect of such an operation, this is a simple surgery. The breast is composed, mostly, of fatty tissue and, of course, milk ducts and lobes. The removal of this breast tissue is way easier than operating on an organ, but carries much more emotional impact for most of us. Most surgeons will get as much of the breast tissue out as they can to help alleviate the chance of a recurrence of your breast cancer. You will typically wind up with a horizontal scar about four inches long. The scar may be red for quite a while but, ultimately, should fade to where you can hardly see it anymore.

You want to be sure to take loose-fitting, button-down shirts (raiding your hubby's closet is helpful) with you, to the hospital, as you won't be able to raise your arms over your head for a while. You will also need a sports bra and I would highly recommend one that fastens in the front. They will put that on you after your surgery. Typically, you should be able to stay in the hospital for one night. If you're going to have lymph nodes removed, a small pillow, to slip under that arm, will help make you more comfortable. Check with your local American Cancer Society as they may have small pillows for you. An extra pillow to hold to your chest, if you need to cough, sneeze, or laugh, can help keep your incision from hurting.

When you wake up, you will have a couple of drain tubes for each side you have done. These tubes are important as they allow the excess fluid, which your body will produce, to drain out. If you didn't have them, the fluid would have to be aspirated with a needle. The drains, even though they're no fun, are better than that. These drains will have to be emptied a couple of times a day and you will have to write down how much fluid you drain so the doctor will know when you've slowed down enough to remove them. You may not know where to put these drains under your clothing. I pinned mine up to the sports bra and that way, they didn't pull when I moved.

When you get home, plan on having someone there to help you for the first few days. You won't be allowed to reach into your cabinets and definitely won't be able to clean house or pick up your children, if you have little ones. You'll be sent home with pain meds and definitely take them if you need them. Studies show that you will heal faster if you keep yourself out of pain, so don't be afraid to take them as prescribed.

If you have a recliner, you might consider moving it into the bedroom as you won't be able to lie flat for a while. You'll need to sleep in a partial sitting position. If you don't have one, or don't have space for it in your bedroom, lots of pillows will work, too. That's what I used. Just be sure you have enough pillows to keep yourself comfortable propped up.

If you would like someone who's been there before you to visit with, be sure to call your local American Cancer Society and ask for a Reach 2 Recovery volunteer. This is an American Cancer Society program where they try to match you with one of their volunteers who have as similar experience as you're facing. This woman will come visit you and will bring you all sorts of brochures and information on conventional treatment. She will also bring you a list of exercises you can start to do to regain your mobility and range of motion.

This is VERY important. It hurts to stretch your arm up, after surgery, but if you haven't had reconstruction, and you don't start soon, you will lose that range of motion. I would recommend starting to gently, slowly reach your arm up … let your body be your guide … the day after your surgery. This is ONLY if you have not had reconstruction. If you have, let your plastic surgeon tell you when to start stretching. Push to where it hurts just a little, but do not push too far past that. Little by little, you'll find yourself able to stretch a little farther every couple of days.

Most of all, allow yourself to heal emotionally, as well as physically. Some of us just can't look at that incision right away. That's OK. Take as much time as you need. I know I felt like some kind of freak with no breasts and, even six years later, I still do sometimes. But remind yourself that these scars are your battle scars. They do not make you less of a woman. They make you a warrior.

Important Information of Breast Cancer

Breast cancer usually happens when certain cells located in the breast start to grow out of control, taking over nearby tissue and spreading throughout the body. Large collections of this infected tissue are called "tumors". Some tumors are not even considered to be cancer because they cannot spread throughout the body or threaten a person's life. These types of tumors are called "benign tumors".

The types of tumors that do spread throughout the body and invade the tissues around the breast are considered to be cancer and have been given the name "malignant tumors". It is said that any type of tissue in the breast can form some type of cancer, but it mostly comes from either ducts or glands.

It can take months or even years for a tumor to get big enough for someone to actually feel it in their breast, so they are encouraged to be screened for tumors by a mammogram. Mammograms are designed to detect any type of disease before a person even begins to feel it.

Breast cancer is the most common "malignancy" that affects women in America and throughout Europe. Every single woman is at risk of getting breast cancer and almost 200,000 cases of were said to be diagnosed in the United States in 2001. It is the second highest cause, behind lung cancer, of cancer deaths among women in North America.

The types of risk factors for breast cancer are divided into two types, those you can't change and those you can change. The factors associated with increasing your risk of breast cancer that your can't change include: just being a woman, getting older, or having some type of family history or a relative with breast cancer. Other risk factors are having your menopause late, having children past the age of thirty, or contracting a genetic mutation that would somehow increase your risk.

Certain types of risk factors that you can change are:

- not taking hormone replacement therapy (HRT), which means that long term uses of estrogens for menopause symptoms does in fact slightly increase your risk.

- stopping the use of birth control pills, because it is noted that ten years following the cessation of The Pill, a woman's risk of breast cancer reverts to what it would have been if she had not used this form of birth control.

However, neither of these risks are as significant as the ones that are associated with your gender, age, and family history.

All the factors are based on probabilities, and that means that a person without any of those mentioned is still subject to developing breast cancer and the best way to be sure is to get the proper screening and detection for breast cancer development.

There are preventative measures that can be taken, up to a point. It is noted that a drug called Tamoxifen is not used widely as a prevention, but it has been proved to be helpful in some cases. There is also a limited amount of data that suggests that Vitamin A may be useful in the prevention of breast cancer, but further research is needed to prove this.

The most important step for a woman to prevent breast cancer is to schedule regular checkups, screenings and mammograms, learn how to perform her own exams, and also to acquire all the information she can about the subject.

Breast Cancer: What Women Should Know

From relative obscurity, breast cancer has become one of the leading causes of deaths among women in the world. In 2001, about 200,000 cases of breast cancer have been reported in the United States, making it the second leading cause of cancer death in the US. It is, in fact, the most common malignancy problem that is affecting women in North America and Europe today.

But what is breast cancer and how do people get it?

Breast cancer occurs when malignant tumors in the breast grow and start to affect other tissues in the body. There is still no clear indications how tumors are created but what is often observed is that cancerous cells usually comes from ducts or glands.

Although women’s health organizations advise women to massage the breast daily and to feel for any lumps, it may a long time before a cancerous cell get big enough for us to feel it. By that time, it may already be too late. Doctors make use of mammograms for their diagnosis.

Breast at risk

All women are actually at risk, with the risk increasing with the presence of some risk factors that are already part of the natural cycle, for example, aging. Family history of breast cancer can also significantly affect the prognosis as heredity has been found to play a role. Women who got their periods before they were 12 years old and those who never had or had children after 30 years old are also more likely to develop breast cancer.

There are also risk factors that medical science can help alter such as hormonal problems through replacement therapies. Women are also advised to decrease their consumption of alcoholic drinks, exercise every day and decrease the use of birth control pills. Breastfeeding has been found to decrease the risk of breast cancer development.

Although there are some factors that women can avoid to prevent breast cancer from developing, cause and effect relationships between these factors and breast cancer is still debatable. For women who are already at high risk, doctors often recommend a drug called Tamoxifen, which is known to decrease the risk by as much 50 percent when taken in five years. Still, like all medications, Tamoxifen has side effects such as hot flushes, vaginal discharges and sometimes even blood clots. Taking the drug can also lead to pulmonary emobolus, stroke and uterine cancer, although these are all isolated cases.

Another avenue that women can go to is Vitamin A, which some studies show to be effective in decreasing the risk. Still, research is still in the initial stages and nothing has been proven yet. Other things that are being linked to the breast cancer fight are phytoestrogens, which can be found in soya, Vitamin E, and Vitamin C.

But until something concrete is found in research, the only thing that women can do to ensure that they are safe from breast cancer is early detection. This can be done through daily self-examinations as well as annual check ups and mammogram tests. It is also important that women know the beginnings of breast cancer. Here are some of the signs that they should watch out for.

Lumps in the breast and in the underarms
Scaling of the skin of the breast and of the nipple
Redness in the skin of the breast and of the nipple
Changes in the size of their breasts
Discharges from the nipple

If these signs are observed, it is best to consult a specialist so that you can know whether you have breast cancer or not.

Breast Cancer; Its Causes

Breast cancer is a malignant tumor developed from cells of the breast, and it is one of the most common cancers affecting females, at time has not been established what is the exact cause of this one, but last researches clearly pointing that there are several risks factors;
These are the most probably breast cancer risk factors;

- Last researches have established that in the age group above 50 years there is a high incidence; on the other hand, in the age group below 25 years the incidence is very low. It is very important to say that this disease is very aggressive in patient 25-50 years old.

- Menstrual cycle is other factor that should be considered; common in the ladies who have a longer menstrual life, i.e. the onset of menarche is earlier and cessation of menstruation is late.

- The women that smoke and drink alcohol increase the risk of developing breast cancer.

- Breast cancer is developed more frequently in spinsters and married woman that have not given birth to children, or if given birth then have not breast fed their offspring.

- The women that have had a breast cancer on one side have greater risk to develop cancer on the opposite side, and if there are antecedents of breast cancer in their families (mother, sisters and daughters), there are greatest risks too.

- Breast cancer is linked with obesity and higher intake of saturated fatty acids

- Breast cancer is linked too, with the continuous or sequential uses of combined oestrogen plus progestin hormone therapy (CHT)

- Women that have been using oral anti contraceptives for more than ten years are more vulnerable to the development of this disease.

On the other hand, women doing 4-5 hours of exercises per week reduce their risk of developing breast cancer.

In short, these facts derive from the statistical analysis; they should not be taken as causative or predisposing factors.