Early breast cancer: a guide for women - Cancer Australia

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ContentsAcknowledgementsIntroductionBreast cancer: the factsAbout early breast cancerBreast cancer statisticsMaking sense of test resultsThe pathology reportTreatmentUnderstanding your treatment optionsBreast surgerySurgery to the armpit (axilla)Breast prosthesis and breast reconstructionRadiotherapyChemotherapyHormonal therapiesTargeted therapiesClinical trialsComplementary and alternative therapiesWhen treatment is overFollow-up after breast cancerLymphoedemaBreast cancer, menopause and fertilityFinding a new ‘normal’Finding supportUseful linksGlossary of termsGuide for women with early breast cancer
AcknowledgementsCancer Australia gratefully acknowledges the support and input of all theindividuals and groups who contributed to the development of this guide.This guide was developed by a multidisciplinary Advisory Group:Associate Professor Christine Giles (Chair) General Manager, NBOCC *Dr Verity AhernAssociate Professor Michael BilousMs Judy IasielloMs Elisabeth KochmanDr James KolliasDr Craig LewisMs Leanne PentlandDr Felicity PoolDr Jane TurnerDr Helen ZorbasRadiation OncologistPathologistBreast Care NurseConsumer RepresentativeSurgeonMedical OncologistConsumer RepresentativeRadiologistPsychiatristChief Executive Officer, NBOCC*Topic-specific information was revised and developed inconsultation with the Chair of the relevant clinical practiceguideline Working Group:Dr Neil WetzigDr Craig LewisDr Sue PendleburySentinel Node BiopsyWorking GroupUse of Taxanes for Early BreastCancer Working GroupManagement and Stagingof the Axilla Working Group*On 30 June 2011, National Breast and Ovarian Cancer Centre (NBOCC) amalgamated with Cancer Australia to form a singlenational agency, Cancer Australia, to provide leadership in cancer control and improve outcomes for Australians affected by cancer.Guide for women with early breast cancer1
Page 1 and 2: Endorsed by:Guide for women withear
Page 3: Guide for women with early breast c
Page 7 and 8: IntroductionWho this book is forThi
Page 9 and 10: Breast Cancer Network Australia’s
Page 11 and 12: Notes:Guide for women with early br
Page 13 and 14: Breast cancer: the factsThis sectio
Page 15 and 16: Metastasis: the name for cancer tha
Page 17 and 18: Cancer Australia has information fo
Page 19 and 20: You may like to write your own ques
Page 21 and 22: Breast cancer survival is measured
Page 23 and 24: Making sense of test resultsThis se
Page 25 and 26: Hormone receptorsThe report shows w
Page 27 and 28: Stages of early breast cancerStage
Page 29 and 30: You may like to write your own ques
Page 31: Guide for women with early breast c
Page 34 and 35: Surgery to the armpit (axilla) 29Su
Page 36 and 37: Targeted therapies 95Summary ......
Page 38: “I like the way my doctor treated
Page 41 and 42: • oncology nurse: specialises in
Page 43 and 44: “He said, ‘Go away and think ab
Page 45 and 46: Questions to ask about your treatme
Page 47 and 48: Breast surgeryDate of development:
Page 49 and 50: • Compression sleeve — this is
Page 51 and 52: After surgery, the pathologist will
Page 53 and 54: Side effects of breast conserving s
Page 55 and 56:
If you are at increased risk of bre
Page 57 and 58:
“After the surgery I couldn’t r
Page 59 and 60:
Rare side effects of mastectomy:•
Page 61 and 62:
Frequently asked questionsHow do I
Page 63 and 64:
If there are cancer cells in the ly
Page 65 and 66:
Things that affect whether you have
Page 67 and 68:
• numbness of the arm, shoulder,
Page 69 and 70:
The aim at this stage is to find th
Page 71 and 72:
Questions yet to be answered about
Page 73 and 74:
Frequently asked questionsWill the
Page 75 and 76:
Choosing a breast prosthesisThere a
Page 77 and 78:
For more information about breast r
Page 79 and 80:
• there is a small risk the tissu
Page 81 and 82:
• Do you specialise in breast rec
Page 83 and 84:
How safe are breast implants?The te
Page 85 and 86:
For more information about the risk
Page 87 and 88:
“If I start to feel tired I’ll
Page 89 and 90:
Other suggestions, based on the exp
Page 91 and 92:
Frequently asked questionsWill havi
Page 93 and 94:
“You can still lead a normal life
Page 95 and 96:
Combinations of chemotherapy are of
Page 97 and 98:
central catheter). This involves pu
Page 99 and 100:
The following are two examples of c
Page 101 and 102:
Common side effects of chemotherapy
Page 103 and 104:
after treatment can help you to fee
Page 105 and 106:
chemotherapy. Talk to your doctor o
Page 107 and 108:
Sometimes chemotherapy can cause ot
Page 109 and 110:
Tell your doctor immediately (or go
Page 111 and 112:
If these signs develop during the n
Page 113 and 114:
You may like to write your own ques
Page 115 and 116:
Hormonal therapiesDate of developme
Page 117 and 118:
• After menopause (post-menopause
Page 119 and 120:
For more information about the side
Page 121 and 122:
Deciding about hormonal therapiesBe
Page 123 and 124:
Questions to ask about hormonal the
Page 125 and 126:
Page 128 and 129:
Targeted therapiesDate of developme
Page 130 and 131:
Side effects of trastuzumabThe most
Page 132 and 133:
Page 134 and 135:
Clinical trialsDate of development:
Page 136 and 137:
It is up to you whether you choose
Page 138 and 139:
Page 140 and 141:
Complementary andalternative therap
Page 142 and 143:
Cancer Council NSW has produced a b
Page 144 and 145:
Frequently asked questionsCan I tak
Page 146 and 147:
When treatment is overThis section
Page 148 and 149:
Follow-up after breast cancerDate o
Page 150 and 151:
Your follow-up schedule will be pla
Page 152 and 153:
Breast cancer and family historyIf
Page 154 and 155:
Page 156 and 157:
LymphoedemaDate of development: Oct
Page 158 and 159:
How to reduce the risk of lymphoede
Page 160 and 161:
How is lymphoedema managed?There is
Page 162 and 163:
There are a range of alternative tr
Page 164 and 165:
• Can you refer me to a qualified
Page 166 and 167:
Frequently asked questionsHow commo
Page 168 and 169:
Symptoms of menopauseWhether your m
Page 170 and 171:
Although hormonal therapies for bre
Page 172 and 173:
Questions to ask about the effect o
Page 174 and 175:
Frequently asked questionsIs it saf
Page 176 and 177:
It can be helpful to talk to your f
Page 178 and 179:
Page 180 and 181:
36Notes:
Page 182 and 183:
Finding supportDate of development:
Page 184 and 185:
“Certainly after the diagnosis I
Page 186 and 187:
Your partnerMany partners also find
Page 188 and 189:
• Give simple, honest answers to
Page 190 and 191:
Same sex couplesYou may feel that a
Page 192 and 193:
Depending on your situation and whe
Page 194 and 195:
Page 196 and 197:
Cancer Council Australia: www.cance
Page 198 and 199:
GlossaryAdjuvant:Alkylating agent:A
Page 200 and 201:
Ductal carcinoma in situ non-invasi
Page 202 and 203:
Mammogram:Mastectomy:Metastasis:Mit
Page 204 and 205:
Transverse rectus a type of breast
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Early breast cancer: a guide for women - Cancer Australia

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