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Breast Cancer Treatment Options: Facing Your Fears And Moving Ahead

Thursday, July 22, 2010 4:57:00 PM Posted by Cancer Centers

After breast cancer diagnosis, time is of the essence to ensure recovery. Digest the news; then start learning, so you're comfortable with your informed choices for breast cancer treatment.

Building Your Team
Before choosing surgery, you build a breast cancer treatment team. You need surgeons, oncologists, anesthesiologist, and radiologist. Breast surgeon - recommends and performs breast surgery such as mastectomy or lumpectomy under general anesthesia, and a sentinel node biopsy.

Oncologist - also recommends which surgical option is best. Recommends chemotherapies and follows treatment.
Anesthesiologist - usually on hospital staff, unless you want to choose your own.
Radiologist - performs the sentinel node biopsy (where 2-3 lymph nodes in the armpit or breast are surgically removed) is also on hospital staff.
Plastic surgeon - performs reconstruction if you want it, during or well after mastectomy.
Radiation oncologist - manages radiation therapy. Wait till after surgery to find.

First Breast Cancer Treatment: Surgery
Lumpectomy - usually recommended when there is a single, small lump. The lump and the margin around it are surgically removed under general anesthesia.
* Advantage: You have a small scar, usually.
* Disadvantages: You undergo radiation therapy afterwards; because radiation can cause lumps, you may have more biopsies in the future.

Mastectomy - removes breast tissue, comprised mainly of fat, under general anesthesia. Surrounding tissues are undisturbed.
* Advantages: You need no further biopsies on that side; you probably avoid radiation therapy if cancer is detected early.
* Disadvantages: You have asymmetry, and this may temporarily affect sex life or self-image. With psychological adjustment or reconstruction, these disadvantages can disappear.

Breast reconstruction - during/after a mastectomy using techniques such as DIEP, where abdominal fat and skin are transferred to the chest, to shape a new breast. This is not cosmetic surgery; it's part of treatment.
* Advantages: feeling and looking restored; getting a tummy tuck and a breast lift on the other breast.

Breast Cancer Treatment After Surgery
The oncologist considers the information from the various tests. The oncologist stages the cancer, and recommends various breast cancer treatments. The oncologist can refer you to a psychologist or support group to allay anxiety about treatment.

Radiation therapy - usually started after recovery from lumpectomy. It is precisely administered to the breast (and perhaps lymph nodes) in order to kill cancerous cells, while avoiding damage to the rest of the body. * Short-term side effects: fatigue, breast soreness, redness, swelling.
* Long-term side effects: breast shrinkage, tanning, lumpiness.

The chemotherapy visit usually is outpatient, lasting 1 to 6 hours. Some drugs are taken orally at home, sometimes as a permanent regime.
* Side effects: hair loss, nausea/vomiting, nerve or muscle pain, infection, weight gain, fatigue, difficulty sleeping.

Hormone Therapy - taken orally at home; both treats and prevents recurrence in some cases.

Exercise, diet and lifestyle changes help recovery significantly.

Survival After Therapy
With 2 million breast cancer survivors in America, breast cancer is beatable. Breast cancer treatment requires internal fortitude to reach recovery. You emerge with relief, gratitude and hope.

What Women Know About Breast Cancer Treatment Options
Women in the US have around a 1 in 8 chance of developing breast cancer at some stage in their lives, and a three percent chance of dying from it. Breast cancer is the leading cause of cancer death among women the world over, and is second only to heart disease in total numbers of deaths caused.

Treatment of breast cancer is an extremely important issue - yet many women do not know their treatment options for breast cancer. What do most women know about treating breast cancer, and what can cancer hospitals do to help women make better informed choices?

Breast cancer is the second most common cancer worldwide, the leading cancer in women, and the second leading cause of death in women worldwide. It has an incidence rate more than twice that of cervical cancer and colorectal cancer, and three times as high as lung cancer in women. It follows that breast cancer is one of the most researched and publicized conditions - however, many groups in our society know little about their treatment options for breast cancer.

Recent research has revealed that nearly half of women being treated for breast cancer did not know that their odds of survival were just as good whether they underwent a complete mastectomy, or breast conserving surgery. One of the greatest impacts of breast cancer on its survivors is on their mental health and self-image. The study was carried out by The University of Michigan Comprehensive Cancer Center. It discovered that many women do not understand the differences between treatment options for breast cancer, and minority women are even less likely to be aware of the impact their decisions will have on their prognosis. One factor that the researchers note is that information about breast cancer treatment must be communicated in a culturally appropriate and sensitive way. With medical tourism and overseas treatment now creating a large part of the cancer-treatment demographic, this clear communication is more important than ever.

Hospitals which focus on medical tourism, like Bangkok Hospital in Thailand, as well as Bumrungrad in Thailand, understand the importance of cultural sensitivity when communicating with patients. Bangkok Hospital, for example, takes a range of steps to make sure that overseas patients feel as 'at-home' as possible while in the hospital, with different dietary options, doctors that speak several languages, as well as translators for all the languages not spoken by the doctors themselves, and signage and information provided in several languages.

In many cases, patients may find that doctors in Thai hospitals for breast cancer like Bangkok Hospital and Bumrungrad have their treatment options more clearly communicated to them than they would in the West. Both of these cancer treatment hospitals in Thailand have specialized breast care clinics, focusing on early detection and diagnosis, as well as treatment of breast cancer in Thailand.

Given the more international, diverse focus of Thailand's breast cancer hospitals, treatment as a medical tourist may make more sense, and provide better outcomes for women with breast cancer.


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