breast cancer

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editorial, Dec 1, 2020 Radiology

High-Quality Mammography: A Step Forward for Women’s Health

As a society, we can't treat our way out of breast cancer.
It would be far too expensive. Although surgery, radiation, and
medical therapies for breast cancer have improved, the physical toxicity—and expense—of treating advanced-stage cancers would be too great...

Commentary: How Patients Have Transformed A Medical Meeting About Breast Cancer

By speaking up, advocates at the meeting have shifted the direction of breast cancer research. Some are alive, improbably, as a consequence of new treatments enabled and promoted by their advocacy. ...

Many Breast Cancer Patients Can Safely Skip Chemo, Large Trial Confirms

These results have the potential to reduce overtreatment of breast cancer—stopping patients’ unnecessary exposure to chemotherapy—in a large fraction of cases...

PARP Drugs Help Some Breast Cancer Patients, But They’re No Magic Bullet

For patients with metastatic breast cancer, doctors don’t yet know how to predict long-term responses to this PARP drug...

A New PARP Drug For Breast Cancer? I’m Thrilled!

The paradigm for using chemo first to treat advanced breast cancer may change, as we gain experience with these new drugs...

Julia Louis-Dreyfus Raises Discussion-Worthy Points In Her Breast Cancer Update

Her disclosure reflects on the positive impact of awareness, the unfortunate frequency of breast cancer, and benefits of having medical insurance...

When A Brilliant Mathematician Dies From Breast Cancer At Age 40

I hope for the future that other brilliant minds will have found and implemented ways to prevent most breast cancers, established accurate methods to detect it early, and developed better treatments, aimed at cures...

At The World’s Largest Cancer Meeting, Doctors Discuss Safety Of Pregnancy After Breast Cancer

Now, there’s ample data to assuage most concerns. Among 1207 women with breast cancer before age 50, those who later delivered babies experienced no more likelihood of recurrence than did those who didn’t bear more children...

More Women Are Living Longer With Metastatic Breast Cancer, But Questions Remain

Metastatic breast cancer patients represent a significant group within the U.S. population who live with a chronic or terminal condition and stand to benefit from new treatments...

Debunking The Vanishing Breast Cancer Myth

None of 42 experienced radiologists recalled having seen a single case of breast cancer vanish or regress without treatment...

The Latest Study On Breast Cancer Overdiagnosis Fails To Persuade

Is there such a thing as statistical gas-lighting?...

Before Breast Cancer Surgery, A Question Every Patient Should Ask Her Surgeon

Can you perform a sentinel lymph node biopsy, and avoid removing all of the glands from my armpit?...

Komen In NYC: Still Walking And Changing Awareness

Since 1983, the Komen organization has raised and distributed more money for breast cancer care, education and scientific investigations than any entity besides the U.S. government…...

The Case Against The Case Against Mammography

The overdiagnosis campaign reflects a lack of respect for women’s capacity to act rationally upon receiving an abnormal test result...

Encouraging Results For Ribociclib In Advanced Breast Cancer

Ribociclib is one of several CDK inhibitors being tried in breast cancer and other malignancies...

What’s Different About Male Breast Cancer?

Risk factors for male breast cancer include genetic variants, obesity and high estrogen levels. As with women, inheriting a BRCA mutation can play a role...

Report Touts Benefits Of Prolonged Medication After Breast Cancer. Is It Persuasive?

Avoiding recurrence is a legitimate goal, but there’s a trade-off...

Raising The Survival Bar, And Access To Information, On Metastatic Cancer

The public has every right to current information on what’s known about survival after a diagnosis of metastatic breast cancer, and for all forms of cancer...

MammaPrint, Agendia’s Breast Cancer Test, Is Having A U.S. Moment. Can It Reduce Overtreatment?

The potential to reduce overtreatment, in women with a low chance of recurrence for which chemo is unlikely to be of benefit, is huge...

At A Conference On Cancer, Patients Take Notes Like Their Lives Depend On It

Online communities can be terrific. But in person, patients hug one another, and develop trust, bonds that last, hopefully, from one year’s meeting to the next...

A Turning Point In The Breast Cancer Screening Debate?

The series invites women and doctors to step out of their pro- or con- trenches, take a look at the modern screening landscape, scrutinize everything and re-assess all options...

Why Prolia May Be The Better Drug For Reducing Bone Breaks And Recurrence After Breast Cancer

The benefits of Prolia appear to exceed those reported for a competing class of drugs, bisphosphonates. It’s well-tolerated and comparatively easy to take…...

Notes From The ‘Die-In,’ A Demonstration For Metastatic Breast Cancer

Die-in for metastatic breast cancer, Washington DC, October 13, 2015 (photo courtesy of Zachary Parker)...

Why People With Metastatic Breast Cancer Want To Get Counted

The number of people living with stage 4, metastatic breast cancer is unknown...

What The ACS Guidelines Got Wrong About Breast Cancer Screening

The ACS now advises most women to wait until they reach age 45 for their first breast cancer screen. This is a huge mistake...

Yes, Early Breast Cancer Detection Does Matter, New Study Finds

Whether or not mammography is effective at detecting breast cancer early, these findings demonstrate the current benefit of early detection...

Why Women And Doctors Need To Know More About DCIS

DCIS accounts for approximately 1 in 5 breast cancer-ish diagnoses in the United States. The practical problem with DCIS is that most oncologists, surgical and medical, will admit they’re not sure what to do about it...

How To Avoid Overdiagnosis And Overtreatment Of Breast Cancer

If overtreatment is the problem, the solution is not by avoidance of breast cancer detection, but by better education of physicians and patients...

Why Women Shouldn’t Cower To Concerns About Overdiagnosis Of Breast Cancer

The statistical assault on breast cancer screening continues. JAMA Internal Medicine has published another analysis…...

Study Highlights Social Factors Affecting Breast Cancer Surgery

A new study sheds light on social and economic factors that influence whether women with breast cancer get lumpectomy or mastectomy...

Breast Cancers Are Rising in Younger And In Older Women: Reasons For Concern

The increasing invasive, ER+ breast cancers in women who are otherwise healthy can’t be ignored...

In Lumpectomy For Breast Cancer, Taking Out A Bit More Reduces O.R. Revisits

In a prospective randomized trial, adding a “shave” to the lumpectomy site reduced positive margins and halved re-operations...

What We Might Learn From The Early-Stage Breast Cancer Disclosures Of Sandra Lee and Rita Wilson

Ignoring non-invasive conditions like DCIS and LCIS, or telling women they’d be better off not knowing about early stage tumors, is not a smart option...

‘Shower Shirt’ Takes Innovation Prize, Enables Women To Shower After Mastectomy

The Shower Shirt is made of waterproof parachute material on the outside, with microfiber on the inside of the neck, a water-resistant zipper, flap, and Velcro all the way down in front...

On Mammography, Evidence, And Why We Need To Improve Breast Cancer Screening

There is no good trial of mammography using current radiology systems in the context of modern pathology and minimalist treatment approaches. And there is none underway. As seen in Forbes...

Task Force Punts On Women Under 50, Jeopardizing Access To Mammograms

The panel’s C recommendation lessens the likelihood that women under 50 years will be encouraged to get mammograms and opens up the possibility that insurance will not cover their screening...

Cutting Through The Hyped Costs Of Mammograms

The authors’ definition of false positives and assumptions of overdiagnosis undermine calculations of mammography’s costs...

Automated Ultrasound Can Improve Breast Cancer Detection In Women With Dense Breasts

Automated whole breast ultrasound screening has the potential to improve breast cancer screening of women with dense breasts...

Chatting With Anne Parker: A Patient’s View On How Cancer Care Has Changed Since The 1960s

Anne Parker’s perspective on cancer care – as a family member, patient and advocate – spans over 50 years...

Recent Studies Of Mammography Use Shockingly Old Data

Researchers today are analyzing our grandmothers’ mammograms to inform women’s health and screening decisions today...

Finding Beauty: How Lisa Bonchek Adams Told Her Cancer Story

Lisa wasn’t quiet about life or living with a devastating condition...

All Women Should Have Access To Ultrasound Screening For Breast Cancer

Radiologists who publish academic papers on breast imaging may be influenced by idiosyncrasies in training, what machines their practices own or hospitals happen to have purchased, anecdotal experiences and personal skills...

Novel Drug Expands Treatment Options For Women With Metastatic Breast Cancer

The FDA’s decision on palbociclib immediately expands treatment options for a large fraction of people living with metastatic breast cancer. What limits enthusiasm is how much this oral drug will cost...

Mandatory Reporting Of Breast Density In Screening Mammograms. Why The Controversy?

Women have every right to know if they have dense breasts and if they’re at increased risk for a hidden tumor...

Can The Mammogram Panel Read A Mammogram?

To issue sound guidelines on breast cancer screening, would the USPSTF benefit by including an oncologist or radiologist on the panel?...

Oncotype Test Could Reduce Overtreatment Of Early Stage Breast Cancer

A low Oncotype DCIS score predicts a low chance that non-invasive breast cancer will recur. The study supports that many women with DCIS can safely forgo radiation...

Tamoxifen As A Breast Cancer Preventive — Mixed Results In Long-Term Follow-Up

The IBIS-1 trial shows a dramatic, reductive effect of tamoxifen in preventing breast tumors...

What’s Intriguing And Concerning About Early Results For Keytruda In Breast Cancer

What’s concerning about the preliminary findings is that the median time to response was 18 weeks. For patients to wait four months or longer to see if there’s a benefit seems like a lot; these are women without much time to spare...

To Address Breast Cancer Globally, 3 Things Are Essential

First, you need awareness. In many world regions, fatalism is still an obstacle. Second, you need a delivery system. Third…...

‘Lily,’ A Film About A Young Artist With Breast Cancer, And What’s Next In Her Life

What this movie gets right is the loneliness of having cancer – the feeling that kicks in when you’re awake and alive in some sort of hyper-sterile place receiving therapy, where there’s no one else...

Why News About Thyroid Cancer Screening Doesn’t Apply To Breast Cancer

Too often, people undergo surgery for small, unlikely-to-be-harmful thyroid tumors. But thyroid cancer is not breast cancer...

Landscape Analysis Reveals How Little Is Known, Or Said, About Metastatic Breast Cancer

Many patients living with metastatic breast cancer need more help than they’re receiving, and many are reluctant to ask...

For This October, A New Kind Of Breast Cancer Awareness

Patients have different preferences and needs; advocates have different styles and priorities. The issue about October is that..  ...

Perjeta Works In A Form Of Metastatic Breast Cancer: Active In Other Tumors?

Perjeta extends survival in patients with Her2 positive breast cancer. Might drugs targeting Her2 be effective in other malignancies?...

‘Decoding Annie Parker’ Focuses On Women, Breast Cancer And Changing Science

This film touches on tough cancer subjects as few movies do: women’s feelings of physical inadequacy after surgery, issues of sexuality and potential turning off of partners…...

Genetic Testing For BRCA Is A Personal Decision

BRCA genetic test results inform but don’t dictate an individual woman’s risk of developing cancer...

Breast Cancer Chemotherapy Varies Widely: Study Raises Questions About Early Treatment Choices

Chemotherapy treatments for early-stage breast cancer vary widely in their possible side effects. But few newly-diagnosed patients press their oncologists about those differences...

It’s Not Just About Survival: Why Some Breast Cancer Patients Opt For Surgery on Both Sides

Most women do well, for many years, after the smallest surgery possible to remove an invasive breast tumor. But the decision isn’t easy...

Are 3-D Mammograms a Better Way to Screen for Breast Cancer?

A key question about tomosynthesis is whether it’s worth investing in so many new machines and educating radiologists to interpret 3-D breast images...

JAMA Review on Mammography Points to the Need for Better Ways to Advise Women and Detect Breast Cancer

This new JAMA article reviews the literature. At a glance, it may add to the growing perception among journalists, primary care physicians and others – including ordinary women – that mammography’s effectiveness has been, again, disproved...
Don't Judge Her!

Don’t Judge Her

What’s great about this piece, and what’s wrong about it, is that it comes from an indi­vidual woman...

Who’s a Survivor?

Survivor seems a strange term for a patient like me, said by her oncologist to be in remission—meaning that there’s no overt evidence of persistent cancer cells in the body...

October With Metastatic Breast Cancer

Some feel slighted or ignored during awareness month — counter-examples to the common notion of survivorship...

Do Abortions Cause Breast Cancer?

In Kansas, legislators recently passed the No Taxpayer Funding for Abortion Act. If enacted into law, the bill would require doctors to tell pregnant women of a relationship between abortion and breast cancer...

The Outlier’s Message, and Evolutionary Science in Breast Cancer

If a drug helps, keep it going; if it hurts, stop. There are so many algorithms in medicine, and molecular tools, but maybe the bottom line is how the, one, your patient is doing...

New Article on Mammography Spawns False Hope That Breast Cancer is Not a Dangerous Disease

Few forms of invasive breast cancer warrant no treatment unless the patient is so old that she is likely to die first of another condition, or the patient prefers to die of the disease….“Mammograms Spot Cancers That May Not Be Dangerous,” said…...

What Does it Mean if Primary Care Doctors Get the Answers Wrong About Screening Stats?

The new findings have no bearing on whether or not cancer screening is cost-effective or life-saving. What the study does suggest is that med school math requirements should be upped and rigorous, counter to the trend...

Breast Cancer Stats: Notes from the 2012 ACS Report, and a Key Question

Earlier this month, the ACS released its annual report on Cancer Facts and Figures. The document, based largely on analyses of SEER data from the NCI, supports that approximately 229,000 adults in the U.S. will receive a diagnosis of invasive…...

The Truth About Breast Cancer and Drinking Red Wine—or Any Alcohol

Last week’s report that drinking red wine could reduce the risk for breast cancer was just the latest in a long string of studies on the issue...

Plastic Surgery Is Not for Everyone: Options Following a Mastectomy

A woman with a breast cancer diagnosis faces many sudden choices, and in the emotional frenzy, reconstruction decisions may get short shrift...

Pink’s OK With Me

On Sunday, Feb. 20, the Northeastern Pennsylvania Affiliate of Susan G. Komen for the Cure will host its seventh annual Pink Elegance on Parade fashion show at the Radisson at Lackawanna Station hotel, reports the Scranton Times Tribune...
New Breast Cancer Drugs

New Drugs, New Direction

Understanding breast cancer biology provides some new targets...

After Breast Cancer, Get a Gym Membership!

Earlier this month the Journal of the American Medical Association ( JAMA) published a myth-busting paper on weight lifting for women at risk for lymphedema after breast cancer treatment.  The study was neither large (154 patients at max,…...

Recognizing a Day of National Metastatic Breast Cancer Awareness

Tired of seeing pink? You’re not alone, says Dr. Barron Lerner in a piece on Pink Ribbon Fatigue in the New York Times. While cancer awareness…...

Five Ways to Improve the Quality and Success of Breast Cancer Screening by Mammography

Expertise can make a huge difference in clinical outcomes...

What’s Missing in the Recent Mammography Value Study

It’s pre­cisely because there are effec­tive treat­ments for early-stage dis­ease that it’s worth find­ing breast can­cer early...

The “Survivor” Term After Breast Cancer: Is There a Better Expression?

The question is, what’s the right, PC and emotionally sound, sensitive but not sappy term to describe the situation of a person who’s living after breast cancer? Some might say, who cares if you’ve had it?...

Getting the Math on Mammograms

But consider – if the expert panel’s numbers are off just a bit, by as little as one or two more lives saved per 1904 women screened, the insurers could make a profit! By my calculation, if one additional woman at a cost of, say, $1 million, is…...

To Screen is Human

Smack in the midst of October-is-breast-cancer-awareness-month, the Journal of the American Medical Association published a provocative article with a low-key title:  “ Rethinking Screening for Breast Cancer and Prostate Cancer.”...