Breast Cancer

Contents

Foreword
Acknowledgments
Introduction

Part 1: Diagnostic Choices

1. Shock

2. My Diagnosis

3. Your Diagnosis
Physical Exam and Medical History
Mammography
Diagnostic Ultrasound
Biopsy
Axillary Dissection/Nodal Sampling
Blood Tests
Chest X Rays
Pathology Report
Scans
The New Genetic Test
Questions to Ask Your Doctor After a Cancer Diagnosis

4. My Reaction to Diagnosis

Part 2: Treatment Choices

5. Your Surgical and Radiation Choices
Toward More Limited Surgery
Mastectomy versus Lumpectomy
The Value of Surgery
When Should Surgery Be Done?
Breast Reconstruction
Radiation versus No Radiation

6. My Surgical and Radiation Decisions

7. Should You Have Chemotherapy or Ovarian Ablation?
The Concept of Adjuvant Chemotherapy
The Concept of "Success" with Chemotherapy
The Drugs
Chemotherapy and Node-Negative Women
Chemotherapy, Ovarian Ablation, and Node-Positive Women
Chemotherapy for Women over 70
Chemotherapy to Avoid Mastectomy in Patients with Large Tumors
An Overview

8. Why I Didn't Have Chemotherapy

9. Tamoxifen
What Does Tamoxifen Do?
Using Tamoxifen to Treat Breast Cancer
Estrogen Receptor Status
Tamoxifen and Node-Negative Patients
Tamoxifen and Node-Positive Patients
Tamoxifen and Menopausal Status
Tamoxifen Toxicity
Potential Side Benefits of Tamoxifen
Tamoxifen and Chemotherapy
Tamoxifen and Healthy Women: The Prevention Trial
Tamoxifen Checklist

10. Your Alternative Choices for Treatment
Metabolic Therapy (Laetrile)
Shark Cartilage
The Gerson Therapy
The Macrobiotic Diet
The Hoxsey Formula
Linus Pauling and Vitamin C Therapy
Psychological Intervention
Other Alternative Therapies

11. My Alternative Treatment Decisions

Part 3: Preventing Breast Cancer

12. Diet and Prevention
Dietary Fat
Fiber
Anticancer Foods
Organically Grown Food
The Big Picture

13. Supplements and Prevention
Supplements and Conventional Medical Philosophy
Primary Prevention, Secondary Prevention
Antioxidants and Prevention
The FDA versus Science
Vitamin C and Prevention
Beta-Carotene and Prevention
Selenium and Prevention
Vitamin E and Prevention
A Review of Possible Antioxidant Doses
Sunshine, Vitamin D, and Prevention
Iron and Cancer
Exotic Supplements

14. Lifestyle and Prevention
Exercise
Alcohol
Coffee
Green Tea
Weight
Sunshine
Estrogen Replacement Therapy and the Birth Control Pill
Electromagnetic Waves
EcoCancers

15. Developing My Prevention Lifestyle
Eating and Deprivation
Eating Out, Eating In, and In Between
Developing a Prevention Lifestyle

Part 4: Living with Breast Cancer

16. Dealing with Change

17. No More Headaches

18. Getting On with Our Lives

APPENDIX A: Making the Transition: Eating In, Eating Out
APPENDIX B: Guided Imagery/Stress Release Tapes
APPENDIX C: Food Sources of Antioxidants
APPENDIX D: Iron-Free Multivitamin/Mineral Sources
Questions to Ask Your Doctor After a Cancer Diagnosis
Glossary
Index
About the Authors

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