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cover of episode I Choose...Breast Cancer Awareness

I Choose...Breast Cancer Awareness

2024/10/25
logo of podcast I Choose Me with Jennie Garth

I Choose Me with Jennie Garth

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Dr. Amani Jambhekar
Topics
Jenny Garth: 作为一名女性,我深知乳腺癌筛查的重要性。本期节目邀请了乳腺外科肿瘤学医学主任Dr. Amani Jambhekar,与我们探讨乳腺癌相关知识,包括何时开始进行乳腺X光检查、遗传测试、更年期女性的激素替代疗法等。我们希望通过本期节目,鼓励更多女性关注自身健康,积极进行乳腺癌筛查。 Dr. Jambhekar: 乳腺癌筛查至关重要。平均风险女性应在40岁开始进行年度乳腺X光检查,高风险女性(有家族史)应尽早开始筛查,甚至在20多岁或30多岁。BRCA基因检测可以评估患乳腺癌和其他癌症的风险,该检测需要由医生开具。BRCA基因突变会显著增加患乳腺癌的风险,但即使检测结果呈阴性,也不代表完全不会患乳腺癌。男性也可能携带BRCA基因突变,并面临患乳腺癌、前列腺癌等风险。 过去20年乳腺癌病例大幅增加的原因尚不明确,可能与环境因素(如微塑料)和饮食习惯有关。乳房密度高的女性建议进行乳腺超声检查或MRI检查,以补充乳腺X光检查的结果。保险公司对这些额外检查的报销情况可能并不一致。 对于有乳腺癌家族史的女性,建议尽早开始筛查,可能在25岁甚至更早开始进行乳腺MRI检查。乳腺X光检查的辐射剂量很低,对健康的风险很小。女性应该为自己发声,积极寻求医疗帮助,并及时进行乳腺癌筛查。健康的生活方式(包括饮食、运动和不饮酒)可能略微降低患乳腺癌的风险,但不能完全预防。没有证据表明糖会加剧癌症的生长或大豆会增加患乳腺癌的风险。激素替代疗法(HRT)会略微增加患乳腺癌的风险,但其益处可能大于风险。目前没有证据表明乳房植入物疾病与乳腺癌之间存在关联。乳房切除术是一个个人决定,术后恢复情况因人而异,但可以通过一些技术来改善恢复过程。定期进行乳腺X光检查比自我乳房检查更有效地发现乳腺癌。除了乳房肿块外,乳头溢液、新的乳房疼痛以及皮肤变化也可能是乳腺癌的预警信号。 Dr. Amani Jambhekar: 我致力于通过社交媒体等平台,帮助女性了解乳腺癌相关知识,并鼓励她们积极进行筛查和自我保健。我希望女性能够了解自身的风险,并积极寻求医疗帮助。更年期女性的激素替代疗法,需要权衡利弊,根据自身情况决定是否使用。对于乳房切除术,我会根据患者的具体情况,提供个性化的治疗方案,并尽可能帮助她们获得最佳的术后恢复效果。 Jenny Garth: 本期节目中,Dr. Jambhekar 详细解答了关于乳腺癌筛查、风险评估、治疗等问题,为女性提供了宝贵的健康信息。我希望听众能够从节目中获得启发,关注自身健康,并积极采取行动,保护自身健康。

Deep Dive

Key Insights

Why do women often avoid getting mammograms?

Women may avoid mammograms due to discomfort, fear of pain, or thinking they're too young.

At what age should women start getting mammograms?

Women of average risk should start getting mammograms at age 40.

How long does it typically take to get mammogram results?

Results usually take about a week.

How do you test for the BRCA1 and BRCA2 genes?

A blood test looking at 81 genes, including BRCA1 and 2, can be ordered by a physician.

What does a positive BRCA gene test result mean for breast cancer risk?

A positive BRCA1 or 2 result means a 40-80% risk of future breast cancer.

Why has there been an increase in breast cancer cases in recent years?

Increases may relate to environmental exposure, microplastics, and processed food, but definitive answers are still being researched.

Where can women with dense breasts get an ultrasound?

The same place where mammograms are done can also perform ultrasounds.

Does hormone replacement therapy (HRT) increase breast cancer risk?

HRT slightly increases breast cancer risk, but benefits often outweigh risks for menopausal symptoms.

Are there correlations between breast implant illness and breast cancer?

No known correlation exists between breast implant illness and breast cancer.

What are some other warning signs of breast cancer besides lumps?

Warning signs include nipple discharge, breast pain, and skin changes like thickening or scaling.

Chapters
Dr. Amani Jambhekar discusses the appropriate age for women to start getting mammograms, the process of getting a mammogram, and the importance of early detection.
  • Women should start getting mammograms at age 40.
  • High-risk women should start imaging earlier, potentially in their 20s or 30s.
  • Mammograms are uncomfortable but provide invaluable information and peace of mind.

Shownotes Transcript

October is Breast Cancer Awareness Month and Dr. Amani Jambhekar) is giving us all the information we need to know as women with this bonus episode!

From when you should start getting your mammograms, to genetic testing, to hormone replacement therapy in menopausal women - we cover it all! 

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