Detecting and Living with Breast Cancer for Dummies - Wiley

387 Pages·2016·13.79 MB·English

by  (2017), George M., Ashing K.T.

Detecting & Living
with Breast Cancer
Detecting & Living
with Breast Cancer
by Marshalee George, PhD, MSPH,
®
MSN, AOCNP , CRNP, and
Kimlin Tam Ashing, PhD
®
Detecting & Living with Breast Cancer For Dummies
Published by: John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030-5774, www.wiley.com
Copyright © 2017 by John Wiley & Sons, Inc., Hoboken, New Jersey
Published simultaneously in Canada
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Library of Congress Control Number: 2017948467
ISBN 978-1-119-27224-3 (pbk); ISBN 978-1-119-27225-0 (ePub); ISBN 978-1-119-27226-7 (ePDF)
Manufactured in the United States of America
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Contents at a Glance
Foreword xvii
Introduction 1
Part 1: Knowing About Breast Cancer 5
CHAPTER 1: Breast Cancer 101 7
CHAPTER 2: Risk Factors for Breast Cancer 19
CHAPTER 3: Indicators of Breast Cancer 33
Part 2: Diagnosing Breast Cancer 45
CHAPTER 4: Physical Awareness and Detecting Breast Cancer 47
CHAPTER 5: Understanding Breast Biopsies 63
CHAPTER 6: Stages of Breast Cancer 79
Part 3: Treating Breast Cancer 91
CHAPTER 7: Looking at Treatment Options 93
CHAPTER 8: Breast Surgery 113
CHAPTER 9: Radiation Therapy 127
CHAPTER 10: Chemotherapy 141
CHAPTER 11: Endocrine, Biological, and Cutting-Edge Therapies 155
CHAPTER 12: Breast Reconstruction 171
CHAPTER 13: Treating Advanced Breast Cancer 187
Part 4: Dealing with Breast Cancer and Everyday Life 205
CHAPTER 14: Psychosocial Concerns and Breast Cancer Diagnosis 207
CHAPTER 15: Managing Stress 217
CHAPTER 16: Coping with Changes after Treatment 227
CHAPTER 17: Cancer Treatment, Fertility, and Sexuality 249
CHAPTER 18: Making Healthy Lifestyle Changes 267
Part 5: The Part of Tens 285
CHAPTER 19: Ten Inspiring Breast Cancer Survivors 287
CHAPTER 20: Ten Ways Family and Friends Can Help You 303
CHAPTER 21: (At Least) Ten Ways Life Can Be Better After Cancer 307
Appendix A: Breast Health Glossary 317
Appendix B: Support Groups, Resources,
and Organizations 327
Index 337
Table of Contents
FOREWORD xvii
INTRODUCTION 1
About This Book 2
Foolish Assumptions 2
Icons Used in This Book 3
Beyond the Book 3
Where to Go from Here 4
PART 1: KNOWING ABOUT BREAST CANCER 5
CHAPTER 1: Breast Cancer 101 7
Breast Cancer Basics 8
Finding your way around your breast 8
Knowing about breast cancer risk factors and indicators 9
Distinguishing Diferent Breast Cancers 10
Detecting breast cancer 13
Biopsies and how they work 14
The pathologist and diagnosis 14
Grading and Staging of Breast Cancer 15
Planning Your Treatment 15
Looking at your treatment options 15
Considering breast surgery 16
Treating breast cancer with radiation 17
Treating breast cancer with chemotherapy 17
Treating breast cancer with endocrine (hormonal),
biological, and other cutting-edge therapies 17
Treating advanced breast cancer 18
CHAPTER 2: Risk Factors for Breast Cancer 19
Advanced Age 19
Gender 20
Race and Ethnicity 21
Early Menstruation and Late Menopause 23
Use of Birth Control Pills 23
Genetic Risk: BRCA1 and BRCA2 Genes 23
Poor Nutrition 26
Fats 27
Red meat and processed meats 27
Obesity 28
Smoking 29
Table of Contents vii
Alcohol Use 29
Prior Treatment and Chemical Exposures 30
Exposure to DES (diethylstilbestrol) 30
Hormones: Estrogen and progesterone use 30
Environmental factors 31
CHAPTER 3: Indicators of Breast Cancer 33
Monitoring Changes in Breast Size and Shape 34
Breast increasing in size 35
Breast decreasing in size 35
Watching for Skin Changes 36
Rash 36
Paget’s disease 36
Skin thickening 37
Cellulitis 37
Mastitis 38
Breast abscess 38
Checking Out Lumps and Bumps 39
Breast masses and fbroadenomas 39
Breast cysts 39
Dense breasts 40
Dealing with Breast Aches and Pains 40
Nipple Changes 41
Nipple inversion 41
Milky nipple discharge 41
Bloody nipple discharge 42
PART 2: DIAGNOSING BREAST CANCER 45
CHAPTER 4: Physical Awareness and Detecting
Breast Cancer 47
What to Look For 49
Doing a Breast Self-Examination 50
In the shower 50
In front of the mirror 50
While lying down 51
Breast Cancer Screening Guidelines 52
Mammograms: The Go-to Tool 55
Tomosynthesis (tomo) mammogram 55
Advantages of screening mammograms 56
Disadvantages of screening mammograms 56
How a mammogram is done 58
Other Screening Tests: MRI and Ultrasound 59
viii Detecting & Living with Breast Cancer For Dummies