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  • Lumpectomy may be Better than Mastectomy

    Posted 9/15/2014 by hhill
      If you are a regular reader of this blog, you know that I have written often about the dubious benefit of bilateral vs. single mastectomies for most women. This is a new and nice twist on that topic: a study suggesting that wide excision/lumpectomy may actually provide a small survival benefit over mastectomy for women with early stage ER positive breast cancer. Read more... Comments (0)
  • Diet and Breast Cancer Risk

    Posted 9/14/2014 by hhill
      I have said it a thousand times before, and I will say it a thousand times again. What you ate (or didn't eat) did not cause breast cancer. While we are at it, stress did not cause it either. Read more... Comments (0)
  • Pathological Complete Response and Prognosis

    Posted 9/13/2014 by hhill
      This is a fairly geeky entry that likely will hold enormous interest for some of you and little for most others. To decode the title: "Pathological Complete Response" (pCR) means that no cancer is seen in the specimen/pathologoy report from surgery after neoadjuvant chemotherapy. As you likely know, neoadjuvant chemotherapy is treatment that is given before definitive breast cancer surgery, after only a biopsy. This is the choice when a cancer is especially nasty, and the goal is to start treating it ASAP or when the tumor is large, and the hope is to shrink it so that a lumpectomy, rather than a mastectomy, will be possible. Read more... Comments (0)
  • Depression Often Not Treated

    Posted 9/12/2014 by hhill
      Without giving it much thought, most non-cancer people likely would assume that cancer and depression often go hand in hand.  Those of us who reside in Cancer World likely would dispute or at least not automatically accent that belief. Of course some cancer patients have major depression, but most studies have found that the incidence parallels that in the general population--meaning that the same percentage of cancer patients have major depression as a similar pool of people without cancer. Read more... Comments (0)
  • Sex and Exercise and Antidepressants

    Posted 9/11/2014 by hhill
      Don't you love this triplet: sex and excercise and antidepressants? Standing alone, each one has been the topic of many blog entries, and now there is an opportunity to weave them together. We know that a common side effect of antidepressants is diminished (or extinguished) libido. Since that is also a common side effect or consequence of breast cancer treatment, many women are very reluctant to take these medications for depression. Read more... Comments (0)
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Beth Israel Deaconess Medical Center
330 Brookline Avenue
Boston, MA 02215

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