Ananthakrishnan

This year’s Bridging the Gap: Enhancing Breast Cancer Prevention, Screening and Wellness event covered topics such as disparities in health care, alternative medicines, survivorship studies, genetics and other concerns for breast cancer patients, survivors and caregivers.

At the end of the day, audience members were asked submit their questions to expert speakers. Below are some of the more popular questions submitted to Preya Ananthakrishnan, MD, of the Clinical Breast Cancer Program

Question: Is radiation always required after lymph node surgery?

Answer: No, radiation is not always required after lymph node surgery. Radiation is standard treatment after lumpectomy or breast conserving surgery. Radiation is usually given to the axillary region if 4 or more lymph nodes are involved with cancer, and may be considered (particularly in premenopausal women) if 1 to 3 lymph nodes are involved with cancer. Surgery, radiation, chemotherapy, and antiestrogen medication are all components of a comprehensive breast cancer treatment program. Decisions about which further therapies are necessary after surgery are made by the multidisciplinary treatment team.

Q: What are the signs of breast cancer in men?

A: Breast cancer in men is rare, yet men have a small amount of breast tissue that can develop cancer. Symptoms of breast cancer in men are similar to those of women and include:

  • a lump in the chest
  • bleeding from the nipple
  • skin rashes or lesions in the breast, nipple, or areola

Diagnosis of breast cancer in men is also similar to women and is diagnosed with:

  • a physical exam
  • mammography and/or ultrasound
  • biopsy.

Treatment of breast cancer in men is also similar to that of women. Therapies include:

  • surgery
  • radiation treatment
  • chemotherapy
  • and/or endocrine therapy.

It is important for men to be aware of any changes on self-exam, and to immediately bring these to the attention of their doctor for further work-up.

Q: What does NYP/Columbia do to raise awareness of breast cancer in minority communities?

A: Breast cancer occurrences in Black, Asian or Latina women are less frequent than in Caucasian women, but when found, breast cancer is often more aggressive with higher rates of mortality in these minority communities. Therefore, outreach efforts are made to promote early screening and detection in minority communities. Once a cancer is diagnosed, we highlight the availability of clinical trials and the latest treatment options through the Herbert Irving Comprehensive Cancer Center Program’s Research Recruitment Minority Outreach (RRMO) program. This program is targeted towards increasing minority enrollment in clinical trials.

For several years, NYPH/Columbia has held breast cancer awareness programs similar to Bridging the Gap. The Department of Surgery Clinical Breast Cancer Program also participates in the Columbia University Breast Cancer Screening Partnership. For more information about these programs please click on the links included in the text of this post. To learn about upcoming Bridging the Gap events contact Christine Rein at cmr2146@columbia.edu.

Related Links:
Bridging the Gap: Enhancing Breast Cancer Prevention, Screening & Wellness Q&A (1 of 4)
Bridging the Gap: Enhancing Breast Cancer Prevention, Screening & Wellness Q&A (2 of 4)

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Attendees of the breast cancer awareness symposium “Bridging the Gap: Promoting Breast Cancer Prevention, Screening and Wellness” were given the chance to submit questions on breast cancer in the minority community. This is the second part of these questions answered by Dr. Preya Ananthakrishnan, Assistant Professor of Clinical Surgery and a host of the event.

Q: Does removing a breast that is not cancerous mean the cancer can or will occur somewhere else?

Dr. Ananthakrishnan: Removing a breast that is not cancerous (called prophylactic mastectomy) decreases the chances that a cancer will form in the opposite breast, however does not have any impact on whether the cancer will occur somewhere else.

Q: Does Arimedex affect joints and vision?

Dr. Ananthakrishnan: Yes, anastrazole (Arimidex) can cause joint pain. Vision changes should be reported immediately to your doctor, particularly if associated with headaches, confusion, or difficulty with speech or balance. This could be a medical emergency that would require immediate attention.

Q: Is it recommended that I take Tamoxifen as a prevention for breast cancer? What are the side effects? Is it possible to get a list of the suggested preventative foods mentioned by Dr. Crew?

Dr. Ananthakrishnan: The benefits of your taking Tamoxifen for breast cancer prevention depend on your individualized risk of breast cancer, which should be discussed with your doctor or a medical oncologist. Side effects of Tamoxifen include blood clots, strokes, uterine cancer, and cataracts. Other less serious side effects include hot flashes, vaginal dryness, leg cramps, and joint pain.

Q: I had an abdominal, pelvic & chest CT scan in January, April & now scheduled for a chest CT in June. Last because of chest pain & abdominal discomfort. Is this too much radiation with contrast & non-contrast scans?

Dr. Ananthakrishnan: While you would like to limit your radiation exposure from imaging studies as much as possible, if you are having serious symptoms then the benefits of detecting a problem on the scans are likely to outweigh the risks of the additional radiation. However, perhaps you could speak with your doctor to see whether the tests could be spaced out more if the symptoms you are experiencing have not changed in the interim.

Q: What is the increased risk for breast cancer development for women who have had abortions?

Dr. Ananthakrishnan: History of abortions does not increase risk for breast cancer. (You can refer to the: Summary Report: Early Reproductive Events and Breast Cancer Workshop for even more information on this.)

Q: My breast are large and mammograms are painful. Are there any alternatives – holistic or otherwise? The pressing seems un-natural and looks like it would cause other problems.

Dr. Ananthakrishnan: While mammograms are painful, unfortunately at this time there are no well accepted alternatives to mammography. The FDA came out with a statement in early June that thermography is not a substitute for screening mammography.

Q: When you mentioned a relative getting cancer at an early age may mean you are at a higher risk, is it any relative?

A first degree relative (mother, sister, or daughter) with a breast cancer increases risk more so than a distant relative.

Watch for Part 3 of this article, “Bridging the Gap: Your Questions & Answers on Breast Cancer from Dr. Preya Ananthakrishnan and Dr. Katherine Crew” to be posted shortly on columbiasurgery.net.

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Bridging the Gap: Your Questions & Answers on Breast Cancer from Dr. Preya Ananthakrishnan Part 1

June 22, 2011

TweetAttendees of the breast cancer awareness symposium “Bridging the Gap: Promoting Breast Cancer Prevention, Screening and Wellness” were given the chance to submit questions on breast cancer in the minority community. This is the first part of these questions answered by Dr. Preya Ananthakrishnan, Assistant Professor of Clinical Surgery and a host of the event. [...]

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June 2011 Breast Cancer Symposium at Club 101

June 20, 2011

TweetOn Saturday, June 4, NewYork-Presbyterian Hospital/Columbia University Medical Center hosted a free community breast cancer awareness symposium called “Bridging the Gap: Promoting Breast Cancer Prevention, Screening and Wellness.” More than 200 women, many of whom were breast cancer survivors, attended the event. Held at Club 101 in Manhattan, NY, the symposium involved more than just [...]

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