pt. 1. The healthy breast -- 1. The breast and its development -- The ductal anatomy -- How the breast develops -- 2. Getting acquainted with your breasts -- 3. Variations in development and plastic surgery -- Variations apparent at birth -- Variations appearing a puberty -- Plastic surgery -- Thinking about plastic surgery -- pt. 2. Common problems -- 4. "Fibrocystic disease" and breast pain -- Cyclical pain -- Noncyclical pain -- Nonbreast-origin pain -- 5. Breast infections and nipple problems -- Breast infections : intrinsic -- Breast infections : extrinsic -- Infection and cancer -- Nipple problems -- 6. Lumps and lumpiness -- Cysts -- Fibroadenomas-- Pseudolumps -- Cancer -- What to do if you think you have a lump -- pt. 3. Diagnosis of breast problems -- 7. Diagnostic imaging : mammography, ultrasound, MRI, and other techniques -- Mammograms -- Quality of mammograms -- Ultrasound -- MRI -- PET scanning -- MIBI scan -- CT scanning -- Thermography -- Other techniques -- The future -- 8. Biopsy -- Fine-needle biopsy -- Core biopsy -- Surgical biopsy -- How to read your biopsy report -- pt. 4. Prediction, prevention, and screening -- 9. Risk factors : nongenetic -- Observational studies -- Understanding risk -- Hormonal risk factors -- Fertility drugs -- Pesticides and other environmental hazards -- Diet -- Alcohol consumption -- Radiation -- Occupational exposures -- Electromagnetic field (EMF) exposure -- 10. Risk factors : genetic -- BRCA 1 and 2 -- Testing -- Choices -- Pulling it together -- 11. Prevention -- Diet -- Exercise -- Hormones -- Tamoxifen and other SERMs -- Other potential chemoprevention strategies -- Preventive surgery -- The future -- 12. Precancerous conditions -- Lobular cancer in situ -- Ductal carcinoma in situ -- 13. The intraductal approach : getting to the source -- 14. Screening -- Evaluating screening tests -- Breast self-exam -- Breast physical exam -- Mammography -- Screening recommendations --

pt. 5. Diagnosis of breast cancer and decisions -- 15. Introduction to breast cancer -- Statistics -- Treatment studies : clinical trials and research protocols -- Becoming part of a study -- 16. What kind of cancer is it? -- How to interpret a pathology report -- Staging -- Biomarkers -- Combined markers -- 17. Treatment options : local therapy -- Surgery and radiation -- Ablation techniques -- Axillary surgery -- Timing of surgery -- Guidelines and choices -- 18. Treatment options : systemic therapy -- Chemotherapy -- Hormone therapy -- Targeted therapies -- Second opinions -- 19. Special cases and populations -- Locally advanced breast cancer -- Inflammatory breast cancer -- The unknown primary -- Paget's disease of the breast -- Cystosarcoma phylloides -- Cancer of both breasts -- Cancer in the other breast -- Breast cancer in very young women -- Breast cancer in elderly women -- Cancer during pregnancy -- Breast cancer during lactation -- Women with implants -- African American women -- Beast cancer in men -- Other cancers -- 20. Fears, feelings, and ways to cope -- Weighing the options -- Finding support -- Coping : what to tell your children -- Coping : fears of your loved ones -- Searching for information -- What to look for in a doctor and medical team -- Second opinions -- pt. 6. Treatment -- 21. Surgery -- Anesthesia -- Preliminary procedures -- Partial mastectomy and axillary dissection -- Total mastectomy -- 22. Reconstruction and prosthesis -- Prostheses -- Reconstruction -- Making a decision -- The unacceptable reconstruction -- Partial reconstruction after lumpectomy -- The other breast -- 23. Radiation therapy -- Initial consultation -- The planning session -- The treatments -- The boost -- Partial breast radiation -- Side effects -- 24. Systemic therapy -- Adjuvant chemotherapy -- Adjuvant hormone therapy -- 25. Complementary and alternative treatments -- Complementary therapies -- Alternative treatments --

pt. 7. Living with breast cancer

26. After treatment

The follow-up

physical adjustments

Long-term side effects of chemotherapy

Menopausal symptoms

Treatment for symptoms

Lifestyle changes

Healing the mind

Relationships and sex

Pregnancy

Insurance and getting a job

27. When cancer comes back

Local and regional recurrence

Distant recurrence (metastatic disease)

Hormone (endocrine) treatments

Chemotherapy

Targeted therapy

Bisphosphonates

Other treatments

Pain control

Experimental treatments

Taking care of yourself emotionally

When to stop treatment

pt. 8. What is coming

28. The future : from lab to bedside

Tumor stem cells

Gene-environment interaction

Angiogenesis

Translational research

Appendices

A. Drugs used for systemic treatment of breast cancer

B. Resources

C. NCI-designated cancer centers listed by state

D. The wellness community physician/patient statement

E. Pathology checklist

Glossary.

Introduction to the seventh edition

Part one: The healthy breast and common problems. The breast

Common breast problems

Part two: What causes breast cancer and how do we prevent it?. Biology of cancer

Hereditary breast cancer

Understanding risk

Prevention and risk reduction

Part three: Finding breast cancer. Screening

Diagnosis

Part four: Decisions. Coping with a breast cancer diagnosis

What kind of breast cancer do I have?

Decisions about treatment

Special situations and populations

Part four: Treatment in the age of personalized medicine. Local treatment : surgery

Local treatment : radiation therapy

Systemic therapy : chemotherapy, hormones, targeted therapies, and immunology

Systemic therapy : lifestyle changes and complementary treatments

Part six: After treatment. Follow-up

After breast cancer treatment : living with collateral damage

Part seven: Recurrence of breast cancer. When cancer comes back

Living with recurrence

Epilogue: Eradicating breast cancer : politics and research

Appendix A: Resources

Appendix B: Pathology checklist.

Part one. Healthy Breast and Common Problems --

Part two. What Causes Breast Cancer and How Do We Prevent It? --

Part three. Finding Breast Cancer --

Part four. Decisions --

Part five. Treatments in the Age of Personalized Medicine --

Part six. After Treatment --

Part seven. Recurrence of Breast Cancer.

The healthy breast and common problems. The breast and its development ; Variations in development and plastic surgery ; Common breast problems

What causes breast cancer and how do we prevent it? Understanding biology and risk ; Risk factors ; Tests for risk ; Prevention and risk reduction

Diagnosis and screening. Diagnosis : mammography, ultrasound, MRI, and biopsies ; Screening

Decisions. Introduction to breast cancer ; What kind of breast cancer do I have? ; Decisions regarding treatment ; Special situations and populations

Treatment in the age of personalized medicine. Surgery ; Oncoplastic surgery, reconstruction, and prostheses ; Radiation therapy ; Systemic therapy ; Lifestyle changes and complementary treatments ; After treatment

Recurrence. When cancer comes back ; Living with recurrence

Eradicating breast cancer : politics and research

Appendices. A, Drugs used for systemic treatment of breast cancer ; B, Resources ; C, The wellness community physician/patient statement ; D, Pathology checklist ; E, General physical activities defined by level of intensity.