Jan 16, 2013 - 8:13 pm
Over the last 30 years there has been tremendous improvements for the treatment of breast cancer. Many of us , including me owe our lives to these improvements. Also promotion of early diagnosis and education about breast cancer saved many lives.
However even today , breast cancer treatment is still brutal. It consists of poisons, mutiliation and burning.
In the shade of mamogram what is lost is prevention. Today almost all women believe there is no way to prevent breast cancer except some pseudo-medicine like eat brocolli a lot, exercise, breast feed your kids for a prolonged time( like itis possible in todays modern life) , have children at 16 year( excuse this is called teenage pregnancy , in our modern society it is suppossedto be acoided). everybody thinks only thing that can be don eis early diagnosis. I hav enothing against early diagnosis or mamogram. It is great.
Actuallt there is very effective FDA approved medications to prevent breast cancer in high risk women. Your primary care physician or gynecologist will not offer you. Because they are not familiar with it. This is too much out of their comfort zone. Just like mamogram 40 years ago. We the people has to educate ourselves and demand it. Otherwise thay will never offer it or learn about it.
Please pink sisters disseminate the word, it is very important for your daughters and sisters too.
The cornerstone study that has proven tamoxiphen is effective in preventing breast cancer is called. The National Surgical adjuvant Breast and Bowel Project. This is the Bentley of studies. It is the king of the studies, meaning a very very good study. It has 13000 subjects an impressive number. It was placebo controlled, double blinded( menaing the best quality of science). the women in this study was randomly assigned to placebo or tamoxiphen. During the 5 year follow-up period women taking tamoxiphen cut theri risk of developing breast cancer by half. For ER positive cancers woemn taking tamoxiphen cut their risk 70%. Tamoxiphen also decreased risk of ductal carcinoma insitu by 50%.
There is side effects to tamoxiphen but compared to breast cancer and it's treatments they are nothing. think about it at least 6500 women took it for 5 years. If side effects were so bad could they take it for 5 years.
Also side eefects will go away after you stop taking it.
Younger the patient most feared but rare side effects like uterine cancer risk and blood clothes will less common.
Two other drugs with less side effects Raloxiphen ( cuts breast cancer risk by 30 to 40%, has much less chance of causing uterine cancer and blood clothes) and Arimidex( cuts breast cancer risk by 70%, mostly ER positive cancer but has some effect on ER negative cancer prevention too) are only approved at this time for postmenapausal women. There are some small studies trying raloxiphen on premenapausal women too but these studies are small and not conclusive yet.
Please know your gail risk index, ( you can google this, komen's web site and NCI site has it) If you are over 1.6% , you are a candidate for chemoprophylaxis.
If every women with this criteria is treated 30,000 cancers will be prevented( will never happen)
PLEASE SPREAD THE WORD FOR PREVENTION, MEDICAL COMMUNITY IS NOT DOING THIS. GOOGLE CHEMOPREVENTION FOR BREAST CANCER IF YOU DO NOT BELIEVE ME.
DEMAND PREVENTION. AN OUNCE OF PREVENTION IS BETTER THAN A POUND OF TREATMENT.
So frustrated I was never offered prevention altough I am clearly high risk. I may not have to have cancer,