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Table of Contents Foreword Part 1: Suspicions of Metastatic Breast Cancer Questions 1- 8 covers topics related to the initial diagnosis of metastatic breast cancer, including: - Does the diagnosis of metastatic breast cancer mean an instant death sentence? - How will my oncologist decide how to treat my metastatic breast cancer? - I want to get underway with treatment immediately and everything is taking too long. - - Why can¿t I start treatment immediately? Part 2: Ensuring You Are in Good Hands¿Selecting Your Oncology Team to Take Care of You Questions 9- 18 discuss the selection of your oncology team, and important criteria to look for, such as: - How do I know I¿m receiving the best care and most appropriate care for my current situation? - I want to be able to participate in the decision making about my treatment. How can I do this? - How do I select a medical oncologist who will be primarily responsible for my care and treatments? Part 3: Decisions Regarding Surgery and Radiation for Treatment of Metastatic Disease Questions 19- 25 share information regarding surgery and radiation, with topics such as: - My cancer has spread to my brain and is located in one spot. What might be the treatment options for this type of metastasis? - How is radiation used for treatment or control of metastatic breast cancer? - I¿ve had radiation already to shrink my cancer in the spine and it has regrown. Can I have radiation again? Part 4: Chemotherapy for Treatment of Metastatic Disease Questions 26-46 are concerned with the details of chemotherapy treatment: - How will my oncologist decide how much chemotherapy to give me? - How will the doctors determine if the chemotherapy is working? - What are my chances of remission, and how long it will last? Part 5: Hormonal Therapy Questions 47- 50 discuss hormonal therapy as a treatment option: - How does the doctor determine if I should get hormonal therapy instead of chemotherapy? - Are there different types of hormonal therapy? How does my doctor decide which to use? - I am taking hormonal therapy for treatment of my metastatic breast cancer. I thought chemotherapy was "better" than hormonal therapy since it is given intravenously. Is that true or a myth? Part 6: Side Effects of Metastatic Breast Cancer and its Treatment and How to Control Them Questions 51- 71 address emotional and physical changes that occur after diagnosis and treatment of metastatic breast cancer, as well as management strategies, including: - What kind of side effects might I expect to experience as a result of getting treatment for my metastatic breast cancer? - My chemotherapy and hormonal therapy has caused me to develop symptoms of menopause. How can I manage these symptoms and feel more life myself again? - I am feeling more joint pain and back aches that make it difficult to walk around. What can I do to manage my pain? Part 7: Targeted Therapy Questions 72- 75 reviews information based on targeted therapy for metastatic breast cancer, such as: - What is a monoclonal antibody? - What is targeted therapy & how does it work? - I have been taking trastuzumab (Herceptin) but the doctor says that my cancer is not responding to this treatment anymore. Do I have any other options? Part 8: Clinical Trials Questions 76-79 help decipher the pros and cons of participating in a clinical trial: - What is a ¿Clinical Trial¿ and am I a candidate to still participate in one if I have metastatic breast cancer? - What questions should I ask the doctor about a specific clinical trial he is recommended for me? - How do I find out about clinical trials that might be appropriate for me to consider? Part 9: Alternative and Complementary Medicine Questions 80-85 describe alternative treatment methods, such as: - What are examples of some complementary and alternative treatments that I might hear about or want to learn more about? - I want to try some complementary therapies while receiving my chemo treatments. How do I go about deciding what therapies to do? - Where can I go to get credible information that is up to date related to research studies that have been done regarding complementary and alternative medicine? Part 10: Other Common Questions Questions 86- 90 answer common concerns of cancer patients, including: - My family wants me to stop smoking, but I already have incurable cancer. Do I have to stop? - A friend of mine who has metastatic disease says that periodically she gets to stop treatment for a while. How does my oncologist decide if I can have a drug holiday? How long does it usually last? - Should I still get my annual screening mammogram? Part 11: End of Life, Treatment, Crossroads, Making Plans Questions 91-100 help guide you through decisions regarding end-of-life plans, such as: - I don¿t know how to approach talking about such decisions with my family. How do I do this? - How and when will the doctor recommend that I stop treatment? - I feel very stressed about my medical situation and need time to clear my head and think about what I want to do. How can I do this? Drug Table Resources Glossary Index
Library of Congress Subject Headings for this publication:
Breast -- Cancer -- Popular works.
Metastasis -- Popular works.