Dr. Susan Love's Breast Book 3rd Edition

by Love, Susan M.

• ISBN13: 9780738202358
• ISBN10: 0738202355
• Edition: 3rd
• Format: Paperback
• Copyright: 2000-09-20
• Publisher: Da Capo Lifelong Books

Summary

The landscape of breast cancer has changed. New, non-invasive diagnostic techniques, new knowledge about prevention, new genetics, new treatments, new alternative and complementary resources are beginning to turn breast cancer into a chronic and perhaps preventable disease. Dr. Susan Love, whose earlier work has won the trust of women all over this country and abroad, has entirely revised her indispensable guide to reflect the very latest information. Readers ofDr. Susan Love's Breast Bookwill learn of the recent breakthroughs in genetic research, of Dr. Love's own work in developing a less invasive and highly accurate diagnostic technique, of the latest studies into preventive measures such as tamoxifen and dietary strategies, and of promising outcomes from new treatments for metastatic cancer. In the same warm, supportive, and often delightfully candid tone that has brought confidence to millions of women, Dr. Love helps each reader plan her own path through diagnosis, treatment options, and the changing world of HMO's and insurance. She also offers sound advice about combining alternative self-care with topnotch medical help.

Author Biography

Susan M. Love, M.D., M.B.A., author, teacher, surgeon, researcher and activist, is on the faculty of UCLA School of Medicine, and Medical Director of the Susan Love M.D. Breast Cancer Foundation Karen Lindsey teaches women's studies at the University of Massachusetts and writing at Emerson College

Table of Contents

Acknowledgments	xv
Introduction to the Third Edition	xvii
PART ONE: THE HEALTHY BREAST
The Breast and Its Development	3	(22)
The Ductal Anatomy	8	(3)
How the Breast Develops	11	(8)
Biology of Menopause: The Misunderstood Ovary	19	(2)
Bras	21	(2)
Breast Sensitivity	23	(1)
Lumpiness	24	(1)
Getting Acquainted with Your Breasts	25	(8)
Breast Feeding	33	(18)
Breast Feeding and Lumps in the Breast	43	(2)
Sex and Breast Feeding	45	(1)
Breast Feeding When You Haven't Given Birth	46	(1)
Breast Feeding vs. Bottle Feeding	47	(4)
Variations in Development	51	(7)
Variations Apparent at Birth	51	(3)
Variations Appearing at Puberty	54	(4)
Plastic Surgery	58	(25)
Silicone Implant Controversy	60	(7)
The Procedure	67	(1)
Breast Augmentation	68	(2)
Surgery for Asymmetry	70	(1)
Breast Reduction	71	(3)
The Breast Lift	74	(2)
Inverted Nipples	76	(1)
Thinking About Plastic Surgery	77	(6)
PART TWO: COMMON PROBLEMS OF THE BREAST
``Fibrocystic Disease'' and Breast Pain	83	(11)
Cyclical Pain	86	(4)
Noncyclical Pain	90	(1)
Non-Breast-Origin Pain	91	(1)
Cancer Concerns	92	(2)
Breast Infections and Nipple Problems	94	(13)
Breast Infections: Intrinsic	94	(6)
Breast Infections: Extrinsic	100	(1)
Infection and Cancer	101	(1)
Nipple Problems	101	(6)
Lumps and Lumpiness	107	(16)
Cysts	108	(5)
Fibroadenomas	113	(4)
Pseudolumps	117	(1)
Cancer	118	(1)
What to Do If You Think You Have a Lump	119	(4)
PART THREE: DIAGNOSIS OF BREAST PROBLEMS
Mammography	123	(13)
Radiation Risks	125	(1)
What Mammograms Show	125	(4)
Types of Mammograms	129	(1)
Calcifications	130	(1)
Mammographic Workup	131	(2)
Quality of Mammograms	133	(1)
Procedure	133	(3)
Other Imaging Techniques	136	(8)
Ultrasound	136	(3)
MRI	139	(1)
PET Scanning	140	(1)
MIBI Scan	141	(1)
CT Scanning	141	(1)
Thermography	142	(1)
Transillumination and Diaphanography	142	(1)
The Future	143	(1)
Biopsy	144	(23)
Fine-Needle Biopsy	145	(1)
Core Biopsy	146	(5)
Surgical Biopsy	151	(10)
How to Read Your Biopsy Report	161	(6)
PART FOUR: PREDICTION AND PREVENTION OF CANCER
Understanding Studies and Clinical Trials	167	(16)
Kinds of Studies	168	(4)
Evaluating Studies	172	(2)
Study Biases	174	(2)
Becoming Part of a Study	176	(7)
The Molecular Biology of Breast Cancer	183	(32)
DNA, RNA, and Proteins	183	(7)
Genes and Breast Cancer	190	(12)
Invasion	202	(3)
Angiogenesis	205	(3)
Metastatic Disease	208	(3)
Hormone Receptors	211	(3)
Translational Research	214	(1)
Risk Factors: Genetic and Hormonal	215	(22)
Risk	215	(9)
Genetic Risk Factors	224	(9)
Hormonal Risk Factors	233	(4)
Risk Factors: External	237	(23)
Diet	237	(4)
Alcohol Consumption	241	(1)
Radiation	242	(3)
Hormone Medications	245	(9)
Fertility Drugs	254	(1)
Pesticides and Other Environmental Hazards	254	(2)
Occupational Exposures	256	(1)
Electromagnetic Field (EMF) Exposure	257	(3)
Precancerous Conditions	260	(20)
Lobular Carcinoma In Situ	263	(4)
Ductal Carcinoma In Situ	267	(13)
The Intraductal Approach: A Breast Pap Smear?	280	(11)
Prevention	291	(22)
Lifestyle Changes	291	(3)
Hormones	294	(2)
Tamoxifen and Other SERMS	296	(9)
Retinoids	305	(1)
Preventive Mastectomy	305	(3)
BRCA1	308	(1)
BRCA2	309	(1)
The Future	310	(3)
PART FIVE: DIAGNOSIS OF BREAST CANCER
Screening	313	(11)
Evaluating screening Tests	313	(3)
Breast Self-Exam	316	(1)
Breast Physical Exam	317	(2)
Mammography	319	(3)
Screening Recommendations	322	(2)
Diagnosis and Types of Cancer	324	(12)
Types of Biopsy	325	(1)
How to Interpret a Biopsy Report	326	(6)
Biomarkers	332	(4)
Staging: How We Guess If Your Cancer Has Spread	336	(11)
Fears, Feelings, and Ways to Cope	347	(20)
Coping: What to Tell Your Children	355	(3)
Coping: Fears of Our Loved Ones	358	(1)
Searching For Information	359	(1)
What to Look For in a Doctor and Medical Team	359	(3)
Second Opinions	362	(5)
PART SIX: TREATING BREAST CANCER
Treatment Options: An Overview	367	(30)
Local Treatments: Surgery and Radiation	368	(12)
Systemic Treatments: Chemotherapy	380	(9)
Systemic Treatments: Hormonal Therapy	389	(5)
Combinations of Chemotherapy and Hormonal Therapy	394	(1)
Complementary Treatments	395	(1)
The Future	395	(2)
Special Cases	397	(20)
Locally Advanced Breast Cancer	397	(3)
Inflammatory Breast Cancer	400	(1)
The Unknown Primary	401	(2)
Paget's Disease of the Breast	403	(1)
Cystosarcoma Phylloides	404	(1)
Cancer of Both Breasts	405	(1)
Cancer in the Other Breast	406	(1)
Breast Cancer in Very Young Women	406	(3)
Breast Cancer in Elderly Women	409	(2)
Cancer in Pregnancy	411	(2)
Women with Implants	413	(1)
Breast Cancer in Men	414	(1)
Other Cancers	415	(2)
Surgery	417	(27)
Anesthesia	418	(4)
Preliminary Procedures	422	(2)
Partial Mastectomy and Axillary Dissection	424	(7)
Risks and Complications of Partial Mastectomy	431	(4)
Total Mastectomy	435	(9)
Prosthesis and Reconstruction	444	(20)
Prostheses	446	(1)
Reconstruction	447	(17)
Radiation Therapy	464	(14)
Initial Consultation	466	(2)
The Planning Session	468	(2)
The Treatments	470	(2)
The Boost	472	(2)
Side Effects	474	(3)
The Future	477	(1)
Systemic Treatments	478	(18)
Adjuvant Chemotherapy	482	(9)
Adjuvant Hormonal Therapy	491	(5)
Complementary and Alternative Treatments	496	(21)
Complementary Therapies	498	(11)
Alternative Treatments	509	(8)
PART SEVEN: LIVING WITH BREAST CANCER
Life After Breast Cancer	517	(24)
The Follow-Up	517	(3)
Lifestyle Changes	520	(1)
Healing the Mind	521	(2)
Sex	523	(3)
Physical Adjustments	526	(8)
Long-Term Side Effects of Chemotherapy	534	(3)
Pregnancy	537	(2)
Insurance and Getting a Job	539	(2)
Dealing with Menopausal Symptoms	541	(14)
Hormone Replacement Therapy	543	(1)
Soy Protein: A Natural SERM?	544	(2)
Natural Progesterone Cream	546	(2)
Prevention: Osteoporosis	548	(2)
Prevention: Heart Disease	550	(1)
Treatment for Perimenopausal Symptoms	551	(4)
When Cancer Comes Back	555	(20)
Local and Regional Recurrence	556	(5)
Distant Recurrence (Metastatic Disease)	561	(9)
Taking Care of Yourself Emotionally	570	(1)
When to Stop Treatment	571	(4)
Metastatic Disease: Treatments	575	(13)
Hormonal (Endocrine) Treatments	577	(3)
Chemotherapy	580	(3)
Immunotherapy	583	(1)
Bisphosphonates	584	(1)
Other Treatments	585	(1)
Pain Control	585	(1)
Experimental Treatments	586	(2)
The Politics of Breast Cancer	588	(60)
APPENDICES
A Drugs Used for Systemic Treatment of Breast Cancer	599	(3)
B Resources, References, and Additional Reading	602	(37)
C Comprehensive Cancer Centers	639	(7)
D The Wellness Community Physician/Patient Statement	646	(2)
Notes	648	(27)
Glossary	675	(9)
Index	684	(16)
About the Authors	700