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Author: Claire C. Conley Publisher: ISBN: Category : Breast Languages : en Pages : 192
Book Description
Women with a high risk of breast cancer have options for reducing risk, including surgery (mastectomy and/or oophorectomy), chemoprevention, and lifestyle changes. However, the ways in which women decide whether or not to pursue these options is not well understood. Both cognitive factors (e.g., perceived risk, perceived seriousness, attitudes) and emotional factors (e.g., cancer-related distress, emotion regulation) play a role in the decision-making process, but have not been tested as a single, integrated model. The present study investigates an innovative dual-pathway model of decision-making in a sample of women at high risk for breast cancer (N = 103). A single group, cross-sectional design was used. Participants self-reported cognitions about breast cancer risk (perceived susceptibility, perceived seriousness), attitudes about risk-reducing behaviors, cancer-related distress, emotion regulation, and intentions for risk-reducing behaviors. Mediation analyses examined hypothesized relationships between cognitive variables in predicting behavioral intentions, while moderation analyses examined hypothesized relationships between emotional variables in predicting behavioral intentions. Significant moderating effects of reappraisal were found for emotion-based models predicting mastectomy intentions (p = 0.04; 95% C.I. = [0.01, 0.03]) and chemoprevention intentions (p = 0.02; 95% C.I. = [0.01, 0.03]). No significant effects were observed for cognitive mediation models (all ps > 0.05; 95% C.I. lower bound = -0.03 – -0.01; 95% C.I. upper bound = 0.01 – 0.02). Results indicate that: 1) emotion regulation strategy use plays a significant role in risk-management decision-making; and 2) risk-management decisions are made independent of perceived severity. Results contribute to knowledge of decisional processes among women at high risk for breast cancer and highlight the need for modifications to existing health decision-making models. Specific targets for decision-making support interventions are identified.
Author: Claire C. Conley Publisher: ISBN: Category : Breast Languages : en Pages : 192
Book Description
Women with a high risk of breast cancer have options for reducing risk, including surgery (mastectomy and/or oophorectomy), chemoprevention, and lifestyle changes. However, the ways in which women decide whether or not to pursue these options is not well understood. Both cognitive factors (e.g., perceived risk, perceived seriousness, attitudes) and emotional factors (e.g., cancer-related distress, emotion regulation) play a role in the decision-making process, but have not been tested as a single, integrated model. The present study investigates an innovative dual-pathway model of decision-making in a sample of women at high risk for breast cancer (N = 103). A single group, cross-sectional design was used. Participants self-reported cognitions about breast cancer risk (perceived susceptibility, perceived seriousness), attitudes about risk-reducing behaviors, cancer-related distress, emotion regulation, and intentions for risk-reducing behaviors. Mediation analyses examined hypothesized relationships between cognitive variables in predicting behavioral intentions, while moderation analyses examined hypothesized relationships between emotional variables in predicting behavioral intentions. Significant moderating effects of reappraisal were found for emotion-based models predicting mastectomy intentions (p = 0.04; 95% C.I. = [0.01, 0.03]) and chemoprevention intentions (p = 0.02; 95% C.I. = [0.01, 0.03]). No significant effects were observed for cognitive mediation models (all ps > 0.05; 95% C.I. lower bound = -0.03 – -0.01; 95% C.I. upper bound = 0.01 – 0.02). Results indicate that: 1) emotion regulation strategy use plays a significant role in risk-management decision-making; and 2) risk-management decisions are made independent of perceived severity. Results contribute to knowledge of decisional processes among women at high risk for breast cancer and highlight the need for modifications to existing health decision-making models. Specific targets for decision-making support interventions are identified.
Author: B.A. Stoll Publisher: Springer Science & Business Media ISBN: 9401104891 Category : Medical Languages : en Pages : 358
Book Description
Breast cancer is not only a burning public issue, but very soon we shall see genetic testing for a woman's predisposition to breast cancer. Many women will be demanding to know their degree of risk and will need counselling to cope with that information. This book is particularly aimed at primary health care professionals, including physicians, medical assistants, nurses and counsellors, who daily deal with questions from women concerned about their risk of developing breast cancer. To answer such questions, this book has combined a guide to identifying women at higher risk to breast cancer, with a balanced review of approaches which aim to reduce that risk. The book provides practical general measures which may reduce risk for women at average risk. For women at clearly increased risk various protective options with different levels of efficacy and acceptability are discussed. Central to the book is the patient-centered view. We need to face reality that it still will take many years before the current clinical trials of preventive measures provide meaningful results. Meanwhile, women who seek to diminish their risk of breast cancer need all the available information. They must be given full responsibility to make an informed decision on their own health care. Reducing Breast Cancer Risk in Women is a practical handbook, technicalities have been deliberately kept to a minimum, making it concise and easy to read.
Author: Sharlene Hesse-Biber Publisher: University of Michigan Press ISBN: 0472120352 Category : Health & Fitness Languages : en Pages : 227
Book Description
Waiting for Cancer to Come tells the stories of women who are struggling with their high risk for cancer. Based on interviews and surveys of dozens of women, this book pieces together the diverse yet interlocking experiences of women who have tested positive for the BRCA 1/2 gene mutations, which indicate a higher risk of developing breast and ovarian cancer. Sharlene Hesse-Biber brings these narratives to light and follows women’s journeys from deciding to get screened for BRCA, to learning the test has come back positive, to dealing with their risk. Many women already know the challenges of a family history riddled with cancer and now find themselves with the devastating knowledge of their own genetic risk. Using the voices of the women themselves to describe the under-explored BRCA experience, Waiting for Cancer to Come looks at the varied emotional, social, economic, and psychological factors at play in women’s decisions about testing and cancer prevention.
Author: Barron H. Lerner Publisher: Oxford University Press ISBN: 0195349563 Category : Medical Languages : en Pages : 408
Book Description
In this riveting narrative, Barron H. Lerner offers a superb medical and cultural history of our century-long battle with breast cancer. Revisiting the past, Lerner argues, can illuminate and clarify the dilemmas confronted by women with--and at risk for--the disease. Writing with insight and compassion, Lerner tells a compelling story of influential surgeons, anxious patients and committed activists. There are colorful portraits of the leading figures, ranging from the acerbic Dr. William Halsted, who pioneered the disfiguring radical mastectomy at the turn of the century to George Crile, Jr., the Cleveland surgeon who shocked the medical establishment by "going public" with his doubts about mastectomy, to Rose Kushner, a brash journalist who relentlessly educated American women about breast cancer. Lerner offers a fascinating account of the breast cancer wars: the insistent efforts of physicians to vanquish the "enemy"; the fights waged by feminists and maverick doctors to combat a paternalistic legacy that discouraged decision-making by patients; and the struggles of statisticians and researchers to generate definitive data in the face of the great risks and uncertainties raised by the disease. As easy as it is to demonize male physicians, the persistence of the radical mastectomy and other invasive treatments has had as much to do with the complicated scientific understandings of breast cancer as with sexism. In Lerner's hands, the fight against breast cancer opens a window on American medical practice over the last century: the pursuit of dramatic cures with sophisticated technologies, the emergence of patients' rights, the ethical and legal challenges raised by informed consent, and the limited ability of scientific knowledge to provide quick solutions for serious illnesses. A searching and profound work on an emotionally charged issue, The Breast Cancer Wars tells a story that remains of vital importance to modern breast cancer patients, their families and the clinicians who strive to treat and prevent this dreaded disease.
Author: Alberto Tagliafico Publisher: Springer ISBN: 3319286315 Category : Medical Languages : en Pages : 156
Book Description
This book provides a comprehensive description of the screening and clinical applications of digital breast tomosynthesis (DBT) and offers straightforward, clear guidance on use of the technique. Informative clinical cases are presented to illustrate how to take advantage of DBT in clinical practice. The importance of DBT as a diagnostic tool for both screening and diagnosis is increasing rapidly. DBT improves upon mammography by depicting breast tissue on a video clip made of cross‐sectional images reconstructed in correspondence with their mammographic planes of acquisition. DBT results in markedly reduced summation of overlapping breast tissue and offers the potential to improve mammographic breast cancer surveillance and diagnosis. This book will be an excellent practical teaching guide for beginners and a useful reference for more experienced radiologists.
Author: William J. Gradishar Publisher: Springer Science & Business Media ISBN: 9780792378907 Category : Medical Languages : en Pages : 230
Book Description
The optimal management of breast cancer patients relies on the expertise of a team of medical specialists including radiologists, surgeons, radiation therapists and medical oncologists. Much of the progress in breast cancer management made over the last several years reflects the translation of observations made in the laboratory to the clinic. Critically evaluating the impact of new treatment approaches relies on a commitment to well-designed clinical trials. In this volume, Advances in Breast Cancer Management, a renowned group of breast cancer experts have been asked to provide their perspective on management issues that directly effect patients on a day-to-day basis. Dr. Melody Cobleigh discusses the consequences of estrogen deprivation and the ways of ameliorating secondary symptoms and the potential long-term morbidity. Drs. Haigh and Guiliano review the sentinel lymph node biopsy technique including results from their extensive experience. Dr. Abram Recht places into perspective the potential benefit of post-mastectomy radiotherapy and reviews recent trials that address this issue. Dr. Dennis Slamon takes from us from the laboratory to the clinic in explaining the development of Herceptin as a paradigm for therapy targeted to specific molecular characteristics of breast cancer tumor cells. Drs. Nieto, Shpall, Crump and Pritchard offer different perspectives on the future of high-dose chemotherapy with stem cell transplantation as a treatment for breast cancer patients. Drs.
Author: Nehmat Houssami Publisher: Academic Press ISBN: 9780128022092 Category : Medical Languages : en Pages : 0
Book Description
Breast Cancer Screening: Making Sense of Complex and Evolving Evidence covers broad aspects of breast cancer screening specifically focusing on current evidence, emerging evidence, and issues that will be critical for future breast screening practice such as tailored screening and shared decision-making in breast screening. The scope of the book is relevant to a global audience. This book provides balanced perspectives on this increasingly controversial topic, using scientific evidence to explain the evolution of knowledge relating to breast cancer screening. Breast Cancer Screening covers the key points related to this debate including the context of increasingly complex and conflicting evidence, divergent opinions on the benefits and harms of breast screening, and variability in screening practice and outcomes across settings around the world.
Author: Gillian M. Newstead Publisher: Thieme ISBN: 162623468X Category : Medical Languages : en Pages : 728
Book Description
State-of-the-art resource details effective breast MRI techniques for improved screening and diagnosis Magnetic resonance imaging (MRI) of the breast has evolved into an important breast cancer screening tool and major advance in women's health. Breast MRI is currently the most sensitive detection technique for both non-invasive and invasive cancers and follow-up in women with a new breast cancer diagnosis. It is increasingly becoming the go-to imaging method for screening women at high and intermediate risk of breast cancer and those with dense breast tissue on mammography. Yet despite its reliability and growing use, many radiologists lack the expertise to accurately perform breast MR image interpretation. Breast MRI Interpretation: Text and Case Analysis for Screening and Diagnosis by Gillian M. Newstead reflects insights and expertise from one of the leading authorities on breast imaging. The book is a highly practical reference on evaluation and interpretation of breast MR imaging, with discussion of the modality as a screening and diagnostic tool. Topics include image acquisition and interpretation, clinical implementation, managing findings, and overcoming problems. Key Highlights About 3,000 illustrations from the University of Chicago including single selected images, side-by-side images at different time points and acquisition parameters, and 3-D images enhance understanding of breast imaging Discussion of advanced acquisition techniques and future potential applications including non-contrast imaging, quantitative dynamic imaging, and artificial intelligence using advanced computer analytic methods This remarkable resource streamlines the breast MRI process, enabling radiologists to incorporate this imaging modality into practice, conduct screening and diagnostic exams more efficaciously, and interpret findings accurately.
Author: Claire C. Conley
Author: Claire C. Conley
Author: E. Shaw Nunez
Author: B.A. Stoll
Author: Sharlene Hesse-Biber
Author: Barron H. Lerner
Author: Alberto Tagliafico
Author: William J. Gradishar
Author: Nehmat Houssami
Author: Kathryn E. Schulte
Author: Gillian M. Newstead