{"id":9212,"date":"2022-06-15T04:01:32","date_gmt":"2022-06-15T04:01:32","guid":{"rendered":"https:\/\/www.booksofall.com\/cn\/?post_type=product&#038;p=9212"},"modified":"2022-06-15T04:03:03","modified_gmt":"2022-06-15T04:03:03","slug":"cancer-i-could-deal-with-losing-my-breast-i-could-not","status":"publish","type":"product","link":"https:\/\/www.booksofall.com\/cn\/cancer-i-could-deal-with-losing-my-breast-i-could-not\/","title":{"rendered":"Cancer I could deal with. Losing my breast I could not"},"content":{"rendered":"<h4 id=\"standfirst\" class=\"article__standfirst\">For those with breast cancer, a mastectomy may seem the best option. Joanna Moorhead thought so \u2013 until the last minute. Now she\u2019s glad she chose less extensive surgery.<\/h4>\n<div class=\"paragraph paragraph--text\">\n<p>The taxi arrived at dawn but it could have come even earlier; I\u2019d been awake all night. I was terrified about the day that lay ahead and what it would mean for the rest of my life.<\/p>\n<p>At the hospital I changed into a high-tech gown that would keep me warm during the long hours I\u2019d be unconscious, and my surgeon arrived to do a quick pre-operative check. It wasn\u2019t until she was at the door, about to leave the room, that my fear finally found its voice. \u201cPlease,\u201d I said. \u201cI need your help. Will you tell me one more time: why do I need this mastectomy?\u201d<\/p>\n<p>She turned back to me, and I could see in her face that she already knew what, deep inside, I had felt all along. This operation wasn\u2019t going to happen. We were going to have to find another way.<\/p>\n<\/div>\n<div class=\"paragraph paragraph--text\">\n<p>Breast cancer had engulfed my life a few weeks earlier, when I noticed a small dimple near my left nipple. The GP thought it was nothing \u2013 but why take the risk, she asked cheerfully, tapping on her keyboard to organise the referral.<\/p>\n<p>At the clinic ten days later, the news seemed optimistic again: the mammogram was clear, the consultant guessed it was a cyst. Five days later, back at the clinic, the consultant\u2019s hunch was found to be wrong. A biopsy revealed I had a\u00a0<a href=\"https:\/\/www.cancer.org\/treatment\/understanding-your-diagnosis\/tests\/understanding-your-pathology-report\/breast-pathology\/breast-cancer-pathology.html\">grade 2 invasive carcinoma<\/a>.<\/p>\n<p>I was shocked, but not devastated. The consultant assured me that I should be a good candidate for what she called breast-conserving surgery, to remove only the affected tissue (this is often known as lumpectomy). That would turn out to be yet another erroneous prediction, though I am grateful for the early hope it gave me. Cancer, I thought, I could deal with. Losing my breast I could not.<\/p>\n<p>The game-changing blow came the following week. My tumour had been harder to diagnose because it was in the lobules of the breast, as opposed to the ducts (where some 80 per cent of invasive breast cancers develop). Lobular cancer often deceives mammography, but it is more likely to show up on an MRI scan. And the result of my MRI scan was devastating.<\/p>\n<p>The tumour threaded through my breast was much larger than the ultrasound had indicated, up to 10 cm long (10 cm! I\u2019d never heard of anyone with a tumour that big). The doctor who disclosed the news didn\u2019t look at my face; his eyes were fused on his computer screen, his armour against my emotion. We were inches apart but could have been on different planets. As he began shooting terms like \u201cimplant\u201d, \u201cdorsi flap\u201d and \u201cnipple reconstruction\u201d at me, I had not even begun to process the news that, for the rest of my life, I\u2019d have one breast missing.<\/p>\n<p>This doctor seemed more keen on talking surgery dates than helping me make sense of the maelstrom. The one thing I realised was that I had to get away from him. The following day a friend sent me a list of other consultants, but where to start? And then I noticed that only one name on the list was a woman\u2019s. I decided to try and get an appointment to see her.<\/p>\n<h4>Reference:<\/h4>\n<ul>\n<li>The National Institutes of Health 1990\u00a0<a href=\"https:\/\/consensus.nih.gov\/1990\/1990earlystagebreastcancer081html.htm\">consensus statement on treating early-stage breast cancer<\/a>.<\/li>\n<li>2010\u00a0<a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/14651858.CD002748.pub3\/abstract?systemMessage=Wiley+Online+Library+usage+report+download+page+will+be+unavailable+on+Friday+24th+November+2017+at+21:00+EST+\/+02.00+GMT+\/+10:00+SGT+(Saturday+25th+Nov+for+SGT+\">Cochrane review of prophylactic mastectomy for the prevention of breast cancer<\/a>.<\/li>\n<li>England\u2019s\u00a0<a href=\"https:\/\/www.rcseng.ac.uk\/-\/media\/files\/rcs\/library-and-publications\/non-journal-publications\/national-mastectomy-and-breast-reconstruction-audit--4th-report.pdf\">National Mastectomy and Breast Reconstruction Audit<\/a>, 2011.<\/li>\n<li>Published in 2014, this\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/1900512\">large population study<\/a>\u00a0based in California looked at the outcomes of nearly 190,000 women with unilateral breast cancer.<\/li>\n<li>Published in 2017, this\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28884470\">Dutch study<\/a>\u00a0looked at the outcomes of 129,000 patients with breast cancer.<\/li>\n<li>NHS Choices information on\u00a0<a href=\"https:\/\/www.nhs.uk\/conditions\/mastectomy\/\">mastectomy<\/a>\u00a0and on\u00a0<a href=\"https:\/\/www.nhs.uk\/conditions\/breast-cancer\/\">breast cancer in women\u00a0<\/a>and\u00a0<a href=\"https:\/\/www.nhs.uk\/conditions\/breast-cancer-in-men\/\">in men<\/a>.<\/li>\n<li>The US National Cancer Institute\u2019s information on\u00a0<a href=\"https:\/\/www.cancer.gov\/types\/breast\">breast cancer<\/a>.<\/li>\n<li>Cancer Research UK\u2019s information on\u00a0<a href=\"http:\/\/www.cancerresearchuk.org\/about-cancer\/breast-cancer\">breast cancer.<\/a><\/li>\n<li>The American Cancer Society\u2019s information on\u00a0<a href=\"https:\/\/www.cancer.org\/cancer\/breast-cancer\">breast cancer<\/a>.<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p><iframe style=\"width: 100%; height: 750px; border: none;\" src=\"https:\/\/online.visual-paradigm.com\/share\/book\/cancer-i-could-deal-with-losing-my-breast-i-could-not-zl08rhxt4?enforceShowPromotionBar=true\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n","protected":false},"featured_media":9218,"template":"","meta":{"_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"Create UML diagrams online. See how to create a region inside a UML state shape, using Visual Paradigm's online UML diagram tool."},"product_brand":[],"product_cat":[15,219],"product_tag":[],"class_list":{"0":"post-9212","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-all","7":"product_cat-biology","9":"first","10":"instock","11":"shipping-taxable","12":"product-type-simple"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cancer I could deal with. Losing my breast I could not - BooksOfAll Simplified Chinese<\/title>\n<meta name=\"description\" content=\"Create UML diagrams online. 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