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Introduction,
About this book,
How to use this book,
Finding Out You Have Breast Cancer,
What now?,
What will happen to me?,
What Is Breast Cancer?,
How cancer starts,
More facts about breast cancer,
Why me?,
How serious is my cancer?,
Questions,
Treating Your Breast Cancer,
Who will help with my cancer treatment?,
Questions,
How to Talk with Your Doctor,
What's the best way to treat my breast cancer?,
Questions,
What Should I Expect After a Mastectomy?,
What to ask,
What Should I Expect After a Lumpectomy?,
What to ask,
What are other treatments for breast cancer?,
Making Your Treatment Choices,
What Is a Clinical Trial?,
Questions,
Side Effects of Chemotherapy,
What do I need to know about side effects from treatment?,
Questions,
What should I know about paying for treatment?,
Questions,
What Is a Breast Cancer Survivor?,
How will cancer and treatment affect me and my loved ones?,
Keeping a Journal May Help,
Questions,
How will cancer and treatment affect my work?,
Questions,
Recovering from Treatment,
What if my breast was removed?,
What Is Breast Reconstruction Surgery?,
Questions,
Is my cancer gone forever?,
Questions,
How can I be close with someone after cancer and treatment?,
How can I stay healthy from now on?,
How can I get back to living my life?,
More Information,
Can you help me understand breast cancer risk?,
More about cancer stages,
Your Medical Team,
References,
Resource Guide,
Glossary,
Finding Out You Have Breast Cancer
What now?
You may be in shock. You may feel angry, worried, overwhelmed, hopeless, or scared. In fact, you may not know what to do. That's okay. It's normal to be upset and confused. No one wants to hear that she has breast cancer.
Don't rush.
You may feel like your cancer must be treated right now, even if you aren't sure how. But it is important to learn as much as you can about your breast cancer before making decisions about treatment. Take a few days or weeks to talk with your doctor about your options. That way, you can be sure you're making the best choices for you and your health.
What will happen to me?
Will I be okay?
Each person's cancer is different.
Most women with breast cancer are treated and recover. In fact, more than 3.5 million women in the United States have had breast cancer and are alive today.
You may already know family members and friends who have had breast cancer, were treated, and went on with their lives. These examples are proof that for most women, there is life after breast cancer.
Experts are working all the time on better ways to find and treat breast cancer.
Will I lose my breast?
Most women do not lose a breast.
Doctors can often remove the cancer without removing the whole breast. They take out the cancerous lump and some of the breast tissue around the cancer. This is called lumpectomy, or breast-conserving surgery.
What if I need to have my breast removed?
Some women do need to have their whole breast removed to get all the cancer.
Removing one breast is called a mastectomy. Removing both breasts is called a double mastectomy.
It is very upsetting to lose one or both of your breasts. You will need information and support to help you cope with your loss.
Read more about lumpectomy and mastectomy on pages 40–54.
Will I be in pain?
Having cancer does not mean you have to be in pain.
If you have pain from cancer or cancer treatment, there are many ways you can feel better. You don't have to suffer through any pain you feel. Medicines and some ways of relaxing can help. Here are some suggestions:
• Remember that controlling your cancer pain is part of your cancer treatment.
• Talk with your doctors about any pain you feel. The more doctors know about your pain, the better job they can do to relieve it. Don't be afraid to talk about your pain.
• Ask for help to treat your pain. Getting relief from your pain can help you deal with your cancer. Being free of pain will help you stay strong so you can get through your cancer treatment.
• Don't feel you have to choose between getting treated for cancer and getting treated for pain. Doctors can help you with your pain while treating your cancer.
My friend had breast cancer. Will my experience be the same as hers?
Each woman with breast cancer is different.
What happens to one woman with breast cancer won't happen to all women with breast cancer. Here are a few reasons why:
• Breast cancer affects people in different ways. Not everyone with one type of cancer has the same experience.
• There are different kinds of breast cancer. They affect the body in different ways.
Doctors don't treat every breast cancer the same way. They think about your breast cancer and your health. Then they make a treatment plan for your cancer.
My loved one had another kind of cancer. Should I expect my experience to be the same as hers?
Not all cancers are the same.
You've probably known someone who has had cancer. Just because something happened to that person does not mean it will happen to you. There are several reasons for this:
• Some types of cancer can be treated more easily than other types.
• Some types of cancer and cancer treatments make people sicker than others.
• Some cancers are found when they are small and easier to treat. Others are found later, after they have been growing for a while, and are harder to treat.
• People often have other illnesses that affect how they respond to the cancer treatment.
What Is Breast Cancer?
Breast cancer is a complex disease. There are different types of breast cancer. Each type is different and needs specific treatments.
This drawing of normal breast tissue shows the 3 main components of the female breast: (1) lobules, the glands that produce milk; (2) ducts, the passages that carry the milk from the lobules to the nipple; and (3) stroma, the fatty and connective tissues surrounding the ducts and lobules.
Most types of breast cancer begin in the cells that line the ducts. This is called ductal cancer. Some types begin in the cells that line the lobules. This is called lobular cancer. Only a small number of breast cancers start in the cells of the stroma of the breast.
How cancer starts
All living things, from plants to people, are made up of tiny cells. The healthy cells in your body grow, form new cells, and die when they're supposed to.
But cancer cells are not normal and don't follow the patterns they should. They don't die like other cells. They keep growing and making new cells. In the most common types of breast cancer, these cells grow out of control and form a lump called a tumor. If the cancer is around long enough, it can spread to other parts of the body.
More facts about breast...
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