Antiperspirants and Breast Cancer

A famous case report, called “The Mortician’s Mystery,” in the New England Journal of Medicine back in the 80s, described a man whose testicles started shrinking and breasts started growing. Turns out, he failed to wear gloves as he massaged embalming cream onto his corpse. They conclude there must have been some estrogenic compound in the cream that got absorbed through his skin into his body—one of the first such cases described.

This case was cited as inspiration by a group of researchers that came up with a new theory to explain a breast cancer mystery. Why do most breast cancers occur in the upper outer corner of the breast? The standard explanation was simply because that’s where most of the breast tissue is located, as the so-called tail of the breast extends up into the armpit.

But, that doesn’t explain this. It didn’t always used to be this way; there’s been a shift towards that upper corner. And, it doesn’t explain this: “greater genomic instability”—chromosome abnormalities that may signal precancerous changes. There definitely seems to be something happening to that side of the breast, and something relatively new—just in the last 50 years or so.

“Is it possible that the increasing use of [underarm] antiperspirant which parallels increasing breast cancer incidence could…be an explanation for [the] greater number of…tumours…,…and [the] disproportionate incidence of breast cancer in the upper outer quadrant” of the breast near where the stick, spray, or roll-on is applied?

There’s a free flow of lymph fluid back and forth between the breast and the armpit. And, if you measure aluminum levels in breasts removed after mastectomies, “[t]he aluminum content of breast tissue in the outer regions [near the armpits] was significantly higher”—presumably due to “closer proximity” to the underarm region.

This is a concern, because, in a petri dish at least, “it has been demonstrated that aluminum is a [so-called] metalloestrogen,” having pro-estrogenic effects on breast cancer cells. “Long-term exposure” of normal breast tissue cells in a test tube to aluminum concentrations “in the range of those” found in the breast results in precancerous-type changes. And then, once the cells have turned, those same concentrations can “increase the migratory and invasive activity” of human breast cancer cells in a petri dish.

This is important, because women don’t die from the tumor in the breast itself, “but from the ability of the cancer cells to spread and grow at distant sites,” like the bones, lungs, liver, or brain. But, we don’t care about petri dishes; we care about people.

In 2002, a paper was published in the Journal of the National Cancer Institute, in which the underarm antiperspirant habits of 800 breast cancer survivors [were] compared to those of women who never got breast cancer. The first study of its kind, and they found “no indication” of a link between the two.

Based on this study, Harvard Women’s Health Watch assured women that antiperspirants do not cause breast cancer. “Women who are worried that antiperspirants might cause breast cancer can finally rest easy.”

But, two months later, this study. “Frequency and early onset of antiperspirant/deodorant usage with underarm shaving was associated with an earlier age of breast cancer diagnosis”—as much as 20 years earlier—in women using antiperspirant, and shaving their armpits more than three times a week. And, the earlier they started, before vs. after their sweet 16, appeared to move up their breast cancer 10 or 20 years. They conclude that “underarm shaving with antiperspirant…use, may play a role in breast cancer” after all.

But what does shaving have to do with it? Shaving removes more than just armpit hair; it removes armpit skin. You end up shaving off the top skin layer. And, while there’s very little aluminum absorption through intact skin, when you strip off that outer layer with a razor, and then rub on an antiperspirant, you get a six-fold increase in aluminum absorption through the skin. So, good news for women who don’t shave, but “[o]n the other hand, [the] high [through-the-skin aluminum] uptake on [shaved] skin should compel antiperspirant manufacturers to proceed with the utmost caution.”

European safety authorities and the FDA specifically advise against using aluminum antiperspirants on damaged or “broken skin.” Yet, shaving before antiperspirant application “can create abrasions in the skin.” I’m sure everyone knows about the FDA warning, having read title 21 part 350 subpart C50-5c1 of the Code of Federal Regulations.

But, we get so much aluminum in our diet from processed foods—”anti-caking agents [in like] pancake mix,…melting agents in [American] cheese,…meat binders,…gravy…thickeners,…baking powder,” candy—that the contribution from underarm antiperspirants would presumably be minimal in comparison.

“But everything was turned topsy-turvy in 2004,” when a case was reported of “a woman with bone pain and fatigue” suffering from aluminum toxicity. But, within months of stopping the antiperspirant, which she was applying daily to her regularly-shaved pits, her aluminum levels came down, and “her symptoms” resolved. Although not everyone sucks up that much aluminum, the case “suggests that caution should be exercised when using aluminum-containing antiperspirants frequently.”

Recently, it was shown that women with breast cancer have twice the level of aluminum in their breasts, compared to women without breast cancer—though this doesn’t prove cause and effect. Maybe the aluminum contributed to the cancer, or maybe the cancer contributed to the aluminum. Maybe tumors just suck up more aluminum? Subsequent research suggests this alternative explanation is unlikely. So, where do we stand now?

The latest review on the subject concluded that as a consequence of the new data, given that aluminum can be toxic, and we have no need for the stuff, “reducing the concentration of this metal in antiperspirants is a matter of urgency.” Or, at the very least, it should say on the label: Do not use after shaving. Or, we could cease usage of aluminum-containing antiperspirants altogether.

But then, won’t we stink? Ironically, antiperspirants can make us stink worse. They increase the types of bacteria that cause body odor. It’s like the story with antidepressant drugs—how they can actually make you more depressed in the long run. The more we use antiperspirants, the more we may need them. Awfully convenient for a billion-dollar industry.

Doctor’s Note

Whoa—lots in the that video! Normally I’d try to break that video up, but I really wanted all the information to be in one place. Please consider sharing with those in your life who may benefit.

Any way to decrease BO through changes in diet? I’ve got an ancient video on that (see Body Odor & Diet), with some new updated ones coming down the pike!

Here’s the antidepressant video I referenced: Do Antidepressant Drugs Really Work?

What else can we do to decrease breast cancer risk? See, for example:

If you haven’t yet, you can subscribe to my videos for free by clicking here.

In health,
Michael Greger, M.D.

Michael Greger, M.D., is a physician, New York Times bestselling author, and internationally recognized professional speaker on a number of important public health issues. Dr. Greger has lectured at the Conference on World Affairs, the National Institutes of Health, and the International Bird Flu Summit, testified before Congress, appeared on The Dr. Oz Show and The Colbert Report, and was invited as an expert witness in defense of Oprah Winfrey at the infamous “meat defamation” trial. Currently Dr. Greger proudly serves as the Director of Public Health and Animal Agriculture at the Humane Society of the United

5 Ways To Support Our Bodies For Self Healing

Healthy self = Heal thy self | Supporting our bodies for self-healing
Our bodies are designed to heal themselves. They have many self-healing capacities, so let’s look at how we can support these to reveal our healthy self. Healthy self = Heal thy self!

Imagine cutting your finger

Here’s a scenario to consider. You are chopping some food, and you cut your finger. If you take care of it, cleaning it immediately and keeping it clean after the bleeding stops, the cut will heal itself in a few days. If it’s really bad, you might need some additional support like stitches, but it will still heal and will just take a little longer.

If you don’t support that healing, you’ll get into trouble. For example, if you rub dirt into that fresh-cut instead of cleaning it, the healing will be delayed. We need to support the body, and then its natural healing capacity can work.

But what if you cut that same finger every day? That constant damage and injury will mean that your body can’t heal itself. It will try, but that constant insult will prohibit healing.

1. Diet as a repeated injury
The same applies to chronic illnesses, rather than physical injuries. Just like the scenario of cutting your finger every day and it not being able to heal, if we “injure” our body every day by the way we eat and live, then we aren’t giving the body the support it needs to heal itself.

A diet without adequate nutrients is damaging to our whole body every day. Every day that we don’t eat well or sleep well, we are depleting our bodies. We aren’t providing an environment in which our body can heal itself.

Consider eating food that is inflammatory to you every day. It’s just like cutting your finger every day – more damage is occurring, and there is no chance for healing. And this damage relates to much more than just inflammation in our digestive system. If we aren’t getting the nutrients we need every day, this can affect all of the biochemical reactions going on in our bodies. Those nutrients – and the lack of them – affect all the systems of our bodies.

Eating a diet that is lacking nutrients is like injuring yourself every day. Instead, we need to support the body.

2. Medications as a ‘band-aid’
We might be tempted to try some medications to cover up the symptoms of an illness and make us feel better, at least temporarily, but frequently they don’t support self-healing because they have side effects too.

Let’s say that you have the symptoms of a cold – a slightly high temperature, and just not feeling great. So you reach for Tylenol or Aspirin every few hours. By reducing your temperature, the medication might make you feel better for a short while. However, the medicine has also interfered with the natural healing process, because your body was using that high temperature as a means to get rid of the virus. What might have been better would have been to relax, drink plenty of fluids, take a warm Epsom salts bath, and have an early night.

3. Active, not passive
Taking medications or over-the-counter pills requires very little effort on our part – we are quite passive – just popping our pills. But as the title of this blog post says, for a healthy self, we need to heal ourselves. That is an active process. We need to feel empowered to provide a favorable environment for the body. That means DESS – diet, exercise, sleep, and stress reduction, along with love, good relationships, and spirituality. When we put these things in place, then we are no longer cutting our finger every day, and the body can start to heal.

4. Inflammation is the language of discontent with our environment
We know that most chronic illnesses have inflammation at the root of them. This inflammation in our bodies – wherever it might appear – is the body trying to tell us that our environment is not conducive to self healing. It’s like a warning light coming on in our car. If that warning light comes on, we take the car to the garage to get it checked. When we have inflammation or symptoms somewhere in our body, how often do we either do nothing or just pop a pill? What we should do instead is…think that we aren’t providing what the body needs to heal. Think that there is something wrong with our environment. Think about what our body and our environment need instead of what we are providing…

Sometimes, it might be necessary to work with someone to figure this out. It might be that you need some tests to determine that, for example, you are deficient in Vitamin A, or that your hormones are out of balance. A natural health care provider (such as a nutritionist, lifestyle medicine practitioner, naturopath) might be able to help you find out what is out of balance in your environment. Is too much stress making those hormones out of balance? Is a polymorphism creating that vitamin A deficiency? They can then educate you in what seems to be going on. That knowledge can be very empowering.

5. Be empowered
When you understand the workings of the body, and what might be lacking in the body’s environment, then you can make changes and see improvement. Then you are ready to heal thy self. You take an active role and work to rebalance your hormones or eat foods containing vitamin A.

So if you are ill, take some time to look at what might be out of balance in your environment. Is something lacking, is something in excess? It could be nutrition, sleep, stress, difficult relationships – these can all prevent our body from healing itself. We need that good environment. Nurture yourself and be at least as good to your body as you are to your car when its engine light comes on! Take action. Don’t be passive. Let the body do what it is designed to do – heal itself.

Of course, I’m not suggesting we should never use pharmaceuticals. In some instances, especially acute illnesses, they are very important. Yet even if we do use pharmaceuticals, we should still check to see if they deplete the body of certain nutrients/vitamins/minerals, and continue to work to support our self-healing.

Ruth BaillieRuth Baillie is originally from the UK and now lives most of the year in Northern California. She holds two Master’s degrees, one in Personalized Nutrition (distinction), and another in Health Psychology. She is a Registered Nutritional Therapist, Certified Professional Cancer Coach, and Cancer Guide, and has undertaken considerable post-graduate studies in integrative naturopathic oncology. She is the author of “Choices in mind-body medicine for cancer patients in Sonoma County, California” and her research has been published in peer-reviewed journals.

The Ultimate Green Juice For A Boost Of Energy

This ultimate green juice is delicious and healthy and will give you a boost of energy!  This green juice is filled with antioxidants, phytochemicals, minerals and vitamins — sometimes as much as a day’s worth of vegetables in one serving.

This recipe is probably one of the tastiest I ever tried. It’s sweet, but not too much. Also, this recipe is kind of forgiving in its quantities. I mean that if you like the juice to be less sweet, you may use more cucumbers and parsley, and less fruits, or the opposite. 

What you need:

  • 3 royal gala apples
  • handful parsley
  • 5 small cucumbers
  • Half of pine apple, peeled and cut to smaller pieces
  • 10 fresh mint leaves (upgrade the taste dramatically!)
  • 4 kiwi

What to do:

Simply use a cold pressed juicer to create this beautiful green amazing juice!

You may strain it again after it’s ready to remove any extra pulp, but I like the pulp as it contains an important fiber. 

Enjoy!

To get more of these great recipes visit Neeva’s website  The Innergy

 

How To Have A High Calorie Healthy Breakfast (Dairy & Sugar Free)

How to have over a 1,000 calories for breakfast and feel great!! Before taking your morning walk or beginning your exercise routine try the following:

Before Exercise Routine:

  • 1 banana
  • 2 apples

Slice organic fruit and eat.

After Exercise Routine:

  • 1 mango
  • 2 bananas
  • 2 tbs chia seeds
  • 1 cup almond milk

Blend all organic ingredients together and drink.

It’s just 10 am and I have tons of great energy and a big smile on my face!

Enjoy!

To get more of these great recipes visit Neeva’s website  The Innergy

 

How Much Soy Should You Eat To Lower Breast Cancer Risk?

So, we know 7 to 18 servings of soy a day may neutralize some of the beneficial effects of avoiding animal protein. At the same time, studies have repeatedly found that women who eat lots of soy appear to have a lower risk of getting breast cancer, and a better risk of surviving breast cancer than those who don’t eat soy. So is there some magic number of soy food servings we should shoot for?

So far we know that somewhere between 7 and 18 may not be so good, so more than 18 definitely gets the axe. This two year study found no effect on IGF levels of adding two servings of soy foods daily, whether they were tofu, soy milk, soy nuts, or the concentrated soy isolate found in plant-based meats, protein bars, or protein powder; still fine.

Still got a big range here. This study suggested 5 to 10 servings a day was bad— increased IGF—so we’re kind of slowly but surely narrowing down the safety window. Same year in Japan; three servings a day cleared the IGF radar. And then, that’s it. That’s all the science we have so far.

The bottom line is that legumes should be a part of everyone’s daily diet, which means lentils, peas, and/or beans, ideally with each of our meals—of which soy is an excellent choice. But, I recommend that we should probably stick to no more than 3 to 5 servings a day.

Doctor’s Notes

This is the fourth in a string of videos on the role plant and animal proteins play in determining levels of the cancer-promoting growth hormone IGF-1. Also see IGF-1 as One-Stop Cancer ShopProtein Intake and IGF-1 ProductionHigher Quality May Mean Higher RiskAnimalistic Plant Proteins; and Too Much Soy May Neutralize Benefits. For the role soy plays in extending breast cancer survival, see Breast Cancer Survival and Soy. And, I’ve got dozens of other videos on soy.

For further context, be sure to check out my associated blog posts: How Much Soy Is Too Much? and Why Less Breast Cancer in Asia?

If you haven’t yet, you can subscribe to my videos for free by clicking here.

In health,
Michael Greger, M.D.

Michael Greger, M.D., is a physician, New York Times bestselling author, and internationally recognized professional speaker on a number of important public health issues. Dr. Greger has lectured at the Conference on World Affairs, the National Institutes of Health, and the International Bird Flu Summit, testified before Congress, appeared on The Dr. Oz Show and The Colbert Report, and was invited as an expert witness in defense of Oprah Winfrey at the infamous “meat defamation” trial. Currently Dr. Greger proudly serves as the Director of Public Health and Animal Agriculture at the Humane Society of the United

Yoga For Lymph Circulation: Arm Under Chest

Breast Cancer Yoga Arm Under Chest Yoga Pose

By:  Breast Cancer Yoga.

A really great way to relieve your shoulder tension and increase Range Of Motion for shoulder joints (frozen shoulder) associated with breast cancer recovery is with a chest extension inflection or better known in the yoga world as a heart opening flowing restorative yoga pose. With this wonderful yoga pose you will open up the heart, fill the lungs from the bottom up, and relieve shoulder tension.

Benefits:

  • Promote lymph circulation around axilla nodes
  • Helps heal scarring muscles and lessens tightness
  • Increases internal rotation and shoulder mobility
  • Strengthens scapula stabilizing muscle
  • Opens and lift chest
  • Increases ROM of shoulder joints – frozen shoulder
  • Increases internal rotation and shoulder mobility.
  • Releases shoulder tension that rounds your shoulders and binds your upper arm

Arms Under Chest Yoga Pose For Breast Cancer

Instructions:

  1. Begin on your back with knees bent in PARTIAL RECLINE. A neck roll or pillow can be used for added comfort.
  2. Lift hips up, slide right arm, palm down underneath lower back so you can see finger tips on left side. STOP IF YOU FEEL PAIN. Lower hips down and extend legs.
  3. Relax – breathe into the right side of upper chest until you feel a release in shoulder muscles.  Once the shoulder relaxes experiment sliding hand up your back towards shoulder blades.
  4. INHALE, left arm up and overhead for bigger additional stretch to breast region.
  5. Flow arm back up and down. When ready hold pose for 3/5 breaths.
  6. EXHALE lower arm back down, lift hips up and release arm from underneath.
  7. Repeat on other arm.

To experience the benefits of yoga for breast cancer, it is essential that you begin with simple, gentle yoga movements. You should also consult a doctor before you begin practicing yoga. It is also necessary that you follow a yogic diet that consists of a mainly vegetarian diet to enhance the benefits of yoga.

Diana RossAbout Diana Ross: E-RYT 500 restorative yoga teacher, survivor that cares and founder of Breast Cancer Yoga. Diana is making a difference with Breast Cancer Yoga therapeutic products designed to support you emotionally and physically during breast cancer . We want to give you the attention and personal service you need so please email us at info@breastcanceryoga.com if you have questions.

BRCA Breast Cancer Genes & Soy Consumption Research Results

Why do people who eat legumes—beans, chickpeas, split peas, and lentils—live longer? Well, men and women who eat legumes tended towards being lighter, having a slimmer waist, lower blood sugars, lower cholesterol, lower triglycerides, better kidney function, lower blood pressure, and so—no surprise—may live longer. But, interestingly, bean intake was “a better protectant against mortality in women than men.” They think this may be because cancer was the leading killer of women in this population—especially breast cancer. And, we know that breast cancer survivors who eat soy foods, for example, have a significantly lower likelihood of the cancer recurrence. Eating soy foods appears to protect against the cancer coming back. This 2012 review looked at three prospective human studies done to date, and found that women who ate the most soy had a 29% lower risk of dying from breast cancer, and a 36% lower risk of cancer recurrence. And, a fourth study was since published, and it showed the same thing. “[S]oy food intake is associated with longer survival and lower recurrence among breast cancer patients. With an average intake of soy phytonutrients above 17 milligrams a day, which is about what’s found in a single cup of soy milk, the mortality of breast cancer may be able to be reduced by as much as 38%.

Here’s the survival curve over five years. The purple line represents the survival of the women with the highest soy consumption. As you can see, after two years, all the breast cancer survivors eating lots of soy were still alive. But, a quarter to a third of the women who ate the least soy were dead. And, after five years, 90% of the tofu-lovers were still alive and kicking, whereas half of the tofu-haters kicked the bucket. And, you can see a similar relationship when you look at breast cancer survival and soy protein intake, as opposed to soy phytonutrient intake.

How does soy so dramatically decrease cancer risk, and improve survival? Soy may actually help turn back on BRCA genes. BRCA is a so-called caretaker gene, an oncosuppressor—meaning a cancer-suppressing gene responsible for DNA repair. Mutations in this gene can cause a rare form of hereditary breast cancer, popularized by Angelina Jolie’s public decision to undergo a preventive double mastectomy.

But, only about 5% of breast cancers run in families. So, 95% of breast cancer victims have fully functional BRCA genes. So, if their DNA-repair mechanisms are intact, how did breast cancer form, grow, and spread? Well, tumors do it by suppressing the expression of the gene, through a process called methylation. The gene’s fine, but cancer found a way to turn it off, or at least turn it down—potentially facilitating the metastatic spread of the tumor.

And, that’s where soy may come in. Maybe the reason soy intake is associated with increased survival and decreased cancer recurrence is because the phytonutrients in soy turn back on your BRCA protection—removing the methyl straightjacket the tumor tried to place on it.

So, researchers put it to the test. These are three different types of human breast cancer, specially stained so that the expression of BRCA genes turns up brown. So, this is what full DNA repair would look like—hopefully, what normal breast cells would look like. Lots of brown, lots of BRCA expression. But, instead, we have column two, raging breast cancer.

Well, if you add soy phytonutrients back to the cancer, BRCA does indeed get turned back on. The DNA repair appears to start ramping back up—though this was at a pretty hefty dose, equivalent to about a cup of soybeans.

Their results suggest that treatment with soy phytonutrients “might reverse DNA hypermethylation, and restore the expression” of the tumor-suppressor genes BRCA1 and BRCA2. May help with other breast cancer genes, as well. “Women at increased [genetic] risk of breast cancer may especially benefit from high [soy] intake.”

Doctor’s Notes

Legumes leading to a longer life? See Increased Lifespan from Beans.

No matter what genes we inherit, changes in diet can affect DNA expression at a genetic level. For example, see:

I’ve previously covered the available science in Breast Cancer Survival & Soy. Other effects are detailed in:

It may be possible to overdo beans, though (see How Much Soy Is Too Much?).

For further context, check out my associated blog posts: Top 10 Most Popular Videos of 2013 and Can Eating Soy Prevent Breast Cancer?

If you haven’t yet, you can subscribe to my videos for free by clicking here.

In health,
Michael Greger, M.D.

Michael Greger, M.D., is a physician, New York Times bestselling author, and internationally recognized professional speaker on a number of important public health issues. Dr. Greger has lectured at the Conference on World Affairs, the National Institutes of Health, and the International Bird Flu Summit, testified before Congress, appeared on The Dr. Oz Show and The Colbert Report, and was invited as an expert witness in defense of Oprah Winfrey at the infamous “meat defamation” trial. Currently Dr. Greger proudly serves as the Director of Public Health and Animal Agriculture at the Humane Society of the United

Delicious & Healthy Lentil Tomato Soup For A Cancer Diet

This soup will be wonderful only if you will use ripe tomatoes that taste great, as they make the difference between good soup and an amazing one! Always use organic ingredients when possible.

Try this Rye Bread Recipe to make a complete and delicious meal.

What you need:

2 large sweet potatoes, peeled and sliced 
3 small potatoes, peeled and sliced 
3 large ripe tomatoes, cut to cubes
Handful of chopped coriander 
1 small onion, peeled and chopped
1 cup red lentils
Filtered water to cover
2 spoons avocado oil

What to do:

  1. Use a wide pot to saute the onion in the avocado oil until golden.
  2. Add the rest of the ingredients and add water to cover.
  3. Bring to boil and then continue cooking on a low heat until the potatoes are soft (about 30 minutes).
  4. When ready, you may use a hand blender to mix the soup; it’s great to only mix half so you still have some chunks of veggies in each plate.

Enjoy!

To get more of these great recipes visit Neeva’s website  The Innergy

Visit: www.NeverMeatAgain.com

Lymphedema After Mastectomy: Learn About Breathing Exercises & Restorative Yoga

It is not unusual for a woman to develop lymphedema after a mastectomy. Lymphedema is a sometimes-painful swelling in the soft tissues.  This can be due to the removal of lymph nodes, scar tissue, strictures, and other factors.

Manual lymph drainage massage is the usual recommended technique to treat this swelling.  It may be surprising to know that another therapy that benefits lymphedema is yoga, especially restorative yoga. When the lymphatic system is at its optimum, it is like a free flowing river, running without obstacles.  However, when the lymph nodes are removed or damaged, that same river meets obstacles and begins to slow down and this creates a pooling of fluids.  This build up in the tissues can cause swelling and inflammation and reduce oxygen in the lymphatic tissues. The white blood cells, or immune soldiers of the body, can be impaired in their function in this situation.  This may increase the risk of infection and create a possible permanent disability.  Edema is often found in the arms and legs, but can be found in other parts of the body.

Knowing how important it is to keep this fluid running like a free flowing river, we need to foster relaxation and gentle movements that encourage its increased flow.  This is especially important after breast surgery or removal of nodes, when it is paramount to undertake new activities to increase impaired lymphatic function.

The need to develop a deeper state of relaxation to counter the mental and physical stress of illness and its treatment is critically important to our health and well-being.

Practicing yoga, especially Restorative Yoga which targets the pectoral area, keeps the fluid moving through the body rather than slowing down and creating a back up.  This benefits the breasts by promoting drainage and healing and creating a sense of safety when expanding the chest.

Practicing Restorative Yoga daily will undo the harmful effects of too much sitting or inactivity.  Starting yoga practice with a knowledgeable Restorative Yoga teacher is as important as wearing a bandage or support garment.

An important thing to understand in your practice of Restorative Yoga is that you must to slow down enough to listen to what your body is telling you.  Any time you overwork your muscles or strain your healing tissues,  you run the risk of fluid build up.

Let this be the yoga practice of self-understanding.

More Great Articles

  1. How Breathing Exercises Can Raise Energy Levels For Breast Cancer Patients
  2. Breathing, Yoga and Cancer
  3. Breast Cancer Breathing Guidelines & Techniques During Exercise
  4. Diaphragmatic Breathing for Cancer Survivors
  5. Learn Natural Breath Breathing Exercise For Breast Cancer Treatment
  6. Yoga Pose for Breast Cancer – Root Lock KRIYA Breathing
  7. 4 Benefits of Breathing Exercises For Breast Cancer Treatment
  8. Why Start A Breathing Practice For Breast Cancer Recovery? Good Health!

Dawn Breast CancerAbout Dawn Bradford Lange:  Co-founder of Breast Cancer Yoga. Dawn is making a difference with Breast Cancer Yoga therapeutic products designed to support you emotionally and physically during breast cancer . We want to give you the attention and personal service you need so please email us at info@breastcanceryoga.com if you have questions.

Tests To Help With Breast Cancer Treatment Decisions

When you’ve just received a diagnosis of breast cancer, you are faced with many different treatment options. Your mind is in a whirl with fear, confusion, and disbelief. While none of these feelings help decision making, there are some tests that can help: Oncotype DX and Mammaprint. 

These tests are genomic tests that analyze the activity of specific genes in the breast tumor. They can help you determine if your risk of breast cancer coming back is high or low, which can help you in making a decision about whether to have chemotherapy, radiation, or other therapies to reduce risk after surgery.

There are two main types of tests – Oncotype DX and Mammaprint.

Oncotype Dx has two tests for breast cancer – one for Ductal Carcinoma in situ (DCIS) – Oncotype DX DCIS and one for invasive breast cancer – Oncotype DX.  Mammaprint has one test for invasive breast cancer. Let’s look at these in greater detail.

What are genomic tests?

Genomic tests look at specific genes in your individual tumor and try to determine what is driving its growth. This is different from genetic tests which look at your inherited risk or predisposition for cancer. Genomic tests provide information that can help tailor your treatment plan to you as an individual. They are a type of personalized medicine. This is really important, because not all breast cancers are the same and, in fact, some breast cancers might have more in common with a prostate cancer than they do with another type of breast cancer. One size treatment definitely does not fit all.

Oncotype DX DCIS

Image showing the incidence of DCIS from blog on CALMERme.comThis test is only for people diagnosed with DCIS or, as it is often called, “stage zero” breast cancer. In addition to general information such as tumor size, margins, and grade, Oncotype DX DCIS helps determine the likelihood of DCIS recurring or invasive breast cancer occurring within the next 10 years.

It examines a sample of the tumor tissue that has already been removed during the lumpectomy for DCIS. By looking at the expression of 21 different genes in the tumor, it provides a DCIS score of between 0-100. The lower the score, the lower the risk of recurrence. Two scores are given, one to determine the risk of recurrence of DCIS and another for the risk of occurrence of an invasive breast cancer.

Knowing the DCIS score can help you decide whether to have radiation treatment  following the lumpectomy. If your risk of recurrence is low, then maybe you can spare yourself further treatment and the possible side effects that go with it.

To be eligible for Oncotype DX DCIS, you need to have recently been diagnosed with DCIS and had lumpectomy surgery. The decision should be made in discussion with your doctor/oncologist.

In the US, insurance might cover the cost of this test; the testing company will help you determine if this is the case and provide information to your insurers, as necessary. In the UK, these tests can be conducted under the NHS or privately.

Many oncologists are now familiar with these tests for invasive breast cancer; sadly, the Oncotype DX DCIS test does not appear to be known by all oncologists, so it’s good for you to be proactive and start the discussion. Here is a link to the validation work done on the test that you can forward to your oncologist, and further links are given at the bottom of this post:

Clinical validation of oncotype DX DCIS

I definitely think it is worth having a discussion with your oncologist, sharing the references as necessary, and if you don’t get anywhere with the oncologist, talk to your family doctor or surgeon.

Oncotype DX and Mammaprint

Both Oncotype DX and Mammaprint are genomic tests suitable for early stage invasive breast cancer. They both predict the benefit of chemotherapy or other types of treatment, as well as the likelihood of 10 year recurrence.

They are similar tests but have some differences, as outlined below:

Comparison of oncotype DX and mammaprint for invasive breast cancer

Looking at this table can help determine if you are eligible for either of these tests.

As with Oncotype DX DCIS, some insurance companies in the US will pay for these tests whereas some don’t include them in coverage. Both testing companies offer financial assistance or guidance, so it’s worth calling them to discuss if you are interested and want to check coverage. In the UK, these tests can be conducted under the NHS or privately.

These tests are important because some of the cancer treatments, like chemotherapy, can have many side effects and are hard to get through. If there is little to no benefit in these treatments for you as an individual, then these genomic tests give you the confidence to not have a treatment that has greater potential for risk than for benefit.

Obviously the decision of further treatment is based on more than just these results. It involves detailed discussion with your oncologist, but also personal consideration of what you want and how you feel. Remember, you can take your time over treatment decisions. You might feel rushed, but take adequate time until you feel comfortable that you are making the right personal decision. These tests can go a long way in giving you confidence in your decision, but it is still a personal choice that needs to be right for you as an individual based on your mind and spirit, as well as your body.

Here are links to each of these three tests for more information

Patient information on Oncotype DX DCIS

Oncologist information on Oncotype DX DCIS

Patient information on Oncotype DX

Oncologist information on Oncotype DX

Patient information on Mammaprint

Oncologist information on Mammaprint

Let me know if you’ve had any of these tests and how they helped you.

Ruth BaillieRuth Baillie is originally from the UK and now lives most of the year in Northern California. She holds two Master’s degrees, one in Personalized Nutrition (distinction), and another in Health Psychology. She is a Registered Nutritional Therapist, Certified Professional Cancer Coach, and Cancer Guide, and has undertaken considerable post-graduate studies in integrative naturopathic oncology. She is the author of “Choices in mind-body medicine for cancer patients in Sonoma County, California” and her research has been published in peer-reviewed journals.

%d bloggers like this: