Nipple Sparing Mastectomy (NSM) is a surgery performed on individuals removing their breast due to breast cancer or as a risk reduction method to prevent breast cancer. During this procedure, a small cut is made in the breast and the entire breast glandular tissue is removed from underneath the skin and nipple, leaving them intact. Breast reconstruction, using either an implant or natural tissue, is then performed at the same time. NSM is a procedure that attempts to balance the preservation of the breast area with an effective and successful breast cancer treatment.

In today’s post, we provide the questions that were sent in and asked during the live session of our Questions and Experts session held in April 2021. In this session, Dr. Sandeep Sehdev, MD, FRCPC, a Medical Oncologist, answered questions about HR-positive breast cancer. In the parentheses, you’ll find the timestamp of where to find the question in the on-demand video.

I lost my cat, Trixie-Belle. She died from a squamous cell carcinoma, an aggressive type of mouth cancer, one week before the winter holidays last year. There was nothing my veterinarian could do to save her. She simply woke up one morning with a spot on the roof of her mouth and then, after performing every possible examination and a round of drugs, she was gone.

While there have been many advances made in the diagnosing, treatment and management of breast cancer, individuals diagnosed with or living with breast cancer still face issues that are not yet being addressed by the organizations and government bodies that serve them. In addition to this, the public is generally not aware of the day-to-day impacts of a breast cancer diagnosis on individuals and their families.

In today’s post, we provide the questions that were sent in and asked during the live session of our Questions and Experts session held in April 2021. In this session, Dr. Karen Gelmon, MD, FRCPC, a Medical Oncologist, answered questions about HER2-positive breast cancer. In the parentheses, you’ll find the timestamp of where to find the question in the on-demand video.

A genetic counsellor is a health care professional with specialized education, training, and experience in medical genetics and counselling. Genetic counsellors work with both individuals and families that have a medical, family history, or potential risk for an inherited condition. The role of a genetic counsellor is to identify families at risk for genetic conditions, provide information and supportive counselling, coordinate and review testing options, and connect patients/families with appropriate community resources.

It is a well-known fact that exercise has been proven to help with cancer-related fatigue, helping to manage the weakness and pain experienced due to treatment and its side effects, as well as de-conditioning. When you’re in pain, tired and feeling ill, it can be challenging to find the motivation to prioritize activity, but several studies show that performing a combination of strength, aerobic and flexibility exercise can help curb the symptoms that hold back our quality of life.

Throughout the course of a medical diagnosis, members of your health care team will order different laboratory blood tests. Many times, these laboratory blood tests will be repeated throughout the diagnosis, treatment, follow-up, and continuing care. Each medical diagnosis and treatment has specific factors that are required to be monitored. When it comes to the results of these tests and what counts are normal or not, it is important to know that “normal” ranges simply reflect average values in a population. It is common for some tests to be slightly outside of the “normal range” (low or high) without consequence and your clinicians can guide you with respect to their relevance.

Tell me if any of this rings a bell…

The Beginning: Get up, find a lump, feel confused, panic inside, see the doctor, see a specialist, get a mammogram, see an oncologist, have an ultrasound, get an MRI, biopsy the lump, do it all over again and again and again, receive a breast cancer diagnosis, feel in shock, go home, make a plan, fall into bed and don’t fall asleep.

Chances are, if you have breast cancer you’ve heard about Tamoxifen. I remember the first time my oncologist talked to me about the chemo-infused hormonal-therapy drug. It was during my weekly check-up when I was still having daily radiation. He explained that because the cancer cells found in my right breast were 95 per cent estrogen and progesterone receptor positive, my body’s natural hormones could attach to the cancer cells and help them grow. Obviously I didn’t want that, so I said yes to the drug without even hesitating.

Preparing for a specialized medical appointment can be a daunting task for some. You may encounter many questions that you would like to address, ask about your possible diagnosis, understand your treatment plan, ask about other options, and so forth. Many patients who have felt content or fulfilled after their appointments are those who were well prepared beforehand. Even though many medical practices will vary in terms of office administration, most will generally have a similar setup.

According to the World Health Organization (WHO), breast cancer is the most common form of cancer, with more than 2.2 million cases in 2020. It is estimated that 1 in 12 women will develop breast cancer and it will be the primary cause of death among all other types of cancer in women. However, breast cancer survival has improved significantly since the 1980s due to increased early detection, screening programs, and improved treatment options.

Last year, we wrote a blogpost on the importance of advocating for yourself as someone with breast cancer. We also shared tips on how to go about becoming an advocate and being a part of your healthcare team. While the information shared is valuable and reflects situations you may find yourself in, we believe that the best way to learn is to hear from people who have been there already.

Increasingly, the not-for-profit advocacy world has been questioned regarding industry funding. Many critics believe that any organization that receives funding from the pharmaceutical industry is automatically biased, but this ignores the great pains that health charities often go through to remain unbiased, ethical, and credible. And it certainly does not reflect the patient-centric approach that CBCN takes.

I’ve started counting the number of times I emotionally beat myself up every day. Each mean, cruel and hurtful criticism said silently to myself in the privacy of my own mind. Yesterday I hit number 22, my all-time high for the week. So far today, I’m up to seven unkind thoughts. It’s nine o’clock in the morning and my alarm went off at 6:30 a.m.

Living through breast cancer is a challenging journey. You will be searching for answers and information about the disease and its treatment; trying to understand how to live positively, and simply reckoning with what your future may look like.

If you are at high risk for developing breast cancer because of family history or because you have the BRCA1 or BRCA2 gene mutation, you have several preventative treatments to consider. These options include close surveillance, chemoprevention, and prophylactic mastectomy, with or without breast reconstruction. 

Carla Van Wyck-MacDonald lives near Shallow Lake, Ontario with her husband and their four children, ages 9, 11, 13 and 14. Carla was initially diagnosed with breast cancer two years after her mother died from the same disease.

I am from a long line of breast cancer survivors, so when I was diagnosed in 2008 with breast cancer, I was not in the least surprised. I was just 50, my twin sister and I celebrated that milestone in February 2007. By December of that year, I knew something was wrong.I had a mammogram at Sunnybrook that fall, in October I believe, and received “all clear”. Both the mammogram and the vigorous breast examination at Sunnybrook failed to detect an exceedingly small tumour situated close to my left armpit and sitting deep on a ligament. It was undetectable at that time. Later that fall, I noticed a puckering in my breast when I was drying my lower body, just out of a shower at my gym. I knew instantly what it was, so I booked an appointment with my doctor at the high-risk breast screening centre at the Odette Centre.

Self-care. It’s not a phrase that even flickered across my radar when I was diagnosed with breast cancer, let alone after my surgery or during treatment. But it should have. And, no, it’s not a selfish act.