Full Description
"Managing Breast Cancer Risk" is a single source for information needed by primary care physicians, nurses, gynaecologists, as well as oncologic specialists who deal with women who are concerned about breast cancer. Its purpose is to bring together a multidisciplinary group of experts to address breast cancer risk in a clinically meaningful way. Chapters providing detailed information on individual risk factors are accompanied by a discussion of models, which integrate multiple factors for a more complete assessment of risk. Traditional strategies for risk management, including surveillance and prophylactic surgery, are reviewed, and the data on newer techniques such as ductal lavage and screening with magnetic resonance is presented. The rational for chemoprevention with selective oestrogen receptor modulators (SERMS) is discussed, and the evidence for tamoxifen as a chemopreventative is updated. The potential for chemoprevention with newer SERMS and the aromatase inhibitors is reviewed. Finally, the critical (and often ignored) areas of quality of life and symptom management are addressed.
Contents
Section 12. Familial and Genetic Risk 3. Endocrine Risk Factors 4. Benign Breast Disease and Breast Cancer Risk 5. Lifestyle and Environmental Factors and Breast Cancer Risk 6. Breast Cancer Risk in the Context of Overall Health Section 2: Risk Management Strategies A. Surveillance 7. Outcome of Routine Surveillance of High-Risk Woman 8. Newer Imaging Approaches to the High-Risk Woman 9. Role of Breast Epithelial Sampling Techniques in High-Risk Women B. Chemoprevention 10. Biologic Basis for Breast Cancer Risk Reduction with Pharmacologic Agents 11. Tamoxifen for Chemoprevention 12. SERMS Other Than Tamoxifen for Chemoprevention 13. Aromatase Inhibitors for Chemoprevention 14. Quality of Life Issues with Endocrine Chemoprevention 15. Improving Quality of Life for Women at High Risk for Breast Cancer: Symptom Management without Estrogen C. Surgical Prevention 16. Prophylactic Mastectomy and Oophorectomy 17. Breast Reconstruction D. Psychological Issues in High-Risk Woman Section 3: Practical Management GuidelinesNER(01): WOW