Side Effects



20 Oct 09

breast cancer cellIn this article Sandy Hutchens looks at ways of dealing with the side effects of breast cancer treatment.

This is a very challenging process for most women.

Many women may suffer depression when they experience iatrogenic hair loss caused by chemotherapy. Partial or radical mastectomies are, of course, more devastating to women.

It requires tremendous emotional strength to go through these processes. One aspect that is distressing is a woman’s appearance and the impact on her body image.

When a woman is diagnosed with breast cancer, it can be a life changing experience. She may discover a lump in her breast while involved in routine activities.
After the lump is removed and a biopsy is performed the doctor may give a diagnosis of breast cancer, Stage I or Stage II breast cancer.

The first thing that a woman might do in these circumstances is to look for other opinions and alternative methods.

Some doctors may suggest the immediate removal of the breast followed by reconstructive surgery.

In any case, the focus of her life has now shifted completed to the cancer and issues to do with surgery and all the implications that a mastectomy may have on her sense of self.

Obviously a woman’s life is more valuable than her breasts. The patient may know this very well but it is very difficult to stop identifying oneself as a woman with certain body. They can’t imagine life without their breasts.

Typically a woman at this point will agree to any needed surgery. After the surgery it can be extremely shocking to wake up and not feel or see their breasts. There is a state of cognitive dissonance.

Breasts are one symbol of femininity. It is a very delicate matter for a person. She may feel insecure or depressed at this point and start worrying about their future relationships with men.

Implants may help but the truth is that they do not feel or look the same. Injections are needed frequently to make the implants expand. Life has changed forever and therapy is indicated to help deal with the emotional difficulties and with self acceptance.

The struggle to reconcile herself with her breasts being removed is only one difficulty she has to face.

Chemotherapy treatment, which usually follows the mastectomy, can be pretty rough and then their is thinning hair – another blow to the body image.

While brushing her hair she may notice it start to fall out.

Some women simply shave their heads so that they don’t have to go through the gradual process of hair loss. Although this is also a trying aspect of breast cancer treatment it is not as devastating as the loss of her breasts.

A woman will often begin to wear a wig or a head scarf or other head covering.

There are a number of emotional and physical challenges of this process. The most important thing is to have the love and support of family and friends.

If breast cancer is treated well, and there is a great deal of support from others as well as self-acceptance, there is nothing stopping a woman from moving on to a new chapter in her life.







26 Aug 09

Sandy Hutchens Cancer Prevention, August 26, 2009 – Tamoxifen is an estrogen-blocking drug. This class of medication is specifically designed to block the estrogen receptor to prevent the growth of breast cancer cells. But, unfortunately, not all breast cancers have the estrogen receptor. Those that don’t are usually more aggressive and metastasize more rapidly.

Researchers from Fred Hutchinson Cancer Research Center in Seattle looked at 728 women diagnosed with breast cancer. Those women were compared to 367 others diagnosed with both a first and second breast cancer.

The main finding from the study, published online Tuesday in the journal Cancer Research, was that tamoxifen lowered the risk of any second breast cancer overall by about half, said lead author Dr. Christopher Li.

“For the estrogen receptor-positive cancer, we have targeted therapy that again has been proven to again reduce mortality,” said Li. “That’s one of the reasons why ER-negative cancers are more worrisome because we don’t have a targeted treatment for them.”

Li said it’s important to remember that any treatment has risks and benefits associated with it, and tamoxifen is no exception.

Tamoxifen lowers breast cancer patients’ risk of dying of the disease, and has also been shown to lower a woman’s risk of developing a recurrent breast cancer and a second breast cancer, he noted. But use of tamoxifen also comes with risk of stroke, as well as the risk of endometrial cancer, he added.

“So here we’re finding that we’re adding potentially another risk to the risk-benefit equation,” Li said. “We’re finding that there is this increased risk in this more aggressive subtype of second breast cancer. However, we also overall found using tamoxifen did lower the risk of any type of second breast cancer overall.”

“For that reason, we don’t really think that this study changes the overall risk-benefit equation because the benefits for most women who are eligible to use this treatment are going to still outweigh the risks.”

Every tumour is a mix of receptor-positive and receptor-negative cells, she said. If the types of cells that predominate are receptor-negative, it gets read as an increased risk of receptor-negative breast cancer if tamoxifen is taken for five or more years.

Dr. Jay Harness,Tamoxifen And The Side Effects put up by Sandy Hutchens.

Help us transform healthcare patient advocacy by tapping into the strength of women.