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Margins … Ugh!

Published On: | Eric Brown

Complete excision of breast cancer is the goal of surgery.  Obtaining clear, microscopic margins can be a challenge.  Having involved margins occurs in 25-30% of cases, thus requiring a second operation (re-excision).  The challenge is not based on the technical aspects of surgery, but the fact that disease as a margin is most often microscopic; […]

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“Thanks A Lot, Now I’m In Menopause!”

Published On: | Eric Brown

There are many aspects of breast cancer therapy that can result win menopausal symptoms during and after treatment.  In fact, in some studies pre-menopausal women who do not recover ovarian function if lost during her treatment, actually fair BETTER than women who do.  Estrogen blockade, either by blocking the estrogen receptor or its production, are […]

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A Call To Continue Free Mammograms

Published On: | Eric Brown

MIKULSKI CALLS ON DEPARTMENT OF HEALTH AND HUMAN SERVICES TO PROTECT ACCESS TO FREE MAMMOGRAMS FOR WOMEN 40 AND OLDER Currently women aged 40 to 74 are guaranteed an annual free mammogram as result of Senator Mikulski’s ‘Women’s Preventive Health Amendment’ to the Affordable Care Act Draft recommendation by U.S. Preventive Services Task Force threatens […]

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American Cancer Society Got It Wrong

Published On: | Eric Brown

Recently, the American Cancer Society updated their recommendations regarding screening mammography. To summarize I believe that the ACS methodology for their guidelines analysis was excellent. They reviewed both current and old scientific articles, they sought out the opinions of experts in breast cancer diagnosis and treatment, and they utilized scientific data in their guideline development. However, as […]

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Breast Cancer Risk Factors

Published On: | Eric Brown

A very common questions that patients have is “why did I get breast cancer?”.  Unfortunately, there are rarely satisfying answers.  Here is a terrific article published in 2010 by the National Institute of Health, on breast cancer risk factors.  There is a lot of very helpful information: The etiology of the majority of breast cancers […]

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The Never Ending Controversy of Screening Mammography

Published On: | Eric Brown

Well, it seems like this topic is like a cat, having multiple (probably more than nine) lives.  I posted about mammograms, and, the ongoing ‘controversy’ in February, 2014, and, the topic constantly resurfaces: Are mammograms necessary? Are they ‘harmful’? When should we start?  Who should have one and how often? Truths are truths … no […]

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Major Advances In Breast Cancer 2014

Published On: | Eric Brown

As 2014 came to an end, just like the years “Top Plays” seen on ESPN, there have been major advances in the care of breast cancer patients.   So, here is a list of our “Top Plays”:   MARGINS – “no ink on tumor” has become the standard for clear margins for invasive breast cancer.  What […]

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What is all the talk about ‘breast density’?

Published On: | Eric Brown

Michigan became the 21st state to enact breast density inform legislation. Governor Snyder signed Michigan’s breast density inform bill into law (SB 0879) and it becomes effective June, 2015. The first density reporting law was enacted in Connecticut in 2009.  Another eight states are due to introduce density reporting legislation in 2015, according to Are […]

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Multidisciplinary Care

Published On: | Eric Brown

Breast cancer is the most common cancer in women.  As Director of the Center for Breast Health, at the Troy Campus of Beaumont Health, Dr. Brown works intimately with the Beaumont Cancer Institute in developing a streamlined approach to the care of the Breast Cancer Patient.  The Beaumont Cancer Institute and its Breast Program treat […]

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How Much Is Too Much ?

Published On: | Eric Brown

Breast cancer treatment options are quite extensive.  In a recent publication in the Journal of General Internal Medicine (J Gen Intern Med 28:630-636), 368 women at 8 NYC hospitals were questioned about the amount of information they received during decision  making for their early stage breast cancer.  Too much perceived responsibility for breast cancer treatment […]

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