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Zusatztext “It should be required reading for everyone who is touched by the disease! whether personally or through a family member! friend! colleague! employee! or a patient diagnosed with breast cancer.... I can’t recommend it enough.”— Today’s OR Nurse “These experts demystify breast cancer in understandable and compassionate terms.... Should help hundreds of thousands of women.”— James F. Holland! M.D. Chairman! Department of Neoplastic Diseases! Mount Sinai Medical Center “Both timely and current — [It] discusses the most common cancer in women in a precise! clear! and positive way! providing essential information in a warm! supportive fashion in a readable and understandable format.”— Journal of the National Cancer Institute “Comprehensive! up-to-date! and highly detailed ... From selecting the best doctors to describing procedures and treatments! the authors answer all possible questions in a calm! rational manner.... Highly recommended.”— Library Journal “Every woman is touched by the reality of breast cancer — by the fear of it or the fact of it.... Drs. Pressman and Hirshaut have written the essential guide! one that should be required reading for every woman.”— Barbara Gordon author of I’m Dancing as Fast as I Can “This is a humane! compassionate book which nonetheless manages to be straightforward and comprehensive; the authors have succeeded in addressing the many questions (and the fears) of breast cancer patients! and have done a thorough and sensitive job.”— Share Informationen zum Autor Yashar Hirshaut, MD, FACP and Peter Pressman, MD, FACS Foreword by Jane Brody Klappentext Written by two renowned authorities who specialize in the treatment of breast cancer, a surgeon and an oncologist, this lucid step-by-step guide has established itself as the indispensable book women need to make informed decisions about the care that is right for them. Breast cancer will strike one out of every eight women in the United States. Because there have been many important changes in the diagnosis and treatment of breast cancer in the last few years, this fully revised Third Edition contains information on the latest developments in the field, including: • new diagnostic procedures • changes in the treatment of in situ cancer • improved surgical techniques • gene testing • sequencing radiation and chemotherapy • HER-2Neu (Herceptin) • tamoxifen for prevention • bone marrow and stem cell transplants • and more How do I know which type of surgery is right for me? Our basic job is to get rid of the cancer and prevent its spread and recurrence, if possible while preserving the breast. In order to accomplish that task, we have to understand the nature or pathology of the malignancy; its stage, including its size and how much it has spread; its location in the breast; and the size of the breast itself. We also have to give serious consideration to what you yourself prefer. The following sections describe the general circumstances under which each type of surgery is appropriate. Stage 0 Cancer Stage 0 cancers are noninfiltrating cancers confined to the lobules and ducts. Lobular carcinoma in situ (LCIS), generally speaking, requires no surgery after the biopsy. It should, however, be very carefully watched. Mammography and a physical examination by a doctor should be regularly scheduled because this in situ cancer is what we call a marker of great risk. Twenty percent of women with this symptom develop infiltrating cancers over a twenty-year period and there is a likelihood that both breasts are at risk. In the past, duct cell carcinoma in situ (DCIS) was usually discovered after a biopsy for a nipple discharge or ulceration. With the recent improvements in mammography, we are able to pick...
