Breast Cancer

This is a previously broadcast program featuring Dr. Sandhya Pruthi  discussing breast cancer detection, treatment and prevention.  We will not be taking your phone calls, but you may post a question on our blog by clicking on “Leave a Comment” below this post.

The link for the new Mayo Clinic Breast Cancer Book is found here.

Click here for the Full Medical edge Radio show – 10/13/12 45min mp3

Remember you can listen to Mayo Clinic Medical Edge Radio on i heart radio on our flagship station, KROC AM.


  1. kimdy
    Posted October 15, 2012 at 9:10 pm | Permalink

    what do you recommend for follow up after a bilateral mastectomy with no lymph node involvement stage 2a, grade 2, 0/23 nodes

    I took 5 treatments of taxol & cytosine

    • Tracy
      Posted October 23, 2012 at 1:14 pm | Permalink

      Dr. Karthik Ghosh from the Mayo Breast Clinic responds:
      “From the perspective of follow ups, I would suggest she have six monthly clinical exams of the chest wall for any masses. Follow ups with the oncologist or breast cancer care provider is advised to assess for constitutional symptoms of fatigue, bone pain, lung symptoms, medication side effects, etc.
      Breast self-awareness and to report if she has any specific concerns related to the chest wall.

      Some of the other issues related to survivorship that need to be addressed:

      – See lymphedema specialist to ensure she is educated about measures to prevent/ reduce risk of lymphedema (as several LN were removed)

      – Musculoskeletal issues: stretching and strengthening exercises of shoulders (there can be limitations from mastectomies and reconstruction) – physical therapists or even the lymphedema specialists can help with that

      – Complementary and integrative medicine advice If she is experiencing musculoskeletal symptoms (massage/ acupuncture may be advised as appropriate)

      – Emotional well-being- some patients may need psychology counseling; resiliency training is a good option

      – Depending on her age, she may need help with menopause symptom management

      – Reducing recurrence risk: follow treatment recommended by the oncologist; eat healthy/ low fat diet, regular exercise, avoiding excess alcohol, caution with supplements (talk with your doc before taking any)”

      Thanks for your question!

  2. Monica
    Posted October 26, 2012 at 1:39 pm | Permalink

    Mom (70) had right mastectomy with lymph node involvement in 1994. CA was estrogen positive. Treated with Chemo (6 cycles), then with oral therapy including Tamoxifen (7 years) and then femara (8 years).
    In 2011, breast cancer recured to the chest, biopsy and PET scan revealed a positive lymph node in mediastinum. She was put on chemo, Taxol (135 mg, 8 times); Nevelbine (18 times), Gemzar (6 times). Still CA 15.3 is high at 275. What to do next? What treatement do you recommend?

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