Tag Archives: Breast Cancer Cells

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Breast cancer coping plans

Breast cancer coping plans: Regional recurrence and metastatic cancer

Breast cancer coping plans

Breast cancer coping plans that are essential for a more comfortable feeling

Finding out that you have breast cancer can be very frustrating. But after enduring all the treatment process, it can be upsetting to be told that the cancer has resurfaced. We appreciate that dealing with the initial diagnosis wasn’t easy. It was traumatizing and agonizing.  That is why as experts from AWAREmed health and wellness resource center under the leadership of doctor Dalal Akoury MD, we are concerned and want to be the shoulder you can lean on. Therefore, we want to make suggestions to you to follow and if you have any further concern, you can always call us to have a one on one with you. In the meantime, you can consider the following:

  • Information is power, seek to know more about recurrent breast cancer before making a decisions about your care. Your doctor will be very helpful. Ask about your treatment options and prognosis. Good knowledge will help you be more confident in making treatment decisions.
  • Be close to friends and family. This is the time you need a lot of love around you. Friends and family will provide the practical support you’ll need, such as helping take care of your house if you’re in the hospital. And they can serve as emotional support when you feel overwhelmed by cancer.
  • Identify a connection to a motivating spirit beyond yourself. Having a strong faith or a sense of something greater than yourself is essential and will helps you be more hopeful with cancer treatment you take.

Breast cancer coping plans: Getting ready for your appointment

With cancer, any signs or symptoms should sound a warning. Take timely action by scheduling an appointment with your primary care doctor or family doctor for professional advice. In readiness for the appointment, you can share with your doctor about new symptoms, any other health problems from your first diagnosis and if you’re seeing a new doctor, carry all your medical records with you to the new doctor. You may also request a family member to accompany you to the doctor’s office to help you remember all you need to know. The following are some of the questions you may ask:

  • What’s my prognosis?
  • What treatments are available to me at this stage, and which do you recommend?
  • What kinds of tests do I need and how should I prepare for it?
  • What is the hormone receptor status of the cancer recurrence?
  • Is there any side effects can I expect from treatment?
  • Is my cancer recurring?
  • Do I have any alternatives to the approach that you’re suggesting?
  • Are there any clinical trials open to me?
  • Are some other possible causes for my symptoms?

Finally, with all these, your doctor is also likely to ask you a number of questions. Such questions are helpful in giving his/her professional view about your condition. The doctor’s questions may include:

  • How long have you been experiencing these symptoms?
  • Has there been a change in the symptoms over time?
  • Do these symptoms feel different from when you were first diagnosed with cancer?
  • How do you feel overall?
  • Have you had any unexpected weight loss? Have you lost your appetite?
  • Are you experiencing any pain?

Breast cancer coping plans: Regional recurrence and metastatic cancer



Breast cancer symptoms

Breast cancer symptoms and signs: What is breast cancer?

Breast cancer symptoms

Breast cancer symptoms. Breast cancer is a malignant tumor which is a collection of cancer cells arising from the cells of the breast.

Breast cancer is a malignant tumor which is a collection of cancer cells arising from the cells of the breast. Although breast cancer mainly take place in women, it can also affect men. But for the purpose of this article, we are going to focus on women breast cancer beginning with the symptoms. Identifying breast cancer symptoms is not always immediate since breast cancer rarely show indications of signs and symptoms. It is possible for women have every cancers without the production of masses that can be felt or yields recognized changes in the breast. However, when symptoms appears, it will be a lump or mass in the breast which is always the most common symptom. Nonetheless, and according to the experts at AWAREmed Health and Wellness Resource Center under the leadership of doctor Dalal Akoury MD, besides the lump, there are other possible symptoms including:

  • Swelling of part of the breast.
  • Redness or pitting of the skin over your breast, like the skin of an orange
  • Peeling, scaling, crusting or flaking of the pigmented area of skin surrounding the nipple (areola) or breast skin
  • Nipple discharge or redness,
  • Changes in the skin such as puckering or dimpling,
  • Change in the size, shape or appearance of a breast
  • A newly reversed nipple
  • A breast lump or thickening that feels different from the surrounding tissue

The use of screening mammography becomes necessary to detect any formation of cancer in good time. The difficulty in reorganizing early symptoms and signs of breast cancer is not limited to small breast cancer but extends to even the larger breast cancers. And as has been stated, when they do appear, the most common symptom is a lump or mass in the breast or underarm area says doctor Akoury. And though not so common, we have some types of cancers known as inflammatory breast cancers that are likely to produce redness and warmth of the affected breast. Breast pain is also not a typical symptom, but breast or nipple pain may occur in certain cases.

Breast cancer symptoms and signs: Breast cancer causes and risk factors

In understanding this point, it is true that we have several risk factors that can increase the chances of developing breast cancer, it is important to appreciate that, the exact reason for cancer development is not known scientifically. However, factors like family history of breast cancer and the presence of certain inherited genes like BRCA1, BRCA2 can increase the risk for developing breast cancer.

Breast cancer symptoms and signs: Available statistics on male breast cancer

Breast cancer is rare in men. Like for instance, only an approximately of 2,400 new cases are diagnosed per year in the U.S. which typically has a significantly worse outcome. This is partially related to the often late diagnosis of male breast cancer, when the cancer has already spread. Symptoms are similar to the symptoms in women, with the most common symptom being a lump or change in skin of the breast tissue or nipple discharge. Although it can occur at any age, male breast cancer usually occurs in men over 60 years of age. And because we care about your health, AWAREmed health center doors are open for you at any time for further consultation with our experts.

Breast cancer symptoms and signs: What is breast cancer?




Breast cancer types

Breast cancer types: Where does breast cancer come from?

Breast cancer types

Breast cancer types. In fact experts reports that breast cancer occurs when some breast cells grows abnormally

We have several breast cancer types and each of them is a threat to life. There are many types of breast cancer. Some are more common than others, and there are also combinations of cancers. We will look at several types of breast cancer but for now let’s look at where the disease come from. Experts have established that breast cancer occurs when some breast cells grows abnormally. Such cells multiplies very fast than healthy ones and continue to accumulate, forming a lump or mass. Speaking to doctor Dalal Akoury MD, President of AWAREmed Health and Wellness Resource Center, she adds that, the growth of such cells in the milk-producing ducts (invasive ductal carcinoma). This can also begin in the glandular tissue called lobules (invasive lobular carcinoma) as well as in other cells or tissue within the breast.

Breast cancer types: Inherited breast cancer

It is estimated that up to 10% of breast cancer linked to gene mutations passed through generations of a family. The inherited mutated genes like gene 1 (BRCA1) and breast cancer gene 2 (BRCA2), both of which significantly increase the risk of both breast and ovarian cancer. Therefore, if you have breast cancer history in your family, it may be necessary that you take a blood test to help identify specific mutations in BRCA or other genes that are being passed through your family. The following are some common types of cancer:

Ductal carcinoma in situ: The most common type of noninvasive breast cancer is ductal carcinoma in situ (DCIS). This type of cancer has not spread and therefore usually has a very high cure rate.

Invasive ductal carcinoma: This cancer starts in a duct of the breast and grows into the surrounding tissue. It is the most common form of breast cancer at about 80%.

Invasive lobular carcinoma: This starts in the glands of the breast that produce milk. Approximately 10% of invasive breast cancers are invasive lobular carcinoma. The rest of breast cancers aren’t common and may include:

  • Mucinous carcinoma are formed from mucus-producing cancer cells. Mixed tumors contain a variety of cell types.
  • Medullary carcinoma is an infiltrating breast cancer that presents with well-defined boundaries between the cancerous and noncancerous tissue.
  • Inflammatory breast cancer: This cancer makes the skin of the breast appear red and feel warm (giving it the appearance of an infection). These changes are due to the blockage of lymph vessels by cancer cells.
  • Triple-negative breast cancers: This is a subtype of invasive cancer with cells that lack estrogen and progesterone receptors and have no excess of a specific protein (HER2) on their surface. It tends to appear more often in younger women and African-American women.
  • Paget’s disease of the nipple: This cancer starts in the ducts of the breast and spreads to the nipple and the area surrounding the nipple. It usually presents with crusting and redness around the nipple.
  • Adenoid cystic carcinoma: These cancers have both glandular and cystic features. They tend not to spread aggressively and have a good prognosis.
  • Lobular carcinoma in situ: This is not a cancer but an area of abnormal cell growth that can lead to invasive breast cancer later in life.

Breast cancer types: Where does breast cancer come from?



Sharon and Dr. Akoury

Contracting cancer disease through alcohol

Contracting cancer disease

Contracting cancer disease through alcohol can be avoided simply by quitting alcohol consumption

Contracting cancer disease through alcohol: Types of cancer

Currently, there is a strong scientific association between alcohol drinking and several types of cancer. In its Report on Carcinogens, the National Toxicology Program of the US Department of Health and Human Services lists consumption of alcoholic beverages as a known human carcinogen. Available evidence indicates that, the more alcohol a person drinks, the higher his/her risk of contracting cancer disease. The effects are fatal when accounting for deaths resulting from the consumption of alcohol. Available statistics has estimated that in 2009 about 3.5% of cancer deaths in the United State, were alcohol related. That percentage represents about 19500 people dying from this scourge. Experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury while studying the formation of different types of cancer, established that there is an emerging pattern of alcohol consumption and developing cancer including the following types:

Contracting cancer disease through alcohol: Head and neck cancer

Alcohol consumption is a major risk factor for certain head and neck cancers, particularly cancers of the oral cavity (excluding the lips), pharynx (throat), and larynx (voice box). People who consume 50 or more grams of alcohol per day (approximately 3.5 or more drinks per day) have at least two to three times’ greater risk of developing these cancers than nondrinkers. The matter is even more complicated where the patient is also smoking thereby increasing the risk even much higher.

Esophageal cancer

The consumption of alcohol poses a major risk factor for a particular type of esophageal cancer commonly known as esophageal squamous cell carcinoma. Besides that, individuals who inherit a deficiency in an enzyme that metabolizes alcohol also have significantly increased risks of alcohol-related esophageal squamous cell carcinoma.

Liver cancer

Alcohol consumption is an independent risk factor for, and a primary cause of, liver cancer (hepatocellular carcinoma). (Chronic infection with hepatitis B virus and hepatitis C virus are the other major causes of liver cancer.)

Contracting cancer disease through alcohol: Breast cancer

Ideally, no study about types of cancer can be done without touching on the breast cancer which is one of the most discussed types of cancer globally. In our case study following more than 100 epidemiological studies whose objective was to find any link between alcohol consumption and breast cancer, it was established in most of these studies that breast cancer is closely linked to alcohol intake. A meta-analysis of more than half of these studies revealed that women who drunk more than 45 grams of alcohol daily (3 drinks) had 1.5 times the risk of developing breast cancer compared to nondrinkers. The risk of breast cancer was, however, higher across all levels of alcohol intake. That is to say for every 10 grams of alcohol consumed daily (slightly less than one drink), researchers observed a small (7 percent) increase in the risk of breast cancer.

This confirms that alcohol abuse is a serious threat to life as it introduces cancer into your life. You can have this prevented or corrected by seeking for immediate help from the experts at of AWAREmed Health and Wellness Resource Center by scheduling an appointment today and doctor Akoury will professionally and personally handle your condition.

Contracting cancer disease through alcohol: Types of cancer





Applying Endocrine Therapy for Breast Cancer Treatment

Applying Endocrine Therapy for Breast Cancer Treatment: Not everyone is Eligible for Endocrine Therapy

Applying Endocrine Therapy for Breast Cancer Treatment

Applying Endocrine Therapy for Breast Cancer Treatment is one of the best treatment methods available today.

The treatment of cancer is one that makes so many people to panic in fear. Owing to the dangers associated with this disease people are often very worried of the outcomes of the treatment even as they hope for the best. We enquired from the experts at AWAREmed Health and Wellness Resource Center and doctor Dalal Akoury shared with us very useful information about endocrine therapy as a treatment option. Doctor Akoury who is also the CEO of this facility says that in applying endocrine therapy for breast cancer treatment careful attention should be taken not to confuse the hormones. There are certain hormones that can attach to breast cancer cells and affect their ability to multiply. The purpose of endocrine therapy, formerly called hormone therapy, is to add, block, or remove hormones. Doctor Akoury continues that with breast cancer, the female hormones estrogen and progesterone can promote the growth of some breast cancer cells. Therefore in some patients, endocrine therapy is given to block the body’s naturally occurring estrogen to slow or stop the cancer’s growth. There are two types of hormone therapy for breast cancer.

  • Drugs that prevent estrogen and progesterone from promoting breast cancer cell growth.
  • Drugs or surgery to turn off the production of hormones from the ovaries.

Take note, not to be confused between the hormone therapies applicable in treating women with breast cancer to that hormone replacement therapy that is typically used by postmenopausal women.

  • Hormone therapy for cancer treatment also known as endocrine therapy stops hormones from getting to breast cancer cells.
  • Hormone therapy for postmenopausal women without cancer called which is known as hormone replacement therapy adds more hormones to your body to counter the effects of menopause.

Applying Endocrine Therapy for Breast Cancer Treatment: Who can Get Endocrine Therapy for Breast Cancer

As part of the diagnosis process, tests are done to determine if the breast cancer cells have estrogen or progesterone receptors. If so, that means that growth of the cancer can be stimulated with these hormones. If a cancer is found to have these receptors, endocrine therapy is recommended as part of the treatment plan.

Applying Endocrine Therapy for Breast Cancer Treatment: Hormone Therapy Drugs Used for Breast Cancer

We have several common hormone therapy drugs used for breast cancer and they may include the following:

  • Tamoxifen
  • Arimidex
  • Aromasin
  • Femara
  • Zoladex/Lupron
  • Megace

Applying Endocrine Therapy for Breast Cancer Treatment: Breast Cancer and Tamoxifen

This pill has been used for over three decades now in treating breast cancer. Originally it was first used in metastatic breast cancer (cancer that spread) because it decelerate the development of cancer cells in the body. Tamoxifen also decreases the chance that some early-stage breast cancers will recur in premenopausal or post-menopausal women and it can reduce the risk of cancer developing in the unaffected breast. Besides that, it may offer an alternative to watchful waiting or prophylactic (preventative) mastectomy for women at high risk for developing breast cancer.

Tamoxifen is a type of drug called a selective estrogen-receptor modulator (SERM). At the breast, it functions as an anti-estrogen. Estrogen promotes the growth of breast cancer cells. Tamoxifen blocks estrogen from attaching to estrogen receptors on these cells. By doing this, it is believed that the growth of the breast cancer cells will be halted. Tamoxifen can also be considered as an option for the following cases:

  • Treatment of ductal carcinoma in situ (DCIS) along with breast-sparing surgery or mastectomy.
  • Adjuvant treatment of lobular carcinoma in situ (LCIS) to reduce the risk of developing more advanced breast cancer.
  • Adjuvant treatment of breast cancer in men and women whose cancers are estrogen-receptor positive.
  • Treatment of recurrent and metastatic breast cancer.
  • To prevent breast cancer in women at high risk for developing the disease.

Even though Tamoxifen is useful in cancer treatment, it is not applicable to everyone. The following people should not use tamoxifen:

  • Pregnant women
  • Women planning to become pregnant
  • Men or women with a history of blood clots or stroke

If the three points describe you then before considering this treatment mode, you will need to talk to your doctor to see if tamoxifen is right for you. Nevertheless as for women, the side effects of tamoxifen are similar to some of the symptoms of menopause. Two of the most common side effects are hot flashes and vaginal discharge. Other tamoxifen side effects in women may include:

  • Vaginal dryness or itching
  • Irregular menstrual periods
  • Headache
  • Nausea or vomiting
  • Skin rash
  • Fatigue
  • Fluid retention or weight gain

While some of its side effects are similar to menopausal symptoms, tamoxifen does not trigger or cause menopause in women. It’s (Tamoxifen) side effects in men may include:

While applying endocrine therapy for breast cancer treatment the question that many would be asking would be, “are there some risks involve for those people taking tamoxifen for treatment?” this is a valid concern, doctor Dalal Akoury agrees. In her response she gives a resounding YES. Therefore the following are some of the known risks involved when taking tamoxifen:

  • Fertility – Tamoxifen may affect fertility, so it is important to use some form of barrier birth control while you are taking it. However, do not use oral contraceptives like the pill since they may change the effects of tamoxifen and affect the breast cancer. Tell your doctor right away if you think you may have become pregnant while taking this medication.
  • Increased blood clots – Women taking tamoxifen may have a slightly increased risk of developing blood clots in the lungs or large veins. This risk is increased in smokers.
  • Increased risk of stroke
  • Uterine cancer/sarcoma – Tamoxifen may increase a woman’s risk of developing uterine cancer (cancer of the lining of the uterus) or uterine sarcoma. However, this risk is very small and needs to be balanced against the significant benefits of taking tamoxifen for breast cancer.
  • Cataracts – Taking tamoxifen appears to put some women at increased risk for developing cataracts, a clouding of the lens inside the eye. People have also reported eye problems such as corneal scarring or retinal changes.
  • Medications – Tamoxifen may affect the metabolism of other drugs.

Applying Endocrine Therapy for Breast Cancer Treatment: Tamoxifen and Breast Cancer Prevention

Over the years efforts has been made by different researchers with an objective of establishing whether tamoxifen would reduce the occurrence of breast cancer in healthy women known to be at high risk. The outcome of the trials indicated a 50% reduction in both invasive and non-invasive breast cancer in the women treated with tamoxifen. Besides that, tamoxifen has also been shown to significantly reduce the risk of developing invasive breast cancer in women who have had ductal carcinoma in situ (DCIS). We may not be able to exhaust everything in this article and I want to introduce you to the expert for further consultation. You can schedule for an appointment with doctor Akoury for all the concerns you may have about applying endocrine therapy for breast cancer treatment.

Applying Endocrine Therapy for Breast Cancer Treatment: Not everyone is Eligible for Endocrine Therapy