Archive | June 2016

PART II Breast Cancer

Breast Cancer Part IV

breast cancer 8

 

Is there a link between birth control pills and breast cancer?

A number of older studies suggested that birth control pills slightly increased the risk of breast cancer, especially among younger women. In these studies, however, 10 years after discontinuing birth control pills women’s risk of breast cancer returned to the same level as that of women who never used oral contraceptives. Current evidence does not support an increase in breast cancer with birth control pills.

Be vigilant about breast cancer detection. If you notice any changes in your breasts, such as a new lump or skin changes, consult your doctor. Also, ask your doctor when to begin mammograms and other screenings.

Once you’ve been diagnosed with breast cancer, your doctor works to find out the specifics of your tumor. Using a tissue sample from your breast biopsy or using your tumor if you’ve already undergone surgery, your medical team determines your breast cancer type. This information helps your doctor decide which treatment options are most appropriate for you.

Here’s what’s used to determine your breast cancer type.

Is your cancer invasive or noninvasive?

Whether your cancer is invasive or noninvasive helps your doctor determine whether your cancer may have spread beyond your breast, which treatments are more appropriate for you, and your risk of developing cancer in the same breast or your other breast.

  • Noninvasive (in situ) breast cancer. In situ breast cancer refers to cancer in which the cells have remained within their place of origin — they haven’t spread to breast tissue around the duct or lobule. One type of noninvasive cancer called ductal carcinoma in situ (DCIS) is considered a precancerous lesion. This means that if it were left in the body, DCIS could eventually develop into an invasive cancer. Another type of noninvasive cancer called lobular carcinoma in situ (LCIS) isn’t considered precancerous because it won’t eventually evolve into invasive cancer. LCIS does, however, increase the risk of cancer in both breasts.
  • Invasive breast cancer. Invasive (infiltrating) breast cancers spread outside the membrane that lines a duct or lobule, invading the surrounding tissues. The cancer cells can then travel to other parts of your body, such as the lymph nodes. If your breast cancer is stage I, II, III or IV, you have invasive breast cancer.

In what part of the breast did your cancer begin?

The type of tissue where your breast cancer arises determines how the cancer behaves and what treatments are most effective. Parts of the breast where cancer begins include:

  • Milk ducts. Ductal carcinoma is the most common type of breast cancer. This type of cancer forms in the lining of a milk duct within your breast. The ducts carry breast milk from the lobules, where it’s made, to the nipple.
  • Milk-producing lobules. Lobular carcinoma starts in the lobules of the breast, where breast milk is produced. The lobules are connected to the ducts, which carry breast milk to the nipple.
  • Connective tissues. Rarely breast cancer can begin in the connective tissue that’s made up of muscles, fat and blood vessels. Cancer that begins in the connective tissue is called sarcoma. Examples of sarcomas that can occur in the breast include phyllodes tumor and angiosarcoma.
  •  FYI a complication that can occur with advanced cancer that many of you may be unaware of. Bone metastasis occurs when cancer cells spread from their original site to a location in the bone. The most common types of cancer more likely to spread to bone include breast, prostate and lung cancers.Signs and symptoms of bone metastasis may include the following:
  • Bone metastasis can occur in any bone, but more commonly occurs in the pelvis and spine. Bone metastasis may be the first sign that you have cancer, or it may occur years after your cancer treatment is completed, ex. Hodgkins Disease.
  • Bone pain (back and pelvic pain are most common)
  • Unexplained broken bones
  • Loss of urine and/or bowel function
  • Weakness in the legs
  • High levels of calcium in the blood (hypercalcemia), which can cause nausea, vomiting and confusion
  • The most common problem with metastatic bone cancer is pain and fractures. Metastatic bone cancer usually can’t be cured, but instead the goal is to provide pain relief and control further spread.
  • Treatment can make a big difference and may include the following:
  • Medications to repair and build new bone — These medications are similar to those used by people with osteoporosis and can help in building and strengthening your bone.
  • Chemotherapy — Given as a pill or through a vein, used to control and treat cancer that has spread to the bone.
  • Traditional radiation therapy — Radiation is given as external beam therapy to treat the cancer in the bone.
  • Hormone therapy — Medications are used to block hormones (for breast and prostate cancers) that help control the spread of cancer to the bone.
  • Surgery — Used to fix a fracture and stabilize a break from the cancer in the bone.
  • Cryoablation — A special technique that freezes the cancer cells.
  • Radiofrequency ablation — A special technique that heats the cancer cells.
  • Chemoradiation — A form of internal radiation that is given through the vein and travels to the site of bone metastasis and targets the cancer cells.
  • Pain medications — Medications provided with the goal of relieving and controlling pain from bone metastasis.
  • Physical therapy — Exercises may be prescribed to assist in strengthening muscles and providing any assistive devices that may help you (cane, walker, crutches, etc.).If you’re living with metastatic bone cancer, you may find help and resources from a website called Bone Health in Focus. It was established with partners including BreastCancer.org, the National Lung Cancer Partnership and Us TOO International Prostate Cancer Education & Support Network to offer resources that help patients and caregivers understand more about cancer that has spread to the bone (find the site at www.bonehealthinfocus.com). Are you living with cancer that has spread to the bone? Feel free to share your experiences with each other on the this blog striveforgoodhealth.com or on TheMayoclinic.org.
  • REFERENCE: Mayoclinic.org
  • Mayo Clinic information on cancer that has spread to the bone can be found at http://www.mayoclinic.org/diseases-conditions/bone-metastasis/basics/definition/con-20035450.

QUOTE FOR FRIDAY:

“Staying at a healthy weight, being physically active, and limiting how much alcohol you drink can help reduce your risk of breast cancer.”

American Cancer Society

Part 1 Breast Cancer

breast cancer 9  Breast Cancer Part IV

Breast cancer is cancer that forms in the cells of the breasts.

After skin cancer, breast cancer is the most common cancer diagnosed in women in the United States. Breast cancer can occur in both men and women, but it’s far more common in women.

Public support for breast cancer awareness and research funding has helped improve the diagnosis and treatment of breast cancer. Breast cancer survival rates have increased, and the number of deaths has been declining, thanks to a number of factors such as earlier detection, new treatments and a better understanding of the disease.

Breast Cancer affects everyone.  Every year, over 200,000 women are diagnosed with new cases of Breast Cancer in the United States, and over 39,000 women will lose their fight with this terrible disease.  Having experienced the effects that cancer has on both the victim and their loved ones support is so important by family and significant ones in our lives.

The Breast Cancer Awareness Month, marked in countries across the world every October, helps to increase attention and support for the awareness, early detection and treatment as well as palliative care of this disease.

There are about 1.38 million new cases and 458 000 deaths from breast cancer each year (IARC Globocan, 2008). Breast cancer is by far the most common cancer in women worldwide, both in the developed and developing countries. In low- and middle-income countries the incidence has been rising up steadily in the last years due to increase in life expectancy, increase urbanization and adoption of western lifestyles.

Currently there is not sufficient knowledge on the causes of breast cancer, therefore, early detection of the disease remains the cornerstone of breast cancer control. When breast cancer is detected early, and if adequate diagnosis and treatment are available, there is a good chance that breast cancer can be cured. If detected late, however, curative treatment is often no longer an option. In such cases, palliative care to relief the suffering of patients and their families is needed.

The majority of deaths (269 000) occur in low- and middle-income countries, where most women with breast cancer are diagnosed in late stages due mainly to lack of awareness on early detection and barriers to health services.

Here is another thing to help breast cancer patients National Breast Cancer Awareness Month is a chance to raise awareness about the importance of early detection of breast cancer. Make a difference! Spread the word about mammograms and encourage communities, organizations, families, and individuals to get involved.

In the first phases, the breast cancer has no evident signs and symptoms and it differ in folks from lumps to swelling and alterations in the pores and skin. A lump also modest which is felt does not cause any strange changes and it is unnoticed. Nevertheless, in a lot of circumstances visual appeal of new lump or a mass is the 1st indicator discovered. The lump may possibly be difficult to contact with uneven edges and they are painless. But there are cases the lump is really tender, spherical edged and soft. More lumps are painless. Breast Most cancers Signs and symptoms are: Swelling of element of the breast or all areas Pores and skin irritation in the breast. Nipple pain, Nipple begins to switch inward (inverted) slowly and gradually Breast pain.

Breast cancer prevention starts with healthy habits — such as limiting alcohol and staying physically active. Understand what you can do to reduce your breast cancer risk.

If you’re concerned about breast cancer, you may be wondering if there are steps you can take toward breast cancer prevention. Some risk factors, such as family history, can’t be changed. However, there are lifestyle changes you can make to lower your risk.

What can I do to reduce my risk of breast cancer?

Lifestyle changes have been shown in studies to decrease breast cancer risk even in high-risk women.  The following are steps you can take to lower your risk:

  • Limit alcohol. The more alcohol you drink, the greater your risk of developing breast cancer. If you choose to drink alcohol — including beer, wine or liquor — limit yourself to no more than one drink a day.
  • Don’t smoke. Accumulating evidence suggests a link between smoking and breast cancer risk, particularly in premenopausal women. In addition, not smoking is one of the best things you can do for your overall health.
  • Control your weight. Being overweight or obese increases the risk of breast cancer. This is especially true if obesity occurs later in life, particularly after menopause.
  • Be physically active. Physical activity can help you maintain a healthy weight, which, in turn, helps prevent breast cancer. For most healthy adults, the Department of Health and Human Services recommends at least 150 minutes a week of moderate aerobic activity or 75 minutes of vigorous aerobic activity weekly, plus strength training at least twice a week.
  • Breast-feed. Breast-feeding may play a role in breast cancer prevention. The longer you breast-feed, the greater the protective effect.
  • Limit dose and duration of hormone therapy. Combination hormone therapy for more than three to five years increases the risk of breast cancer. If you’re taking hormone therapy for menopausal symptoms, ask your doctor about other options. You may be able to manage your symptoms with nonhormonal therapies, such as physical activity. If you decide that the benefits of short-term hormone therapy outweigh the risks, use the lowest dose that works for you.
  • Avoid exposure to radiation and environmental pollution. Medical-imaging methods, such as computerized tomography, use high doses of radiation, which have been linked with breast cancer risk. Reduce your exposure by having such tests only when absolutely necessary. While more studies are needed, some research suggests a link between breast cancer and exposure to the chemicals found in some workplaces, gasoline fumes and vehicle exhaust. Eating a diet rich in fruits and vegetables hasn’t been consistently shown to offer protection from breast cancer. In addition, a low-fat diet appears to offer only a slight reduction in the risk of breast cancer.  “Staying at a healthy weight, being physically active, and limiting how much alcohol you drink can help reduce your risk of breast cancer.”

Part II You smoke? Well why don’t you just drink poison?

GET IT NOW? Please say yes. Smoking rots for your body not just in the lungs but everywhere. How do you make a complete turn-around? Look at your health in regards to what your goal is out of life. Do you want to live longer and most importantly HEALTHIER? When healthier in mind and body you are able to do more with your life in activities of daily living and more than that, so QUIT. If you want to sit most of your life with continuing to smoke but if not you must stop smoking now unless you have a unusual discipline in your way of living that allows you to have a about 6 cigarettes to 1 pack a YEAR, not daily. It is recommended you stop completely but if it actually has to be a part of your life than do it in moderation or less.  If you’re able to do that your definitely not addicted to the bad habit physically, if anything addicted to it mentally. That would still make your life healthier as to smoking frequently every day. Know you take the risk of increasing your quantity in time so I recommend Quit.

Various lifestyle factors have been associated with increasing the risk of stroke. These include lack of exercise, alcohol, diet, obesity, smoking, drug use, and stress. Guidelines endorsed by the Centers for Disease Control and Prevention and the National Institutes of Health recommend that Americans should exercise for at least 30 minutes of moderately intense physical activity on most, and preferably all, days of the week. Recent epidemiologic studies have shown a U-shaped curve for alcohol consumption and coronary heart disease mortality, with low-to-moderate alcohol consumption associated with lower overall mortality. High daily dietary intake of fat is associated with obesity and may act as an independent risk factor or may affect other stroke risk factors such as hypertension, diabetes, hyperlipidemia, and cardiac disease.

Homocysteine is another important dietary component associated with stroke risk, while other dietary stroke risk factors are thought to be mediated through the daily intake of several vitamins and antioxidants. Smoking, especially current smoking, is a crucial and extremely modifiable independent determinant of stroke. Despite the obstacles to the modification of lifestyle factors, health professionals should be encouraged to continue to identify such factors and help improve our ability to prevent stroke, decrease cancers caused by smoking, decrease coronary artery disease, and obesity.   Learn healthy habits or healthier habits, broaden your knowledge on the 4 food groups in what is lean or leaner or leanest with each group, increase your activity 30 minutes a day and learn what a healthy diet actually is through Dr. Wayne Scott Anderson’s book “Dr. A’s habits of health” and even if you need to lose weight we can show you the way to do it healthy, for example or many other authors available in how to live healthy. Wouldn’t you and the future want to get better in mind and body to impact our health care system that includes our insurance and most importantly lives of citizens in the USA in how they live (which would be more active). It just takes discipline and the drive to want to stay healthy or get in a better state of heath. Hope I have helped someone out there in broadening your knowledge regarding how to keep or reach a healthier life.

 

You smoke? Well why don’t you just drink poison!

smoking3 smoking facts smoking2

Let’s start with what smoking actually does to the body. Smoking harms nearly every organ of the body. Smoking causes many diseases and reduces the health of smokers in general. It primarily starts at the lungs. How?   Well think of your lung tissue with openings all over which are air sacs called alveoli. This is an anatomical structure that has the form of a hollow cavity which does the exchange of oxygen and carbon dioxide in and out of our body, when we inhale and exhale. The thing to know about this tissue is that before you start smoking the alveoli are expandable (think of it like a rubber band) allowing the person to get a good exchange of oxygen getting in the body to go to all our tissues and carbon dioxide getting out of the body (O2=oxygen being the fuel to our tissues and without it causes cellular starvation, carbon dioxide=CO2 being an acid / toxin to the human body and exhaled by the lungs).   After years of smoking the alveoli stretches out not allowing a good exchange of O2 and CO2. The sad thing for a smoker is the alveoli cannot REVERSE back after damage has already occurred unless you had a lung transplant with continuing to smoke, which no M.D. or health insurance would allow. More realistic would be QUIT the bad habit. The tissue doesn’t get completely better but it improves when you quit. So the pt with Emphysema has alveoli that can’t exchange oxygen and carbon dioxide from the blood like it use to at the bottom of the lungs, prior to even starting to smoke. Also, after smoking years and when diagnosed with COPD you have difficulty breathing (that is why smoking is a major cause of bronchitis or Emphysema=types of chronic obstructive pulmonary disease=COPD and it is not REVERSIBLE). Emphysema is the worst type of COPD you can get. COPD is the third leading cause of death in the U.S., and the economic burden of COPD in the U.S. in 2007 was $42.6 billion in health care costs and lost productivity. Isn’t this reason enough to stop smoking?

Emphysema is an enlargement of the air spaces distal to the terminal bronchioles, with destruction of their walls. People with emphysema have historically been known as “Pink Puffers”, due to their pink complexion.

Chronic bronchitis is defined in clinical terms as a cough with sputum production on most days for 3 months of a year, for 2 consecutive years. People with advanced COPD that have primarily chronic bronchitis were commonly referred to as “Blue Bloaters” because of the bluish color of the skin and lips (cyanosis) along with hypoxia and fluid retention.

Know when the lungs get effected in time the heart gets effected. One Affects the other in time. The heart can’t live without the lungs and viCE versa.              

Now knowing just this you’ll understand why smoking alone can cause the following conditions, Through the Centers for Disease Control and Prevention. They state the following:

Smoking and Increased Health Risks

Compared with nonsmokers, smoking is estimated to increase the risk of—

  • Coronary heart disease by 2 to 4 times, (causing atherosclerosis=thickening of the vessels or due to arteriosclerosis=hardening of the arteries and remember smoking causes vasoconstriction of the vessels = increase pressure in the vessels = high B/P.
  • Stroke by 2 to 4 times (Due to causing the above problems listed under coronary heart disease.)
  • Men developing lung cancer by 23 times,
  • Women developing lung cancer by 13 times(cancers due to constant irritation of the tissues) , and                        
  • Dying from chronic obstructive lung diseases (such as chronic bronchitis and emphysema) by 12 to 13 times. ( Explained at the top)

Smoking and Cardiovascular Disease

  • Smoking causes coronary heart disease, the leading cause of death in the United States.
  • Cigarette smoking causes reduced circulation by narrowing the blood vessels (arteries) and puts smokers at risk of developing peripheral vascular disease (i.e., obstruction of the large arteries in the arms and legs that can cause a range of problems from pain to tissue loss or gangrene) This pain to gangrene to amputation is due to lack of oxygenated blood getting to the tissue caused by the vasoconstriction the cigarette smoking caused.
  • Smoking causes abdominal aortic aneurysm (i.e., a swelling or weakening of the main artery of the body—the aorta—where it runs through the abdomen). An aneurysm with constant vasoconstriction (increases pressure) puts the aneurysm at risk for rupture because the aneurysm area isn’t as strong as the other vessels=Rupture of the aortic aneurysm

Smoking and Respiratory Disease

  • Smoking causes lung cancer.
  • Smoking causes lung diseases (e.g., emphysema, bronchitis, chronic airway obstruction) by damaging the airways and alveoli (i.e., small air sacs) of the lungs.

Smoking and Cancer

Smoking causes the following cancers: (in alphabetical order)

  • Acute myeloid leukemia
  • Bladder cancer
  • Cancer of the cervix
  • Cancer of the esophagus
  • Kidney cancer
  • Cancer of the larynx (voice box)
  • Lung cancer
  • Cancer of the oral cavity (mouth)
  • Pancreatic cancer
  • Cancer of the pharynx (throat)
  • Stomach cancer

Smoking and Other Health Effects

Smoking has many adverse reproductive and early childhood effects, including increased risk for—

  • Infertility
  • Preterm delivery
  • Stillbirth
  • Low birth weight
  • Sudden infant death syndrome (SIDS).1,2,9Smoking is associated with the following adverse health effects:1
  •  Postmenopausal women who smoke have lower bone density than women who never smoked.
  • Women who smoke have an increased risk for hip fracture than women who never smoked.
  • References
  1. S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2004 [accessed 2013 June 28].
  2. S. Department of Health and Human Services. How Tobacco Smoke Causes Disease: What It Means to You. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2010 [accessed 2013 June 28].
  3. Centers for Disease Control and Prevention. Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses—United States, 2000–2004. Morbidity and Mortality Weekly Report 2008;57(45):1226–8 [accessed 2013 June 28].
  4. Centers for Disease Control and Prevention. QuickStats: Number of Deaths from 10 Leading Causes–National Vital Statistics System, United States, 2010. Morbidity and Mortality Weekly Report 2013:62(08);155. [accessed 2013 June 28].
  5. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual Causes of Death in the United States. JAMA: Journal of the American Medical Association 2004;291(10):1238–45 [cited 2013 June 28].
  6. S. Department of Health and Human Services. Reducing the Health Consequences of Smoking: 25 Years of Progress. A Report of the Surgeon General. Rockville (MD): U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 1989 [accessed 2013 June 28].
  7. Ockene IS, Miller NH. Cigarette Smoking, Cardiovascular Disease, and Stroke: A Statement for Healthcare Professionals from the American Heart Association. Circulation 1997;96(9):3243–7 [accessed 2013 June 28].
  8. Institute of Medicine. Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence. [PDF–707 KB] Washington: National Academy of Sciences, Institute of Medicine, 2009 [accessed 2013 June 28].
  9. S. Department of Health and Human Services. Women and Smoking: A Report of the Surgeon General. Rockville (MD): U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General, 2001 [accessed 2013 June 28].