The New Generation Breast Cancer Book: How to Navigate Your Diagnosis and Treatm

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"From an expert in the field comes the definitive guide to managing breast cancer in the information age-- a comprehensive resource for diagnosis, treatment, and peace of mind." --

FORMATPaperback LANGUAGEEnglish CONDITIONBrand New Publisher Description

From the Chief of Breast Surgery at Mount Sinai Medical Center and Co-director of the Dubin Breast Center in Manhattan, the definitive guide to managing breast cancer in the information age, an optimistic antidote to internet information about screening, diagnosis, prognosis, and treatment.From an expert in the field comes the definitive guide to managing breast cancer in the information age-a comprehensive resource for diagnosis, treatment, and peace of mind.The breast cancer cure rate is at an all-time high, and so is the information, to say nothing of the misinformation, available to patients and their families. Online searches can lead to unreliable sources, leaving even the most resilient patient feeling uneasy and uncertain about her diagnosis, treatment options, doctors, side effects, and recovery. Adding to a patient's anxiety is input from well-meaning friends and family, with stories, worries, and opinions to share, sometimes without knowing the details of her particular case, when in reality breast cancer treatment has gone well beyond a "one size fits all" approach. Elisa Port, MD, FACS, chief of breast surgery at The Mount Sinai Hospital and co-director of the Dubin Breast Center in Manhattan, offers an optimistic antidote to the ocean of Web data on screening, diagnosis, prognosis, and treatment. Inside you'll discover. the various scenarios when mammograms indicate the need for a biopsy. the questions to ask about surgery, chemotherapy, radiation, and breast reconstruction. the important things to look for when deciding where to get care. the key to deciphering complicated pathology reports and avoiding confusion. the facts on genetic testing and the breast cancer genes- BRCA-1 and BRCA-2. the best resources and advice for those supporting someone with breast cancerFrom innovations in breast cancer screening and evaluating results to post-treatment medications and living as a breast cancer survivor, Dr. Elisa Port describes every possible test and every type of doctor visit, providing a comprehensive, empathetic guide that every newly diagnosed woman (and her family) will want to have at her side.Praise for The New Generation Breast Cancer Book"One book you need . . . If you're considering your options for treatment or know someone who is, this step-by-step guide, The New Generation Breast Cancer Book, is essential reading."-InStyle"Elisa Port, M.D., is the doctor every patient deserves- brilliant and compassionate. Her book will be a sanity saver and, quite possibly, a life saver."-Geralyn Lucas, author of Why I Wore Lipstick to My Mastectomy"As up-to-date as one can get, with lots to offer people facing a cancer diagnosis or hoping to support someone with the disease."-Library Journal (starred review)"The New Generation Breast Cancer Book helps you sort through all the information you've gathered, clarify the terminology, consider the options, and make the right decisions for your unique case."-Edie Falco"A lifeline for many women in need of today's most up-to-date choices for treatment . . . Everyone should read this book for themselves, their mothers, grandmothers, daughters, and friends."-Kara DioGuardi, Grammy-nominated songwriter, music executive, and Arthouse Entertainment co-founder"The book is teeming with easy-to-understand medical explanations, tips, takeaways, and pro-and-con discussions of various courses of action. Port also includes two extremely useful appendices that respectively take on common myths and answer questions frequently asked by friends and family. This is a vital read that will empower men and women alike."-Publishers Weekly

Author Biography

Elisa Port, MD, is chief of breast surgery at Mount Sinai Medical Center and director of the Dubin Breast Center, a state-of-the-art breast center in Manhattan that opened in April 2011. She sees and consults with approximately two thousand patients and performs between four hundred to five hundred surgeries a year. Regularly quoted in the print and electronic media-including NPR, The New York Times, New York Daily News, Martha Stewart radio, Vogue, Businessweek, and Redbook-Dr. Port has also appeared on Today, The Early Show, ABC World News Tonight, Fox News, and NBC news. She lives in Manhattan with her husband and their two children.

Review

"One book you need . . . If you're considering your options for treatment or know someone who is, this step-by-step guide, The New Generation Breast Cancer Book, is essential reading."—InStyle"Elisa Port, M.D., is the doctor every patient deserves: brilliant and compassionate. Her book will be a sanity saver and, quite possibly, a life saver."—Geralyn Lucas, author of Why I Wore Lipstick to My Mastectomy"As up-to-date as one can get, with lots to offer people facing a cancer diagnosis or hoping to support someone with the disease."—Library Journal (starred review)"The New Generation Breast Cancer Book helps you sort through all the information you've gathered, clarify the terminology, consider the options, and make the right decisions for your unique case."—Edie Falco"A lifeline for many women in need of today's most up-to-date choices for treatment . . . Everyone should read this book for themselves, their mothers, grandmothers, daughters, and friends."—Kara DioGuardi, Grammy-nominated songwriter, music executive, and Arthouse Entertainment co-founder"The book is teeming with easy-to-understand medical explanations, tips, takeaways, and pro-and-con discussions of various courses of action. Port also includes two extremely useful appendices that respectively take on common myths and answer questions frequently asked by friends and family. This is a vital read that will empower men and women alike."—Publishers Weekly

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From the Chief of Breast Surgery at Mount Sinai Medical Center and Co-director of the Dubin Breast Center in Manhattan, the definitive guide to managing breast cancer in the information age, an optimistic antidote to internet information about screening, diagnosis, prognosis, and treatment

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Advance praise for The New Generation Breast Cancer Book

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From the Chief of Breast Surgery at Mount Sinai Medical Center and Co-director of the Dubin Breast Center in Manhattan, the definitive guide to managing breast cancer in the information age, an optimistic antidote to internet information about screening, diagnosis, prognosis, and treatment

Excerpt from Book

You may be coming to this book from any one of a variety of different situations. Perhaps you are interested in learning more about breast cancer in general (after all, it is the most common solid tumor to affect women in the United States). Maybe you consider yourself to be at risk for the disease and are trying to arm yourself with the best information for the future, or you have a family member or friend whom you are hoping to support in her diagnosis. For the majority of readers, however, the most likely scenario is that you yourself have been diagnosed with breast cancer or have found something that has a high likelihood of turning out to be breast cancer. If that''s the case, then you may think that you should just skip over this chapter. Why read about risk for breast cancer or how to detect it when you''ve already been found to have it? In fact, the information in this chapter is still relevant to you. Understanding the risk factors that may or may not have contributed to your diagnosis could be important. You''ll also learn about mammograms and other different types of imaging that can still come into play even after you have received a diagnosis of breast cancer and in the years ahead. Mammograms For many women, the diagnosis of breast cancer starts with a mammogram. These women in particular usually do not need much convincing of the value of mammograms in the early detection of breast cancer. Over the past few years, however, there has been a huge amount of conflicting information out there regarding mammograms, leaving many other women feeling uncertain and confused. As a breast cancer surgeon and specialist, I''m often asked to speak to the general public about issues surrounding breast cancer screening, treatment, and care. Some of the most common questions I get during the Q&A portion go something like this: "My sister was diagnosed with breast cancer when she felt a lump one month after a normal mammogram. Why should I get one if it didn''t work for her?" "I have a friend who was diagnosed with breast cancer at age thirty-eight, before she had even started mammograms. Shouldn''t we all be starting earlier?" "I heard that sonograms and MRIs are better than mammograms at picking up cancers in women with dense breasts. Why aren''t they recommended for all women?" It doesn''t surprise me that so many women have so many questions about mammograms and screening: they are looking for answers on some very controversial issues. "Mammograms aren''t flawless--no test is. Mammograms have been associated with both underdiagnosis (missing cancer) and overdiagnosis (when we find things on a mammogram that, if left alone, would not have caused a problem). Hence the frequent controversy about when and whether to use them. But even when all these variables are taken into account, mammograms are still the best tool currently available for identifying breast cancer in the vast majority of women. It''s important to get the facts straight, beginning with this one: the mammogram is the only test that has been shown to decrease the actual risk of dying from breast cancer by detecting cancer earlier--effectively reducing mortality by 15 percent or more in women from ages forty to seventy. And here''s a lesser-known fact: 80 to 90 percent of women diagnosed with breast cancer have no preexisting risk factors--no family history, no genetic issue, nothing. So we are all at risk, and that''s why appropriate screening is relevant to all women. When we look at the breast cancer cure rate, the good news is that it has increased substantially in the past few decades. To a large degree, this is because of early detection--a direct result of better screening, primarily with mammograms. Currently over 60 percent of newly diagnosed breast cancers are early stage. These cancers are localized, and are usually detected by mammography before a woman or her doctor could feel anything on examination. So with all the conflicting information out there, it can be easy to lose sight of the bottom line here: mammograms help to detect breast cancer earlier and save lives. Mammograms: what to expect A mammogram is an X-ray of the breasts. Most often--including during a routine, annual mammogram--both breasts are X-rayed. This is called a bilateral mammogram, and two pictures are taken of each breast, resulting in a total of four pictures. A unilateral mammogram (just one side, right or left) consists of two pictures. There are a variety of different reasons why a woman may need a mammogram on only one side: occasionally a follow-up at a shorter interval, usually six months, for one side only will be needed to make sure something we saw previously is indeed normal or has not changed. In addition, for women who have had a prior breast cancer and had one breast removed, we only perform mammograms on the one remaining breast. Finally, if a recent bilateral mammogram was normal but a few months later a woman feels a lump on self-examination, repeating the mammogram just on that one side might be needed. In any case, when a mammogram is done, the breast is pressed between two paddles to flatten out the breast tissue, and the entire process of positioning and shooting the picture takes about a minute for each picture, or a couple of minutes for each side. I don''t think anyone would argue that having your breast pressed between two paddles is exactly pleasant. Women do sometimes complain that mammograms are painful or at least uncomfortable, and there are many jokes circulating about how men could never tolerate the same procedure on certain parts of their anatomy. But the discomfort should be short and tolerable, especially at a mammography facility with experienced, well-trained technicians. If you are someone with especially sensitive breasts, discomfort may be minimized by making sure your mammogram is not scheduled right before or during your menstrual period, when breasts are usually most sensitive. On a mammogram, cancers typically show up as white, irregular spots against the darker background of regular, mostly fatty breast tissue. Denser normal breast tissue also shows up as whiter, so in dense breasts it can be harder to see the white cancer against a white background (imagine trying to spot a polar bear in a snowstorm). If you do have dense breasts (very common in younger women), you may get a recommendation for additional tests, such as a sonogram, and you also may want to make sure that you are getting a digital mammogram. Digital mammograms have been shown to be better at picking up cancers in younger women with denser breast tissue. Other findings that we look for on a mammogram that could indicate cancer are areas of calcifications, which are tiny clusters of white spots, almost like grains of salt grouped together. And lastly, an area of asymmetry, where the tissue looks distorted or pulled, especially if different from what is seen in the other breast, could raise suspicion for a cancer as well. One of the most exciting new developments currently available is 3-D mammography. Although it is associated with a slightly higher dose of radiation exposure with each mammogram, the 3-D images that we capture extend through the breast, section by section, in great detail. Looking at the results is a little like looking through the pages of a book, and we can pick up more cancers that are hidden among overlapping dense breast tissue as a result. In addition, 3-D mammograms have been shown to significantly reduce callbacks for additional tests, which means fewer scary phone calls and less nail-biting time for you. This new mammography technique has been widely integrated into many practices, but not everywhere. MYTH: "If you don''t have a family history of breast cancer, then you are not really at risk and there''s no reason to start mammograms at forty." The normal screening guidelines are for women at average risk for breast cancer. The reality is that 80 to 90 percent of women diagnosed with breast cancer have no special risk factors. So we are all at risk, and that''s why appropriate screening is relevant to all women.

Details ISBN1101883154 Short Title NEW GENERATION BREAST CANCER B Pages 320 Language English ISBN-10 1101883154 ISBN-13 9781101883150 Media Book Format Paperback Year 2015 Imprint Ballantine Books Inc. Place of Publication New York Country of Publication United States DEWEY 616.99449 Subtitle How to Navigate Your Diagnosis and Treatment Options-and Remain Optimistic-in an Age of Information Overload UK Release Date 2015-09-22 Publication Date 2015-09-22 AU Release Date 2015-09-22 NZ Release Date 2015-09-22 US Release Date 2015-09-22 Illustrations SIDEBARS Narrator Susan McInearny Illustrator Jose Marzan Birth 1939 Affiliation Associate Professor of Psychiatry, Bipolar Clinic and Reseach Program, Massachusetts General Hospital Position Associate Professor of Psychiatry Qualifications Ph.D. Author Dr. Elisa Port Publisher Random House USA Inc Audience General We've got this

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