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Breast Cancer Basics
Early Detection
Diagnosis & Staging
Facing Breast Cancer
Planning Your Treatment
Treatment Options
Life After Cancer
Advanced Breast Cancer
A Guide For Your Partner

CHAPTER 1   Breast Cancer Basics

What is Breast Cancer?
        Growth Rate
        Types of Breast Cancer
        How Cancer Spreads

Breast Anatomy and Function
        Breast Anatomy
        How Breasts Change

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CHAPTER 2   Early Detection

Breast Health Awareness
        Breast Health Awareness
        Breast Self Examination:
          - Looking
          - Feeling
        Clinical Breast Examination
        Other Imaging Modalities

Risk Factors
        Breast Cancer Genes

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CHAPTER 3   Diagnosis & Staging

Diagnosing Cancer
        Confirming the Diagnosis
        Core Needle Biopsy
        Surgical Biopsy

Tumor Staging
        Tumor Testing
          - Estrogen Receptors and Progesterone Receptors
          - HER-2/neu (c-erb B2)
        Other Tumor Testing
          - Growth Rate
          - Ploidy
          - p53
          - Vascular or Lymphatic Invasion
          - Genetic Profiling
        Additional Tests
          - CT Scan
          - MRI
          - Bone Scan
          - PET Scan
        How Stage is Determined
         Stages of Breast Cancer
        The Pathology Report

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CHAPTER 4   Facing Breast Cancer

Facing Breast Cancer
        Facing Breast Cancer
        Understanding Your Feelings

Sharing the News
        Communicating With Your Partner
        Telling Your Children
        Dealing with Problems
        Telling Your Family
        Dealing with Friends
        Dealing with Employers

Your Support Network
        Assembling Your Support Network
        Support Groups

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CHAPTER 5   Planning Your Treatment

Your Healthcare Team
        Your Healthcare Team
        Who Is Who On the Team?
        Getting a Second Opinion
        Changing Doctors

Gathering Information
        Gathering Information

Overview of Treatment Options
        Overview of Treatment Options
        Do You Need Systemic Treatment?
        Planning Your Treatment

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CHAPTER 6   Treatment Options

Why You Need Surgery
          - What is a Lumpectomy?
          - Before Surgery
          - The Surgical Procedure
          - Recovery after Lumpectomy
          - Radiation Therapy after Lumpectomy
          - Is Lumpectomy Right for Me?

          - What is a Mastectomy?
          - Before Surgery
          - The Surgical Procedure
          - Immediate Reconstruction
          - Recovery after Mastectomy
          - Exercises After Mastectomy
          - Is Mastectomy Right for Me?

        Lymph Node Examination
          - Why Examine the Lymph Nodes
          - Axillary Lymph Node Dissection
          - Sentinel Node Biopsy
          - Side Effects
          - Lymphedema

Breast Reconstruction
        Breast Reconstruction
        Reconstruction Options
        Reconstruction Options
        Choosing a Plastic Surgeon
        Reconstruction with Implants
          - The Implant Procedure
          - After Surgery
          - Reconstruction with Your Own Tissues
          - TRAM (Transverse Rectus Abdominis) Flap
          - Latissimus Dorsi Flap
          - Free Flap
          - Recovery After Reconstruction

        Which Reconstruction is Right for Me?
          - Synthetic Implants
          - Tissue Flaps
          - Immediate Reconstruction
          - Delayed Reconstruction
          - Nipple and Areola Reconstruction
          - External Breast Forms

Radiation Therapy
        What is Radiation Therapy?
        External Beam Radiation
          - Therapy Treatment Planning
          - How Treatment is Given
          - Side Effects of External Beam Radiation Therapy
          - Fatigue
          - Skin Changes
          - Caring for Your Skin During Radiation Therapy
          - Other Side Effects
          - Brachytherapy

        What is Chemotherapy?
        Do You Need Chemotherapy?
        How Chemotherapy Works
        How Chemotherapy is Given
        Dose Dense Chemotherapy
        Typical IV Chemotherapy Day
        Vascular Access Devices
        Side Effects of Chemotherapy
          - Why Side Effects?
          - Nausea
          - Fatigue
          - Hair Loss
          - Suppression
          - Infections
          - Other Side Effects
          - Sexual Side Effects‹Physical
          - Sexual Side Effects‹Psychological
          - Oral Chemotherapy
          - Common Chemotherapy Drugs

Hormone Therapy
        What is Hormone Therapy?
        How Hormone Therapy is Given
        Do You Need Hormone Therapy?
        Side Effects of Hormone Therapy

        What is Immunotherapy?
        How Herceptin Works
        Side Effects of Immunotherapy
        Do You Need Immunotherapy?
        Future Therapies

Complementary Therapy
        "Complementary" vs. "Alternative"
        Complementary Therapies
        Mind/Body Connection
        Meditation and Visualization
        Spiritual Support
        Humor / Laughter
        Other Complementary Therapies
          - Acupuncture
          - Homeopathy
          - Alternative Treatments

Treating DCIS
        What is DCIS?
        Mastectomy or Lumpectomy?

        Radiation Therapy or Not?
        Treatment of DCIS

Clinical Trials
        What are Trials?
        How are Trials Conducted?
        Participating in a Trial
        Is a Trial Right for Me?

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CHAPTER 7   Life After Cancer

Emotional Recovery
        Emotional Recovery
        Reactive Depression
        Clinical Depression

Physical Recovery
        Regular Follow-Up
        Clinical Breast Examination
        Breast Self Examination (BSE)
          - A Thorough BSE Should Include
          - Care of the Surgical Arm

Intimacy and Sexuality
        Your Self Image
        Side Effects of Treatment
        Resuming Sexual Activity
        Single After Breast Cancer
        How and When do I Tell Him About my Cancer?
        Being a Young Survivor


New Beginnings
        New Perspective
        Healthy Habits
        Good Nutrition
        Physical Activity
        Lifestyle Changes
        Getting Involved

For Your Family Members
        Genetic Testing

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CHAPTER 8   Advanced Breast Cancer

Recurrent Breast Cancer
        Recurrent Breast Cancer

Treatment Options
        Radiation Therapy
        Chemotherapy, Hormone Therapy and Immunotherapy

Coping with Advanced Breast Cancer

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CHAPTER 9   A Guide For Your Partner

Role of the Partner

Breast Cancer 101    

Understanding Your Feelings

What Do I Do Now?

What She Needs From You
        Emotional Support
        Reassurance About Her Appearance
        Sexual Intimacy
        Help with Daily Activities

Meeting Your Own Needs
        Finding Support for You
        Dealing with the Workload
        Author's Experience

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CHAPTER 10   Glossary


CHAPTER 11   Resources





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