After years of women returning for repeat lumpectomies because the margins of their tumor contain cancer, new guidelines are reducing these re-operations. Here’s a new study on the issue: http://jamanetwork.com/journals/jamaoncology/fullarticle/2630063?utm_source=facebook&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=060517#.WTVwtIWiO2E.facebook
Detroit breast cancer survivor, Dr. Linda Johnson, is shown here with the “On-Q Pain Relief System, which she used to reduce post-operative pain after breast reconstruction. It is a non-narcotic system. “This is a little pump about the size of a small can of soup that contains pain reliever that comes into your system automatically for a few days after surgery,’’ says Johnson, a retired school principal. “The pump goes to a tiny plastic tube that the surgeon installs in your chest. This little dickens really worked!! All I had to do was to carry it around in the little nylon bag shown in the picture. By day I used it like a shoulder bag and at night I just kept it beside me in the bed. The doc will take out the 4 or 5 inches of tubing that went into my body when I go for my check up next week. Easy breezy, it gives a constant stream of pain relief, and doesn’t involve pills.” For details: http://www.myon-q.com/why-on-q.aspx
Important new national guidelines should eliminate some repeat lumpectomies performed to ensure there is no trace of cancer left.
Important new recommendations against growing double mastectomy trend
Here’s the link to Kathleen Galligan’s moving story about her breast cancer diagnosis, reprinted in today’s Detroit Free Press. The newspaper’s web site, freep.com, also uses 17 photos (second link) of the wonderful women in “Breast Cancer Surgery and Reconstruction: What’s Right for You.” Kathleen’s photos truly brought the book to life and her story is one thousands of women will identify with. It explains how all cancer, even early, less problematic ones, are traumatic. I hope Kathleen and all women with breast cancer are showered in love, support and respect today.
As double mastectomy rates rise, some doctors and medical centers have developed a coordinated program where specialists help women understand that a double mastectomy gives a woman no greater chance she’ll live longer.
More evidence that a woman’s breast surgeon and her hospital most heavily influence mastectomy decisions by older women. These hospital and physician practice patterns are common throughout the U.S., we found in reporting for “Breast Cancer Surgery & Reconstruction: What’s Right for You,” coming June 16 from Rowman & Littlefield onAmazon.com, and some Barnes & Noble and other select bookstores.
Here’s an important less-discussed issue for thousands of women who undergo lumpectomy and radiation. Reconstruction is best done in stages after surgery, an MD Anderson team finds. We explore the issue of delayed reconstruction in our upcoming book, Breast Cancer Surgery and Reconstruction: What’s Best for You” coming June 16.
The more lumpectomies a surgeon does, the less likely a woman is to be called back for another operation, a study finds. In a companion editorial, a Yale surgeon calls for more precise re-excision standards. She encourages doctor to take a little more tissue to avoid another operation. http://www.healio.com/hematology-oncology/breast-cancer/news/online/%7Bcf2fde68-df20-4462-87fd-e14240cf25ad%7D/rates-of-reoperation-after-breast-conserving-surgery-remain-high#perspective