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Controversial Issues in the Breast Cancer Arena


© Linda Bily

Researchers are constantly analyzing new data, testing new agents and conducting studies of previously approved therapies. In order to maintain your edge as an informed consumer, it is up to you to keep on top of the latest developments in breast cancer screening, treatment and survival.

Many of the subjects touched upon here are controversial. You must read the information presented, digest it and make your own decisions, based upon your needs and wishes.

Several of the latest studies published are now exclaiming that Femara is as effective, or better than, Tamoxifen. Femara was initially approved as a hormonal therapy for metatastic breast cancer. Some oncologists have prescribed Femara for women who can not tolerate, or refuse to take, Tamoxifen. Tamoxifen is still the gold standard of hormonal therapy. While Femara looks promising, there are not as many years of research and statistical analysis behind it. You can check out both hormones at http://www.tamoxifen.com and http://www.femara.com. You can also find many of the abstracts/articles about the comparison studies at http://www.breastcancernet.org and at http://www.sabcs.org

Digital mammography has been hailed as the latest in screening technology. There are many advantages to this newly approved FDA machinery. The doctor can email your results as an attachment; you can carry your results on a disc; the picture clarity is excellent; the technician can enhance and rearrange the views. The disadvantages? It's an expensive piece of equipment and not all facilities can afford to purchase one. The radiologists must be trained in the proper use of the machine and complementary computer software. Not all insurance companies will pay for higher prices for mammography. And finally, but most important, a recent study has not shown any clinical benefit. What that means is that the digital mammography, while faster and brighter, did not detect any more tumors than the normal mammography machine. Of course, part of this is due to the skill of the reading radiologist. For more information on digital mammography, check out http://www.nabco.org and search for their section on mammography. You can also get information at http://www.hersource.com, which is the website operated by GE Medical, who designed the new machine.

The Canadian Medical Association just released a study proclaiming the fact that breast self-examination (BSE) does not find more tumors than sporadic touching of the breasts. This is sure to be a topic of discussion for months to come. Many organizations base a portion of their educational programs on teaching BSE. Does this article tell you to stop doing breast exams? Absolutely not. What it does show is that BSE does not contribute to your survival. BSE, in my opinion, should still be a part of your personal awareness campaign. While the evidence might not support an increase in survival, given the fact that we do not have definitive screening tools, nor do we know the cause of breast cancer, I believe that BSE is a useful tool. Again, weigh the facts and make your own decisions.

       

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