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The Pros and Cons of Breast Cancer Adjuvant Therapy
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Hormonal Therapy for Breast Cancer: New Options
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New Technologies in Breast Cancer: Breast Ultrasound
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Anthracyclines for Breast Cancer: Does Stage Matter?
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Technologies in Breast Cancer: Digital Mammography
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Technologies in Breast Cancer: Positron Emission Tomography
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Hormonal Therapy for Breast Cancer: Current Issues
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Talking to Your Doctor About Early-Stage Breast Cancer
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Carole Chamberlai , Dawn Colucci , Maura N. Dickler MD, Generosa Grana MD, Gabrielle Morris MD
There are many options for treating breast cancer, including surgery, hormonal treatments, radiation and chemotherapy. All of these treatments have potential physical and emotional side effects. Discover how two women went through treatment and what they did to cope.
DAWN COLUCCI: I felt as though that it was the end of my life. And I didn't have time enough to think about how I was going to proceed and trying to help myself. It was just that the world stood still.
ANNOUNCER: Four years ago Dawn Colucci discovered she had breast cancer. And as dawn's doctor explained, she would need extensive treatment. And while treatments have become more effective, they can also produce a host of side effects.
GENEROSA GRANA, MD: Our treatments have not gotten easier. On the other hand, the drugs that we use to counteract the side effects of therapy have gotten much better. So again, we are much better able to deal with the side effects.
ANNOUNCER: One treatment that many women undergo is surgery.
GENEROSA GRANA, MD: One of the most important consequences of breast surgery is the emotional impact of that loss of body part. And again, over the last 20 years, we've seen more and more breast sparing procedures, breast conservation with the use of lumpectomy and radiation, thus limiting the amount of surgery, the amount of reconstruction.
ANNOUNCER: Sometimes pain and discomfort can occur after the surgery.
GENEROSA GRANA, MD: That depends on the type of surgery that is done, the woman's pain threshold and other factors: the type of reconstruction that is used if a woman has reconstruction, whether drains are left in place or not.
ANNOUNCER: For some women radiation therapy follows surgery.
CAROLE CHAMBERLAIN: I think the first thing I asked him and as a woman, I think most women will understand is, "Am I going to lose my hair?" He said, "No, you're going to get sunburned."
GENEROSA GRANA, MD: Radiation therapy really lacks life-threatening side effects, yet women can experience side effects that can be uncomfortable. You can get redness, blistering of the breast and area being radiated, which can be quite uncomfortable. It's usually treated with topical agents to help symptoms.
ANNOUNCER: For Dawn, radiation was difficult. But she found ways to work through the problems.
DAWN COLUCCI: Radiation therapy can also leave you very tired and disoriented as well. I think that was kind of difficult. By trying to keep myself fit, that helped me get through the radiation.
ANNOUNCER: Chemotherapy is another powerful treatment, but can have side effects that alter quality of life during treatment.
DAWN COLUCCI: I'd constantly have this taste of metal in my mouth, which was very difficult to rid of. And the only thing that would soothe that was having cold ice cream. So I got on a kick of having ice cream.
And medications that were given to me to take for nausea and fatigue to get me through the treatments.
GENEROSA GRANA, MD: Another important factor is the hair loss. It is important to acknowledge that this will happen. It is important to acknowledge that it's not life-threatening, but it's very emotionally devastating for a woman to lose her hair.
DAWN COLUCCI: After the seventeenth day, having received my chemo, my hair started falling out. Which was frightening and something that I don't think any woman would want to have to go through. So as it started falling out on my pillowcase, I decided just to shave it off.
And I refused to wear a wig, even though I had purchased one. I did scarves. I did caps. I did different color scarves and different kinds of caps from all over. It was fun, actually. That part was fun, but you were always made aware of the fact that you had no hair on your head. But you can live with it.
ANNOUNCER: Another form of therapy to treat breast cancer involves the use of hormonal therapy.