Abnormal Mammogram – What Now?

It’s 10am on a Tuesday morning. You are getting ready for a meeting with your team when a phone call comes in for you…from your health care provider. It seems your routine annual mammogram has found a small spot that needs further evaluation. Now what?

No doubt about it, an abnormal mammogram is a scary thing. The first thing you should remember is that 80 percent of these lumps turn out to be benign, meaning they are not cancerous. However, it’s prudent for your health care provider to arrange for you to have a biopsy done to insure that your spot does indeed fall into that 80%.

What’s a biopsy? A biopsy is a procedure that allows for tissue to be removed and tested for cancer. In many cases, the produced for taking tissue results in little to no pain and there is minimal to no scarring involved.

There are for main types of breast biopsies that are done.

Fine Needle Aspiration Biopsy (FNAB) – This is the least invasive form of biopsy. The FNAB uses a tiny needle that is inserted directly into the lump. The content of the lump is then pulled back into the needle and syringe and the whole thing is withdrawn. In many cases, done properly, these procedures are painless, leave no scarring, and can be done in your providers office. Best of all, results can be ready in a few days.

Core Needle Biopsy (CNB) – The needle involved is a bit larger, with a bit of discomfort. The needle is again guided into the lump and the sample is obtained just like the FNAB. Again, the results are available in just a few days – often in 48 hours.

Image-Guided Breast Biopsy – In this type of biopsy, instead of guiding the needle by “feel” (feeling the lump to guide the needle), the needle is guided into the lump using ultrasound. This is often called a Stereotatic needle biopsy. In this case, the procedure is often performed by a radiologist or surgeon where equipment is available.

Surgical Biopsy – While often not used just to diagnosis breast cancer alone, they are performed when the decision is made by you and your surgeon to remove either part (incisional biopsy) or the entire (excisional biopsy) lump. This can be performed on an out-patient basis.

Undergoing any type of procedure on our breasts can be scary, especially when we are faced wit possibly receive a diagnosis of breast cancer. However, having an understanding of what is going on, what to expect, and why something is being done can alleviate some of that fear and help you become an active partner in your quest for further information.

What Is Tamoxifen?

Tamoxifen is a medication in pill form that interferes with the activity of estrogen. Tamoxifen has been used for more than 20 years to treat patients with advanced breast cancer. It is used as adjuvant, or additional, therapy following primary treatment for early stage breast cancer. In women at high risk of developing breast cancer, tamoxifen reduces the chance of developing the disease. Tamoxifen continues to be studied for the prevention of breast cancer. It is also being studied in the treatment of several other types of cancer. It is important to note that tamoxifen is also used to treat men with breast cancer.

Tamoxifen Tablets
Tamoxifen Citrate Tablets, a nonsterodial antiestrogen, are for oral administration and contain 15.2 mg of Tamoxifen Citrate (equivalent to 10 mg of tamoxifen). In addition, each tablet contains as inactive ingredients: carboxymethylcellulose calcium, magnesium stearate, mannitol and starch.

Does Tamoxifen Influence Female Hormones?
Tamoxifen blocks the female sex hormone oestrogen. The hormone influences the growth of cells related to female reproduction, such as those in the breast or the uterus. If there is too much oestrogen in the system, cell growth can accelerate to the point where tumours start to develop. Tamoxifen competes with the sex hormone for the same proteins – called receptors – found on the surface of cancer cells. When the drug locks onto the receptors it blocks the way for oestrogen – which would otherwise activate the cancer cell to divide and make the tumour grow.

FDA Regulations on Tamoxifen
On October 29, 1998, the Food and Drug Administration approved Nolvadex (tamoxifen citrate) for reducing the incidence of breast cancer in women at high risk for developing the disease. This new indication for tamoxifen, which has been used as a breast cancer treatment for more than 20 years, resulted from a recent study of the drug, conducted by the National Cancer Institute (NCI), in women who were judged to be at increased risk of breast cancer. The study showed that tamoxifen reduced the chance of getting breast cancer by 44 percent. The data also showed that tamoxifen treatment did not completely eliminate breast cancer risk, and that its longer term effects are not known

Increasing Accuracy and Patient Comfort With Digital Mammography

There’s encouraging news for women. Not only is it becoming easier to catch and treat breast cancer in its earliest stages, but new technologies are making the process of diagnosing the disease more comfortable for the patient-and more accurate as well.

The National Cancer Institute recommends mammography screenings every one to two years for women over 40 and annually for women over 50. In addition, women at high risk of developing breast cancer (for example, women with a strong family history of breast cancer or who test positive for the BRCA breast cancer gene) are encouraged to begin annual mammography screenings even earlier-sometimes as young as 25-and should consult a physician.

Benefits and risks

• Early detection of small breast cancers greatly improves a woman’s chances for successful treatment. If breast cancer is caught and treated while it is still confined to the breast ducts, the cure rate is close to 100 percent.

• Clinical studies in the U.S., Sweden and the Netherlands have suggested that deaths from breast cancer could be cut by between 36 and 44 percent if screening mammography were performed annually on all women in their 40s.

Digital mammography

One of the most recent advances in breast cancer screening is digital mammography. Digital mammography uses essentially the same system as conventional mammography, but is equipped with a digital receptor and a computer instead of a film cassette.

Digital mammography systems such as Siemens Medical Solutions’ MammomatRegistered trademark NovationDR enable faster and more accurate viewing of the dense tissue of the breast. Images are acquired digitally and displayed immediately on the system monitor.

According to a recent study published in the New England Journal of Medicine, digital mammography was significantly better than conventional mammography at screening women in any of the following categories:

• under age 50;

• any age with very dense or extremely dense breasts; or

• pre- or perimenopausal women of any age.

The Fight Against Breast Cancer: Going Green

In the past few years, a number of women have turned to green vegetables in an effort to attempt to lower their risk of breast cancer. With the disease affecting as many as one in eight American women, it is only natural that women look to natural remedies in an attempt to improve their odds in the fight against this all-too-prevalent kind of cancer.

Increasingly, though, researchers are looking to another green food in an effort to cut breast cancer risk-green tea. While black tea and chamomile tea have long been thought to soothe nerves and combat depression, it is green tea which is making headlines in the world of cancer research.

A number of animal and laboratory studies have shown that green tea can be highly effective in fighting tumors in the mammary tissues. But only recently has the scientific community been able to address the effect of green tea on breast cancer in human beings.

A Case in Point

One significant study indicated that green tea extract prevents breast cancer cells from producing a chemical that leads to tumors. University of Southern California researcher Anna H. Wu and her team noted the dietary and lifestyle choices of more than 500 women with breast cancer and nearly 600 women without cancer in Los Angeles. The women were of Asian descent and ranged in age from 25 to 74. The researchers found that the healthy women were far more likely to consume green tea. And those breast cancer patients who did drink green tea were likely to consume less of it than the healthy women were. In fact, drinking less than six tablespoons of green tea a day appeared to cut a woman’s risk for breast cancer by as much as 30 percent.
Unfortunately, women who consume a great deal of black tea do not appear to be protected from the onset of breast cancer. Since black tea is more popular in Western nations than green tea, such news can be disappointing. But the fact that green tea’s popularity is gaining strength in the West means that Western women could enjoy the same breast cancer protection that green tea drinkers in the Far East have enjoyed for years.

Green Tea and Breast Cancer Recurrence

But what about women who have already experienced breast cancer? Is it possible for them to reduce their chances of a recurrence by downing cups of green tea?

As you might expect, scientific researchers have been asking the same questions. For instance, a Japanese research team addressed those issues in their article, “Regular Consumption of Green Tea and the Risk of Breast Cancer Recurrence: Follow-up Study from the Hospital-based Epidemiologic Research Program at Aichi Cancer Center (HERPACC), Japan.”

As the Asian researchers noted, various studies indicate that green tea can inhibit the development and growth of tumors. Given that fact, they thought it helpful to examine the link between regular green tea consumption and the risk of a recurrence of breast cancer.

The researchers studied 1160 new surgical cases of female breast cancers between June of 1990 and August of 1998. About 12 percent, or 133 of the subjects, appeared to experience a cancer recurrence. But those women who consumed three or more cups of green tea each day were less likely to see their breast cancer make a comeback.

The reduced rate of recurrence was most likely among those women with stage 1 and stage 2 breast cancer. However, the link was not apparent for those women with more advanced stages of the cancer.

Cautiously Optimistic

The researchers cautioned that these results need to be interpreted carefully. However, they do suggest that breast cancer patients who drink green tea daily may be able to prevent their cancer from returning-especially if their cancer was diagnosed in the early stages. Therefore, the research team has reason to be cautiously optimistic about the cancer-fighting capabilities of green tea.

A Closer Look at Green Tea

In order to fully understand the potential of green tea as a cancer prevention method, it is first necessary to examine the composition of the beverage. There are a number of compounds that make up green tea, including polyphenols and flavonoids, caffeine, carbohydrates, tannins, fluoride, and aluminum.

As far as cancer prevention is concerned, the most critical substance is the polyphenols-chemicals which act as antioxidants. These substances block cell replication enzymes and therefore prevent the growth of cancer in the process.

In a number of studies, researchers gave rats with breast tumors green tea to consume. These rats were then compared with rats which drank water alone. Interestingly enough, the rats which had been drinking green tea saw their tumor size reduced considerably. In addition, the studies indicated that new tumors were less likely to develop in rats which drank green tea.

How Much is Enough?

Still, you might be wondering how much green tea you would need to consume in order to significantly reduce your risk of developing breast cancer. Generally, doctors say that you need to consume at least three to four cups of green tea each day-without additives such as milk or sugar-in order to see an impact.

Does decaffeinated green tea offer the same health benefits? Actually, that depends upon the manner in which the caffeine has been removed from the tea. If a solvent has been used to decaffeinate the tea, it will contain reduced levels of EGCG, lessening its effectiveness as a cancer prevention tool. You might also consider taking your green tea in capsule form, although there is little hard evidence to indicate that the capsules are as effective as the beverage in cutting cancer risk.

A Final Note

A woman who has experienced breast cancer has no guarantees that her cancer will never reappear. Even if she begins drinking green tea, she might still undergo a recurrence. However, the available evidence suggests that her risk of facing a second bout of breast cancer decreases significantly when she becomes a green tea drinker.

Breast Cancer Risk: Simple Steps to Prevent Disease

If young women take certain simple steps when they are adolescents, they may reduce risk of breast cancer later in life. A research suggests that puberty could be a crucial time for development of breast cancer.

Regular exercise is believed to delay the beginning of a girl’s first menstrual period. That is when the body creates hormones that stimulate the majority of breast cancers. According to a study, just 4 hours of weekly exercise can postpone hormone surges for up to 12 months.

Four hours a week is not a large amount of activity for a girl. She can play dodge ball, play on the playground or ride her bike. Because exercise can lower hormone activity, it can reduce risk of breast cancer, even after a girl starts having periods.

One more way is cutting back on fat. Girl who cut her fat intake by only 6 percent lowered her estrogen and progesterone levels by at least 30 percent, according to a study. These theories are not really well tested and need more research.

Breast cancer is the most common cancer in women, other than skin cancer. In the United States approximately 183,000 new cases are diagnosed and about 41,000 women die each year from cancer originating in the breast.

New Test For Breast Cancer Making Individualized Treatment Decisions A Reality

Widely hailed as the next frontier in medical advances, the promise of individualized medicine is becoming a reality thanks to progress in understanding the molecular basis of diseases such as breast cancer. Scientists can now develop treatments that are tailored to individual genetic profiles, as well as tests to predict how a patient will respond to existing therapies.

Today, some women with early-stage breast cancer and their physicians can make more informed treatment decisions with the Oncotype DX Breast Cancer Assay. This service provides quantitative information about genes from a woman’s individual tumor to generate a Recurrence Score between zero and 100, indicating whether she is at high, intermediate or low risk for her cancer returning after treatment.

Oncotype DX is intended for patients with node-negative, estrogen receptor-positive breast cancer who are likely to be treated with hormonal therapy. Approximately half of the 230,000 patients diagnosed with breast cancer in the United States each year fall into this category, and are frequently offered treatment with chemotherapy, a widely used treatment with considerable side effects. Clinical studies show that chemotherapy improved patient survival rates in only 4 out of 100 patients, yet thousands of women continue to elect this costly and toxic treatment with only limited information about whether they might respond to it.

A recent study demonstrated that women with high Recurrence Scores are more likely to benefit from chemotherapy, whereas women with lower scores derive only minimal benefit. Further, only 25% of women fell into the high-risk group, compared to 50% in the low-risk group, indicating that this common treatment is not appropriate for every patient.

Elizabeth Sloan of New York City is one of the many breast cancer patients not likely to respond to chemotherapy. An active mother with two young boys, Elizabeth was considering having another child when she was diagnosed at just 40 years old. She wanted to avoid chemotherapy, with its disruptive, short-term side effects and potentially serious long-term implications, but also wanted to be absolutely certain that it wouldn’t help her.

Working with her doctor, Ruth Oratz, M.D., at NYU Medical Center, Elizabeth decided to have the Oncotype DX assay, and was delighted when her Recurrence Score turned out to be low-indicating that she may not benefit significantly from chemotherapy.

“No two women with breast cancer are exactly alike. Oncotype DX provides information that goes beyond standard measures, like age, tumor size and tumor grade, in determining the likelihood of disease recurrence,” says Dr. Oratz. “Oncotype DX gave Elizabeth and me added confidence and peace of mind in selecting the most fitting treatment for her.”

For Susan Bakken of Denver, Colorado, Oncotype DX provided a different kind of peace of mind. Susan’s Recurrence Score indicated that she was at high risk of cancer recurrence, and would likely benefit significantly from chemotherapy-to both her surprise and her doctor’s.

“Based on the other tests I had, my doctor said he wouldn’t have otherwise recommended chemotherapy. I was shocked to find out my result, but I was so glad I did because I believe this test basically saved my life,” explained Susan.

Elizabeth Sloan is also grateful for the information she gained from Oncotype DX. “Not all cancers are the same, so why treat everyone the same way with something so toxic?” she said. “It’s so remarkable that finally, doctors can distinguish one person’s cancer from another-I’m just so thankful.”

Oncotype DX is a simple test that can only be ordered by a physician. It is performed on a small amount of breast tumor tissue removed during a standard lumpectomy, mastectomy or biopsy, meaning no additional procedure is required.

Alternative breast cancer natural herbal treatment

In recent years, there’s been an explosion of life-saving treatment in an alternative way with natural and herbal medicine advances against breast cancer, bringing new hope and excitement. Instead of only one or two options, today there’s an overwhelming menu of treatment choices that fight the complex mix of cells in each individual cancer.

Let me ask you a question before you start reading this article:

If I could show you a natural cancer fighting strategy that when used alone or when coupled with conventional treatments could kill your cancer – would you be willing to spend 15 minutes reading and listenting to the audio of the patients. This potentially is a life changing report?

If you answered NO, then I wish you the best of luck with your doctor.

If you answered YES, then go ahead and read this report. Do not simply skim over it or skip around from section to section – but read it word for word. There is some cancer fighting information here. You won’t want to miss a thing.

Finding out that you or a loved one has breast cancer can be absolutely terrifying. However, once you understand the causes of breast cancer and learn how to reverse those causes, you or your loved one can have more than a fighting chance of beating breast cancer. Unfortunately, these strategies can’t help everyone survive, but if the person using these strategies has enough time left so that they can start to work, quite often they reverse their cancer.

Now, because you chose to read this report in its entirety – this tells me two things about you.

1. You want an aggressive no-holds barred approach to skyrocket your chances of survival beyond the ordinary.

2. You realize conventional treatments may not do the trick alone, and can potentially batter your body, destroy your health and possibly ruin you financially.

A Breast Cancer Survivor says that “We fight cancer everyday…and we never give up.”

We know you are fighting for your life. At Cancer Treatment Centers and our mission is to arm you with every choice and offer you every chance.

Aggressive research, innovative new therapies, and highly-trained, experienced cancer practitioner of conventional treatment work to provide each patient with a personalized treatment plan, based on his or her unique medical condition, needs and desires.

Breast Cancer Treatment
There is hope. Some about treatment options available to you.
Alternative Cancer Treatments
Alternative cancer treatments that counter the underlying causes of cancer, help relieve pain, reduce side effects and help the immune system to more effectively fight cancer.

Let me be in brief about the things

What this cancer exactly is?
Cancer cells are always being created in the body. It’s an ongoing process that has gone on for eons. In fact, the immune system developed components whose job it is to seek out and destroy cancer cells.
Cancer is not a mysterious disease that suddenly attacks you out of the blue, something that you can’t do anything about. It has definite causes that you can correct if your body has enough time, and if you take action to change the internal environment to one that creates health, not cancer, while at the same time attacking cancerous cells and tumors by exploiting their weaknesses.

How we came across this disease?
Cancer has been around as long as mankind, but only in the second half of the 20th century did the number of cancer cases explodes. Contributing to this explosion are the huge amounts of toxins and pollutants we are exposed to, high stress lifestyles that zap the immune system, poor quality junk food that’s full of pesticides, irradiated and now genetically modified, pathogens, electromagnetic stress, lights and just about anything that wasn’t around 200 years ago. All these weaken the immune system, and alter the internal environment in the body to an environment that promotes the growth of cancer.
Cancer tumors begin when more cancerous cells are being created than an overworked, depleted immune system can destroy.
Constant exposure to tens of thousands of manmade chemicals from birth onward, chlorinated and fluoridated water, electromagnetic radiation, pesticides and other toxins, leads to the creation of too many free radicals and excessive numbers of cancerous cells.
Alone this would be enough to raise cancer levels, but combined with an immune system weakened by a diet of refined and over processed food, mineral depleted soils, and too much exposure to artificial light at night, the immune system at some point no longer is able to keep cancer in check and it starts to grow in your body.

Did you know about this?
Research shows that the immune system needy 9 1/2 hours of sleep in total darkness to recharge completely. When was the last time you had enough sleep?

As a result of all this stress on our bodies and the overload of toxins, what you get is a malfunctioning immune system and a body that is not capable of destroying the excessive numbers of cancerous cells that develop. Some, sooner or later, survive and multiply. And then you have cancer.

Overcoming cancer is a process of reversing the conditions that allowed the cancer to develop, and going after and killing cancerous cells.

The exact causes don’t have to be known, though certainly the more varied the approaches taken to correct those conditions, the more likely you are going to hit on what works best in a particular case. What needs to be done is to strongly and dramatically interrupt and reverse these cancer-causing conditions so that the body becomes healthier, and no longer capable of breeding cancer.

The more cancer there is, the more serious the condition — meaning much has to be done — fast. In your personal situation it may be too late, or it may not. No one knows where that cutoff point is as even advanced cases can turn around.

This report acts like a suggestor to you. The most important things you can do for your health is to eat five servings of fruits and vegetables a day. But much, much more potent.

One of the basics of fighting cancer is going on a fairly low carbohydrate diet, especially sugars and refined carbohydrates, because they digest extremely fast and flood the body. Your body must then produce a lot of insulin to get the sugar into cells fast, and this feeds the cancer cells just what they like to eat.

10 Strategies to focus on when fighting cancer…

1.Kill Them Naturally And Safely Without Harming Your Body
2.Increasing Oxygen Levels In Your Body And Cells Can Literally Kill Cancerous Cells
3.Normalizing pH Levels which Can Stop Cancer In Its Tracks
4.Getting Methylgyloxal Back Into Cells Puts The Brakes On Cancer Cell Growth
5.A Strong Immune System Seeks Out And Destroys Cancer Cells
6.Eliminating Candida And Fungal Infections Vital For Getting Rid Of Cancer
7.Reducing Toxic Overload Vital For Successfully Fighting Cancer
8.Free Radical Scavengers Protect Cells From Damage
9.Increasing Enzyme Levels Can Wipe Out Cancer
10.Raising The Vibratory Level In The Body Disrupts Cancer Growth
11.Resolving Issues And Reducing Stress May Be Vital For Success Against Cancer

A natural and herbal approach to cancer is based on making the body healthier. This alternative cancer strategy is to strengthen a depleted, worn out, under energized immune system that is not capable of killing cancer cells as fast as they are multiplying.

This is part of changing the body’s internal environment so cancer cells can’t survive and so you will experience greater health in every way. You accomplish this by supporting the body’s fight against cancer, by changing the body’s internal environment to one that does not support the growth of cancer, and by directly attacking cancer cells.

You will learn about safe and effective supplements that deal with each cancer weakness mentioned in the web site. Products that can defeat cancer as they get at the underlying causes of cancer. That work on any and every cancer. Let’s get started with the last one first.

Is Tamoxifen Effective In Curing Breast Cancer?

Tamoxifen, known in the trade as Nolvadex, is usually prescribed by specialists in breast cancer and is taken in pill form. A patient will stay on the drug for about five years.Often the woman’s cancer will be tested to see if it is sensitive to the amount of oestrogen in the system. If the cancer is oestrogen sensitive, tamoxifen will be given.

Because tamoxifen is such a weak estrogen, its estrogen signals don’t stimulate very much cell growth. And because it has stolen the place away from more powerful estrogen, it blocks estrogen-stimulated cancer cell growth. In this way, tamoxifen acts like an “anti-estrogen.”

Tamoxifen may also take the place of natural estrogen in the receptors of healthy breast cells. In that way it holds down growth activity, and possibly stops abnormal growth and the development of a totally new breast cancer. By blocking natural estrogen from getting to the receptors, tamoxifen is helpful in reducing the risk of breast cancer in women at high risk who have never had breast cancer. It also can help women who have already had breast cancer in one breast by lowering the risk of a new breast cancer forming in the other breast.

One study found that radiation plus tamoxifen was much better than tamoxifen alone at reducing the risk of breast cancer coming back after a lumpectomy in women with hormone-receptor-positive breast cancer. This was true even for women with very small cancers.

For pre-menopausal women, tamoxifen is the best hormonal therapy. But tamoxifen is no longer the first choice for post-menopausal women. If you’ve been on tamoxifen for two to three years and now you’re in menopause, your doctor may recommend that you switch to an aromatase inhibitor to finish your five years of hormonal therapy. However, you can still get a lot of benefit if you take tamoxifen for up to five years and then switch to an aromatase inhibitor.

Tamoxifen was first used to fight breast cancer at the Christie Hospital in Manchester, England, in 1969. It has since proved its worth as means of stopping the spread or recurrence of the disease in women who have already been treated for it.

But, it was noticed back in the early 1980s that some women who were receiving the drug for cancer in one breast did not develop any tumorous growth in the other. This prompted the suggestion that Tamoxifen might have another preventative role for those women who are at risk of getting breast cancer but have yet to develop any signs of the disease.

Solution To Breast Cancer

How long should a patient take tamoxifen for the treatment of breast cancer?

Patients with advanced breast cancer may take tamoxifen for varying lengths of time, depending on their response to this treatment and other factors. When used as adjuvant therapy for early stage breast cancer, tamoxifen is generally prescribed for 5 years. However, the ideal length of treatment with tamoxifen is not known.

How Often Should I Take Tamoxifen?

Two studies have confirmed the benefit of taking adjuvant tamoxifen daily for 5 years. These studies compared 5 years of treatment with tamoxifen with 10 years of treatment. When taken for 5 years, the drug reduces the risk of recurrence of the original breast cancer and also reduces the risk of developing a second primary cancer in the other breast. Taking tamoxifen for longer than 5 years is not more effective than 5 years of therapy.

What is Tamoxifen

Tamoxifen is an oral selective estrogen receptor modulator which is used in breast cancer treatment, and is currently the world’s largest selling breast cancer treatment. It is used for the treatment of early and advanced breast cancer in pre- and post-menopausal women. It is also approved by the FDA for the reduction of the incidence of breast cancer in women at high risk of developing the disease. It has been further approved for the reduction of contralateral (in the opposite breast) breast cancer.

Tamoxifen and Cancer

Tamoxifen is used to reduce the risk of breast cancer for women who:

1. are at high risk of breast cancer but have no personal history of the disease
2. have non-invasive, hormone-receptor-positive breast cancer, or DCIS (ductal carcinoma in situ)
3. have hormone-receptor-positive invasive breast cancer at any stage.

Tamoxifen is sometimes used to treat gynecomastia in men. Tamoxifen is also used by bodybuilders in a steroid cycle to try and prevent or reduce drug-induced gynecomastia caused by steroids that are used in the same cycle.

Tamoxifen is also used to treat infertility in women with anovulatory disorders. A dose of 10-40 mg per day is administered in days 3-7 of a woman’s cycle.

 

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.